Registered Nurse (RN) - Case Manager

Fira Health

$85K — $105K *
Healthcare
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • Current Texas RN license
  • 3+ years of clinical nursing experience
  • Comfort with wound care and infusions
  • CPR certification (BLS)
  • Current Texas driver's license for field-based work
  • Strong time management and organizational skills in a high-autonomy environment
  • Clear, professional communication skills with patients, families, and providers

Responsibilities

  • Conduct patient assessments and document skilled visits including OASIS
  • Deliver high-acuity home health care focused on wound care and infusion therapy
  • Develop and maintain patient care plans through communication with medical teams and families
  • Advocate for patients and ensure continuity of care across disciplines
  • Manage case responsibilities including care coordination and timely follow-ups
  • Communicate changes in patient conditions and coordinate necessary services
  • Administer medications and treatments as directed, providing education to patients and caregivers

Benefits

  • 401(k) with matching contributions
  • Comprehensive health, dental, vision, and life insurance
  • Paid time off for rest and personal needs
  • Flexible scheduling to support a work-life balance
  • Incentive referral program for employee recruitment
Full Job Description
RN Case Manager Job Description (Full-Time)
  • 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
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

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