Experienced RN, Care Manager

Legacy Community Health

Registered Nurse - Care Manager guiding high-risk patients toward healthier lives at Legacy Community Health. Collaborating with a team to deliver holistic care and manage patient needs.

Posted 6/12/2026full-timeHouston • Texas • 🇺🇸 United StatesMid-LevelSeniorWebsite

About the role

Key responsibilities & impact

Collaborate with multidisciplinary team members to address the unmet needs of assigned patient populations.
Conduct telephonic outreach and home/virtual visits based on patient acuity and care requirements.
Perform comprehensive health risk and disease management assessments, including psycho-social care needs.
Deliver outreach, education, and interventions to patients with high utilization patterns to prevent avoidable hospital admissions.
Develop patient-centered care plans in partnership with patients and the care team.
Coordinate services with primary care teams, specialists, home care providers, hospital teams, and managed care organizations.
Monitor patient progression toward goals and adjust care plans as needed to ensure success.
Identify and address barriers to meeting goals, adhering to treatment plans, or keeping appointments.
Build collaborative relationships with patients to promote disease prevention and health self-management.
Participate in caseload rounds and consultations with the care team to ensure optimal care delivery.
Assist patients in obtaining medical supplies and referrals for additional education or services.
Maintain accurate and timely medical documentation of care management activities in the designated care management module.
Adhere to assigned caseloads, timeframes, and Legacy Community Health safety reporting guidelines.
Contribute to refining and developing new standards of work to enhance care quality.
Manage caseloads effectively to reduce avoidable ER visits, hospital admissions, and readmissions.
Attend staff meetings and participate in ongoing educational opportunities to enhance your skills.
Perform other duties as assigned to support the overall mission of Legacy Community Health.

Requirements

What you’ll need

Registered Nurse with an active, unrestricted Texas licensure
Must maintain BLS/CPR
State Board recognized nursing education
3-5 years acute clinical experience
1-2 years case/care management experience
Case Management Certification
Motivational interviewing
Experience with all patient populations, including, Commercial, Medicaid & Medicare
Computer literacy: Ability to operate computer programs and work within various documentation platforms
Strong customer service skills to coordinate service delivery including proactive identification and resolution of issues that will promote positive patient outcomes
This job requires access to confidential and sensitive information, requiring ongoing discretion and secure information management
Federally Qualified Health Clinic (FQHC) experience
Bilingual (Spanish)
Ability to think critically and problem solve.

Benefits

Comp & perks

Medical, Dental, and Vision insurance
Long-Term Disability insurance
Life insurance and AD&D
403(b) retirement plan
Employee Assistance Plan
Subsidized gym membership
24-hour travel assistance
Paid Time Off
Company holidays
Bereavement Leave
And more!

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

Registered NurseBLSCPRcase managementmotivational interviewingacute clinical experiencepatient-centered care planshealth risk assessmentsdisease managementmedical documentation

Soft Skills

customer servicecollaborative relationshipscritical thinkingproblem solvingcommunicationteamworktime managementdiscretionadaptabilityproactive issue resolution

Certifications

active Texas licensureCase Management Certification