Registered Nurse (RN) - Case Manager

About the role

Adaptive Home Health is building a higher-acuity, patient-centered, skilled home health model across Texas. The RN Case Manager delivers skilled care in the home, advocates for patients and families, and helps raise the standard for home health. The role offers autonomy, meaningful patient impact, and support from clinical and operational teams, plus technology designed to reduce documentation burden and streamline scheduling.

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.

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

Benefits

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

Pay

Compensation: $59.10 per productivity point, with an annual range of $85,000–$105,000. Mileage is paid in addition to productivity compensation.

Schedule

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