On-Call Licensed Vocational Nurse (LVN)

Adaptive Home Health • Detroit, MI

4d • Onsite

About The Position

Adaptive Home Health is hiring an on-call, part-time Licensed Vocational Nurse (LVN) to provide field-based home health care in Detroit. The role focuses on delivering excellent patient care while helping establish clinical standards, documentation practices, and trust with referral sources as the market grows. The LVN works under RN or clinical supervision as required and collaborates with the office and interdisciplinary team to ensure timely visits and adherence to orders.

Adaptive’s AI-native platform offers customized schedules, optimized routing, and ambient AI scribing, as well as an after-visit voice documentation option. The tools are intended to simplify documentation and reduce after-hours charting. Compensation is $48.08 per point, with mileage reimbursement. A $1,000 referral bonus is also offered.

Requirements

• Active, unrestricted Michigan LVN license.
• Comfort working in a field-based workflow and using appropriate escalation judgment.
• Strong communication and documentation skills.
• Reliable follow-through on orders, visit cadence, and patient goals.
• Valid driver’s license and auto insurance.
• Reliable transportation and comfort with daily travel across the assigned territory.

Nice To Haves

• Home health experience is strongly preferred.
• Prior home health or hospice experience.
• Wound care exposure.
• Openness to shaping the playbook and refining standard operating procedures.
• Interest in using software to accelerate charting and providing candid feedback to improve it.

Responsibilities

• Deliver skilled nursing visits in patients’ homes within LVN scope and under RN or clinical supervision as required.
• Perform focused assessments, monitor changes in patient condition, and promptly escalate concerns to the RN, physician, 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 and align education with the plan of care.
• Support wound care and other skilled tasks according to orders and competency, including dressing changes, basic monitoring, and reinforcement of teaching.
• Coordinate with the office and interdisciplinary team to ensure visits occur on time and orders are followed.
• Document thoroughly, efficiently, consistently, and on time.
• Manage a high-quality caseload and contribute to patient outcomes, quality improvement, case conferences, and team huddles.
• Build trust with referral sources through responsive, excellent care.
• Help establish clinical, documentation, and care-delivery standards as the local team grows.

Benefits

• Mileage reimbursement.
• $1,000 referral bonuses.
• Mileage in addition to productivity compensation.
• AI-assisted documentation tools, including ambient AI scribing and after-visit voice documentation.

What This Job Offers

• Job Type: Part-time
• Career Level: Entry Level
• Education Level: No Education Listed