Licensed Vocational Nurse (LVN)

Adaptive Home Health•Oakland County, MI

1d•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 role aims to provide excellent patient care while establishing clinical, documentation, and referral-relationship standards as Adaptive grows its presence in the market. The LVN will work within LVN scope under RN or clinical supervision as required and will coordinate with the office and interdisciplinary team. The full-time target is approximately 30 productivity points per week; clinicians earn more for exceeding the target, and mileage reimbursement is provided. Adaptive describes its home healthcare platform as AI-native and designed to simplify clinicians’ work through customized schedules, optimized routing, and ambient AI scribing. Clinicians may also choose after-visit voice documentation instead of recording during patient visits. These tools are intended to streamline charting and reduce after-hours documentation. The position requires a full-time Monday–Friday schedule, with some weekends as needed, and daily travel across an assigned territory. Full-time benefits include medical, dental, and vision coverage and PTO.

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.
Interest in using software to accelerate charting and providing candid feedback to improve the platform.
High ownership, openness to shaping workflows and standard operating procedures, and ability to build trust with patients, families, and referral partners.

Responsibilities

Deliver skilled nursing visits in patients’ homes within LVN scope, 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 with 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 in accordance 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.
Build and manage a high-quality caseload, targeting approximately 30 productivity points per week.
Contribute to patient outcomes and quality improvement by participating in case conferences and team huddles.
Maintain responsive, effective relationships with discharge planners, assisted living facilities, physicians, and other referral sources.
Help establish clinical, documentation, and workflow standards as the team grows.