Registered Nurse; RN - Case Manager

Job Details

Role: Registered Nurse (RN) - Case Manager

Compensation: $64.10 / point | $85,000 - $105,000 / year

Mileage: in addition to productivity comp

Schedule: Full-time Monday–Friday + some weekends (as needed)

Location: Field-based

Adaptive Home Health is building a higher-acuity, patient-centered, skilled home health model across Texas. Our ultimate mission is dramatically improve patient access to home health care. The RN role is the front line of that mission: you deliver skilled care in the home, advocate for patients and families, and help us raise the standard for what home health can be.

• Own patient assessments and skilled visit documentation including OASIS.
• Deliver high-acuity home health care, with a focus on wound care and infusion therapy.
• Build and maintain a clear plan of care through consistent communication with physicians, care team members, patients, and families.
• Serve as the patient’s advocate and ensure continuity of care across disciplines.
• Drive case management responsibilities including care coordination, timely follow-ups, and barrier resolution to keep patients progressing toward goals.
• Communicate changes in condition, obtain/track orders, and coordinate services (PT/OT/ST/MSW/HHA) to ensure the plan of care is executed.
• Administer medications and treatments as ordered, and provide patient and caregiver teaching.
• Coordinate with internal clinical and operational support teams so that care is delivered reliably and safely.
• Provide supervision and guidance to LVNs and HHAs when applicable.
• Participate in case conferences and in-services to align on quality, safety, and clinical outcomes.

• Operations that back you up:
  You are supported by an experienced clinical and operational team so you can focus on patient care, not chasing logistics.
• Clear productivity model with upside:
  You are paid per productivity point with an expectation of 30 points/week.
• Schedule flexibility:
  We build schedules to make field work sustainable, and we support smart routing and coordination so your day is predictable whenever possible.
• Cutting-edge tech built for clinicians:
  Our charting tools are designed to reduce documentation burden, and our scheduling product (launching soon) will streamline visit coordination and reduce last‑minute changes.
• Mission-driven work:
  We are here to expand access to high-quality home health care, and we want clinicians who take pride in raising the standard.

• Current Texas RN license.
• 3+ years of clinical nursing experience.
• Comfort with wound care and infusions.
• CPR required (BLS).
• Current Texas driver’s license and comfort with field based work.
• Strong time management and organization in a high-autonomy environment.
• Clear, professional communication with patients, families, and providers.

• Previous home health experience.
• Familiarity with Homecare Homebase (HCHB) or similar EMR.
• Experience coordinating care for medically complex patients.
• ER or equivalent nursing experience.

• Home Health.
• Wound Care.
• Infusion Therapy.
• Critical and Intensive Care experience is a plus.

• 401(k) + 401(k) matching.
• Health, dental, vision, and life insurance.
• Paid time off.
• Flexible scheduling.
• Referral program.

Compensation Range: $85K - $105K.