Registered Nurse Case Manager Jobs in Houston, TX

Per Diem to start, growing to full-time | Houston, TX (Field-based)

Viking Hospice Care is a locally owned, Medicare-certified hospice agency serving Greater Houston. We're building our clinical team from the ground up and are looking for an experienced hospice RN to serve as our lead clinician — someone who is comfortable working independently and is motivated by long-term growth.

This is a PRN position to start, with hours growing to full-time as our patient census grows.

What You’ll Do

Clinical oversight:

• Manage a direct patient caseload, conducting visits in homes, ALFs, and SNFs across Harris, Fort Bend, Montgomery, and Brazoria Counties
• Facilitate IDT meetings, review Plans of Care, and maintain documentation in compliance with CMS Conditions of Participation
• Conduct clinical supervisory visits with Hospice Aides (at least every 14 days per patient) and audit medical records for quality and completeness
• Manage our QAPI program, HOPE assessments, and overall survey readiness
• Coordinate with the Medical Director on terminal prognosis documentation, CTIs, and physician order management

Day-to-day patient care:

• Perform comprehensive clinical assessments at every visit
• Conduct admission visits including full consent and Plan of Care initiation
• Complete all documentation in Hospice Tools on the day of service
• Perform death pronouncements and manage controlled substance disposal per DEA requirements

After-hours on-call (alternating weeks):

• Triage after-hours calls and provide clinical guidance to patients and families
• Make home visits when clinically indicated; receive additional hourly pay for all time worked including drive time
• Availability during your on-call week is compensated through a flat weekly stipend

What We’re Looking For

Required:

• Current, unrestricted Texas RN license in good standing
• At least 1 year of clinical experience in a Medicare-certified hospice setting
• Solid working knowledge of CMS hospice Conditions of Participation and clinical documentation standards
• Experience with IDT meetings, care planning, and hospice admissions
• Comfortable working independently in the field with limited direct supervision
• Reliable vehicle and willingness to travel throughout Greater Houston
• Smartphone capable of running Hospice Tools (iOS or Android)

Nice to have:

• 2+ years of hospice RN case management experience
• Prior experience in a clinical lead, charge RN, or supervisory role
• Experience with new hospice startup or initial CMS certification
• CHPN certification
• Bilingual in English and Spanish

Compensation

• Based on experience
• After-hours on-call compensated through a flat weekly stipend
• Home visits during on-call periods paid at your full hourly rate including drive time
• Mileage reimbursed at the IRS standard rate
• Hours start at 10–30 per week and grow with patient census

About Viking Hospice Care

We’re an independently owned hospice agency based in Greater Houston. As a local provider, we move quickly, communicate directly, and make decisions based on what’s right for patients and families . If you’re looking for a place where your clinical judgment is trusted and your growth is tied directly to the agency’s success, we’d love to hear from you.

Viking Hospice Care is an Equal Opportunity Employer.

Job Types: Full-time, Part-time

Benefits:

• Health insurance
• Paid time off

Work Location: On the road