Home Health Case Manager RN or LVN In Office Full Time Family Owned

We are a family-owned home health agency in San Antonio with over 30 years of experience, and we are hiring a full-time in-office Case Manager to help coordinate care for patients across the city.

If you love home health but you're tired of driving all day — or you're a clinic or office nurse who wants to move into home health with a set schedule, a desk, and a team around you — this is that job.

What This Job Actually Looks Like

You are the connective tissue of the agency. You keep patients, field nurses, physicians, and the office moving in the same direction.

On a Typical Day You Will

• Coordinate care and schedules for an assigned group of patients
• Communicate with field nurses about changes in patient condition
• Follow up on physician orders and get them signed and returned
• Track recertifications, resumptions of care, and discharges so nothing falls through
• Review documentation for completeness and follow up on what's missing
• Take calls from patients and families and get them answers
• Support the Director of Nursing with care coordination and case conferences
• Make occasional field visits when needed (paid separately, plus mileage)

You are not managing ten patients at once in a busy hallway. You are working through a caseload, in an office, with people who pick up the phone when you call.

We use AI to do the busywork so you don't have to

We run on WellSky SkySense, and we're rolling out AI documentation tools to our field team — including ambient AI that helps draft visit notes. We are one of the first agencies in San Antonio putting this technology in our nurses' hands.

For you, that means less time chasing incomplete paperwork and more time actually managing patients. If you're the kind of nurse who likes working somewhere that invests in better tools instead of doing things the way they were done in 2005, you'll like it here.

What We're Looking For

• Active Texas RN or LVN license — both are welcome to apply
• At least 1 year of home health experience preferred. If you don't have home health but you have solid clinical office experience — physician practice, clinic, case management, hospice, or utilization review — we want to hear from you
• Organized, detail-oriented, and good at following through without being chased
• Comfortable on the phone with patients, families, and physician offices — a good chunk of this job is politely getting people to do what they said they'd do
• Comfortable on a computer and in an EMR — WellSky experience is a plus but not required
• Current CPR certification
• Reliable transportation, valid driver's license, and current auto insurance
• Bilingual English/Spanish is a plus
• Why you'll like working here

• Family-owned agency with 30+ years in San Antonio — not corporate-owned
• Two consecutive deficiency-free state surveys
• 93% patient satisfaction, against a Texas average of 63%
• Set Monday–Friday schedule — no all-day driving
• A small, supportive office team where you're a name, not a number
• Modern EMR with AI-assisted documentation
• Room to grow — this role sits directly under the Director of Nursing
• Compensation and schedule

• $50,000 per year, or $80,000 per hour, depending on license and experience
• Additional per-visit pay plus mileage for any field visits
• Full-time, Monday–Friday, in-office
• Paid time off
• Paid holidays