Registered Nurse (RN) - Case Manager
Adaptive Home Health · Mexia, Buffalo
RN Case Manager Job Description (Full-Time)
Role: Registered Nurse (RN) - Case Manager
Comp: 59.40/point
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
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