This position offers competitive pay, generous benefits, car lending program and a supportive work environment. 

We are currently seeking a full time Home Health Aide to provide personal care services to our home health patients. The HHA will provides personal care services to patient and performs related tasks in the patient/family home in accordance with the plan of treatment as assigned by the Nurse/Case Manager and in compliance with organization policies and procedures and applicable laws and regulations.

Schedule:

Part-time; 3 days per week; 8:30am - 5:00pm

Location:

San Francisco & Marin Counties

**MUST HAVE HHA LICENSE**

By the Bay Health follows all CDPH vaccine requirements for healthcare personnel.

Essential Duties & Responsibilities include (but are not limited to):

• Assist patient in bathing, care of mouth, skin, and hair as needed
• Assist patient in and out of bed and with ambulation
• Turn patient in bed, position for comfort, and change bed linen
• Assist with prescribed exercises as directed
• Prepare meals and assist with eating if meals needed during assigned visit time

Education/Experience:

• Completion of an approved Home Health Aide training program
• High school diploma or general education degree (GED); or related experience and/or training; or equivalent combination of education and experience

Certificates, Licenses, Registrations:

• Completion of an approved Home Health Aide (HHA) training program. HOME CARE AIDE (HCA) CERTIFICATION IS NOT ACCEPTED.
• Current California Driver’s License and automobile insurance that meets State of California requirements, if driving a car. 

Pay Range:
$26.30 - $31.00 hourly

This full-time position offers competitive pay, generous benefits and a supportive work environment.

We are seeking a Home Care Occupational Therapist who will follow established policies and procedures to evaluate and treat a caseload of patients with impaired functional ability in their place of residence the HH OT will have accountability for the coordination of care, implementation of physician orders, and provision of care from admission to discharge.

Schedule:

Monday - Friday; 8:30am - 5:00pm

Location:

San Francisco & Marin Counties

By the Bay Health follows all CDPH vaccine requirements for healthcare personnel.

Essential Duties & Responsibilities include (but are not limited to):

• Evaluates adult, and geriatric patients. Interprets findings to determine the nature and extent of dysfunction
• Collaborates with physician, patient, and team members to establish, implement, and evaluate a plan of care including goals and periodically revises patient’s treatment/ care plan
• Obtains required physician orders for all care provided. Provides comprehensive ongoing assessment of the patient and the patient’s equipment needs
• Counsel patient/caregiver in meeting patient’s needs and goals. Notifies the patient’s attending physician and other appropriate healthcare professionals and staff members of significant changes in the patient’s condition in a timely manner

Education/Experience:

• Bachelor’s Degree (B.S.) in occupational therapy or equivalent; Master's Degree preferred
• One year's experience in a health care setting preferred

Certificates, Licenses, Registrations:

•    Current California license in Occupational Therapy
•    BLS required

Pay Range:
$58.00 - $73.60 hourly

Office Location: San Francisco
Service Area: San Francisco County 
Schedule: Part-time, 3 days per week; 8:30 a.m.– 5:00 p.m.
Compensation: $65.00 – $75.00 per hour + additional language differential if bi-lingual in Cantonese, Mandarin & Taishanese 

Position Summary

As a Home Health Registered Nurse (RN Case Manager), you will provide skilled, compassionate nursing care to patients in their homes — helping them recover, remain independent, and live safely in their chosen environment. You will assess patient needs, develop individualized plans of care, and collaborate closely with physicians, therapists, social workers, and other members of the interdisciplinary team to ensure high-quality outcomes and patient satisfaction. This position offers a meaningful balance of autonomy and teamwork, allowing you to practice the full scope of nursing while being supported by a dedicated, mission-driven organization.

Essential Duties and Responsibilities:

Patient Care & Clinical Responsibilities

• Serve as the RN Case Manager for an assigned caseload of home health patients, coordinating and overseeing all aspects of care.
• Perform comprehensive initial assessments to determine the patient’s skilled nursing and home care needs.
• Develop and initiate the Plan of Care (POC) and obtain physician orders for necessary services and changes.
• Provide direct skilled nursing interventions in accordance with the POC — including wound care, medication administration, IV therapy, catheter care, and disease management.
• Educate patients and caregivers on self-care, medication adherence, symptom recognition, and emergency response.
• Regularly evaluate and revise the POC as patient conditions and needs change.

Care Coordination:

• Collaborate with members of the interdisciplinary team — including physical, occupational, and speech therapists, medical social workers, and home health aides — to ensure integrated,
  patient-centered care.
• Communicate effectively with physicians, patients, and families to promote understanding and adherence to the care plan.
• Coordinate patient discharges and transitions of care, ensuring continuity and safety.
• Participate in regular case conferences and team meetings to review patient progress and update
  goals.

Documentation & Compliance

• Complete timely and accurate clinical documentation within the electronic medical record (EMR).
• Ensure all documentation meets Medicare, state, and agency standards, including OASIS and visit notes.
• Maintain compliance with infection control, patient safety, and regulatory requirements.

Education/Experience:

• BSN degree preferred (Associate degree accepted with equivalent experience).
• Minimum of one (1) year experience as a Registered Nurse required; home health or acute care experience preferred.
• Knowledge of OASIS documentation and CMS home health regulations is a plus.

Certificates, Licenses, Registrations:

• Current license as a Registered Nurse in the State of California.
• Current license as a Public Health Nurse (PHN) in the State of California preferred.
• BLS certification required

Why You’ll Love Working With Us

At By the Bay Health, you’ll be part of a collaborative team that values your professional expertise and personal well-being. We offer:

• Competitive hourly pay and predictable schedules
• Mileage reimbursement and paid drive time
• Comprehensive medical, dental, and vision insurance
• Retirement savings plan with employer match
• Generous paid time off and holidays
• Supportive interdisciplinary team culture
• Thorough orientation and ongoing professional development
• The satisfaction of working for a mission-driven nonprofit that truly values patient and family-centered
  care

Bring your compassion and clinical skills to a nonprofit organization that has served the Bay Area for 50 years.

Apply today to join By the Bay Health — where your care makes a difference every day.

Home Health Physical Therapist 

Location: San Francisco County, CA

Schedule: Part-time; 3 days per week; 8:30am - 5:00pm
Pay Range: $69.00 – $76.60 per hour

What You’ll Do

Patient Evaluation & Care Planning

• Conducts comprehensive initial and ongoing assessments of patient mobility, strength, balance, coordination, pain, and functional status.
• Evaluates home environments for safety and recommends adaptive equipment or modifications as needed.
• Develops and implements individualized Plans of Care (POCs) based on patient needs and physician orders.
• Establishes measurable goals and expected outcomes to restore and/or improve function.

Treatment Implementation

• Provides skilled physical therapy interventions, including but not limited to:
• Gait training and transfer training
• Strengthening and balance exercises
• Range-of-motion and endurance training
• Home exercise program instruction
• Pain management and fall prevention strategies
• Instructs patients, families, and caregivers on safe exercise techniques, use of assistive devices, and energy conservation.
• Modifies treatment as necessary to maximize progress and safety.

Communication & Coordination

• Collaborates with the RN Case Manager, occupational therapy, speech therapy, medical social work, and home health aides.
• Communicates changes in patient condition promptly to the physician and care team.
• Participates in interdisciplinary team meetings and case conferences to review progress and update the care plan.
• Coordinates discharge planning and recommends outpatient or community services when appropriate.

Documentation & Compliance

• Completes all documentation timely and accurately within the EMR system.
• Ensures all visit notes, OASIS data, and progress reports comply with Medicare, CMS, and agency requirements.
• Maintains appropriate visit frequencies per the plan of care and PDGM (Patient-Driven Groupings Model) standards.
• Adheres to agency policies, professional ethics, and confidentiality standards (HIPAA).

Professional Accountability

• Maintains current knowledge of physical therapy techniques, home health regulations, and infection control practices.
• Participates in continuing education, in-service programs, and quality improvement activities.
• Assists in orienting new staff and mentoring colleagues as assigned.

Education & Experience

• Graduate of an accredited Physical Therapy program; Doctor of Physical Therapy (DPT) preferred.
• Minimum of one year of experience in a healthcare setting (home health experience preferred).

 Licenses & Certifications

• Active California Physical Therapy license required
• Current CPR certification

Why Join By the Bay Health

• Competitive per diem pay ($69–$76.50/hour).
• Mileage reimbursement and paid drive time.
• Work/life balance with flexible weekend-only scheduling.
• A supportive, mission-driven environment focused on patient-centered care.
• Opportunities for continued training and professional growth.

About Us

We serve patients and families across Marin, Sonoma, and the greater Bay Area, addressing their practical, emotional, and spiritual needs to maximize quality of life.

We follow all California Department of Public Health (CDPH) vaccine requirements for healthcare personnel.

Ready to Apply?

Bring your skills, compassion, and heart to a team that truly values quality care.
Apply today to join By the Bay Health — where every visit makes a difference.

If you are a Certified HHA come join our Hospice team!

This position offers competitive pay, generous benefits, car lending program and a supportive work environment. 

We are currently seeking a full time Hospice Aide to provide personal care services to our hospice patients.

Schedule:

Monday - Friday including rotating weekends; 8:30am - 5:00pm

Location:

San Francisco County 

**MUST HAVE HHA LICENSE**

By the Bay Health follows all CDPH vaccine requirements for healthcare personnel.

Essential Duties & Responsibilities include (but are not limited to):

• Assist patient in bathing, care of mouth, skin, and hair as needed
• Assist patient in and out of bed and with ambulation
• Turn patient in bed, position for comfort, and change bed linen
• Assist with prescribed exercises as directed

Education/Experience:

• Completion of an approved Home Health Aide training program.
• Experience in hospice or home health preferred.

Certificates, Licenses, Registrations:

• Completion of an approved Home Health Aide (HHA) training program. HOME CARE AIDE (HCA) CERTIFICATION IS NOT ACCEPTED.
• Current California Driver’s License and automobile insurance that meets State of California requirements, if driving a car. 

Pay Range:
$26.30 - $31.00 hourly