Registered Nurse | Seguin Thursday–Monday

Adaptive Home Health • Seguin, TX

1d • $85,000 - $105,000 • Remote

About The Position

Adaptive Home Health is building a higher-acuity, patient-centered skilled home health model across Texas. Our mission is to dramatically improve patient access to exceptional home health care. As an RN Case Manager, you are on the front line of that mission. You'll deliver skilled care in patients' homes, advocate for patients and families, and help raise the standard of home health care while enjoying the autonomy and support needed to succeed. We build technology to better support our field clinicians. Our clinicians are the customers of our engineering team. Our charting platform is designed to reduce documentation burden and keep visits efficient, while our scheduling platform (launching soon) will simplify visit coordination, reduce last-minute changes, and protect clinician time. If you have strong clinical judgment and enjoy owning patient outcomes, this role offers autonomy, meaningful impact, and a clinical support team focused on removing administrative barriers.

Requirements

• Current Texas RN license
• Previous Home Health nursing experience (required)
• 3+ years of clinical nursing experience
• Experience with wound care and infusion therapy
• BLS/CPR certification
• Current Texas driver's license and reliable transportation for field-based work
• Strong time management and organizational skills
• Excellent communication skills with patients, families, physicians, and interdisciplinary teams

Nice To Haves

• Experience with Homecare Homebase (HCHB) or a similar EMR
• Experience coordinating care for medically complex patients
• Emergency Department, ICU, or other acute care nursing experience
• Critical Care and Intensive Care experience is a plus

Responsibilities

• Conduct patient assessments and complete skilled visit documentation, including OASIS.
• Deliver high-acuity home health care with a focus on wound care and infusion therapy.
• Develop and maintain individualized plans of care through ongoing communication with physicians, patients, families, and interdisciplinary team members.
• Serve as the patient's advocate while ensuring continuity of care across all disciplines.
• Manage patient cases through effective care coordination, timely follow-up, and proactive barrier resolution.
• Communicate changes in patient condition, obtain and track physician orders, and coordinate services with PT, OT, ST, MSW, and HHA providers.
• Administer medications and treatments as ordered while providing patient and caregiver education.
• Collaborate with internal clinical and operational teams to ensure safe, timely, and reliable care delivery.
• Supervise and provide guidance to LVNs and HHAs as appropriate.
• Participate in case conferences and clinical in-services focused on quality, safety, and patient outcomes.

Benefits

• 401(k) with company matching
• Medical, dental, vision, and life insurance
• Paid time off
• Flexible scheduling
• Employee referral program
• Mileage reimbursement: $0.45 per mile
• Fleet Vehicle Program (after 30 days): Eligible employees can lease a business-use vehicle for $100 per month, which includes a company gas card.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level