Registered Nurse (RN) Case Manager

Position Summary We are seeking an experienced and compassionate Registered Nurse (RN) Case Manager to join our growing in-office team in Houston, TX. This role is responsible for managing and coordinating the care of home health patients, ensuring high-quality clinical outcomes, regulatory compliance, and exceptional patient experiences.

The RN Case Manager serves as a critical liaison between physicians, field clinicians, patients, caregivers, and interdisciplinary care teams. The ideal candidate will possess strong clinical knowledge, home health experience, excellent communication skills, and a thorough understanding of Medicare regulations, OASIS documentation, and care coordination processes.

This position offers an opportunity to make a meaningful impact on patient outcomes while advancing within a supportive and growing healthcare organization.

Key Responsibilities Manage and oversee an assigned home health patient caseload from admission through discharge. Coordinate patient care plans with physicians, therapists, field clinicians, patients, caregivers, and interdisciplinary teams. Review, approve, and ensure the accuracy of clinician documentation. Monitor patient progress and evaluate care outcomes. Communicate changes in patient condition to physicians and appropriate healthcare providers. Ensure all clinical documentation meets agency, Medicare, and regulatory requirements. Maintain accurate and timely patient records using WellSky (Kinnser). Participate in case conferences, interdisciplinary meetings, and care planning sessions. Provide clinical guidance and support to field staff. Monitor compliance with Medicare Conditions of Participation and agency policies. Assist with care plan updates, recertifications, and discharge planning. Support quality assurance and performance improvement initiatives. Identify clinical concerns and implement appropriate interventions to promote positive patient outcomes. Collaborate with leadership to ensure operational efficiency and exceptional patient care. Required Qualifications Current and active Texas Registered Nurse (RN) License. Minimum of three (3) years of nursing experience. Prior Home Health Case Management experience required. Experience completing and reviewing OASIS assessments. Strong knowledge of Medicare Conditions of Participation (CoPs) and home health regulations. Experience coordinating care in a multidisciplinary healthcare environment. Excellent clinical assessment and critical thinking skills. Strong verbal and written communication skills. Proficiency with electronic medical record (EMR) systems. Ability to manage multiple priorities while maintaining accuracy and attention to detail. Strong organizational and time-management skills. Preferred Qualifications Five or more years of Home Health nursing experience. Previous experience as an RN Case Manager within a Medicare-certified home health agency. Proficiency with WellSky (Kinnser) software. Experience conducting quality assurance and chart audits. Knowledge of value-based care and outcome-driven patient management. Experience mentoring or supporting field clinicians. Bachelor's Degree in Nursing (BSN) preferred. Familiarity with regulatory surveys, compliance standards, and accreditation requirements. Leadership experience or interest in advancing into supervisory roles. Physical Requirements Ability to work in an office setting for extended periods. Ability to sit, stand, walk, bend, and reach throughout the workday. Ability to use a computer, telephone, and other office equipment for prolonged periods. Ability to review clinical records and documentation accurately. Ability to communicate effectively with patients, caregivers, physicians, and staff members. Ability to occasionally lift and carry office materials weighing up to 20 pounds. Visual acuity sufficient to review medical records and electronic documentation. Ability to perform repetitive hand and wrist movements associated with typing and computer usage.

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