Licensed Vocational Nurse (LVN)

Adaptive Home Health; Bastrop (TX); On-site; USD 65,000 - 85,000; Full time

Benefits offered by this job

401(k) + 401(k) matching

Health, dental, vision, and life insu

Paid time off

Flexible scheduling

Referral program

Job summary

Adaptive Home Health is seeking a Licensed Vocational Nurse (LVN) — Field Clinician to deliver skilled nursing visits in patients' homes across Texas, under RN/clinical supervision. This full-time role offers a productivity-based pay model and a field-based schedule from Monday to Friday with occasional weekends.

You will perform focused assessments, support medication reconciliation, teach patients and caregivers, assist with wound care as ordered, and coordinate with the office to keep visits

Qualifications

• Current Texas LVN license (unrestricted).
• Comfort in field-based workflow with escalation judgment.
• Strong communication and documentation.
• Reliable follow-through on orders and visit cadence.
• CPR required (BLS).
• Current Texas driver's license and travel across territory.

Responsibilities

• Deliver skilled nursing visits in the home within LVN scope, under RN/clinical supervision.
• Perform focused assessments and escalate promptly to RN/MD/clinical team.
• Support medication reconciliation and safety education (within scope).
• Provide patient and caregiver education (teach-back).
• Support wound care and other skilled tasks per orders and competency.
• Coordinate with the office and interdisciplinary team so visits happen on time and orders are followed.
• Document thoroughly and on time in Homecare Homebase (HCHB).

Skills

Texas LVN license

Field-based nursing

Communication skills

Documentation skills

CPR (BLS)

Travel readiness

Tools

Homecare Homebase (HCHB)

Job description

Role: Licensed Vocational Nurse (LVN) — Field Clinician

Comp: $44.33/ point | $65,000 - $85,000 /year

Mileage in addition to productivity comp

Schedule: Full-time Monday–Friday + some weekends (as needed)

Location: Field-based

Who We Are:

Adaptive Home Health is building a higher-acuity, patient-centered, skilled home health model across Texas. Our ultimate mission is to dramatically improve patient access to home health care.

The LVN role supports that mission by delivering safe, reliable skilled care in the home within LVN scope — with excellent communication and escalation to the RN/clinical team so patients stay safe and on track.

We build technology to better support field clinicians. Our charting product is designed to reduce documentation burden and keep visits moving, and our scheduling product (launching soon) will make it easier to coordinate visits, reduce last‑minute changes, and protect clinician time.

What you will do:

• Deliver skilled nursing visits in the home within LVN scope , under RN/clinical supervision as required.
• Perform focused assessments, monitor for changes in condition, and escalate promptly to the RN/MD/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 (teach‑back) aligned to the plan of care.
• Support wound care and other skilled tasks per orders and competency (e.g., dressing changes, basic monitoring, reinforcement of teaching).
• Coordinate with the office and interdisciplinary team so visits happen on time and orders are followed.
• Document thoroughly and on time in Homecare Homebase (HCHB) — defensible, efficient, and consistent.

Why Adaptive

Operations that back you up: You are supported by an experienced clinical and operational team so you can focus on patient care, not chasing logistics.

Clear productivity model with upside: You are paid per productivity point with clear expectations.

Schedule flexibility: We build schedules to make field work sustainable, and we support smart routing and coordination so your day is predictable whenever possible.

Cutting‑edge tech built for clinicians: Our charting tools reduce documentation burden, and our scheduling product (launching soon) will streamline visit coordination.

Mission‑driven work: We are here to expand access to high-quality home health care, and we want clinicians who take pride in raising the standard.

Requirements

Must-haves

• Current Texas LVN license (unrestricted)
• Comfort working in a field‑based workflow with appropriate escalation judgment
• Strong communication and documentation
• Reliable follow-through on orders, visit cadence, and patient goals
• CPR required (BLS)
• Current Texas driver’s license and comfort with daily travel across assigned territory

Nice‑to-haves

• Prior home health or hospice experience
• Familiarity with Homecare Homebase (HCHB) or similar EMR
• Wound care exposure

Benefits

• 401(k) + 401(k) matching
• Health, dental, vision, and life insurance
• Paid time off
• Flexible scheduling
• Referral program