Home Health Patient Care Manager and RN Hybrid Explore opportunities with DFW Home Health, a part of LHC Group, a leading post-acute care partner for hospitals, physicians and families nationwide. As members of the Optum family of businesses, we are dedicated to helping people feel their best, including our team members who create meaningful connections with patients, their families, each other and the communities we serve. Find a home for your career here. Join us and embrace a culture of Caring. Connecting. Growing together. The Home Health Patient Care Manager and RN Hybrid is responsible for the supervision and coordination of clinical services and provides and directs provisions of nursing care to patients in their homes as prescribed by the physician and in compliance with applicable laws, regulations, and agency policies. Coordinates and supervises an interdisciplinary team of staff to assure the continuity of high quality care to home health patients assigned to the team's area in accordance with physician prescribed plan of care, and all applicable state and federal laws and regulations. This position will spend 50% of their time in the field, and 50% of their time in the office. Primary Responsibilities: Coordinates referrals, authorizations, start-of-care (SOC) visits, and clinician assignments to ensure timely, appropriate patient evaluations Manages ongoing patient care coordination, including benefits verification, medical necessity, insurance approvals, and payer change documentation Oversees clinical documentation quality and timeliness, including OASIS assessments, visit notes, orders, care plans, and productivity standards Serves as a central communication hub with physicians, clinicians, patients, families, referral sources, and interdisciplinary partners to ensure continuity of care Monitors patient status, labs, diagnostic results, on-call events, and significant condition changes, ensuring physician notification and plan-of-care updates Facilitates case conferences, admissions, transfers, discharges, and interdisciplinary collaboration to ensure appropriate utilization of services and resources Provides clinical leadership through supervision, orientation, quality oversight, risk reporting, and support of staff performance and regulatory compliance You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: Current RN licensure in state of practice Current Driver's License, vehicle insurance, and access to a dependable vehicle or public transportation Preferred Qualifications: Home Care experience Current CPR certification or ability to complete within 90 days of hire Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary for this role will range from $89,680 to $134,520 annually based on full-time employment. We comply with all minimum wage laws as applicable.
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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.
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.