RN Case Manager

Good Shepherd Hospice · Addison, TX Full Time
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Job Description

Good Shepherd Hospice is seeking a compassionate candidate for a Registered Nurse Case Manager serving patients and their families in Dallas and surrounding communities. The RN provides nursing assessment, planning and care to maximize the comfort and health of patients and families. The RN responds to all phone calls promptly and appropriately, makes patient visits as necessary and completes after hours admissions and deaths as needed. Previous experience in hospice, home health, or geriatrics preferred Receives patient assignments from the Patient Care Manager or Case Manager. Initiates communication with attending physicians, hospice staff members and other agencies as needed to coordinate optimal care and use of resources for the patient/family. Cultivates communication and bereavement skills. Maintains regular communication with the attending physician concerning patient/family care. Contacts families of new patient assignment, maintains regular communication as requested or desired by family. Obtains data on physical, psychological, social and spiritual factors that may influence patient/family health status and incorporate that data into the Plan of Care. Maintains up to date patient records so that problems, plans, actions and goals are accurately and clearly stated and changes are reflected as they occur. Turn paperwork into office as required by Medicare and Good Shepherd Hospice policies and procedures. Instructs the patient and caregiver: How to administer medication, recognizing side effects, and adverse reactions. How to perform personal care and oral hygiene. How to assist in lifting, moving, ambulation and exercise. Disaster/Safety Management. How to prepare for the events preceding death. Informs the Patient Care Manager of unusual or potentially problematic patient/family issues. Attends the Hospice team meetings and other patient conferences, including care plan meetings, as deemed necessary by the Patient Care Manager. Provides appropriate support at time of death. Shares in providing 24-hour, seven days a week coverage to patients and families. Evaluates hospice aides every two weeks. Evaluate LPN at a minimum of one time per month. Through individualized studies, learn and develop understanding of hospice philosophy. Become proficient in pain management through individualized reading, in services or seminars. All other task assigned Registered Nurse currently licensed in the state in which the care is provided. Previous experience in hospice, home health, geriatrics or general medical/surgical nursing. Demonstrated commitment to the hospice philosophy of care.

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.

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.

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