Licensed Vocational Nurse (LVN/LPN)

Adaptive Home Health•Houston, TX
•Onsite

About The Position

Adaptive Home Health is hiring a Licensed Vocational Nurse to deliver safe, reliable skilled care in patients’ homes within LVN scope and under RN/clinical supervision as required. The role supports the company’s mission to improve access to patient-centered, higher-acuity home health care through excellent communication and prompt escalation to the RN or clinical team. The position is full-time and field-based in the Houston pod, with a Monday–Friday schedule and some weekends as needed. Compensation is $44.40 per productivity point, with mileage reimbursement. Clinicians are supported by an experienced clinical and operational team, coordinated scheduling and routing, and technology intended to reduce documentation and coordination work, including AI-assisted charting tools. The role includes skilled nursing visits, focused assessments, monitoring patients for changes in condition, medication safety support, patient and caregiver education, wound care and other ordered skilled tasks within scope and competency, care coordination, and timely documentation.

Requirements

  • Current, unrestricted Texas LVN license.
  • Comfort working in a field-based workflow and exercising appropriate 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.
  • Wound care exposure.

Responsibilities

  • Deliver skilled nursing visits in the home within LVN scope and under RN/clinical supervision as required.
  • Perform focused assessments, monitor for 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, 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 reinforcing teaching.
  • Coordinate care with the office and interdisciplinary team to ensure visits occur on time and orders are followed.
  • Document visits thoroughly and on time.
  • Follow orders, visit cadence, and patient goals reliably.

Benefits

  • 401(k)
  • 401(k) matching
  • Health insurance
  • Dental insurance
  • Vision insurance
  • Life insurance
  • Paid time off
  • Flexible scheduling
  • Referral program
  • Mileage reimbursement
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