Case Manager - Transition in Care
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Job Description
Houston Methodist seeks a Case Manager to oversee care transitions and discharge planning for designated patient populations. This registered nurse role coordinates clinical care across the multidisciplinary healthcare team while ensuring safe, efficient, and quality patient outcomes.
What You'll Do- Comprehensively assess clinical conditions and plan case management including care transitions and discharge planning
- Facilitate referrals and transfers for home health, hospice, durable medical equipment, and post-acute services
- Communicate with physicians, payors, and post-acute providers to ensure safe care continuity
- Participate in daily multidisciplinary rounds and escalate discharge barriers to leadership
- Review medical records for medical necessity and manage length of stay reduction initiatives
- Current RN license from Texas Board of Nursing; must obtain permanent Texas license within 60 days if establishing residency
- Minimum three years hospital nursing clinical experience; acute care case management experience preferred
- Bachelor's degree preferred; proficiency in Microsoft Office Suite and strong organizational skills required
- Knowledge of Medicare, Medicaid, managed care, and post-acute community resources
- Join one of the nation's leading health systems and academic medical centers
- Work across eight hospitals throughout the Greater Houston metropolitan area
This is a preview of the job listing. The full posting includes complete compensation details, benefits package, qualification requirements, and application instructions.
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What Most Job Listings Don’t Tell You
General overview for this role type — specific duties and requirements vary by employer.
Management roles in senior living carry a unique blend of healthcare oversight and business operations that most job listings barely touch on. Executive Directors and Administrators are typically responsible for state regulatory compliance, staff retention, census management, and family satisfaction — all at the same time. In Texas, Assisted Living Facility administrators must meet HHSC licensing requirements, which often include specific training hours and ongoing continuing education.
What surprises many new administrators is the direct involvement with families during crises — end-of-life transitions, care disputes, and emergency situations all land on your desk. Staff turnover in senior living runs high nationally, so a significant part of the role is recruiting, training, and retaining quality caregivers. Facilities in the Houston market compete heavily for qualified staff, making retention strategy a critical skill for anyone in these positions.
What to Expect in This Role Day-to-Day
Based on typical senior living facilities in the Houston area.
A typical day starts with a census and staffing review — confirming occupancy, checking for any overnight incidents, and ensuring the day's shifts are fully covered. Morning stand-ups with department heads (nursing, dietary, activities, maintenance) set priorities for the day. You will spend time on the floor interacting with residents and families, which doubles as quality checks and relationship building.
Afternoons often shift to administrative work — reviewing financial reports, handling vendor relationships, preparing for state surveys, and managing marketing efforts to maintain occupancy. Community outreach, hospital discharge planner relationships, and local referral networks are ongoing responsibilities. Most directors describe the role as never having two identical days — the blend of clinical, operational, and interpersonal challenges keeps the work unpredictable but engaging.
Houston Area Salary Data
According to the Bureau of Labor Statistics, Medical/Health Services Manager positions in the Houston metro area earn a median wage of $59.81/hr ($124,405/yr). The typical range is $45.69 – $78.44/hr (25th–75th percentile).
Source: Bureau of Labor Statistics, Occupational Employment & Wage Statistics (Houston-Pasadena-The Woodlands, TX Metro Area). Salary data provided by Houston Senior Living Guide.
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