Tideway RN Nurse Case Manager

Moody Neurorehabilitation Institute; Galveston (TX); On-site; USD 65,000 - 85,000; Full time

Job summary

Moody Neuro/Tideway is seeking a registered nurse to provide comprehensive client care for adults and adolescents with brain injury. Under Medical Director supervision, you will supervise and document nursing needs, participate in discharge planning, and train residential staff while maintaining confidentiality and safety.

The role requires a Texas RN license, CPR certification, and ability to work rotating shifts.

Qualifications

• Must hold Texas RN license and CPR certification.
• Experience in rehabilitation or brain injury preferred.
• Ability to work rotating shifts.
• Strong documentation skills.
• Ability to communicate effectively with team and families.

Responsibilities

• Provide nursing care to adults and adolescents with varying forms of head trauma.
• Assess, monitor, intervene, document, and report clients’ status and functional abilities.
• Carry out therapeutic activities as directed by Medical Director and CQI.
• Document observations and discharge planning as required.
• Assist in emergency procedures including triage and first aid.
• Monitor and document self-administration of medications by clients.
• Serve as medical supervisor during field trips or outings.
• Maintain client confidentiality and a safe environment.

Skills

Texas RN license

TBI knowledge

CPR certification

Clinical documentation

Team collaboration

Communication skills

Flexibility

Medication administration

Education

Graduate of accredited school of nursing

Current Texas RN license

Job description

GENERAL STATEMENT OF DUTIES

Nurse is a client care provider who performs a variety of nursing functions and closely assesses clients for changes in medical or nursing status under the direction and supervision of a Medical Doctor. The position provides care to adults and adolescents who have sustained varied forms of head trauma, with varying degrees of injury, who may or may not have also sustained other injuries. The nurse is responsible for supervising and documenting the clients’ medical and nursing needs until discharge, observing and documenting client behavior, role modeling for clients, interacting with clients, providing training to residential and Tideway staff, ensuring client safety, and reinforcing treatment plans and Moody Neuro/Tideway policies. The position upholds the mission, philosophy, and goals of the organization while maintaining strict confidentiality of personnel and client data, and acts as a liaison between the Medical Director, Director of CQI, Clinical Departments, and the Residential department.

ESSENTIAL FUNCTIONS

Major Duties and Responsibilities

Nursing

• Specified nursing services as needed by Moody Neuro/Tideway clients.
• Assess, monitor, intervene, document, and report clients’ social and interpersonal behavior and functional ability to perform as an independent individual in the community setting.
• Carry out therapeutic activities as designated by the Medical Director in conjunction with the Director of CQI.
• Follow behavior modification program recommendations and submit documentation to the Case Manager as appropriate.
• Assist in emergency situations including implementation of fire alarm and drill procedures, and provision of first aid treatment in the case of illness or injury, in respect to triage procedures.
• Monitor client self‑administration of medications and documentation of ability to perform this function.
• Act as medical supervisor when accompanying clients on field trips or outings.
• Provide documentation of observation of client responses on outings as needed.
• Assist with specified therapies at the request of the Medical Director or Director of CQI.
• Serve as a role model at all times for clients and residential staff.
• Attend in‑services, workshops, staff meetings, and seminars as directed.
• Maintain confidentiality of both client and staff issues.
• Provide a safe and secure environment for clients and staff.
• Complete discharge duties in accordance with Moody Neuro/Tideway organizational policies, CARF, and other accrediting/licensing bodies.
• Assist in the training of Residential and Tideway staff as directed by the Medical Director and Director of CQI.
• Perform INR/PT testing.
• Perform other duties as assigned by the Director of CQI or Medical Director.

Organizational Duties

• Maintain medical documentation, including medication monitoring sheets, incident reports, and medical consults.
• Act as a therapeutic liaison between the Medical Director, Director of CQI, and the Residential/Tideway staff.
• Maintain security procedures according to Moody Neuro/Tideway policies.
• Maintain appropriate records of work schedule on timecard.

Case Management

• Conduct pre‑admission screenings with support of Business Development.
• Review in a timely manner the client’s pre‑admission documentation and share information with relevant staff.
• Conduct family interview during intake process.
• Ensure that reviews of the client’s progress, case management notes, and other relevant documentation are forwarded to the program record.
• Attend all staff and quarterly meetings concerning clients being served on the caseload.
• Perform advocacy services for the client during implementation of the client’s treatment plan.
• Discuss plans, goals, and status of the individual with the client and significant others to ensure client involvement and family education on an ongoing basis.
• Provide a copy of the treatment plan to the family/guardian and funding source after proper releases are obtained.
• Assist with scheduling medical appointments when the client is unable to schedule them himself/herself and the family is not in the Houston/Galveston area.
• Explain rules and regulations to the family and rights of the individual relative to conflict resolution.
• Assist the individual and family with travel arrangements for weekends, holidays, and emergencies.
• Assist with monitoring of medication problems in coordination with physician/facility nurse.
• Coordinate and assist with development of discharge plans for the individual.
• Provide appropriate referral information to discharge community or alternate placement.
• Work on‑call as required and be available after hours as needed.

Qualifications

Required Knowledge, Skills, and Abilities

Nursing

• Current Texas state license as an RN.
• Knowledge of TBI and related syndromes.
• Ability to work well with other people in a clinical setting.
• Ability to stimulate and motivate persons with problems in motivation.
• Knowledge of social customs and responsibilities.
• Ability to demonstrate flexibility, innovation, and good judgment.
• Ability to receive and follow instructions accurately.
• Knowledge of philosophical and ethical considerations in rehabilitation practice.
• Ability to pass CPR certification requirements.
• Ability to communicate accurate and pertinent information through documentation.
• Ability to execute emergency procedures with regard to fire drills, emergency evacuation, and triage.
• Ability to work rotating shifts and hours if needed.
• Ability to assist clients with transfer into/from a wheelchair.

Case Manager

• Knowledge of counseling techniques and conflict resolution practices and the ability to implement them therapeutically.
• Demonstrate good organizational skills.
• Knowledge of the multiple and complex needs of the brain injured population.
• Knowledge of, and ability to document according to facility standards.
• Excellent communication skills.
• Ability to work as a team member and facilitate the efforts of the treatment team.
• Ability to participate in the successful implementation of overall program goals.
• Ability to cope with stressful situations.
• Knowledge of licensing and accreditation standards (CARF, TRC, Medicare/Medicaid).

LIFTING REQUIREMENTS

Individuals in clinical care positions may be required to assist with transfers up to 150 pounds and should have the ability to lift to 100 pounds without assistance.

EDUCATION

Graduate of an accredited school of nursing. Hold a current license to practice as a Registered Nurse in the state of Texas. Required CPR certification. Required Texas driver's license.

EXPERIENCE

Prefer 2 years post‑graduate experience in nursing, preferably in the fields of rehabilitation, patients with cognitive deficits, or mental health issues.