Contract - Licensed Vocational Nurse

Angie's House LLC · Houston, TX Full Time
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Job Description

Benefits: Bonus based on performance Flexible schedule Opportunity for advancement Training & development Position Summary The Licensed Vocational Nurse (LVN) is a contract position that is responsible for providing nursing care and health oversight for individuals with intellectual and developmental disabilities (IDD) in group home and day program settings. The LVN works under the direction of the Registered Nurse (RN) and in collaboration with the interdisciplinary team to ensure high-quality, person-centered care and compliance with HHSC and HCS program regulations. Key Responsibilities Nursing Care & Health Oversight - Administer prescribed medications and treatments in accordance with DON and physician orders. - Monitor and document clients’ health status, reporting changes promptly to the RN, physician, and case manager. - Perform routine health assessments, including vitals, skin checks, and chronic condition monitoring. - Ensure timely completion of nursing documentation (MARs, progress notes, incident reports, etc.). Compliance & Safety - Maintain compliance with HCS, HHSC, and state nursing regulations. - Assist with infection control measures, health and safety protocols, and emergency preparedness. - Participate in audits, surveys, and quality assurance reviews, ensuring readiness and accurate documentation. Training & Support - Provide health-related training and in-services to Direct Support Professionals (DSPs) and other staff. - Educate clients and families on medication adherence, nutrition, hygiene, and health maintenance. - Support the RN with care planning, Individual Program Plans (IPPs), and client-specific health protocols. Team Collaboration - Work closely with the RN, case managers, program managers, and direct care staff to coordinate holistic care. - Communicate effectively with guardians, physicians, therapists, and other stakeholders. - Advocate for clients’ health needs while promoting independence and dignity. Qualifications - Current Texas LVN license in good standing. - Experience in IDD, group home, or long-term care settings preferred. - Strong documentation, organization, and communication skills. - Ability to work independently and as part of a team in a fast-paced, compliance-driven environment. - CPR and First Aid certification required. Work Schedule & Reporting - Reports directly to the Registered Nurse (RN) and Program Administrator - Flexible schedule may include weekends, evenings, and on-call responsibilities as assigned. Mission Alignment The LVN plays a key role in supporting Angie’s House LLC’s mission of providing safe, compassionate, and individualized services that enhance the quality of life for individuals with intellectual and developmental disabilities.

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What Most Job Listings Don’t Tell You

General overview for this role type — specific duties and requirements vary by employer.

Nursing roles in senior living are fundamentally different from hospital nursing. Most positions involve building long-term relationships with the same residents over months or years rather than cycling through new patients every shift. Facilities in the Houston area typically require an active Texas RN or LVN license, current CPR/BLS certification, and many prefer at least one year of geriatric or long-term care experience.

Shift patterns vary widely — some facilities run traditional 8-hour shifts (day, evening, night), while others use 12-hour rotations. Weekend and holiday coverage is almost always part of the schedule. The nurse-to-resident ratio in assisted living is generally more favorable than in hospitals, but you will likely be the highest-level clinical staff on the floor during your shift, which means more autonomy and more responsibility for clinical judgment calls.

What to Expect in This Role Day-to-Day

Based on typical senior living facilities in the Houston area.

A typical shift starts with medication pass and resident assessments. You will review overnight notes from the previous shift, check vitals for residents on your watch list, and coordinate with CNAs on any changes in condition. Mid-shift usually involves documentation, family communication, and working with physicians on care plan updates — often by phone or telehealth rather than in-person rounds.

Depending on the facility, you may also handle admissions paperwork, manage wound care, supervise medication techs, and respond to emergencies. The documentation load in senior living is significant — state surveys and compliance requirements mean thorough charting is non-negotiable. Many nurses in this setting say the most rewarding part is knowing their residents personally and being able to notice subtle changes that a rotating hospital nurse might miss.

Houston Area Salary Data

According to the Bureau of Labor Statistics, Registered Nurse positions in the Houston metro area earn a median wage of $48.00/hr ($99,840/yr). The typical range is $39.37 – $55.77/hr (25th–75th percentile).

Entry Level (10th) $74,859/yr
Houston Median $99,840/yr
Experienced (90th) $130,437/yr
vs. National Median +2.3%

Source: Bureau of Labor Statistics, Occupational Employment & Wage Statistics (Houston-Pasadena-The Woodlands, TX Metro Area). Salary data provided by Houston Senior Living Guide.

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