Licensed Vocational Nurse (LVN/LPN)

Alt; Houston (TX); Hybrid; USD 42,000 - 62,000; Full time

Benefits offered by this job

401(k) + 401(k) matching

Health, dental, vision, and life

Paid time off

Flexible scheduling

Referral program

Job summary

Adaptive Home Health, LLC is hiring a Licensed Vocational Nurse (LVN) for field-based home health in the Houston area. The LVN will perform skilled nursing visits under RN/clinical supervision, conduct focused assessments, and escalate changes promptly.

You will assist with medication safety, patient education, and wound care as ordered, while coordinating with the office to keep visits on schedule. You will also document thoroughly, maintain clear communication with caregivers, and participate

Qualifications

• Current Texas LVN license (unrestricted).
• Comfort working in a field-based workflow with appropriate escalation judgment.
• Strong communication and documentation

Responsibilities

• 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).
• 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 care with the office and interdisciplinary team so visits happen on time and orders are followed.
• Document thoroughly and on time

Skills

Communication

Documentation

Education

Texas LVN license

Job description

Licensed Vocational Nurse (LVN) — Home Health

• Comp:

  • Breakdown: $44.40 per point

  • Mileage reimbursement

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

• Location: Field-based (Houston pod)

Who we are

Adaptive Home Health is building a higher-acuity, patient-centered, skilled home health mode. 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 designed around the way clinicians actually work, so you can spend less time on documentation and coordination, and more time with patients.

• Smarter charting: Record or dictate visits with AI Scribe, start with prefilled assessments, extract medication lists from photos, and keep all visit information in one easy-to-use place.

• Scheduling that protects your time: Text patients, plan more efficient routes, and stay aligned on visit changes through one clear, coordinated schedule.

The result: less administrative burden, fewer coordination headaches, and more time for patient care.

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 care with the office and interdisciplinary team so visits happen on time and orders are followed.

• Document thoroughly and on time

• 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 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

• Current Texas driver’s license and comfort with daily travel across assigned territory

Nice-to-haves

• Prior home health or hospice experience

• Wound care exposure

Benefits

• 401(k) + 401(k) matching

• Health, dental, vision, and life insurance

• Paid time off

• Flexible scheduling

• Referral program