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Gonzaba Medical Group
San Antonio, Texas

Palliative Care RN Case Manager

Registered NurseIncludes callFull-Time

Compensation

Pay not listed

The week · per this posting · weekdays assumed

Ask the employer about the pay range, the work setting, weekend coverage and time off.

Posted 3mo ago

Job Description

  • Job Location: 933 Plaza MSO - Pleasanton Rd. - San Antonio, TX 78214
  • Position Type: Full Time
  • Job Category: Hospice

Job Summary To provide nursing care to the terminally ill Hospice patient as needed. To provide assistance and understanding to the family in the home care situation and in time of bereavement. To work as a member of the Hospice team in providing Hospice care.

Essential Functions Regularly assesses and reassesses the nursing needs of the Hospice patient Provides dietary counseling. Provides Hospice nursing services, treatments and preventive procedures. Initiates nursing procedures appropriate for the patient’s Hospice care and safety.

Observes signs and symptoms and reports to the physician and IDG members any unexpectedchanges in the patient’s physical or emotional condition. Teaches, supervises and counsels the Hospice patient and family members about providing carefor the patient. Supervises and trains other nursing service personnel.

Develops and re-evaluates the patient family care plan in conjunction with IDG to meet needsand maintain continuity of care. Performs specific nursing procedures as needed (e. g., treatments, management of symptoms) following doctor’s orders. Attends team conferences. Maintains records as required by Hospice.

Follows the policies and procedures of Hospice. Observes confidentiality and safeguards allpatient-related information in compliance with HIPAA regulations. Always communicates to the supervisor if unable to meet a patient’s need or perform a procedure.

Participates in on-call system and is responsible for providing on-call coverage whenunavailable for assigned duties. Maintain skills and knowledge. Works with interdisciplinary group concept of patient care. Coordinates the implementation of the plan of care for patients residing in SNF, NF, ICF or MR.

Organizes work schedule and utilizes time management to be able to attend all required meetings. Complies with agency infection control policies and protocols. Assist with orientation, teaching and training as requested. Other duties as assigned by Director.

Qualifications

Educational/Degree: Graduate from an accredited school of nursing Training/Licensure: Currently licensed as a registered nurse to practice in the state. Knowledge/Skills/ Ability: Ability to work independently, make accurate, and at times, quick judgments. Ability to supervise others appropriately.

Ability to respond appropriately to crisis outside of a hospital setting. Acceptance of and adaptability to different social, racial, cultural and religious modes. Completes Hospice training program Experience: Minimum 2 years of experience as a registered nurse, preferred. Active patient contact within past three years, preferred. Job Factors Physical

Requirements

Requires considerable physical effort most of the day including kneeling, squatting, reaching, twisting, climbing, walking, exposure to temperature and humidity changes and maximal assist in lifting and/or transferring of a 100 pound patient.

Must possess sight/hearing senses or use appropriate adaptive devices that will enable senses to function at a level required to meet the essential duties of the position. Must provide evidence of annual TB test and other state-required tests or examinations. Mental

Requirements

Must be able to work independently, make judgments based on assessments and data available and act accordingly. Must be flexible, innovative and possess good interpersonal skills. Must be able to cope with mental and emotional stress and demonstrate emotional stability. Working Conditions/Exposure Risks Be able to tolerate exposure to elements including, but not limited to, odors, blood, body fluids and excrements, adverse environmental conditions and hazardous materials.

Key Responsibilities

The RN Case Manager provides nursing care to terminally ill patients in their homes and facilities while coordinating with an interdisciplinary team. They are responsible for developing care plans, managing symptoms, and providing emotional support to patients and their families.

Requirements

Candidates must be a graduate of an accredited school of nursing and hold a current registered nurse license. A minimum of two years of nursing experience is preferred, along with the ability to perform physical tasks such as lifting patients.

Qualifications

Education
Professional certificate or licensure
Experience
2+ years of experience

Key Skills

Palliative carePatient assessmentSymptom managementCare planningInterdisciplinary collaborationPatient educationCrisis interventionHIPAA complianceNursing supervisionDocumentation

Palliative Care — Registered Nurse Career Context

Of the 40 active Nurse Case Manager listings this role was benchmarked against, 15% are remote, 43% have no call, 83% require no weekends.

The cost-of-living index for Texas is 97.1 (US average = 100; BEA Regional Price Parities (2024)). 57.7% of Texas clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

Nurse Case Manager by the numbers
MeasureThis jobMarket
Listed paynot listedNurse Case Manager median $90k (middle half $83k–$93k)14 comparable listings, Nov 2026
Cost of livingTexas index 97.1US average = 100BEA Regional Price Parities (2024)
All nurse case manager listings in Texas374 active5,639 nationallylive on WeekdayDoc, Nov 2026
Work settingon-sitepeers: 15% remote · 43% no call · 83% no weekends40 benchmarked listings
Sign-on & loan repaymentnot statedTexas registered nurse listings (all specialties): 6% state a sign-on bonus (median $6k) · 3% offer loan repayment374 active listings, Nov 2026
New Palliative Care listings (all professions)130 in the last 30 days88 the 30 days before (+48%)U.S., first seen on WeekdayDoc, Nov 2026
Sources: WeekdayDoc live listing index, BEA Regional Price Parities (2024); as of Nov 2026. Same values as the Weekday Verdict and Market Insights on this page. Texas figures use all nurse case managers: too few Texas Palliative Care postings state pay.

Location & Logistics

Texas has no state income tax, which can significantly increase take-home pay compared to high-tax states.

Top Nurse Case Manager Jobs

27 matches · ranked by pay

Salary Distribution

17 jobs
5
<$95k
5
$95k-110k
3
$110k-125k
4
$125k-140k

Annual compensation range

Benefits & Perks

13 jobs
401k / retirement match
100%
Sign-on bonus
23%
Loan repayment
15%
CME allowance
8%

Share of similar jobs offering each benefit

#1

Registered Nurse - Case Manager

ERP International · Twentynine Palms, California

$60-$67/hr
#2

RN Case Manager

Rocky Mountain Care Group · Jackson, California

$62-$65/hr
#3

Case Manager RN

$61k-$130k
#4

Hospice RN Case Manager - Suffolk

$87k-$127k
+ 25 more · ranked by pay

Work-life snapshot

median 3.9this job 1.5
Better work-life than 20% of Nurse Case Manager listings

Listing-based score, 0–10, across 2,789 comparable listings. Shaded area = the share scoring below this one.

  • Includes call

Living in San Antonio

Typical 3-bedroom home value
$224k
Typical market rent
$1,381/mo
Residents’ average commute
25 min
Metro price indexU.S. average = 100
94.7
State income tax
None
Sources & methodology

Sources: Zillow home values (Sep 2026), Zillow market rents (Sep 2026), U.S. Census ACS 2024 five-year.

BEA 2024 · San Antonio-New Braunfels, TX metro prices. Housing figures are city-level.

City-level figures. Not a cost-of-living guarantee.