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Prime Healthcare Services

RN Case Manager

Company : Prime Healthcare Services

Location : Harlingen, TX, 78550

Job Type : Full Time

Date Posted : 14 January 2026

Overview

We are seeking an RN Case Manager, also referred to as a Registered Nurse Case Manager or RN Clinical Case Manager. An RN Case Manager will oversee and coordinate patient care from admission through discharge to ensure quality, cost-effective outcomes. They assess patients’ needs, develop care plans, and collaborate with physicians, nurses, social workers, and other providers to manage care transitions. RN Case Managers also conduct discharge planning, utilization review, and helping patients navigate insurance and healthcare systems.  

Shift’s Available:  Days 

Employment Type: Full Time 

Hours: 8 hour shifts

Location: Harlingen Medical Center - Harlingen, TX

Responsibilities

Essential Duties and Responsibilities (includes, but not limited to): 

  • Patient Assessment: evaluate patients’ medical, psychosocial, and discharge needs upon admission and throughout their stay 
  • Care Coordination: develop and implement individualized care plans in collaboration with the healthcare team to ensure effective treatment and timely interventions 
  • Discharge Planning: coordinate safe and appropriate discharge plans, including referrals to rehab, home health, or long-term care facilities 
  • Utilization Review: monitor the use of hospital resources and services to ensure appropriate care and avoid unnecessary treatments or extended stays 
  • Patient and Family Education: help patients and families understand care plans, post-discharge instructions, and available resources 
  • Advocacy: advocate for patient needs and preferences, ensuring care is aligned with their goals and values 

Qualifications

Before we go any further, we do have some deal-breakers. You must have:  

Education and Work Experience

  • Starting April 1 2015. Minimum 5 years work experience post-graduation of an accredited school of nursing and a current state Registered Nurse license.
  • Grandfathered prior to April 1, 2015. Minimum 5 years post graduate of an accredited school Of Social Work for Licensed Clinical Social Worker. However, RN Case Manager preferred.
  • Five years acute care nursing experience preferred. At least one year experience in case management, discharge planning or nursing management, preferred.
  • Current BCLS (AHA) certificate upon hire and maintain current;
  • Knowledge of Milliman Criteria and InterQual Criteria preferred.
  • Experience and knowledge in basic to intermediate computer skills.
  • Behavioral Violence Prevention Training within 3 months of hires and maintain current.
  • Employment Status

    Full Time

    Shift

    Days

    Equal Employment Opportunity

    Company is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to applicable law), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. The Company also prohibits harassment of applicants or employees based on any of these protected categories. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf

    #LI-JC5

     

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    Frequently asked questions

    Unlike typical nursing roles, RN Case Managers at Prime Healthcare Services focus on coordinating patient care from admission to discharge, ensuring cost-effective outcomes. This position involves collaboration across multiple disciplines, discharge planning, and utilization review, offering a broader scope than bedside nursing in Harlingen's healthcare landscape.

    Prime Healthcare Services prioritizes candidates with at least five years of acute care nursing experience, preferably with case management or discharge planning exposure. Knowledge of Milliman and Interqual criteria is a plus, along with current BCLS certification and behavioral violence prevention training tailored to the Harlingen medical center environment.

    While a current state RN license is mandatory, certifications like Certified Case Manager (CCM) or familiarity with utilization review standards can enhance employability. In Harlingen, expertise in local healthcare protocols and patient advocacy skills also significantly boost a candidate's appeal.

    Expect to assess patient needs promptly after admission, coordinate multidisciplinary care plans, and oversee discharge arrangements. The role demands vigilant resource utilization monitoring to prevent unnecessary treatments, entwined with patient and family education, all within an 8-hour day shift schedule in Harlingen.

    Harlingen's healthcare sector shows steady demand for skilled RN Case Managers, but competition remains moderate due to the specialized skill set required. Prime Healthcare Services stands out for offering full-time day shifts, attracting candidates who value stability and a collaborative work culture in this Texas city.

    Salaries for RN Case Managers in Harlingen typically range from $70,000 to $85,000 annually, reflecting local cost of living and healthcare market factors. These figures might be lower than metropolitan hubs like Dallas or Houston but offer a balanced earning potential with a more affordable lifestyle.

    Prime Healthcare Services supports advancement through specialized training in case management and leadership roles within care coordination. Experienced RN Case Managers can progress to supervisory positions or cross-functional roles, leveraging clinical expertise to influence patient care strategies in Harlingen’s evolving healthcare setting.

    Beyond competitive pay, Prime Healthcare Services offers stable full-time positions with day shifts, enabling work-life balance. Additional benefits often include access to continuing education, credential maintenance support, and a workplace culture that fosters patient advocacy and interdisciplinary collaboration.

    Handling complex discharge planning for diverse patient populations and navigating insurance protocols can be demanding. RN Case Managers must adeptly manage communication among physicians, social workers, and families, ensuring smooth care transitions in a resource-conscious environment unique to Harlingen's healthcare system.

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