Registered Nurse (RN) - Case Manager

About the role

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. The RN role is the front line of that mission: you deliver skilled care in the home, advocate for patients and families, and help us raise the standard for what home health can be.

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 patients 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)
• Previous home health experience
• Current Texas drivers 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

• 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

Pay

$58.80 per point; mileage in addition to productivity compensation.

Schedule

Thursday–Monday; field-based role.

Benefits

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