Licensed Vocational Nurse (LVN/LPN)
fira-health · Missouri City
About The Role
- **Licensed Vocational Nurse (LVN) — Field Clinician**
- **Comp:**
- Breakdown: $44.40 per point
- **Schedule:** Full-time Monday–Friday + (on call rotation required)
- **Location:** Field-based (Missouri City 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
**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)
- 1 year LVN
- 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
- Mileage reimbursement
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