Registered Nurse (RN) – Care Management {166230}

Remote (Texas – Central Time)
Service Area: Hidalgo, Harlingen, and surrounding cities

Pay: $45–$47 per hour

Full-time

• Monday–Friday, 8:00 AM – 5:00 PM (Central Time)

• Occasional overtime may be required

• Remote position with required service delivery within the Hidalgo–Harlingen region

• Field-based, member-facing role

• Occasional home or site visits required (typically monthly or as needed)

We are seeking an experienced Registered Nurse (RN) Care Manager to support complex, high-acuity members across the continuum of care. This role focuses on coordinating medical and supportive services, developing individualized care plans, and ensuring members receive high-quality, cost-effective, and person-centered care.

• Assess service needs of complex, high-risk, or high-acuity members and recommend care strategies for optimal outcomes

• Develop, implement, and continuously evaluate individualized long-term care plans/service plans

• Coordinate care between members, caregivers, providers, specialists, and community resources

• Monitor member status, changes in condition, and progress toward care plan goals; revise plans as needed

• Identify potential need for higher levels of care or eligibility for additional services or waivers

• Review referrals, intake assessments, and member data to improve quality outcomes and operational performance

• Collaborate with healthcare providers to facilitate services and treatments

• Act as a member advocate and liaison between members, families, providers, and community agencies

• Educate members and caregivers on disease processes, care options, benefits, and available resources

• Document all care management activities in compliance with state, federal, and clinical guidelines

• Coordinate community-based services such as meals, housing, transportation, employment, and activities of daily living

• Participate in quality improvement initiatives and cost-effective care delivery

• May support onboarding and mentoring of new clinical staff through precepting and coaching

• Graduate of an accredited School of Nursing OR Bachelor’s degree with relevant healthcare experience

• Active Registered Nurse (RN) license (state or compact license required)

• Ability to work remotely while supporting a defined Texas service area

• Willingness to conduct occasional home or site visits

• Bachelor’s degree in Nursing (BSN)

• 4–6 years of related clinical, care management, or managed care experience

• Experience working with complex or high-acuity populations

• Strong communication skills

• Problem-solving and critical thinking

• Adaptability and flexibility

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