Registered Nurse (RN) - Case Manager

Adaptive Home Health; Waco (TX); Hybrid; USD 85,000 - 105,000; 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 in Waco, Texas, is looking for a Registered Nurse (RN) - Case Manager. This full-time role focuses on delivering high-acuity home health care, including wound care and infusion therapy. The position offers flexible scheduling, a clear productivity model, and benefits such as 401(k) matching and health insurance. Candidates must hold a current Texas RN license with at least 3 years of clinical experience and should be comfortable working in the field.

Qualifications

• Must have a current Texas RN license.
• Minimum of 3 years of clinical nursing experience.
• Experience with wound care and infusions is necessary.
• BLS certification required.
• Must be comfortable with field-based work.

Responsibilities

• Conduct patient assessments and documentation, including OASIS.
• Deliver high-acuity home health care focusing on wound care.
• Coordinate with physicians and care team members.
• Administer medications and provide patient education.

Skills

Clinical judgment

Wound care

Infusion therapy

Time management

Organizational skills

Professional communication

Education

Current Texas RN license

3+ years of clinical nursing experience

CPR certification (BLS)

Tools

Homecare Homebase (HCHB)

Job description

Position Details

• Role: Registered Nurse (RN) - Case Manager
• Compensation: $64.10 per point | $85,000 - $105,000 per year
• Mileage in addition to productivity compensation
• Schedule: Full-time Monday–Friday with occasional 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.

Who We Are

We build technology to better support our field clinicians faster and more supported. Ultimately our clinicians are 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 patient 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 and 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 per 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 technology 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 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