Concierge Geriatric Nurse

CarbonBetter • Houston, TX

23h

About The Position

About the Role We are seeking an experienced, highly organized Geriatric Nurse Care Manager to oversee and coordinate comprehensive care for a group of 6–8 aging adults in the Houston metropolitan area. This is a hands-on role that requires equal parts clinical knowledge, logistical execution, and clear communication. You will serve as the central point of contact between medical providers, insurance carriers, legal/financial advisors, and family members — ensuring nothing falls through the cracks. This is not a supervisory desk job. You will be in the field daily: driving clients to appointments, sitting in on consultations, advocating with providers, and managing the details that determine quality of life.

Requirements

• Active nursing license in Texas (RN or LVN)
• 5+ years of experience in geriatric care management, case management, patient advocacy, or a closely related field
• Deep familiarity with Medicare, Medicaid, Medicare Advantage, and long-term care insurance
• Strong knowledge of Houston-area healthcare systems, senior living facilities, and community resources
• Valid Texas driver's license and clean driving record (company vehicle provided)
• Exceptional organizational skills — ability to manage complex, overlapping needs for multiple clients without dropping details
• Clear, professional written and verbal communication
• Comfort navigating difficult conversations with clients, families, and providers
• HIPAA compliance knowledge and commitment to confidentiality

Nice To Haves

• Certified Care Manager (CMC) or Aging Life Care Professional (ALCP) credential
• Experience working with dementia/Alzheimer's clients
• Familiarity with elder law basics (POA, guardianship, Medicaid spend-down, advance directives)
• Bilingual English/Vietnamese

Responsibilities

• Medical Coordination & Advocacy
• Schedule and accompany clients to medical, dental, specialist, and therapy appointments
• Serve as a knowledgeable advocate during provider visits — ask the right questions, take detailed notes, and ensure follow-through on recommendations
• Track diagnoses, treatment plans, and medication regimens for each client; flag conflicts or concerns proactively
• Coordinate across multiple providers to ensure continuity of care and prevent gaps
• Insurance & Benefits Management
• Manage relationships with insurance carriers (Medicare, Medicare Advantage, Medigap, private plans, long-term care insurance)
• Handle claims, appeals, prior authorizations, and benefits verification
• Review Explanation of Benefits (EOBs) for accuracy; dispute billing errors
• Evaluate plan options during open enrollment periods and recommend changes when appropriate
• Track long-term care insurance policies — understand benefit triggers, elimination periods, and filing requirements
• Long-Term Care Strategy
• Develop and maintain individualized care plans that evolve with each client's needs
• Assess when transitions are needed (e.g., independent living → assisted living → memory care → skilled nursing) and research options accordingly
• Evaluate and vet in-home care providers, facilities, adult day programs, and community resources
• Stay current on Houston-area senior living options, waitlists, and facility quality
• Reporting & Stakeholder Communication
• Produce clear, concise written reports on each client's status — covering medical updates, upcoming needs, financial/insurance matters, and recommended actions
• Deliver reports on a regular cadence (weekly, biweekly, or monthly — as determined by family members)
• Communicate urgent developments immediately via phone or message
• Maintain organized, HIPAA-compliant records accessible to authorized family members
• Provide honest assessments — families need accurate information, not reassurance
• Crisis & Emergency Management
• Serve as first responder for non-911 emergencies (falls, hospitalizations, sudden cognitive changes)
• Maintain current emergency contacts, hospital preferences, and advance directive documentation for each client
• Manage hospital-to-home or hospital-to-facility transitions, including discharge planning and follow-up
• Daily Living & Quality of Life
• Monitor home safety conditions and recommend modifications (grab bars, ramps, lighting, medical alert systems)
• Coordinate home maintenance, meal delivery, transportation, and other support services as needed
• Ensure clients maintain social engagement and mental stimulation appropriate to their abilities
• Identify early signs of decline — cognitive, physical, or emotional — and respond with appropriate interventions

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed