RN

Adaptive Home Health, LLC; San Antonio (TX); Hybrid; USD 54,000 - 66,000; 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 in San Antonio, Texas is seeking a full-time Registered Nurse (RN) - Case Manager. This role is pivotal in delivering skilled home health care and advocating for patients, with responsibilities including patient assessments, wound care, and infusion therapy.

The ideal candidate will have a current Texas RN license and at least 3 years of nursing experience. This position allows for a flexible schedule and offers various benefits including 401(k), health insurance, and paid time off.

Qualifications

• Current Texas RN license is mandatory.
• Minimum of 3 years of clinical nursing experience is required.
• Comfort with wound care and infusion therapy is necessary.
• BLS certification is required.
• Strong organizational skills in a high-autonomy environment are essential.
• Clear communication skills with patients and families are needed.

Responsibilities

• Own patient assessments including OASIS and skilled visit documentation.
• Deliver high-acuity home health care with a focus on wound care and infusion therapy.
• Build and maintain clear care plans through communication with physicians and families.
• Ensure continuity of care and timely follow-ups.

Skills

Clinical judgment

Patient advocacy

Wound care

Infusion therapy

Time management

Professional communication

Education

Current Texas RN license

3+ years of clinical nursing experience

Tools

Homecare Homebase (HCHB) or similar EMR

Job description

• Role: Registered Nurse (RN) - Case Manager
• Comp: $60/ppp
• 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 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 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