About the Registered Nurse - Case Manager Role at Adaptive Home Health

Adaptive Home Health is building a higher-acuity, patient-centered skilled home health model, and this RN Case Manager role sits on the CODEN Clinical team. As a Case Manager you own patient assessments and skilled visit documentation (including OASIS), deliver high-acuity care with a focus on wound care and infusion therapy, and build and maintain the plan of care through constant communication with physicians, patients, families, and the broader care team. You also drive case management: care coordination, timely follow-ups, barrier resolution, tracking orders, and coordinating PT/OT/ST/MSW/HHA services, plus supervising LVNs and HHAs when applicable.

Adaptive pairs this clinical autonomy with an operational and technology backbone (a charting product built to reduce documentation burden and a scheduling product launching soon). They want experienced, self-directed RNs who thrive in a high-autonomy, field-based environment and take pride in raising the standard for home health.

Quick Stats

* Typical process: 3 to 4 rounds (recruiter screen, clinical manager interview, clinical/scenario deep-dive, offer), roughly 2 to 3 weeks

* Format: Phone and video for early rounds, with a possible in-person or field-oriented conversation later

* Core focus: OASIS and skilled documentation, wound care, infusion therapy, case management and care coordination, autonomy and time management, communication

* Difficulty: Moderate to hard, because the role demands strong independent clinical judgment plus high-acuity skills (wound care, infusions) in an unsupervised field setting

What Adaptive Home Health Looks For

* Current unrestricted RN license, 3+ years of clinical experience, and CPR/BLS

* Comfort with wound care and infusion therapy in the home, plus solid OASIS documentation

* Strong time management, organization, and self-direction in a high-autonomy, field-based role

* Clear, professional communication with patients, families, physicians, and the interdisciplinary team

Round 1: Recruiter Screen (~30 minutes)

What to Expect

A recruiter or clinical talent partner opens with a phone call to confirm the essentials: your RN license status, years of clinical experience, CPR/BLS, driver's license, and comfort with field-based work. Expect to walk through your background quickly, explain why home health and why Adaptive, and hear how the productivity comp model works ($64.10 per point, $160.25 per SOC, ~30 points/week target, mileage on top). This is a fit-and-logistics filter more than a clinical grilling.

Example Questions

* "Tell me about your nursing background and what draws you to field-based home health."

* "Is your RN license current and unrestricted, and do you hold a current BLS certification?"

* "Are you comfortable with a productivity-based pay model that targets about 30 points per week?"

* "How do you feel about a Monday to Friday field schedule with some weekends as needed?"

Tips

* Have your license number, certifications, and availability ready so you can answer logistics crisply.

* Show you understand and welcome the productivity model instead of sounding hesitant about per-point pay.

* Rehearse a tight two-minute "why home health, why Adaptive" pitch with Nora's Recruiter Screen mode so your motivation and qualifications land clean and confident.

Round 2: Clinical Manager Interview (~45 to 60 minutes)

What to Expect

This is the main behavioral and situational round, typically with the hiring clinical manager or a CODEN Clinical lead. Expect STAR-style questions about owning patient outcomes, working autonomously in the field, coordinating with physicians and the interdisciplinary team (PT/OT/ST/MSW/HHA), resolving barriers, and supervising LVNs and HHAs. They want evidence you can manage a caseload independently, stay organized, and advocate for patients while hitting productivity expectations. This round is where offers are won or lost.

Example Questions

* "Tell me about a time you managed a complex caseload and kept patients progressing toward their goals."

* "Describe a situation where you identified a change in a patient's condition and coordinated the response."

* "How do you organize your day and routing to stay productive and on time in a field-based role?"

* "Give an example of advocating for a patient or family when the plan of care needed to change."

Tips

* Prepare 5 to 6 STAR stories covering care coordination, barrier resolution, advocacy, autonomy, and supervising support staff.

* Quantify outcomes where you can (visits completed, wounds healed, readmissions avoided, orders turned around quickly).

* Drill these behavioral answers in Nora's Nursing Manager Interview mode so your STAR stories stay structured and outcome-focused under real conversational pressure.

Round 3: Specialty Clinical Deep-Dive (~45 to 60 minutes)

What to Expect

A clinical interviewer will assess your hands-on judgment in the areas this role centers on: wound care, infusion therapy, OASIS accuracy, medication administration, and skilled home health assessment. Expect patient scenarios that test prioritization, safety, and clinical reasoning in an unsupervised home setting, along with questions about documentation and how you decide when to escalate, obtain orders, or coordinate additional services. Home health, wound care, and infusion experience are the focus, and ICU/ER background is a plus they may probe.

Example Questions

* "Walk me through your assessment and staging approach for a complex wound in the home."

* "How do you safely manage and troubleshoot an infusion for a medically complex patient at home?"

* "What are the most common OASIS accuracy pitfalls, and how do you avoid them?"

* "You arrive for a visit and find the patient's condition has declined. Walk me through your next steps."

Tips

* Refresh wound staging, infusion protocols, and OASIS item logic before the interview so answers are precise.

* Emphasize safety, escalation, and documentation, since you will be practicing solo in the home without a nearby team.

* Run patient scenarios in Nora's Specialty Clinical mode to sharpen your prioritization and out-loud clinical reasoning for wound care and infusion cases.

Round 4: Offer and Compensation Discussion (~30 minutes)

What to Expect

If selected, you will discuss the offer with the recruiter or hiring manager. Because pay here is productivity-based ($64.10 per point, $160.25 per SOC, ~30 points/week target, roughly $85K to $105K), the conversation covers how points and SOCs translate to earnings, mileage reimbursement, the car program (with required employee contributions), benefits (medical/dental/vision, PTO, 401(k) with matching), and schedule flexibility. Understanding the productivity math is key to evaluating and negotiating well.

Example Questions

* "Given the per-point and per-SOC rates, what weekly productivity are you targeting?"

* "How does the mileage reimbursement and car program work in practice?"

* "What total compensation range are you expecting, and how flexible is it?"

* "Which benefits and 401(k) matching details matter most to you?"

Tips

* Do the math ahead of time so you know what 30, 35, or 40 points a week means for your annual earnings.

* Ask specifically about SOC volume, mileage rates, and the car program contribution so there are no surprises.

* Practice the back-and-forth in Nora's Salary Negotiation mode so you can advocate for your rate and clarify the productivity model without underselling yourself.

Frequently Asked Questions (FAQ)

1) How many rounds are there?

Expect about 3 to 4 rounds: a recruiter screen, a clinical manager behavioral interview, a specialty clinical deep-dive, and an offer/compensation discussion. Adaptive's exact process is not published, so this reflects the typical structure for a field-based RN Case Manager role at a company of this type, and the stages may be combined or vary.

2) What topics are most common?

* Wound care, infusion therapy, OASIS documentation, medication administration, and skilled home health assessment

* Case management, care coordination, barrier resolution, autonomy, time management, and communication with physicians, patients, and the interdisciplinary team

3) How long does the process take?

Typically around 2 to 3 weeks from recruiter screen to offer, though it can move faster given active hiring and the referral-bonus growth mode noted in the posting.

4) How should I prepare?

* Review wound staging, infusion protocols, OASIS item logic, and medication safety so your clinical answers are precise and current.

* Prepare STAR stories on autonomous caseload management, care coordination, patient advocacy, and supervising LVNs and HHAs.

* Do the productivity math ($64.10 per point, $160.25 per SOC, ~30 points/week) so you can discuss compensation confidently.

* Practice with Nora AI: use Recruiter Screen mode for your pitch and logistics, Nursing Manager Interview mode for behavioral STAR stories, Specialty Clinical mode for wound care and infusion scenarios, and Salary Negotiation mode for the offer conversation.