Registered Nurse (RN) - Case Manager

Compensation: $64.10 per productivity point, with an expected 30 points/week. Annual range: $100,000 - $133,000. Mileage reimbursement in addition to productivity compensation.

Schedule: Full-time, Monday–Friday with some weekends as needed.

About Us

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 effectively—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 will make it easier to coordinate visits, reduce last-minute changes, and protect clinician time.

Responsibilities

• 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.

Why Adaptive

• 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 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.

Requirements

• Current Texas RN license.
• 3+ years of clinical nursing experience.
• Comfort with wound care and infusions.
• CPR certification (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.
• Experience coordinating care for medically complex patients.
• ER or equivalent nursing experience.
• Critical and Intensive Care experience.

Clinical Focus Areas

• Home Health
• Wound Care
• Infusion Therapy

Benefits

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