Concierge Geriatric Nurse

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.

Core 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

• 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

Strongly Preferred

• Experience working with dementia/Alzheimer's clients

• Familiarity with elder law basics (POA, guardianship, Medicaid spend-down, advance directives)

• Bilingual English/Vietnamese

Nice to Have

• Certified Care Manager (CMC) or Aging Life Care Professional (ALCP) credential

Personal Attributes

• Relentlessly detail-oriented — you catch what others miss

• Proactive, not reactive — you anticipate problems before they become crises

• Emotionally steady under pressure — aging care involves hard days and harder conversations

• High integrity — you report what's true, not what's easy to hear

• Self-directed — you manage your own schedule, routes, and priorities without micromanagement

Logistics

• Schedule: Primarily Monday–Friday during business hours, with availability for after-hours emergencies

• Travel: Extensive daily driving across the Houston metro area; company vehicle provided

• Tools: [Company-provided phone/laptop, care management software, mileage tracking app]

• Background Check: Required (including driving record)