At 21st Century Home Health Services (21HHS), we treat every patient with the same empathy, compassion, and understanding we would show our own family. With more than 600 employees, we are the largest home health agency in San Francisco and the fastest-growing in the Bay Area. Today, we care for more than 4,000 patients across San Francisco, San Mateo, Santa Clara, Santa Cruz, Alameda, Contra Costa, Solano, Napa, Yolo, Placer, El Dorado, and Sacramento counties—and we are actively expanding into Marin and Sonoma counties.
Our clinicians are dedicated not only to the patients they serve, but also to one another. The results speak for themselves: hospital readmission rates at 21HHS consistently remain under 10%, compared to an industry average of over 15%.
We’ve also set a new benchmark for employee satisfaction in home health. Recognized as a 2024 Top Workplace, 21HHS fosters an environment of support, growth, and recognition through open communication and professional development opportunities.
Key achievements include:
San Francisco Chronicle Top Workplaces in the Bay Area: Ranked 3rd among all medium-sized companies and 1st among home health agencies.
National Recognition: Ranked 12th among medium-sized healthcare companies nationwide and 1st among home health agencies.
Patient and employee feedback on Yelp, Google, Glassdoor, and Indeed further validates our commitment to quality care and workplace excellence. By prioritizing engagement and satisfaction, 21HHS attracts top clinical talent and delivers outstanding outcomes, cementing our place as a leader in home health.
Please note: All opportunities at 21HHS require being in the field visiting patients in their homes. Remote/work-from-home positions are not available unless specifically noted.
This entry-level Field Physical Therapist role focuses on building core clinical skills in a home health setting while gaining insight into company operations. The position centers on follow-up visits rather than case management, with strong support from leadership through training, mentorship, and professional development.
This position works under the supervision of a Physical Therapist Case Manager.
Anticipated Coverage Area: Fremont Area
This entry-level Field Physical Therapist role focuses on building core clinical skills in a home health setting while gaining insight into company operations. The position centers on follow-up visits rather than case management, with strong support from leadership through training, mentorship, and professional development.This position works under the supervision of a Physical Therapist Case Manager.Anticipated Coverage Area: Fremont Area
Estimated Wage Range for Home Health Field Physical Therapist (PT): $130,000 - $160,000. Starting pay is based on relevant experience above the minimum requirements. Compensation for this position follows a pay-per-visit model, with the wage provided as an estimate. 21st Century offers comprehensive health benefits and a 401k plan with up to a 4% match.
What You’ll Do as a Health Field Physical Therapist:
Provide hands-on therapeutic interventions including gait training, balance and neuromuscular re-education, transfer training, therapeutic exercises, manual therapy, and pain management techniques, as appropriate under your license and within a home health setting.
Assist in managing patients with assistive devices, prosthetics/orthotics, wheelchairs, and home safety equipment.
Conduct detailed patient evaluations and assessments in the home environment.
Implement individualized plans of care under the supervision and guidance of a Physical Therapist Case Manager.
Provide accurate, timely documentation of patient care within 24-48 hours, consistent with plan of care and compliance standards.
Educate patients and family/caregivers on functional mobility, exercise programs, safety techniques, and proper use of adaptive equipment.
Collaborate closely with the Physical Therapist Case Manager to prepare for and assist in patient treatments and updates to the care plan.
Participate in the interdisciplinary coordination of services, including identifying needs for OT, ST, HHA, MSW, and RN interventions, and report to the Physical Therapist Case Manager as appropriate.
Effectively use equipment and supplies to provide efficient care while maintaining cost awareness.
Maintain active participation in professional development, clinical trainings, and skill refinement opportunities.
Perform other duties as assigned by the supervising Physical Therapist Case Manager.
Stay up to date on communication for assigned patients and use relevant information to prioritize care effectively.
Provide timely, relevant updates to the supervising PT Case Manager and participate in weekly interdisciplinary case conferences as required.
Ensure patient privacy and dignity in both documentation and care delivery.
Seek opportunities to enhance clinical knowledge and remain informed on best practices and home health standards.
Meet productivity expectations as directed by your Physical Therapist Case Manager.
Participate in initial evaluations, reassessments, and discharge planning in collaboration with the Case Manager PT.
Participate in on-call or weekend coverage rotation, as required.
What You Bring to the Role
Current, unrestricted California Physical Therapist (PT) License.
Current BLS/CPR Certification.
Valid CA Driver’s License with a clean driving record.
Graduate of an accredited Physical Therapy program.
One (1) year of experience as a Physical Therapist preferred—new graduates and internal candidates may be considered.
Prior home health experience is highly desirable.
Experience treating high acuity patients is a plus.
Ability to work effectively as part of an interdisciplinary team (RN, OT, ST, MSW, HHA).
Familiarity with case management principles is preferred.
Strong clinical judgment, excellent verbal/written communication, time management, and problem-solving skills.
Comfortable with electronic documentation and mobile healthcare tools.
Ability to self-direct, manage time independently, and maintain professionalism in a fast-paced setting.
Commitment to annual compliance training and continuing education requirements.
21st Century is an equal opportunity employer, committed to fostering a diverse and inclusive workplace. We strictly prohibit discrimination or harassment of any kind, including but not limited to race, color, sex, religion, sexual orientation, gender identity, national origin, disability, genetic information, pregnancy, or any other characteristic protected under federal, state, or local law.
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