Care Manager · RN

Bring your clinical expertise to where it changes a life. You have spent 15 or 20 years in a hospital. You are excellent at it. You are tired of 12-hour shifts. You want clinical work that actually changes someone's situation. Care management with us is exactly that. Care managers are the clinical core of this agency. Most home care agencies treat care management as a coordination function, scheduling, paperwork, the occasional family call. We treat it as the clinical foundation of everything we do. Our Care Managers build care plans, supervise caregivers, train the team, partner with families, and adjust clinical strategy as conditions change. They are the reason our outcomes are different. They are the reason families trust us. This is not paperwork. It is medicine, applied to the real lives of older Houston families, with the clinical autonomy and respect that hospital nursing rarely affords. What you’ll do The work, week by week. One. Build clinical care plans Assess clients at home. Translate complex medical histories into actionable plans. Adjust as conditions evolve, never on a fixed schedule. Two. Supervise & train Match the right caregiver. Train your team in condition-specific protocols. Build a culture where excellent caregivers want to stay. Three. Partner with families Have the conversations that matter. Translate clinical reality into language families understand. Be the steady presence they call. Four. Coordinate with MDs Communicate with primary care, specialists, discharge planners. You are the clinical liaison that ties the system together. Five. Document with precision Records meeting insurer, regulatory, and legal standards. Your documentation supports decisions for years. Six. Lead clinical strategy We need your judgement on hard cases. Your voice shapes how the agency grows clinically. Not a delivery node, leadership. Who fits this role Experienced. Independent. Communicative. 01 RN with 15-20+ years of hospital experience, ICU strongly preferred 02 You miss patient relationships that build over time 03 You want clinical autonomy and trust the people you work with 04 You communicate exceptionally well, with families, caregivers, and physicians 05 You believe care should adapt as a person changes, not run on a schedule 06 You appreciate working in a small team where every voice shapes the agency 07 You are ready to leave 12-hour shifts and weekend rotations behind A day in the life Different from hospital nursing in every way that matters. 9:00 AM Home visit with a new client, a retired physician with early Parkinson's. You assess, build the initial care plan, meet his daughter. The clock is yours, not the unit's. 11:30 AM Phone call with Houston Methodist's discharge planner about a patient ready for home. You shape the post-discharge plan with her in real time.

1. 00 PM Lunch, eaten, not skipped. Coffee, even.
2. 00 PM Home visit with an existing client whose dementia has progressed. You update the routine with the family, train the new shift caregiver on de-escalation, document the changes.

4:30 PM Brief team huddle with Andrew and the other Care Managers. Complex case discussion. Real strategic thinking, not status updates. 6:00 PM Done. Home for dinner with your family. On-call for genuine emergencies, but not for routine scheduling questions, that is not your job. What nurses ask before they apply. What experience level are you looking for? Registered Nurses with 15-20+ years of hospital experience, ICU strongly preferred. We have hired from Houston Methodist, Memorial Hermann, and MD Anderson. If you are newly licensed, this is not the right role yet, but stay in touch. Is this a 9-to-5 role, or are there shifts and on-call? Real schedule control. No 12-hour hospital shifts. No mandatory weekend rotations. You manage your time the way professionals are supposed to. On-call for genuine clinical emergencies, never for routine scheduling. How does compensation compare to hospital nursing? Salary calibrated to your years and specialty, with performance-aligned bonuses. We respect what 20 years of clinical work actually costs to replicate. We compare openly against your current package in the first conversation. Will I actually do clinical work, or is this a coordinator role? Clinical work, every day. You build care plans, supervise caregivers in condition-specific protocols, coordinate with physicians, lead clinical strategy on hard cases, and document at insurer/regulatory/legal standards. Coordination is part of it, but the core is medicine, applied to real lives. What does the application process look like? Andrew or Serhat replies within a day. The conversation will be real, not a screening, and will likely include a coffee meeting before any formal next step. No corporate portal. Where would I be working? Hybrid by nature. Significant time in clients' homes building and adjusting care plans, the rest at our Galleria office or working from home for documentation, team huddles, and family calls. If this resonates #J-18808-Ljbffr Homewatch CareGivers of Houston Galleria