Licensed Vocational Nurse (LVN/LPN)

Adaptive Home Health•Seguin, TX

1d•$65,000 - $80,000•Onsite

About The Position

Adaptive Home Health is building a higher-acuity, patient-centered skilled home health model across Texas to improve patient access to home health care. The Licensed Vocational Nurse supports this mission by delivering safe, reliable skilled care in patients’ homes within LVN scope and communicating and escalating concerns to the RN and clinical team so patients remain safe and on track. This is a field-based position under RN or clinical supervision as required. The LVN conducts home visits, provides care and education according to the plan of care and orders, coordinates with the office and interdisciplinary team, and documents visits in Homecare Homebase (HCHB). Compensation is approximately $65,000–$80,000 per year, with pay stated as $44.33 per productivity point. The schedule is full-time, Monday through Friday, with some weekends as needed.

Requirements

Current, unrestricted Texas LVN license.
Comfort working in a field-based workflow and sound escalation judgment.
Strong communication and documentation skills.
Reliable follow-through on orders, visit cadence, and patient goals.
Current Texas driver’s license and comfort with daily travel across the assigned territory.

Nice To Haves

Prior home health or hospice experience.
Familiarity with Homecare Homebase (HCHB) or a similar EMR.
Wound care exposure.

Responsibilities

Deliver skilled nursing visits in the home within LVN scope, under RN or clinical supervision as required.
Perform focused assessments, monitor for changes in condition, and promptly escalate concerns to the RN, MD, or clinical team using clear, objective information.
Support medication reconciliation and medication safety education within scope, and identify discrepancies or risks for RN review.
Provide patient and caregiver education using teach-back, aligned with the plan of care.
Support wound care and other skilled tasks per orders and competency, such as dressing changes, basic monitoring, and reinforcement of teaching.
Coordinate care with the office and interdisciplinary team so visits happen on time and orders are followed.
Document thoroughly and on time in Homecare Homebase (HCHB), with defensible, efficient, and consistent documentation.