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Grad Rn Jobs in Sacramento, CA (NOW HIRING)

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How much do grad rn jobs pay per hour?

As of Sep 14, 2026, the average hourly pay for grad rn in Sacramento, CA is $31.92, according to ZipRecruiter salary data. Most workers in this role earn between $28.70 and $32.55 per hour, depending on experience, location, and employer.

What is a Grad RN?

Grad RNs, or Graduate Registered Nurses, are individuals who have completed the educational requirements for a nursing degree and have graduated from an accredited nursing program, but may not yet be fully licensed as registered nurses. Typically, Grad RNs are in the process of preparing for and taking the NCLEX-RN exam, which is required to obtain their nursing license. During this period, they may work in healthcare settings under the supervision of licensed RNs or physicians. Their responsibilities often include providing direct patient care, administering medications, and assisting with medical procedures, all while gaining practical experience. Once they pass the licensing exam, they become fully licensed registered nurses.

What are the key skills and qualifications needed to thrive as a Grad RN, and why are they important?

To thrive as a Grad RN, a foundational understanding of nursing principles, clinical skills, and completion of a nursing degree with eligibility for RN licensure are essential. Familiarity with electronic health records (EHRs), hospital protocols, and basic patient care equipment is typically required. Strong communication, teamwork, and a willingness to learn help new graduates adapt and excel during their transition into professional practice. These competencies ensure safe patient care, effective collaboration, and a smooth integration into the healthcare environment.

What types of mentorship and support can a new Grad RN expect during their transition into clinical practice?

As a new Grad RN, you can typically expect to be paired with a preceptor or mentor during your orientation period. This experienced nurse will guide you through daily responsibilities, answer your questions, and help you develop clinical skills and confidence. Most hospitals offer structured residency or transition-to-practice programs, which may include classroom learning, simulation labs, and regular check-ins with educators or managers. This support system is designed to ease your transition from student to practicing nurse, promote professional growth, and help you navigate common challenges faced by new graduates.

What is the difference between Grad Rn vs Registered Nurse?

AspectGrad RnRegistered Nurse
CredentialsGraduated from an accredited nursing program, eligible for licensureLicensed and fully credentialed nurse with active RN license
Work EnvironmentEntry-level settings, supervised clinical rotations, training rolesFull responsibilities in hospitals, clinics, and healthcare facilities
Employer & Industry UsageHospitals, clinics, healthcare agencies during trainingEstablished healthcare providers, hospitals, clinics
Search & Comparison IntentUnderstanding entry-level roles, training positionsFull practice roles, career progression

In summary, a Grad Rn is a nursing graduate in the process of obtaining licensure and gaining practical experience, while a Registered Nurse is a fully licensed professional with broader responsibilities and independence in patient care.

What can I do as a new graduate registered nurse?

As a new graduate registered nurse, you can work in various healthcare settings such as hospitals, clinics, or long-term care facilities, providing patient care under supervision. You may start in entry-level roles like staff nurse or patient care associate, and obtaining certifications like Basic Life Support (BLS) can enhance your qualifications. Gaining experience and developing clinical skills are essential for career advancement.

What cities near Sacramento, CA are hiring for Grad Rn jobs?

Cities near Sacramento, CA with the most Grad Rn job openings:

Grad Rn jobs near you
Infographic showing various Grad Rn job openings in Sacramento, CA as of August 2026, with employment types broken down into 2% As Needed, 55% Full Time, 15% Part Time, and 28% Contract. Highlights an 98% Physical, and 2% Remote job distribution, with an average salary of $66,387 per year, or $31.9 per hour.

Home Health Field Registered Nurse (RN)

Dixon, CA • On-site

21st Century Home Health Services Inc
Health Care and Social Assistance • 201 - 500 employees
Learn more about 21st Century Home Health Services Incexternal

Other

Medical, Retirement

Re-posted yesterday

Job description

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.
This entry-level Field Registered Nurse position is designed to develop fundamental nursing skills within a home health setting while gaining an understanding of the company's operational goals and efficiencies. It serves as a foundational role for registered nurses aspiring to advance into case management.
This position works under an Case Manager Registered Nurse position.
Anticipated Coverage Area: Dixon, CA
As Home Health Field Nurse you will:
  • Providing hands-on patient care including, but not limited to (must be within RN license scope): PICC lines, Wound Vacs & Care ,Kangaroo & feeding Pumps, Management of NG, G, and J tubes, Staple & suture removal ,Drains such as, JP, Biliary, Nephrostomy, ,Foley/suprapubic catheters (insertion, removal, and troubleshooting), PleurX drainage system ,Trach care, Blood draws, Ostomy management ,SQ and IM injections, IV antibiotic/TPN administration and Compression wraps.
  • Provides direct patient care as defined in the state Nurse Practice Act
  • Implements a plan of care initiated and directed by the Case Management Registered Nurse
  • Provides accurate and timely documentation within 24-48 hours consistent with the plan of care
  • Assesses and provides patient and family/caregiver education and information pertinent to diagnosis and plan of care
  • Assists the registered nurse in performing skilled needs procedures and duties, which include preparing equipment and materials for treatments and assisting the patient in learning appropriate self-care techniques
  • Participates in coordination of home health services, appropriately reporting the identified needs for other disciplines (HHA, OT, PT, MSW, ST) to the Case Management RN or other disciplines
  • Uses equipment and supplies effectively and efficiently
  • Participates in personal and professional growth and development
  • Performs other duties as assigned by the Case Management Registered Nurse
  • Retrieves communication on assigned patients. Uses information received as a basis for establishing priorities of care
  • Gives a timely and pertinent report to the Case Manager
  • Records pertinent and concise information that will reflect the patients' needs, problems, capabilities and limitations, as well as the patients' response to nursing interventions
  • Entries will accurately record any incident that has a bearing on the patient.
  • Reports pertinent information timely to the Case Management Registered Nurse and to Provider
  • Attends weekly Case Conferences as required to coordinate and communicate information regarding patient care and treatment
  • Ensures patient privacy in maintaining medical records and when providing care.
  • Maintains professionalism and seeks opportunities to enhance knowledge of clinical skills
  • Maintains productivity standards as directed by the Case Management Registered Nurse .
  • Completes and reviews Start of Care assessments, documentation, and plans of care with Case Manager, as needed.
  • Participates in on-call duties as required by weekend rotation
To be a Success, you must:
  • One (1) year of recent nursing experience Experience requirement may be waived for internal candidates and/or new grad posting.
  • One year of home health care experience is preferred.
  • Experience with high acuity patients is a plus
  • Experience working with an interdisciplinary team is highly desired
  • Graduate of an accredited school of nursing (Bachelor's degree)
  • Current CA Registered Nurse License (RN)
  • Current Basic Life Support (BLS) Card
  • Valid CA Drivers License with acceptable driving record
  • All license and certifications must be current at time of hire and sustained throughout employment
  • Self- directed, Critical Thinker, Outstanding interpersonal skills, Organized, Computer literacy. Excellent observation, verbal and written communication skills, problem solving skills, basic math skills; nursing skills per competency checklist.
  • Must maintain current with annual compliance training and certifications

$130,000 - $160,000 a year
Estimated Wage Range for Home Health Registered Nurse (RN): $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.
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.
By providing your contact information, you agree to receive communications from 21st Century Home Health Services. For details on how we handle your information, please review our Privacy Policy: https://21hhs.com/privacy-policy
We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses and identifying potential inconsistencies or verification signals in application materials based on available information. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.

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