Registered Nurse (RN) - Case Manager

Fira Health; Burleson (TX); On-site; USD 85,000 - 105,000; Full time

Benefits offered by this job

Mileage reimbursement

Job summary

Adaptive Home Health is seeking a Registered Nurse Case Manager to lead skilled visits in a field-based role. You’ll manage assessments, documentation, wound care, and infusion therapy while coordinating with physicians and the care team to maintain patient safety and progress.

You will work in a high-autonomy environment with a productivity model paid per point and an expectation of 30 points per week. Mileage is reimbursed and scheduling supports field-based operations.

Qualifications

• Active Texas RN license
• 3+ years clinical nursing experience
• Comfort with wound care and infusions
• CPR (BLS)
• Current Texas driver’s license and field-based work readiness
• 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 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.
• Coordinate with internal clinical and operational support teams to ensure safe, reliable delivery of care.
• 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.

Skills

Texas RN license

3+ years nursing

Wound care

Infusion therapy

CPR/BLS

Field-based work

Time management

Communication

Tools

Homecare Homebase (HCHB)

Job description

RN Case Manager Job Description (Full-Time)

• Role: Registered Nurse (RN) - Case Manager

• Comp: $58.80 per point

• 85K-105K/ YR

• 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 mode. Our ultimate mission is to dramatically improve patient access to home health care.

The LVN role supports that mission by delivering safe, reliable skilled care in the home within LVN scope — with excellent communication and escalation to the RN/clinical team so patients stay safe and on track.

We build technology designed around the way clinicians actually work, so you can spend less time on documentation and coordination, and more time with patients.

• Smarter charting: Record or dictate visits with AI Scribe, start with prefilled assessments, extract medication lists from photos, and keep all visit information in one easy-to-use place.

• Scheduling that protects your time: Text patients, plan more efficient routes, and stay aligned on visit changes through one clear, coordinated schedule.

The result: less administrative burden, fewer coordination headaches, and more time for patient care.

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

• 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