Hospice RN Case Manager (Brownsville/Harlingen, TX)

Urrly•Brownsville, TX

5d•Onsite

About The Position

This is a field-based role for a full-time Hospice RN Case Manager in the Brownsville/Harlingen area of South Texas. The role involves managing a patient caseload across Brownsville, Harlingen, Cameron County, and nearby communities. The ideal candidate is an RN comfortable traveling locally, assessing patients independently, coordinating care plans, and communicating effectively with patients, families, physicians, and the hospice team. This position offers a chance to provide compassionate end-of-life nursing support, build close patient relationships, and guide families through critical care stages, backed by an interdisciplinary team and supportive leadership.

Requirements

Active, unrestricted Texas RN license
Comfortable working full-time in a field-based hospice role
Reliable transportation, valid driver’s license, and ability to travel across the assigned territory
Strong clinical assessment skills and nursing judgment
Comfort with EMR documentation and timely charting
Strong communication skills with patients, families, physicians, and interdisciplinary team members
Compassionate, steady approach to end-of-life care
Willingness to participate in a shared on-call rotation
Must live within or near Brownsville / Harlingen, TX, with the ability to serve patients throughout Cameron County

Nice To Haves

Hospice RN Case Manager experience
Home health field nursing experience
Experience managing a patient caseload
Experience with hospice admissions, plan-of-care updates, symptom management, and interdisciplinary team coordination
Experience communicating with families during serious illness or end-of-life care
Stable work history, ideally averaging 1.5+ years per role
Transferable nursing backgrounds (Home health nursing, ER or ICU nursing, Skilled nursing facility, nursing home, or long-term care nursing, Field-based care or case management, Serious-illness, terminal-illness, or high-acuity patient care)
Ability to clearly explain why hospice care is the right next step and demonstrate comfort supporting patients and families through end-of-life situations

Responsibilities

Manage a hospice patient caseload throughout the assigned Brownsville / Harlingen / Cameron County territory
Conduct initial and ongoing nursing assessments
Create, update, and carry out individualized hospice plans of care
Monitor patient condition, symptoms, medication needs, and changes in disease progression
Provide compassionate nursing support focused on comfort, dignity, and quality of life
Educate patients and families on symptom management, medication management, disease progression, and end-of-life expectations
Communicate changes in patient condition clearly and promptly with families, physicians, and the hospice team
Support families with calm, practical, compassionate guidance during the hospice journey
Help patients receive reliable care in the setting that best supports their comfort and goals
Collaborate with social workers, chaplains, aides, medical directors, physicians, and clinical leadership
Participate in care planning and interdisciplinary team coordination
Escalate clinical concerns appropriately and support timely updates to the plan of care
Maintain accurate, complete, and timely documentation in the EMR
Travel daily within the assigned service area
Provide care in patient homes, facilities, and other community settings
Participate in shared on-call coverage and help support urgent after-hours patient needs when scheduled