Benefits:

Bonus based on performance

Competitive salary

Flexible schedule

Paid time off

Training & development

We are a well-established, family-owned home health agency serving San Antonio and surrounding areas for over 30 years. Our organization is built on stability, compliance, and clinical excellence. We are seeking a highly organized, motivated RN or experienced LVN to join our clinical operations team as an Office-Based Case Manager with occasional field responsibilities.

This is not a remote position. This is a hands-on, accountability-driven role for a nurse who thrives in structure and takes pride in clean documentation, strong communication, and operational excellence.

About the Role

This position is primarily office-based and focused on skilled home health case management and clinical coordination. The ideal candidate will support daily operations, ensure timely physician communication, manage documentation flow, and assist in maintaining compliance standards. Occasional field visits may be required for supervisory or urgent patient needs.

Responsibilities

Clinical Case Management & Coordination

Review and process physician orders, plans of care, and verbal orders

Track and follow up on unsigned physician orders until completed

Communicate with physician offices regarding updates, changes, and clarifications

Coordinate with field clinicians regarding patient status changes

Ensure timely and accurate documentation in EMR

Monitor hospitalizations and track discharge follow-up

Participate in case conferences and interdisciplinary communication

Support compliance with Medicare and state regulations

Documentation & Compliance

Maintain audit-ready documentation standards

Ensure timely completion and follow-up of orders and care plans

Identify and escalate documentation gaps

Assist in maintaining strong clinical oversight processes

Field Support (Occasional)

Perform supervisory visits as required

Conduct urgent or problem-focused visits when needed

Provide clinical support and assessment when escalation is necessary

Qualifications

Required:

Active Texas RN or LVN license in good standing

Minimum 1 year of home health experience (Medicare experience preferred)

Strong understanding of physician order management

Experience communicating directly with physicians and clinical staff

Comfortable with EMR systems

Strong organizational and time management skills

Willingness to occasionally perform field visits

Preferred:

Skilled home health case management experience

OASIS familiarity (RN applicants)

Experience in order tracking and compliance monitoring

Bilingual (English/Spanish) a plus

Who We Are Looking For

We are looking for a nurse who:

Takes ownership of their workload

Does not require micromanagement

Is proactive in following up on outstanding orders

Understands the importance of documentation

Is comfortable picking up the phone and resolving issues

Can work independently while supporting the clinical team

This role is ideal for a nurse who wants stability, leadership exposure, and the opportunity to grow within a respected, long-standing agency.

Compensation

Competitive hourly pay based on experience

Performance-based growth opportunities

Stable, supportive work environment

Long-term growth potential within the organization

Why Join Us?

30+ years of continuous operation

Family-owned with strong leadership

Compliance-first culture

Collaborative clinical team

Opportunity to make meaningful operational impact

If you are a motivated RN or LVN with home health experience who is ready to contribute to a stable and growing organization, we would love to speak with you.