Registered Nurse (RN)

Adaptive Home Health; Denton (TX); On-site; USD 82,000 - 100,000; Full time

Benefits offered by this job

401(k) matching

Health insurance

Dental insurance

Vision insurance

Life insurance

Paid time off

Flexible scheduling

Referral program

Job summary

Adaptive Home Health is seeking a Registered Nurse Case Manager to deliver high-acuity home health care in Texas. You will own assessments, manage wound care and infusions, and coordinate with physicians and families to build robust care plans.

The role includes a productivity-based pay model with 30 points per week, mileage reimbursement, and field-based scheduling. You’ll influence patient outcomes with autonomy and a supportive team.

Qualifications

• 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.

Responsibilities

• Own patient assessments and skilled visit documentation including OASIS.
• Deliver high-acuity home health care with focus on wound care and infusion therapy.
• Maintain a clear plan of care through communication with physicians, care team, patients and families.
• Advocate for patients and ensure continuity of care across disciplines.
• Drive case management responsibilities including care coordination and timely follow-ups.
• Coordinate services to ensure the plan of care is executed.
• Administer medications and provide patient and caregiver teaching.
• Collaborate with internal teams to deliver safe, reliable care.
• Provide supervision to LVNs and HHAs when applicable.
• Participate in case conferences and in-services on quality and safety.

Skills

RN license

Clinical nursing

Wound care

Infusion therapy

CPR/BLS

Driver's license

Time management

Communication

Job description

RN Case Manager Job Description (Full-Time)

• Role: Registered Nurse (RN) - Case Manager
• Comp: $58.80 per point/30 points per week - $91k yearly
• Mileage in addition to productivity comp
• Schedule: Full-time Monday-Friday + some 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 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.

We build technology to better support our field clinicians faster and more supported. Ultimately our clinicians our the customers of our engineering team. Our charting product is designed to reduce documentation burden and keep visits moving, and our scheduling product (launching soon) 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 support 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 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.

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 (launching soon) 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

Must-haves

• Current Texas RN license
• 3+ years of clinical nursing experience
• Comfort with wound care and infusions
• CPR required (BLS)
• 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

• Previous home health experience
• 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