Licensed Vocational Nurse (LVN/LPN)
fira-health
Woodlands
Posted Sep 7, 2026
- Full-time
- District - Texas
Job description
**Licensed Vocational Nurse (LVN) — Field Clinician** - **Comp:** - Breakdown: $44.40 per point - **Schedule:** Full-time Monday–Friday + (on call rotation required) - **Location:** Field-based (Woodlands 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) - 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