FT - Pediatric RN Field Case Manager

Houston Hospice · Houston, TX Full Time

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Job Description

Houston Hospice believes that the most valuable resource to an organization is it’s Employees. Founded in 1980, we are the oldest, largest, independent non-profit hospice in the Greater Houston area. It is our mission to provide uncompromising, compassionate, end-of-life care to patients of all ages and their families. Serving 13 counties that surround the Houston area, we are committed to being the highest quality hospice provider wherever we serve. At Houston Hospice, we focus on caring, not curing. We take a team approach to care that includes physicians, nurses, social workers, chaplains, hospice aides, volunteers, and bereavement counselors. We provide hospice service wherever patients and families need us: in their home, in a long-term care facility, or in our inpatient care unit that is based in the Texas Medical Center. Our team of doctors and nurses specialize in managing pain and symptoms that are unique to life-limiting illnesses. Summary: We are seeking a candidate who would be responsible for the overall management of pediatric patient's cases. Responsibilities include coordination of care with the client, family, and other providers. Duties and Responsibilities: Coordinate care with providers, including: Registered Nurses (RN), Licensed Practical Nurses (LPN), and Licensed Practical Nurses (LPN/LVN) Maintain case documentation in accordance with state regulations. Maintain case notes in accordance with state regulations. Develop and maintain care plans for each client on the basis of clinical assessment and family needs. Coordinate care with other providers as necessary Maintain appropriate communication with the admitting physician or psychiatrist regarding progress reports, changes in status, and as necessary, refer patients to other providers or services. Conduct home visits as necessary to ensure optimal outcomes. Review patient charts weekly to ensure appropriate follow-up and referral as necessary. Ensure that appropriate follow-up is provided by all other providers as necessary. Coordinate care with community agencies as necessary to ensure appropriate follow-up. Provide training to staff on client management and referral processes. Develop, modify, and maintain case files as needed in accordance with state regulations. Adhere to all policies and procedures of the agency or organization that employs you. Experience: ·Registered Nurse: 2 years (Preferred) ·Licensed Practical Nurse: 2 years (Preferred) ·Case Managers: 2 years (Preferred) IND123 8:30am-5:00pm

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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.

Nursing roles in senior living are fundamentally different from hospital nursing. Most positions involve building long-term relationships with the same residents over months or years rather than cycling through new patients every shift. Facilities in the Houston area typically require an active Texas RN or LVN license, current CPR/BLS certification, and many prefer at least one year of geriatric or long-term care experience.

Shift patterns vary widely — some facilities run traditional 8-hour shifts (day, evening, night), while others use 12-hour rotations. Weekend and holiday coverage is almost always part of the schedule. The nurse-to-resident ratio in assisted living is generally more favorable than in hospitals, but you will likely be the highest-level clinical staff on the floor during your shift, which means more autonomy and more responsibility for clinical judgment calls.

What to Expect in This Role Day-to-Day

Based on typical senior living facilities in the Houston area.

A typical shift starts with medication pass and resident assessments. You will review overnight notes from the previous shift, check vitals for residents on your watch list, and coordinate with CNAs on any changes in condition. Mid-shift usually involves documentation, family communication, and working with physicians on care plan updates — often by phone or telehealth rather than in-person rounds.

Depending on the facility, you may also handle admissions paperwork, manage wound care, supervise medication techs, and respond to emergencies. The documentation load in senior living is significant — state surveys and compliance requirements mean thorough charting is non-negotiable. Many nurses in this setting say the most rewarding part is knowing their residents personally and being able to notice subtle changes that a rotating hospital nurse might miss.

Houston Area Salary Data

According to the Bureau of Labor Statistics, Registered Nurse positions in the Houston metro area earn a median wage of $48.00/hr ($99,840/yr). The typical range is $39.37 – $55.77/hr (25th–75th percentile).

Entry Level (10th) $74,859/yr

Houston Median $99,840/yr

Experienced (90th) $130,437/yr

vs. National Median +2.3%

Source: Bureau of Labor Statistics, Occupational Employment & Wage Statistics (Houston-Pasadena-The Woodlands, TX Metro Area). Salary data provided by Houston Senior Living Guide.