Nacogdoches Medical Center, a community hospital with nearly 50 years of service in East Texas, is recruiting a PRN Registered Nurse Case Manager to join its care coordination team. This role carries full accountability for utilization management, transition planning, and care coordination across an inpatient service-line population — a substantive clinical and operational scope that suits an experienced acute-care RN ready to work at the top of case management practice. The PRN schedule offers flexibility while keeping you embedded in a facility with genuine subspecialty depth, including cardiology, neuroscience, oncology, and surgical services.
Perks and Benefits
- PRN employment status (eligibility for specific benefits determined by employment classification and location)
- Medical, dental, vision, and life insurance available per eligibility guidelines
- 401(k) retirement savings plan with employer match
- Generous paid time off
- Health savings accounts (HSA); healthcare and dependent flexible spending accounts (FSA)
- Career development and continuing education opportunities
- Employee Assistance Program and employee discount program
- Voluntary benefits: pet insurance, legal insurance, accident and critical illness insurance, long-term care, elder and childcare assistance, auto and home insurance
Practice Highlights
- Service-line–based caseload: RN Case Manager leads a defined population of patients, ensuring care is delivered at the appropriate level and in the right sequence throughout the inpatient stay
- Utilization Management responsibilities include medical necessity review and denial prevention in alignment with state, federal, and TJC accreditation standards
- Transition Management focus: appropriate length-of-stay management, readmission prevention, and patient satisfaction outcomes
- Care Coordination role: drives throughput efficiency and ensures timely, safe discharge planning for patients and families
- Compliance scope encompasses state and federal regulatory requirements and The Joint Commission (TJC) accreditation standards
- Education responsibilities extend to physicians, patients, families, and caregivers
- Preceptor role for new case management staff; serves as a department resource and facilitates TEMPO processes as needed
- Active participation in department quality improvement initiatives and at least one committee or major assigned project
- Facility service lines include: obstetrics and gynecology, cardiology (cardiac catheterization lab and electrophysiology), cancer care, neuroscience (Brainlab technology, stroke treatment program), and bariatric/weight loss surgery
Qualifications
- Active RN license in the state of Texas (or eligibility to obtain); must meet all state law and regulatory requirements for licensure
- Graduate of an accredited school of nursing required; bachelor's or master's degree in nursing preferred
- Minimum 2 years of acute hospital case management experience required
- Accredited Case Manager (ACM) certification preferred
- Demonstrated competency in utilization management, discharge planning, and interdisciplinary care coordination
About the Community
Nacogdoches is one of the oldest towns in Texas, situated in the Piney Woods of East Texas — a region defined by towering loblolly pines, rolling terrain, and a genuine small-city character. The area offers a low cost of living, a strong sense of community, and easy access to outdoor recreation including lakes, state forests, and hiking trails. Stephen F. Austin State University anchors a vibrant cultural and academic presence in town, and the Dallas–Fort Worth metroplex is roughly a three-hour drive for those who want periodic access to a major urban center.