# Registered Nurse \(RN\) - Case Manager - Company: [Fira Health]() - Location: Sherman - Team: District - Texas - Employment type: Full Time - Posted: August 28, 2026 ## Job description ### **RN Case Manager Job Description (Full-Time)** * **Role:** Registered Nurse (RN) - Case Manager * **Comp:** $***58.80 per point*** * 85K-105K/ YR * **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 LVN role supports that mission by delivering safe, reliable skilled care in the home within LVN scope — with excellent communication and escalation to the RN/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. The result: less administrative burden, fewer coordination headaches, and more time for patient care. ### 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 ## Apply [Apply on Fira Health]() Canonical job page: