Licensed Vocational Nurse (LVN)

Adaptive Home Health•Commerce, MI

6d•Onsite

About The Position

Adaptive Home Health is hiring a field-based Licensed Vocational Nurse to deliver home health care to patients in Detroit. The clinician will provide skilled nursing visits within LVN scope and under RN or clinical supervision as required, while helping establish the clinical standards, documentation practices, and referral-source trust for the growing market. The target caseload is approximately 30 productivity points per week, with additional earnings for exceeding the target. Compensation is $48.08 per point, with mileage reimbursement in addition to productivity compensation. Adaptive describes its home healthcare platform as AI-native, with customized schedules, optimized routing, ambient AI scribing, and an after-visit voice documentation option. The tools are intended to streamline documentation and reduce after-hours charting so clinicians can focus more on patient care. The role includes supporting patient outcomes and experience, collaborating with the interdisciplinary team, and helping refine the team's playbook and standard operating procedures as the Detroit team grows. The schedule is full-time, Monday through Friday, with some weekends as needed. The position is field-based and requires daily travel across an assigned territory. Full-time benefits include medical, dental, and vision coverage and PTO. Mileage reimbursement is also offered.

Requirements

Active, unrestricted Michigan LVN license.
Comfort with a field-based workflow and appropriate escalation judgment.
Strong communication and documentation skills.
Reliable follow-through on orders, visit cadence, and patient goals.
Valid driver's license, auto insurance, and reliable transportation.
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.
Interest in using software to accelerate charting and providing candid feedback to improve the platform.
Openness to shaping the team's playbook and refining standard operating procedures.

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 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, identifying discrepancies or risks for RN review.
Provide patient and caregiver education using teach-back and aligning instruction 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 and on time in a defensible, efficient, and consistent manner.
Carry a high-quality caseload, targeting approximately 30 productivity points per week at the target visit quality.
Support patient outcomes and experience, and participate in case conferences and team huddles to improve quality.
Build trust with discharge planners, assisted living facilities, physicians, patients, families, and referral partners through responsiveness and reliable care.
Help establish clinical, documentation, and operational standards as the team grows.