Registered Nurse (RN)

Adaptive Home Health, LLC; La Grange (TX); On-site; USD 60,000 - 80,000; Full time

Benefits offered by this job

401(k) + 401(k) matching

Health, dental, vision, and life insurance

Paid time off

Flexible scheduling

Referral program

Job summary

Adaptive Home Health, LLC is looking for a Full-Time RN Case Manager in La Grange, Texas. In this role, you will deliver skilled nursing care in the home environment, focusing on patient advocacy, quality improvement, and case management. Your daily tasks will include delivering high-acuity home health care, primarily centered around wound care and infusion therapy, while ensuring clear communication among care team members and patients.

The successful candidate will need a current Texas RN license, a minimum of 3 years of clinical nursing experience, and demonstrated ability in wound care. The position offers a supportive team and flexible scheduling alongside additional benefits such as health insurance and 401(k).

Qualifications

• Must hold a valid Texas RN license.
• At least 3 years of clinical nursing experience required.
• CPR certification (BLS) is necessary.

Responsibilities

• Conduct patient assessments and document skilled visits.
• Deliver high-acuity home health care, focusing on wound care and infusion therapy.
• Manage case responsibilities, including care coordination and follow-ups.

Skills

Wound Care

Infusion Therapy

Time Management

Professional Communication

Education

Current Texas RN license

3+ years of clinical nursing experience

Tools

Homecare Homebase (HCHB)

Job description

RN Case Manager Job Description (Full-Time)

• Role: Registered Nurse (RN)
• Comp: $64.10 / point
• Mileage in addition to productivity comp
• Schedule: Full-time Monday–Friday + some weekends (as needed)
• Location: Field-based

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.

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 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 reduce documentation burden, and our scheduling product will streamline visit coordination and reduce last-minute changes.
• Mission-driven work: We 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 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

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