Hospice RN Case Manager

ASPEN HEALTHCARE SERVICES INC · LEWISVILLE, TX Full Time
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Job Description

Full-time Description Job Title/Position: Hospice RN Case Manager Reports To: Director of Nursing FLSA Status: Exempt Job Description Summary The Hospice RN Case Manager is an integral part of the hospice clinical team. Under the direction of the Director of Nursing, the job responsibilities include the following: Assume primary responsibility for patient and family caseload, including the assessment, determining eligibility, admission processing, planning, implementation, and evaluation phases of the nursing process Obtain data and assess necessary information from patient physical, psychological, social, and spiritual factors that may impact the patient and family's needs and initiate intervention by other members of the interdisciplinary team Initiate communication with the attending physician, interdisciplinary team, and other agencies for the purpose of coordinating optimal care Provide regular visits to re-assess the patient's needs and update the plan of care Perform clinical pronouncement of death and provide support to the family Maintain accurate patient records, charts, progress notes, reports and prepare care plans timely Participate in all interdisciplinary team meetings to discuss current patient status and ongoing patient care needs Initiate medical orders to contracted vendors based on patient care needs (ie; pharmacy, durable medical equipment, medical supplies, etc) Supervise and document delivery of care by the Home Health Aide as required by Federal, State, and Company guidelines Demonstrate flexibility while performing job duties to ensure the highest quality of service is provided Performs on-call responsibilities and provides on-call services to patients and their families as assigned. Utilize critical thinking skills while performing job duties Maintain a thorough understanding and consistently adhere to all applicable department and company policies and procedures Conduct job duties in a way which will reduce and avoid potential safety hazards Demonstrate initiative and drive to promote personal and company success Perform other duties as assigned by your supervisor or management team member Minimum Eligibility Requirements Graduate from an accredited registered nursing program Licensed as a registered nurse in the state of practice and in good standing Two (2) years experience as a registered nurse in a clinical care setting. Hospice experience preferred. Must possess current CPR, First Aid Certification Must be knowledgeable of quality assessment and assurance procedures Excellent observation, verbal and written communication skills, problem solving skills, basic math skills; nursing skills per competency checklist. Valid driver's license and proof of insurance is required Background check and drug clearance Essential Job Functions/Responsibilities The Hospice RN Case Manager position must exhibit the following competencies: Critical Thinking: Synthesize complex and diverse information; collect and objectively weigh data; use experience, intuition, and critical thinking to complement data; and design effective processes and workflows. Results Orientation: Actively in

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What Most Job Listings Don’t Tell You

General overview for this role type — specific duties and requirements vary by employer.

Nursing roles in senior living are fundamentally different from hospital nursing. Most positions involve building long-term relationships with the same residents over months or years rather than cycling through new patients every shift. Facilities in the DFW area typically require an active Texas RN or LVN license, current CPR/BLS certification, and many prefer at least one year of geriatric or long-term care experience.

Shift patterns vary widely — some facilities run traditional 8-hour shifts (day, evening, night), while others use 12-hour rotations. Weekend and holiday coverage is almost always part of the schedule. The nurse-to-resident ratio in assisted living is generally more favorable than in hospitals, but you will likely be the highest-level clinical staff on the floor during your shift, which means more autonomy and more responsibility for clinical judgment calls.

What to Expect in This Role Day-to-Day

Based on typical senior living facilities in the DFW area.

A typical shift starts with medication pass and resident assessments. You will review overnight notes from the previous shift, check vitals for residents on your watch list, and coordinate with CNAs on any changes in condition. Mid-shift usually involves documentation, family communication, and working with physicians on care plan updates — often by phone or telehealth rather than in-person rounds.

Depending on the facility, you may also handle admissions paperwork, manage wound care, supervise medication techs, and respond to emergencies. The documentation load in senior living is significant — state surveys and compliance requirements mean thorough charting is non-negotiable. Many nurses in this setting say the most rewarding part is knowing their residents personally and being able to notice subtle changes that a rotating hospital nurse might miss.

About This Employer

ASPEN HEALTHCARE SERVICES INC is a Parent Agency located in LEWISVILLE, TX at 314 W MAIN STREET.

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Employer profile provided by DFW Senior Living Guide

DFW Area Salary Data

According to the Bureau of Labor Statistics, Registered Nurse positions in the DFW metroplex area earn a median wage of $48.76/hr ($101,421/yr). The typical range is $39.25 – $53.19/hr (25th–75th percentile).

Entry Level (10th) $73,403/yr
DFW Median $101,421/yr
Experienced (90th) $129,709/yr
vs. National Median +4.0%

Source: Bureau of Labor Statistics, Occupational Employment & Wage Statistics (Dallas-Fort Worth-Arlington, TX Metro Area). Salary data provided by DFW Senior Living Guide.

Facility Snapshot

Facility Type Parent Agency

314 W MAIN STREET, LEWISVILLE, TX 75057

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