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Tx-Hhsc-Dshs-Dfps
Richmond, Texas

Registered Nurse Case Manager

Registered NurseIncludes callIncludes weekendsFull-Time

Listed compensation

$7,532.75 - $8,886.16/mo

Listing transparency5 of 6 stated

Ask the employer about nights and shift pattern.

Employment & setting
Full-Time · on-site
Call expectations
Includes call
Weekends
Includes weekends
Posted 1mo ago

Job Description

  • vision with considerable latitude for initiative and independent judgment.

Essential Job Functions (EJFs)

  • ptoms, medication refusals, injuries, seizures, bowel movements, labs, consults, hospital or infirmary status, IHCPs, acute care plans, DSP instructions, physician orders, MARs, treatment records, incident reports, preventive screenings, immunizations, EKGs, psychotropic medication monitoring, and other recurring health requirements. Uses nursing judgment to identify desired effects, side effects, contraindications, adverse reactions, and clinical trends.  Evaluates outcome, communicates concerns to the PCP and IDT and initiates appropriate follow-up. Monitors meal and medication administration at least quarterly and documents observations in the electronic health record. For individuals at medium or high risk for choking or aspiration, conducts meal monitoring at least monthly and documents observations related to condition, signs of illness, pain, coughing, swallowing difficulty, positioning, dining plan use, medication administration technique, and pill texture when applicable. Responds to chronic and acute health care concerns, facilitates treatment and follow-up, communicates with the PCP, LAR, health care team, and IDT, participates in specialized clinics and consultations, provides assessment and feedback related to medical or leisure trips, completes post-hospitalization ISPA and follow-up care, maintains required training, and reports concerns to the CNE/NOO.
  • ptoms of illness or injury, identifies abnormal findings, determines when referrals or plan changes are needed, develops acute care plans and integrated health care plans, communicates findings to the IDT, and evaluates diagnostic information within the RN scope of practice. Monitors assessment completed by others to ensures care provide is in compliance with policies, procedures, standards of care and quality of service.

Key Responsibilities

The Registered Nurse Case Manager coordinates complex nursing care for individuals with intellectual and developmental disabilities, including developing care plans and conducting health assessments. They also provide leadership and training to nursing staff while ensuring compliance with state and federal healthcare regulations.

Requirements

Candidates must be a licensed Registered Nurse in Texas or a compact state with at least one year of practicing experience. A bachelor's degree and experience working with individuals with intellectual and developmental disabilities are preferred.

Qualifications

Education
Bachelor degree

Key Skills

Nursing case managementPatient assessmentCare planningClinical documentationInterdisciplinary team coordinationWound careTracheostomy careGastrostomy careQuality assuranceStaff trainingEmergency responseInfection controlElectronic health recordsPatient advocacy

Case Management — Registered Nurse Career Context

Of the 40 active Nurse Case Manager listings this role was benchmarked against, 28% are remote, 45% have no call, 75% require no weekends.

The cost-of-living index for Texas is 97.1 (US average = 100; BEA Regional Price Parities (2024)), so the posted ~$99k midpoint carries the purchasing power of roughly $101k in an average-cost state. 57.7% of Texas clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

Location & Logistics

Texas has no state income tax, which can significantly increase take-home pay compared to high-tax states. At the posted ~$99k midpoint, that is roughly $4k–$7k a year versus a typical 4–7% state rate.

Top Nurse Case Manager Jobs

20 matches · ranked by pay

Salary Distribution20 jobs · 17 employers

10
<$105k
3
$105k-125k
5
$125k-145k
2
$145k-165k

Annual compensation range

Benefits & Perks19 jobs · 17 employers

401k / retirement match
89% this job
Sign-on bonus
26%
CME allowance
5% this job

Share of similar jobs offering each benefit

#1

Travel Registered Nurse Case Management JobContract

Healthforce · Glendale, California

$143k-$151k
#2

Case Manager, RN

Welbe Health · Riverside, California

$56.67-$72.22/hr
#3

Registered Nurse Case Manager

$63-$69/hr
#4

RN Case Manager | Hospice

$39.87-$66.52/hr
+ 18 more · ranked by pay

Work-life snapshot

1.5/ 10
Listing-based score
  • On-site
  • Includes call
  • Includes weekends

Living in Richmond

Typical 3-bedroom home value
$302k
Typical market rent
$1,798/mo
Residents’ average commute
29 min
State income tax
None
Sources & methodology

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

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

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About Tx-Hhsc-Dshs-Dfps

Government Administration
Austin, TX
10,000+ employees

Benefits & Perks

100% paid employee health insurance
Defined benefit pension plan
Generous time off
Free CEUs via Lippincott