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Registered Nurse; RN

Job in La Grange, Fayette County, Texas, 78945, USA
Listing for: Adaptive Home Health
Full Time, Per diem position
Listed on 2026-06-28
Job specializations:
  • Nursing
    RN Nurse, Private Duty Nurse
Salary/Wage Range or Industry Benchmark: 85000 - 105000 USD Yearly USD 85000.00 105000.00 YEAR
Job Description & How to Apply Below
Position: Registered Nurse (RN)
Location: La Grange

RN Case Manager Job Description (Full-Time)

  • Role:
    Registered Nurse (RN)
  • Compensation: $64.10 per point, mileage also paid.
  • Schedule:

    Full time Monday–Friday, occasional weekends as needed.
  • Location:

    Field‑based.
Who We Are

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

We build technology to better support our field clinicians faster and more supported. Our charting product reduces documentation burden and keeps visits moving, while our upcoming scheduling product 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 team built to remove administrative friction.

What You Will Do
  • 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 patient advocate and ensure continuity of care across disciplines.
  • Drive case management responsibilities: 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.
Why Adaptive
  • Operations that back you up: supported by an experienced clinical and operational team so you can focus on patient care, not chasing logistics.
  • Clear productivity model with upside: paid per productivity point with an expectation of 30 points/week.
  • Schedule flexibility: schedules built to sustain field work, and smart routing & coordination for predictable days whenever possible.
  • Cutting‑edge tech built for clinicians: charting tools reduce documentation burden; upcoming scheduling product streamlines visit coordination and reduces last‑minute changes.
  • Mission‑driven work: expand access to high‑quality home health care, with clinicians who take pride in raising the standard.
Requirements
  • 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.
Nice‑to‑haves
  • Previous home health experience.
  • Familiarity with Homecare Homebase (HCHB) or similar EMR.
  • Experience coordinating care for medically complex patients.
  • ER or equivalent nursing experience.
Clinical Focus Areas
  • Home Health.
  • Wound Care.
  • Infusion Therapy.
  • Critical and Intensive Care experience is a plus.
Benefits
  • 401(k) + 401(k) matching.
  • Health, dental, vision, and life insurance.
  • Paid time off.
  • Flexible scheduling.
  • Referral program.

Compensation Range: $85K - $105K.

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