Registered Nurse (RN) - Case Manager

Adaptive Home Health•Katy, TX
•Onsite

About The Position

Adaptive Home Health is building a higher-acuity, patient-centered skilled home health model across Texas to improve patient access to home health care. The Registered Nurse is on the front line of this mission, delivering skilled care in patients’ homes, advocating for patients and families, and helping raise the standard of home health care. The role offers autonomy, meaningful patient impact, and support intended to reduce administrative friction. The RN owns patient assessments and skilled visit documentation, including OASIS, and delivers high-acuity home health care with a focus on wound care and infusion therapy. The nurse develops and maintains plans of care through communication with physicians, care team members, patients, and families; coordinates services and follow-ups; and helps resolve barriers to patient progress. The role also includes medication and treatment administration, patient and caregiver education, and supervision and guidance for LVNs and HHAs when applicable. The position is supported by clinical and operational teams, clinician-focused charting and scheduling technology, and flexible scheduling. Compensation is based on productivity points, with an expectation of 30 points per week.

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 EMR systems.
  • 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, focusing on wound care and infusion therapy.
  • Build and maintain clear plans of care through consistent communication with physicians, care team members, patients, and families.
  • Advocate for patients and ensure continuity of care across disciplines.
  • Manage cases through care coordination, timely follow-ups, and barrier resolution to help patients progress toward their 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 carried out.
  • Administer medications and treatments as ordered and provide patient and caregiver teaching.
  • Coordinate with internal clinical and operational support teams to deliver care reliably and safely.
  • Provide supervision and guidance to LVNs and HHAs when applicable.
  • Participate in case conferences and in-services focused on quality, safety, and clinical outcomes.

Benefits

  • 401(k) and 401(k) matching.
  • Health, dental, vision, and life insurance.
  • Paid time off.
  • Flexible scheduling.
  • Referral program.
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