Registered Nurse (RN) - Case Manager

Adaptive Home Health•Humble, TX

1d•Onsite

About The Position

Adaptive Home Health is building a higher-acuity, patient-centered skilled home health model across Texas, with a mission to improve patient access to home health care. The RN Case Manager delivers skilled care in patients’ homes, advocates for patients and families, and contributes to high-quality clinical outcomes. The role is field-based and full-time, with a Monday–Friday schedule and some weekends as needed. Compensation is based on productivity points, with an expectation of 30 points per week, plus mileage. The nurse owns patient assessments and skilled visit documentation, including OASIS, and provides high-acuity care with a focus on wound care and infusion therapy. The role includes case management, care coordination, patient and caregiver education, communication with physicians and the care team, and coordination of services. The RN may also supervise and guide LVNs and HHAs when applicable, and participates in case conferences and in-services. The company provides clinical and operational support and develops clinician-focused charting and scheduling technology intended to reduce documentation and coordination burdens. Adaptive emphasizes clinician autonomy, sustainable scheduling, and expanding access to high-quality home health care.

Requirements

Current Texas RN license.
At least 3 years of clinical nursing experience.
Comfort with wound care and infusions.
Current CPR/BLS certification.
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 a similar EMR.
Experience coordinating care for medically complex patients.
ER or equivalent nursing experience.
Critical and Intensive Care experience.

Responsibilities

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.
Advocate for patients and ensure continuity of care across disciplines.
Drive case management responsibilities, including care coordination, timely follow-ups, and barrier resolution to help patients progress toward goals.
Communicate changes in condition, obtain and track orders, and coordinate PT, OT, ST, MSW, and HHA services 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 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.