Registered Nurse (RN) - Case Manager

Adaptive Home Health; Hutto (TX); On-site; USD 85,000 - 105,000; Full time

Benefits offered by this job

401(k) + 401(k) matching

Health, dental, vision, and life

Paid time off

Flexible scheduling

Referral program

Job summary

Adaptive Home Health is recruiting a Registered Nurse (RN) – Case Manager to join our field-based team across Texas. You will own patient assessments, perform skilled visits, and manage care plans in patients' homes, advocating for families and coordinating with physicians and care teams.

This role offers a performance-based productivity model paid by points, with schedule flexibility and autonomy to impact patient outcomes.

Qualifications

• Current Texas RN license.
• 3+ years of clinical nursing experience.
• Comfort with wound care and infusions.
• CPR certification (BLS).
• Texas driver's license and ability to work in field.
• Strong time management and organization.
• 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 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.
• 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 clinical nursing

Wound care

Infusion therapy

CPR (BLS)

Driver's license

Time management

Professional communication

Tools

HCHB EMR

Job description

• Role: Registered Nurse (RN) - Case Manager

• Comp: $64.10 / point | $85,000 - $105,000 /year

• Mileage in addition to productivity comp

• Schedule: Full-time Monday–Friday + some weekends (as needed)

• Location: Field-based

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.

Who We Are:

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

• 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