Nurse III - Registered Nurse Case Manager

Texas Health & Human Services Commission • Lubbock, TX

5d • $7,533 - $8,886 • Onsite

About The Position

The Registered Nurse Case Manager performs highly complex professional nursing work for individuals at the Lubbock State Supported Living Center, including people with specialized medical and behavioral health needs. The position provides, evaluates, and coordinates nursing care across an assigned caseload. The nurse conducts rounds in homes and infirmary areas; assesses health status; reviews clinical information and trends; develops and evaluates assessments, nursing interventions, and care plans; and initiates follow-up for changes in condition, abnormal findings, medication or treatment concerns, and other clinical needs.

The role coordinates care with interdisciplinary teams, legally authorized representatives, direct care staff, nursing staff, and health care providers to support continuity of care, treatment decisions, and person-centered services. Duties also include supporting admissions, transfers, medical appointments, specialized clinics, training, quality assurance reviews, policy and procedure improvements, and specialized nursing activities. The nurse provides leadership, training, coaching, and technical assistance to nursing and direct care staff and provides hands-on care and complex technical nursing tasks as needed. The position works under limited supervision with considerable latitude for initiative and independent judgment.

The position is full-time, on the day shift, and not eligible for telework. It is based at the Lubbock State Supported Living Center in Lubbock, Texas, and involves travel up to 5%. Flexible hours, overtime or extended hours, weekends, and holidays may be required; the role may also include rotating on-call duties. Starting salary is $7,532.75 per month, with a stated range of $7,532.75–$8,886.16 monthly. Additional pay may be available for work on evenings, nights, and/or weekends. Free continuing education units and Lippincott resources are available to nurses.

Requirements

• At least one year of experience as a practicing registered nurse.
• Experience in assessment and documentation of health status.
• Current license to practice as a registered nurse in Texas or a state with reciprocity through the Nurse Licensure Compact.
• Considerable knowledge of professional nursing theory, standards, procedures, and practices, including assessment, planning, implementation, coordination, documentation, and evaluation of care.
• Knowledge of evidence-based nursing practices, medical diagnoses and procedures, accepted treatments, health care laws and regulations, ICF-IID requirements, SSLC policies and procedures, and program requirements for individuals with intellectual and developmental disabilities.
• Knowledge of emergency procedures and equipment, including CPR, infection control, Safe Use of Restraint, and Ukeru.
• Skill in providing care for individuals with complex medical and behavioral health needs, monitoring status, recognizing changes, responding to emergencies, and documenting outcomes.
• Skill in using computers, software, and electronic health record or care documentation systems.
• Skill in organizing work, managing time, prioritizing duties, tracking follow-up, and meeting recurring deadlines.
• Skill in training, coaching, mentoring, and providing technical assistance to nursing and direct care staff.
• Skill in communicating clinical information clearly and concisely, verbally and in writing, with individuals, families, representatives, teams, staff, and providers.
• Ability to prepare and maintain accurate nursing records, assessments, health summaries, care plans, referrals, and tracking documents.
• Ability to monitor case-management plans, health care plans, instructions, orders, treatment records, tests, consultations, and recurring health indicators.
• Ability to identify clinical trends, abnormal findings, signs and symptoms of illness or injury, changes in condition, and needed follow-up.
• Ability to coordinate care and communicate follow-up needs regarding appointments, testing, consents, hospital or infirmary status, recommendations, and changes in health status.
• Ability to work independently and productively with all levels of staff.
• Ability to interpret policies, procedures, standards, and health care regulations and communicate them effectively.
• Ability to perform comprehensive nursing assessments, evaluate diagnostic information within the RN scope of practice, exercise nursing judgment, develop plans of care, evaluate outcomes, and make recommendations.
• Ability to maintain current CPR certification and safely perform CPR, Safe Use of Restraint, and Ukeru techniques after training.
• Must pass a fingerprint criminal background check, pre-employment drug screen, and specified registry checks.
• Must be willing to work weekends and holidays; flexibility in work hours and overtime or extended hours may be required.
• Applicants must be at least 18 years of age; males ages 18–25 must be registered with the Selective Service.

Nice To Haves

• At least two years of experience as a practicing registered nurse in a health agency, hospital, or health-care facility.
• Bachelor's degree.
• Previous experience working with individuals with intellectual and/or developmental disabilities.

Responsibilities

• Perform complex nursing case management for assigned individuals, including people with specialized medical and behavioral health needs.
• Conduct rounds in assigned homes and infirmary areas; assess health status, gather information, identify trends or emerging concerns, and determine follow-up.
• Review health indicators, care plans, clinical records, medication and treatment information, and other recurring health requirements; identify clinical trends, risks, adverse reactions, and abnormal findings.
• Monitor meal and medication administration and document observations in the electronic health record, with additional meal monitoring for individuals at medium or high risk of choking or aspiration.
• Respond to acute and chronic health concerns, coordinate treatment and follow-up, communicate with providers and care teams, and participate in specialized clinics and consultations.
• Complete comprehensive physical assessments, nursing reviews, screenings, risk assessments, care-plan recommendations, and related documentation within required timeframes.
• Develop acute care plans and integrated health care plans; communicate findings to the interdisciplinary team and evaluate diagnostic information within the RN scope of practice.
• Participate as the nursing expert on interdisciplinary teams, educate and consult with team members, individuals, representatives, and providers, and advocate for individuals' needs and preferences.
• Coordinate and lead nursing care for assigned individuals, instruct nursing staff, participate in daily medical and other meetings, and communicate relevant health information across disciplines.
• Conduct quality assurance reviews; review nursing practices for compliance; develop, evaluate, revise, and explain nursing case-management policies, procedures, and protocols; and recommend process improvements.
• Attend medical appointments, treatments, and clinics; coordinate continuity of care, follow-up on recommendations and orders, support transfers and hospital communications, and coordinate notifications and required consents.
• Coordinate admissions and transfers, including review of medical information, baseline assessments, documentation, nurse-to-nurse reports, and communication of relevant health information.
• Participate in competency-based training and continuing education; provide or support individual-specific training for direct support professionals, nursing staff, and receiving providers; and develop and update DSP instructions.
• Provide oversight, coaching, on-the-job training, and mentoring to RNCMs, RNs, and LVNs; serve as a preceptor or resource as assigned; and serve as RNCM Supervisor in their absence when appointed.
• Complete, review, and maintain required nursing documentation and tracking records, ensuring accuracy, continuity of care, regulatory compliance, and completion by required deadlines.
• Provide consultation, training, and technical assistance to direct support professionals about individuals' care needs and post-treatment monitoring.
• Provide direct nursing care and complex technical nursing tasks as needed, including tracheostomy care, gastrostomy/jejunostomy care, wound care, and breathing treatments.
• Participate in agency disaster response, recovery, or Continuity of Operations activities as assigned, which may involve a different shift or location.
• Attend work regularly, follow assigned schedules, and perform other duties as assigned.

Benefits

• 100% paid employee health insurance for full-time eligible employees.
• Defined benefit pension plan.
• Generous time off benefits.
• Opportunities for career advancement.
• Free continuing education units and updated resources through Lippincott access for nurses.
• Potential additional pay for work performed on evenings, nights, and/or weekends.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed