Registered Nurse (RN)

Adaptive Home Health / Fira Health•Baytown, TX

1d•$100,000 - $133,000

About The Position

Registered Nurse (Crosby and surrounding areas) Pay: $100,000 to $133,000 per year at full-time productivity Pay rate: $64.10 per point 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.

Requirements

Current Texas RN license
3+ years of clinical nursing experience
Comfort with wound care and infusions
CPR required (BLS)
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 similar EMR
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

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.
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.