RN Case Manager (Denton County)

Job Description

Job Description

Make a Meaningful Difference in the Places That Matter Most. Are you a dedicated RN with a heart for hospice care? We are looking for a compassionate Registered Nurse to join our interdisciplinary team, providing skilled nursing care to patients in the comfort of their own homes. If you are passionate about supporting patients and their families through life’s most delicate transitions, we invite you to bring your clinical expertise to a role where your empathy is as valued as your skills. This role is Monday-Friday 8:00 AM -5:00 PM in Dallas County. Primary functions are to administer nursing care for clients of all ages in their place of residence, coordinate care with the interdisciplinary team, patient/family and referring agency; and assume the responsibility for coordination of care.

Established in 1934, the Visiting Nurse Association of Texas (VNA) is a non-profit organization providing compassionate care to the community. As the first and most experienced Hospice Care provider in Texas, VNA has a trusted reputation for delivering high-quality care for over 90 years. Our hospice and palliative care programs are available across 16 counties in North Texas, including: Collin, Cooke, Dallas, Denton, Ellis, Fannin, Grayson, Henderson, Hunt, Johnson, Kaufman, Rockwall, Tarrant, Van Zandt, and parts of Wise and Navarro Counties.

Joining our team means more than a competitive salary and mileage reimbursement. We offer comprehensive medical, dental, and vision plans, along with employer-paid life and short and long-term disability insurance. To support your future, we offer a 401(k) with a 6% match and a fast, two-year vesting schedule. We also prioritize work-life harmony through generous PTO, eight total paid holidays, and opportunities for professional growth and tuition reimbursement—all within a supportive, mission-driven culture.

We provide essential services to communities across North Texas, including:

• VNA Hospice Care – Adult and pediatric hospice support.
• VNA Supportive Palliative Care – For those managing serious illness alongside treatment.
• Meals on Wheels – Serving homebound seniors throughout Dallas County.

Why Work at VNA Texas?

• Meaningful Mission – Make a difference in the lives of patients and families facing serious illness or food insecurity.
• Legacy of Excellence – Join the state’s most experienced hospice provider.
• Community Impact – Deliver life-changing care across 16 North Texas counties.
• Supportive Culture – Collaborate with a compassionate, multidisciplinary team.

Employee Benefits Include:

• Competitive salary and mileage reimbursement.
• Comprehensive medical, dental, vision, and short term/long term insurance.
• 403(b) retirement plan.
• Generous paid time off, 6 paid holidays, flexible days.
• Training and development opportunities.
• Education Reimbursement Assistance Program.
• A mission-driven, supportive work environment.

Essential Duties and Responsibilities:

• Assess hospice patients to identify the physical, psycho social, and environmental needs as evidenced by documentation, clinical record, case conference, team report, and evaluations.
• Implement/develop/document the plan of care to ensure quality and continuity of care.
• Applies concepts of infection control and standard precautions in coordinating and performing patient care activities to prevent contamination and transmission of disease.
• Provide clinical directions to the Hospice Aide/LVN to ensure quality and continuity of service provided.
• Assure continuity of quality patient care delivered with appropriate documentation.
• Assist in the training of new nurses and aides as needed.
• Demonstrate commitment, professional growth and competency.
• Promote Agency philosophy and administrative policies.
• Perform admissions of new patients as the need arises.
• Manage schedule with correct prioritization of patient need and make changes as appropriate.
• Perform on-call responsibilities and provide on-call service to patients/families as assigned in cases of emergencies.
• Provide effective communication to patient/family, team members, and other health care professionals.
• Other duties as assigned.

Qualifications, Skills, and Abilities:

• Graduate of an accredited Diploma, Associate or Baccalaureate School of Nursing.
• Current Texas State license as a Registered Nurse.
• Proof of current CPR.
• One year of experience as a Registered Nurse in a clinical care setting required, hospice experience preferred.
• Nursing skills as defined as generally accepted standards of practice.
• Valid Texas Driver’s License required.
• Must have Hepatitis consent/declination.
• Must have proof of TB test.
• Proof of valid Texas Automobile Liability Insurance required as listed individual.
• Good interpersonal skills.
• Must be able to read and write English.

Technical & Physical Requirements:

• Prolonged standing and walking required.
• Ability to lift up to 50 pounds and move patients.
• Requires working under some stressful conditions to meet deadlines and patient needs.
• Ability to make quick decisions and resource acquisition.
• Ability to meet patient/family individualized psycho social needs.
• Requires hand-eye coordination and manual dexterity.

Working Conditions:

• Works in patients home in various conditions.
• Possible exposure to blood and bodily fluids and infections diseases.
• Must have the ability to work a flexible schedule.
• Must have the ability to travel locally.
• Some exposure to unpleasant weather.

Ideal Candidates Will Have:

• A passion for delivering compassionate, patient-centered care.
• Relevant licensure or certification (for clinical roles).
• A commitment to serving and supporting diverse, vulnerable populations.
• Reliable transportation (for mobile or in-home service roles).

Joining VNA Texas means:

• Making personal contact with patients and families.
• Collaborating with medical, spiritual, and support teams.
• Seeing the direct outcomes of care: improved comfort, decreased isolation, and better quality of life.
• Being part of a nonprofit solution rooted in equity, good stewardship, and local service.