Home Health and Hospice Case Manager (RN)

Titan Placement Group · Galena Park, TX Full Time

What About Senior Care? Less Hours. Ongoing Patient Relationships. Explore Senior Care Jobs →

Job Description

Home Health & Hospice RN Case Manager Houston, Texas We’re hiring a Home Health & Hospice RN Case Manager in Houston, Texas who wants autonomy in the field, a stable schedule, and the opportunity to provide compassionate care to patients in their homes. You’ll step into a clinical role focused on skilled nursing visits, patient assessments, care coordination, medication management, and ongoing communication with physicians, patients, and families. You’ll work closely with an interdisciplinary team to ensure quality outcomes and continuity of care across both home health and hospice services. Why this role is compelling • Monday–Friday schedule • Rotating on-call responsibilities • Company vehicle provided • Autonomy in the field with strong interdisciplinary support • Opportunity to work across both home health and hospice settings • Stable patient-focused environment • EMR: Kinnser / WellSky What makes you a great fit • You hold a clear and active Texas RN license • You have Home Health and/or Hospice experience • You have Medicare documentation experience • You possess strong assessment, case management, and organizational skills • You’re comfortable independently managing a patient caseload • You have excellent communication and patient care skills Compensation & Benefits • Salary: $80,000–$85,000 • Health insurance with $250 reimbursement per pay period • Dental & vision insurance • Retirement package with executive bonus plans • Company vehicle provided • Paid holidays • 10 days PTO, increasing with tenure • 4 personal days • Disability coverage If you want an RN Case Manager role where you can provide meaningful care while enjoying autonomy and schedule stability, this is worth a conversation. Apply now or send your resume to chad@titanplacement.com . Or call (941) 269-1000 if you have any questions.

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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 $47.02/hr ($97,802/yr). The typical range is $38.29 – $50.95/hr (25th–75th percentile).

Entry Level (10th) $69,368/yr

Houston Median $97,802/yr

Experienced (90th) $125,320/yr

vs. National Median +4.5%

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