Hospice RN Case Manager - Full Time/PRN
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Job Description
Concho Hearts Hospice is seeking a compassionate Registered Nurse to provide hospice care in patients' homes and care facilities. Both Full-Time and PRN positions are available, allowing you to focus on supporting patients and families with dignity and comfort.
What You'll Do
- Provide hospice nursing visits to patients in their homes or care facilities
- Manage patient care and coordinate with the interdisciplinary hospice team
- Complete routine visits, admissions, and recertifications
- Educate and support patients and families during end-of-life care
- Maintain documentation using a company-provided tablet
Requirements
- Active Texas RN license
- Strong assessment and communication skills
- Ability to work independently in the field
- Reliable transportation for local travel
- Compassionate and patient approach to care
Benefits
- Full-Time: Medical, vision, and dental insurance; 401(k) with company match; paid time off
- PRN: Flexible scheduling and competitive visit rates
- Mileage reimbursement for all positions
- Supportive leadership and collaborative team environment
This is a preview of the job listing. The full posting includes complete compensation details, benefits package, qualification requirements, and application instructions.
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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
Concho Hearts Home Health is a Parent Agency located in Van Alstyne, TX at 120 E Marshall Drive Suite F.
View Full Concho Hearts Home Health Profile → See all openings at Concho Hearts Home Health →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).
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
120 E Marshall Drive Suite F, Van Alstyne, TX 75495
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