Registered Nurse (RN) - Case Manager
fira-health
Livingston
Posted Aug 27, 2026
- Full-time
- District - Texas
Job description
- **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 **Who we are** Adaptive Home Health is building a higher-acuity, patient-centered, skilled home health mode. Our ultimate mission is to **dramatically improve patient access to home health care.** The RN role supports that mission by delivering safe, reliable skilled care in the home within RN scope — with excellent communication and escalation to the clinical team so patients stay safe and on track. We **build technology designed around the way clinicians actually work**, so you can spend less time on documentation and coordination, and more time with patients. - **Smarter charting:** Record or dictate visits with AI Scribe, start with prefilled assessments, extract medication lists from photos, and keep all visit information in one easy-to-use place. - **Scheduling that protects your time:** Text patients, plan more efficient routes, and stay aligned on visit changes through one clear, coordinated schedule. ### What you will do: - 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. ### Why Adaptive - **Operations that back you up:** You are supported by an experienced clinical and operational team so you can focus on patient care, not chasing logistics. - **Clear productivity model with upside:** You are paid **per productivity point** with an expectation of **30 points/week** - **Schedule flexibility:** We build schedules to make field work sustainable, and we support smart routing and coordination so your day is predictable whenever possible. - **Cutting-edge tech built for clinicians:** Our charting tools are designed to reduce documentation burden, and our scheduling product (launching soon) will streamline visit coordination and reduce last-minute changes. - **Mission-driven work:** We are here to expand access to high-quality home health care, and we want clinicians who take pride in raising the standard. ### Requirements **Must-haves** - Current **Texas RN license** - **3+ years** of clinical nursing experience - Comfort with **wound care** and **infusions** - **CPR** required (BLS) - Current Texas drivers 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 ### Clinical focus areas - Home Health - Wound Care - Infusion Therapy - Critical and Intensive Care experience is a plus ### Benefits - 401(k) + 401(k) matching - Health, dental, vision, and life insurance - Paid time off - Flexible scheduling - Referral program #INDP2