Licensed Vocational Nurse - FT - Day or Night

Nexus Health Systems; Shenandoah (TX); On-site; USD 50,000 - 70,000; Full time

Benefits offered by this job

Specialty hospital focused on complex cases

Opportunity to grow in a pediatric setting

Job summary

Nexus Health Systems in Shenandoah, TX, seeks a Licensed Vocational Nurse (LVN) to provide compassionate care to pediatric patients. In this role, you will administer medications, monitor patient conditions, document responses, and support care plans within an inpatient setting.

This position requires a current LVN license in Texas, and preference will be given to candidates with 1-2 years of pediatric nursing experience. Join a collaborative, multidisciplinary environment where you can grow while making a difference for patients with complex needs.

Qualifications

• 1–2 years of pediatric nursing experience preferred, ideally in an acute care setting.
• Experience with patients who have medical and/or behavioral health diagnoses strongly preferred.
• De-escalation training within 30 days of hire is required.

Responsibilities

• Provide basic nursing care to pediatric patients under RN supervision.
• Administer medications and treatments safely within LVN scope.
• Monitor and report signs of acute illness or changes in condition.

Skills

Pediatric nursing experience

Medication administration

Basic nursing care

De-escalation techniques

Education

Current LVN license in Texas

Tools

BLS certification

ACLS certification

PALS certification

Job description

Overview

Licensed Vocational Nurse (LVN) – Day or Night • Full Time • Shenandoah, TX, US

Location: Nexus Children’s Hospital – Shenandoah, TX

Schedule: Full Time | Days or Nights, rotating 3-4 day weeks, with every other weekend requirement

Position Summary

We’re seeking a Pediatric LVN to provide safe, compassionate nursing care to patients with medical and/or behavioral health conditions under the supervision of an RN or physician. In this role, you’ll support care plan implementation, administer medications and treatments, monitor for changes in condition, document patient responses, and help maintain a safe, therapeutic environment. This role is best suited for an LVN who is comfortable in a structured inpatient setting where medical and behavioral complexity often overlap.

Key Responsibilities

• Provide basic nursing care to pediatric patients under RN, APRN, or physician supervision
• Administer medications and treatments safely within LVN scope
• Monitor and report signs of acute illness, chronic condition changes, or behavioral health crises
• Observe, document, and communicate changes in patient status to the supervising RN or provider
• Support implementation of care plans and reinforce patient/family education
• Use approved de-escalation techniques and support behavioral interventions under supervision
• Follow safety, infection control, and documentation standards in a fast-paced inpatient setting
• Collaborate with nursing, physicians, therapists, and families to support continuity of care

Qualifications

• Current LVN license in Texas
• BLS required
• ACLS required, per unit requirement
• PALS required, per unit requirement
• De-escalation training within 30 days of hire
• 1–2 years of pediatric nursing experience preferred, ideally in an acute care setting
• Inpatient/rehab / acute / post-acute hospital experience preferred
• Experience with patients who have medical and/or behavioral health diagnoses strongly preferred

Why Join Nexus?

• Specialty hospital focused on complex medical and behavioral cases
• Higher-acuity setting with ICU, transitional, and rehab capacity
• Collaborative, multidisciplinary environment
• Opportunity to grow in a specialty pediatric inpatient setting
• Full-time day or night options available

Apply

Apply today and make a difference for patients with some of the most complex medical and behavioral needs.