Licensed Vocational Nurse (LVN/LPN)

About the position 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. 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), 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 in Homecare Homebase (HCHB) — defensible, efficient, and consistent. Requirements • 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 • 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