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 patients’ homes, advocates for patients and families, and helps raise the standard for home health. The role is field‑based and supported by technology that reduces documentation burden and streamlines visit coordination.

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.
• Communicate changes in condition, obtain and track orders, and coordinate services (PT/OT/ST/MSW/HHA) to execute the plan of care.
• Administer medications and treatments as ordered, and provide patient and caregiver teaching.
• Coordinate with internal clinical and operational support teams to ensure reliable and safe care delivery.
• 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 infusion therapy.
• CPR certification (BLS required).
• Current Texas driver’s license and willingness to work in a field‑based setting.
• Strong time‑management and organization skills in a high‑autonomy environment.
• Clear, professional communication with patients, families, and providers.
• Nice‑to‑have: previous home health experience.
• Nice‑to‑have: familiarity with Homecare Homebase (HCHB) or similar EMR.
• Nice‑to‑have: experience coordinating care for medically complex patients.
• Nice‑to‑have: ER or equivalent nursing experience.

Benefits

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

Pay

Compensation is $59.10 per productivity point with an expectation of 30 points per week, equating to approximately $85,000 yearly, plus mileage reimbursement.

Schedule

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