Registered Nurse; RN - Case Manager

Position Details

• Role:
  Registered Nurse (RN) - Case Manager
• Compensation: $64.10 per point | $85,000 - $105,000 per year
• Mileage in addition to productivity compensation
• Schedule:
  
  Full-time Monday–Friday with occasional 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 to dramatically improve patient access to home health care.

We build technology to better support our field clinicians faster and more supported. Ultimately our clinicians are the customers of our engineering team. Our charting product is designed to reduce documentation burden and keep visits moving, and our scheduling product (launching soon) will make it easier to coordinate visits, reduce last‑minute changes, and protect clinician time.

If you have strong clinical judgment and you like owning outcomes, this role gives you autonomy, meaningful patient impact, and a support team built to remove administrative friction.

• 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 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 and 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 per 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 technology 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