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Excelin Health Services
San Antonio, Texas

Hospice Registered Nurse Case Manager (New Braunfels/Seguin)

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 Title/Position: Hospice Registered Nurse (RN)

Reports to: Clinical Manager/Clinical Director

Position Summary

The registered nurse plans, organizes and directs home care services and is experienced in nursing, with emphasis on community health education/experience. The professional nurse builds from the resources of the community to plan and direct services to meet the needs of individuals and families within their homes and communities.

Essential Job Functions/Responsibilities

Patient Care

1. Completes an initial assessment of patient and family to determine home care needs. Provides a complete physical assessment and history of current and previous illness(es).

2. Regularly re-evaluates patient nursing needs.

3. Initiates the plan of care and makes necessary revisions as patient status and needs change.

4. Uses health assessment data to determine nursing diagnosis

5. Develops a care plan, which establishes goals based on nursing diagnosis and incorporates therapeutic, preventive, and rehabilitative nursing actions. Includes the patient and the family in the planning process.

6. Initiates appropriate preventive and rehabilitative nursing procedures. Administers medications and treatments as prescribed by the physician.

7. Counsels the patient and family in meeting nursing and related needs.

8. Provides health care instructions to the patient as appropriate per assessment and plan of care.

9. Identifies discharge planning needs as part of the care plan development and implements prior to discharge of the patient.

10. Acts as Case Manager when assigned by Clinical Manager and assumes responsibility to coordinate patient care for assigned caseload.

Communication

1. Prepares clinical notes and updates the primary physician when necessary and at least every sixty days.

2. Communicates with the physician regarding the patient’s needs and reports any changes in the patient’s condition; obtains/receives physician’s orders as required.

3. Communicates with community health related persons to coordinate the care plan.

Additional Duties

1. Participates in on-call duties as defined by the on-call policy.

2. Ensures that arrangements for equipment and other necessary items and services are available.

3. Instructs, supervises, and evaluates home health aide care provided every two (2) weeks.

Position Qualifications

1. Registered nurse with current licensure to practice professional nursing in the state.

2. Graduate of National League for Nursing accredited school of nursing.

3. Maintain a current CPR certification.

4. Must be a licensed driver with an automobile that is insured in accordance with state/or organization requirements and is

in good working order.

5. Minimum of two years’ experience, at least one of which is in the area of public health or home care nursing is preferred.

Skills Required

1. Self-directed and able to work with minimal supervision.

2. Demonstrates excellent observation, problem solving, verbal and written communication skills, nursing skills per

competency checklist.

3. Shows ability to organize and prioritize workload independently.

4. Management experience not required. Responsible for supervising home health aides.

5. Prolonged or considerable walking or standing. Able to lift, position, or transfer patients. Able to lift supplies and

equipment. Considerable reaching, stooping, bending, kneeling, or crouching. Visual acuity and hearing to perform

required nursing skills

Compliance

1. Acknowledge my obligation and agreement to fulfill those duties and responsibilities as set forth in the Code of Conduct and Compliance Policies and to be bound by these standards.

2. Certify that throughout my association with EH I will comply with the terms of the Code of Conduct and Compliance Policies.

3. Understand that violations of the Code of Conduct and Compliance Policies may lead to disciplinary action, including termination of employment.

Key Responsibilities

The Registered Nurse Case Manager plans, organizes, and directs home care services while coordinating patient care for an assigned caseload. Responsibilities include conducting patient assessments, developing care plans, administering treatments, and supervising home health aides.

Requirements

Candidates must be a Registered Nurse with a current state license and a minimum of two years of experience, preferably in public health or home care. A valid driver's license, insured vehicle, and current CPR certification are required.

Qualifications

Education
Professional certificate or licensure
Experience
2+ years of experience

Key Skills

Patient assessmentCare planningMedication administrationCase managementClinical documentationPhysician communicationHome health aide supervisionWound careTime managementPatient education

Hospice Nursing — Registered Nurse Career Context

Of the 43 active Nurse Case Manager listings this role was benchmarked against, 23% are remote, 49% have no call, 72% 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).

What does the Nurse Case Manager market look like in Texas?
MeasureThis jobMarket
Work-life score6.6 / 10 · top 25% in nurse case managerranked against 2,789 Nurse Case Manager listingslisting-based score, 0–10
Listed paynot listedNurse Case Manager median $85k (middle half $82k–$92k)14 comparable listings, Nov 2026
Cost of livingTexas index 97.1US average = 100BEA Regional Price Parities (2024)
Nurse Case Manager listings in Texas392 active5,824 nationallylive on WeekdayDoc, Nov 2026
Work settingon-sitepeers: 23% remote · 49% no call · 72% no weekends43 benchmarked listings
Sign-on & loan repaymentnot statedTexas Registered Nurse listings: 7% state a sign-on bonus (median $10k) · 4% offer loan repayment392 active listings, Nov 2026
New Hospice Nursing listings403 in the last 30 days112 the 30 days before (+260%)U.S., first seen on WeekdayDoc, Nov 2026
Sources: WeekdayDoc live listing index (2,789 Nurse Case Manager listings), BEA Regional Price Parities (2024); as of Nov 2026. Same values as the Weekday Verdict and Market Insights on this page.

Work-Life Balance Analysis

WeekdayDoc's proprietary algorithm rates Hospice Registered Nurse Case Manager (New Braunfels/Seguin) at Excelin Health Services a 6.6 out of 10 for work-life balance — classified as good. This places the position in the top 25% in Nurse Case Manager — ranked against 2,789 active Nurse Case Manager listings on WeekdayDoc.

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

30 matches · ranked by pay

Salary Distribution

20 jobs · 17 employers
10
<$100k
2
$100k-120k
6
$120k-140k
2
$140k-160k

Annual compensation range

Benefits & Perks

16 jobs
401k / retirement match
100%
Loan repayment
31%
CME allowance
31%
Sign-on bonus
19%

Share of similar jobs offering each benefit

#1

Hospice Nurse Case Manager

By the Bay Health · Larkspur, Colorado

$65.7-$75.7/hr
#2

Registered Nurse - Case Manager w/sign-on bonus - 5403

Vantage Search Group · Twentynine Palms, California

$125k-$156k
#3

Registered Nurse - Case Manager

$60-$67/hr
#4

Integrated Case Manager- RN

$90k-$136k
+ 28 more · ranked by pay

Work-life snapshot

median 3.9this job 6.6
Better work-life than 80% 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.