RN Care Manager San Antonio

CareFor; San Antonio (TX); On-site; USD 80,000 - 95,000; Full time

Job summary

CareFor is seeking a skilled Registered Nurse to join our care management team in the San Antonio, TX area, delivering in-home and community-based support to clients with complex medical needs.

This high-touch role emphasizes autonomy, critical thinking, and building meaningful relationships with clients and families while coordinating care across physicians, therapists, home health, hospice, and community providers.

Qualifications

• Active RN license in Texas or eligible via reciprocity.
• BSN or higher degree.
• Minimum of 5 years clinical nursing experience.
• Residence within the San Antonio metro area.
• Valid driver’s license and reliable vehicle.

Responsibilities

• Conduct comprehensive client assessments across medical, social, and environmental factors.
• Develop, implement, and evaluate individualized care plans.
• Coordinate care across multidisciplinary teams.
• Educate, advocate, and guide care decisions for clients and families.
• Document assessments and progress notes with detail.
• Monitor progress and adjust plans for patient-centered outcomes.
• Travel to appointments as needed and advocate for care.

Skills

Clinical judgment

Documentation

Organizational skills

Communication skills

Autonomy

Education

BSN or higher

Job description

Job Details

Job Location: San Antonio, TX, Position Type: Full Time, Education Level: 4 Year Degree, Salary Range: $80,000.00 - $95,000.00 Salary, Job Category: Nurse, Care Management (RN) | Full-Time, Field-based | San Antonio Area

Location: San Antonio Metro Area

Schedule: Monday–Friday, 8:00 AM – 5:00 PM

About the Role

CareFor is seeking a skilled, compassionate Registered Nurse (RN) to join our care management team in San Antonio, supporting clients in their homes and across the community.

This is a high-touch, relationship-driven role focused on coordinating care for primarily (but not exclusively) older adults with medically complex needs. Unlike traditional home health, our care managers oversee the full picture, advocating for clients, guiding families, and collaborating across medical and non-medical teams.

This role is ideal for an experienced nurse who values autonomy, critical thinking, and meaningful client relationships.

What You’ll Do

• Conduct comprehensive client assessments (medical, social, environmental) and reassess as needed
• Develop, implement, and continuously evaluate individualized care plans
• Coordinate care across a multidisciplinary team (physicians, therapists, home health, hospice, caregivers, and community providers)
• Serve as a trusted resource for clients and families; educating, advocating, and guiding care decisions
• Write detailed clinical documentation, including assessments, progress notes, and medical necessity reports
• Monitor client progress and adjust care plans to ensure goal-driven, patient-centered outcomes
• Accompany and/or transport clients to appointments or procedures as needed, advocating for their care in real time
• Collaborate with internal teams (staffing, accounting, leadership) to support overall client care
• Support caregivers with guidance, communication, and care direction
• Participate in guardianship responsibilities when applicable, coordinating with families, attorneys, and trust officers
• Manage all administrative responsibilities independently, including documentation, communication, and record‑keeping
• Respond in person to client needs during business hours across the San Antonio metro area

What We’re Looking For

Required Qualifications

• Active Registered Nurse (RN) license in Texas (or eligibility via reciprocity)
• Bachelor of Science in Nursing (BSN) or higher
• Minimum of 5 years of clinical nursing experience
• Residence within the San Antonio metro area
• Valid driver’s license, reliable vehicle, and ability to meet insurance requirements

Preferred Experience

• 10+ years of diverse nursing experience
• Background in hospice, home health, care management, or similar roles
• Experience with medically complex or geriatric populations
• Prior experience coordinating care across multiple providers or settings

Key Skills & Attributes

• Strong clinical judgment with the ability to assess and respond to complex situations
• Excellent documentation and report‑writing skills with high attention to detail
• Highly organized and able to manage multiple clients independently
• Confident decision‑maker who seeks guidance when appropriate
• Strong interpersonal and communication skills across diverse populations
• Ability to balance autonomy with collaboration in a team environment
• Adaptable to changing client needs, environments, and priorities
• High level of integrity, professionalism, and discretion with sensitive information

What Makes This Role Different

• Our focus is care coordination, advocacy, and oversight
• You’ll engage with every aspect of a client’s care: medical, social, and environmental
• The pace differs from hospital settings, requiring flexibility and a consultative approach
• You’ll build long‑term, meaningful relationships with clients and families

Additional Considerations

• Care is delivered in a variety of settings (private homes, assisted living, nursing facilities, hospitals)
• Role requires regular travel throughout the San Antonio metro area and transporting clients when needed
• Exposure to typical clinical environments, including potential contact with infectious conditions
• Occasional need for flexibility in response to urgent client situations
• Care Managers attend bi‑monthlymeetings onsite at CareFor's Austin office, as well as occasional company‑wide Austin events
• We are committed to providing compassionate, professional care to clients from all backgrounds while maintaining a respectful and inclusive workplace
• Strict adherence to HIPAA and company compliance standards is required

CareFor is an equal opportunity employer committed to providing equal access, opportunity, and reasonable accommodations for individuals with disabilities in employment, as well as in our services, programs, and activities. We do not discriminate on the basis of race, color, religion, sex, sexual orientation, national origin, age (40 or older), disability, genetic information, pregnancy, marital status, veteran status, gender identity, or any other characteristic protected by applicable federal, state, or local law. If you require a reasonable accommodation, please contact our Human Resources teamat [phone].