Registered Nurse | Seguin Thursday–Monday

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.

  Who We Are

  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.

  What You'll Do

  • 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.

  Why Adaptive

  • 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.

  Requirements

  Required Qualifications

  • 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

  Preferred Qualifications

  • Experience with Homecare Homebase (HCHB) or a similar EMR

  • Experience