Build clinical care plans
Assess clients at home. Translate complex medical histories into actionable plans. Adjust as conditions evolve, never on a fixed schedule.
← All careersFor experienced registered nursesBring your clinical expertise
Bring your clinical expertise
to where it changes a life.
You have spent 15 or 20 years in a hospital. You are excellent at it. You are tired of 12-hour shifts. You want clinical work that actually changes someone's situation. Care management with us is exactly that.
Why this role exists
Care managers are the clinical core of this agency.
Most home care agencies treat care management as a coordination function, scheduling, paperwork, the occasional family call. We treat it as the clinical foundation of everything we do.
Our Care Managers build care plans, supervise caregivers, train the team, partner with families, and adjust clinical strategy as conditions change. They are the reason our outcomes are different. They are the reason families trust us.
This is not paperwork. It is medicine, applied to the real lives of older Houston families, with the clinical autonomy and respect that hospital nursing rarely affords.
What you’ll do
The work, week by week.
Supervise & train
Match the right caregiver. Train your team in condition-specific protocols. Build a culture where excellent caregivers want to stay.
Partner with families
Have the conversations that matter. Translate clinical reality into language families understand. Be the steady presence they call.
Coordinate with MDs
Communicate with primary care, specialists, discharge planners. You are the clinical liaison that ties the system together.
Document with precision
Records meeting insurer, regulatory, and legal standards. Your documentation supports decisions for years.
Lead clinical strategy
We need your judgement on hard cases. Your voice shapes how the agency grows clinically. Not a delivery node, leadership.
Who fits this role
Experienced. Independent. Communicative.
- 01RN with 15-20+ years of hospital experience, ICU strongly preferred
- 02You miss patient relationships that build over time
- 03You want clinical autonomy and trust the people you work with
- 04You communicate exceptionally well, with families, caregivers, and physicians
- 05You believe care should adapt as a person changes, not run on a schedule
- 06You appreciate working in a small team where every voice shapes the agency
- 07You are ready to leave 12-hour shifts and weekend rotations behind
A day in the life
Different from hospital nursing in every way that matters.
9:00 AM
Home visit with a new client, a retired physician with early Parkinson's. You assess, build the initial care plan, meet his daughter. The clock is yours, not the unit's.
11:30 AM
Phone call with Houston Methodist's discharge planner about a patient ready for home. You shape the post-discharge plan with her in real time.
1:00 PM
Lunch, eaten, not skipped. Coffee, even.
2:00 PM
Home visit with an existing client whose dementia has progressed. You update the routine with the family, train the new shift caregiver on de-escalation, document the changes.
4:30 PM
Brief team huddle with Andrew and the other Care Managers. Complex case discussion. Real strategic thinking, not status updates.
6:00 PM
Done. Home for dinner with your family. On-call for genuine emergencies, but not for routine scheduling questions, that is not your job.
Common questions
What nurses ask before they apply.
What experience level are you looking for?
Registered Nurses with 15-20+ years of hospital experience, ICU strongly preferred. We have hired from Houston Methodist, Memorial Hermann, and MD Anderson. If you are newly licensed, this is not the right role yet, but stay in touch.
Is this a 9-to-5 role, or are there shifts and on-call?
Real schedule control. No 12-hour hospital shifts. No mandatory weekend rotations. You manage your time the way professionals are supposed to. On-call for genuine clinical emergencies, never for routine scheduling.
How does compensation compare to hospital nursing?
Salary calibrated to your years and specialty, with performance-aligned bonuses. We respect what 20 years of clinical work actually costs to replicate. We compare openly against your current package in the first conversation.
Will I actually do clinical work, or is this a coordinator role?
Clinical work, every day. You build care plans, supervise caregivers in condition-specific protocols, coordinate with physicians, lead clinical strategy on hard cases, and document at insurer/regulatory/legal standards. Coordination is part of it, but the core is medicine, applied to real lives.
What does the application process look like?
Send a brief written note about your background. No corporate portal. Andrew or Serhat replies within a day. The conversation will be real, not a screening, and will likely include a coffee meeting before any formal next step.
Where would I be working?
Hybrid by nature. Significant time in clients' homes building and adjusting care plans, the rest at our Galleria office or working from home for documentation, team huddles, and family calls.
What a Care Manager week actually looks like at Homewatch Galleria
Care Manager as a title covers wildly different jobs across the home-care industry. At most agencies it means a scheduler in a call center — the person who books shifts and calls the family back when there is a problem. At our agency it means an RN or an experienced case-management professional who owns the clinical relationship with a specific caseload of families, writes and revises the care plan, does in-home reviews on a quarterly cycle, and is on the phone with the family whenever the situation shifts. It is closer to a case manager role at a well-run rehab facility than to a scheduler role at a franchise agency. That distinction is why we pay differently, hire differently, and rotate on-call differently than the industry norm.
A typical week for a Care Manager here starts with a Monday-morning caseload review with Andrew Harris, RN, our Clinical Director. We walk through every active client, flag change-of-condition notes from the weekend, and set the week’s priorities: which families need a check-in call, which plans need revision, which discharges are coming out of Houston Methodist or Memorial Hermann in the next few days. Through the week you are in and out of homes — new-client assessments, quarterly reviews, situational visits when a caregiver escalates something. Wednesdays are typically the biggest documentation day. Fridays we prepare the family-facing weekly summaries for high-acuity cases so nothing gets lost over the weekend.
What we look for in a Care Manager candidate: registered nurse licence in Texas or an equivalent clinical or case-management background, at least five years working with older adults or medically complex patients, comfort with families in acute distress, sharp written communication, and the temperament to hold clinical judgement under pressure without losing warmth. We do not hire on clinical credentials alone — we hire on the specific ability to sit at a kitchen table with a spouse who has not slept in a week, hear the situation clearly, and translate it into a plan the caregiver can actually execute. That skill matters more than any single certification, and it is what most agencies underweight in hiring. If you have it, please send us a note.
If this resonates
Send us a note. Or call Andrew.
No corporate portal. Andrew or Serhat will respond within a day. Real conversation.