Registered Nurse (RN) – Case Manager
Flex Schedule Thursday–Monday (days off: Tuesday & Wednesday)
Compensation: $64.10 per productivity point | Estimated Annual Earnings: $85,000–$105,000
Mileage: $0.45 per mile reimbursement in addition to productivity compensation
Schedule: Full-time, Thursday–Monday (days off: Tuesday & Wednesday)
Productivity Expectation: 30 productivity points per week
Location: Field-based
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.
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.
Strong Operational Support: Our experienced clinical and operational teams handle the logistics so you can focus on delivering excellent patient care.
Clear Compensation Model: Earn $64.10 per productivity point with an expectation of 30 productivity points per week
Consistent Schedule: Full-time schedule working Thursday through Monday, with Tuesday and Wednesday off
Mileage Reimbursement: Receive $0.45 per mile in addition to productivity-based compensation.
Fleet Vehicle Program: After your first 30 days of employment, you may apply for our company fleet vehicle program. Eligible employees can lease a business-use vehicle for $100 per month, which includes a company gas card.
Technology Built for Clinicians: Our documentation and scheduling tools are designed to reduce administrative work and maximize time with patients.
Mission-Driven Culture: Help expand access to high-quality home health care while making a meaningful difference in your community.
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
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
Home Health
Wound Care
Infusion Therapy
Critical Care and Intensive Care experience is a plus
401(k) with company matching
Medical, dental, vision, and life insurance
Paid time off
Flexible scheduling
Employee referral program
Role: Registered Nurse (RN) - Case Manager
Comp: $64.10 / point | $85,000 - $105,000 /year
Mileage in addition to productivity comp
Schedule: Full-time Monday–Friday + some weekends (as needed)
Location: Field-based
Adaptive Innovations is an AI-native healthcare provider working directly with clinicians and rebuilding the operating system that care runs on with AI at its core.
