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The RN Case Manager is responsible for delivering high-acuity home health care, including wound care and infusion therapy, while owning patient assessments and OASIS documentation. They coordinate care plans with physicians and multidisciplinary teams to ensure continuity of care and patient progress.
Candidates must hold a current Texas RN license, BLS certification, and have at least 3 years of clinical nursing experience. Previous home health experience and comfort with field-based work are required.
Role: Registered Nurse (RN) - Case Manager
Comp: $64.10 per point
Mileage in addition to productivity comp
Schedule: Thursday-Monday
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.
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 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.
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.
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.
Current Texas RN license
3+ years of clinical nursing experience
Comfort with wound care and infusions
CPR required (BLS)
Previous home health experience
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
Experience coordinating care for medically complex patients
ER or equivalent nursing experience
Home Health
Wound Care
Infusion Therapy
Critical and Intensive Care experience is a plus
401(k) + 401(k) matching
Health, dental, vision, and life insurance
Paid time off
Flexible scheduling
Referral program
Building the Future of Home Healthcare
Adaptive Home Health's is a Medicare-certified home health agency with a proven track record of delivering compassionate, high-acuity care — and we're expanding our team across the United States. Founded and led by veterans, nurses, and operators who are deeply committed to the patient above all else, Adaptive has built a 300+ person clinical team trusted by major hospitals, orthopedic practices, wound centers, and cancer centers to deliver specialized skilled nursing, physical therapy, occupational therapy, wound and infusion care, and orthopedic rehab directly in the home. Backed by a robust tech stack — built by top AI engineers and operators from Palantir, Character AI, and Citadel — we are pairing Adaptive's world-class clinical infrastructure with an AI operating system that automates administrative workflows, eliminates waste, and empowers clinicians to focus on what they do best: caring for patients. The problem we're solving is urgent: 38% of referred home health patients never receive care, and 30% of all healthcare spend is lost to administrative burden — but every $1 invested in home health saves $2 from the broader system. We are fixing that, and we're hiring mission-driven clinicians, technologists, and operators all across the country to help us do it. If you want to work at the intersection of compassionate care and cutting-edge AI, and you want your work to genuinely matter, come build with us.
Offices: 1410 E Renner Rd, Richardson, Texas 75082, US · 4201 W Parmer Ln, Austin, Texas 78727, US · 600 Rockmead Dr, Houston, Texas 77339, US · 2027 S 61st St, Temple, Texas 76504, US · 115 N Central Ave, Cameron, Texas 76520, US
