Adaptive Home Health·Seguin, Texas
The RN Case Manager conducts patient assessments and delivers high-acuity home health care, specifically focusing on wound care and infusion therapy. They are responsible for developing individualized plans of care and coordinating services with an interdisciplinary team to ensure continuity of care.
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.
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
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 Clinical Focus Areas 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
Market context
In Texas, nursing roles like this often draw steady demand in dialysis and other patient-care settings because employers need licensed LVN/LPN candidates who can start safely and learn specialized workflows. These positions can be competitive when they require a current license, preferred dialysis experience, and completion of a training program soon after hire. Review the AI-summarized requirements and benefits here to save time, then confirm you meet the license, color-recognition, and training expectations before applying.
