Description Calling all candidates who want to be part of a fun and growing team! Paradigm Healthcare is seeking a motivated LVN or RN to join our team as a Hybrid MDS Nurse! This job is 50% remote, 50% rounding facilities in Greater Houston. Job Duties Maintain the current MDS status of each resident, in accordance with applicable federal and state laws, rules, and regulations as well as the facility’s policies and procedures Schedule residents for appropriate OBRA, Medicare PPS, and/or Medicaid required assessments and communicate the schedule to all other departments and families, as required Monitor clinical systems for changes in resident condition that may affect the MDS process and scheduling and respond to changes in resident’s condition by coordinating MDS reassessment and re-evaluation of the plan of care Strategically set assessment reference date (ARD), in conjunction with the interdisciplinary team, to capture needs, care, and services delivered to most accurately reflect the status of the resident Complete sections of MDS and CAAs accurately in accordance with policies, procedures, and guidelines Coordinate and attend daily Casemix Meetings, weekly Utilization Review Meetings, and monthly Triple Check Meetings Maintain assessments on the active clinical record for a minimum period of 15 months per Federal Regulations Electronically transmit MDS data to the state in accordance with regulation and facility standards, policies, and procedures Have knowledge of and utilize the facility’s written policies and procedures that govern the day-to-day functions of the nursing service department Participate in facility surveys (inspections) made by authorized government agencies as necessary or as may be directed Participate in developing, evaluating, revising, and implementing a plan of care for each resident to achieve and maintain the highest practicable level of wellbeing possible. Report any known or suspected unauthorized attempt to access the facility’s information system Provide education to residents/families/caregivers when the need arises, or as directed by Administration and/or physician License/Certification: RN or LVN License (Required) Qualifications Required Education and Experience Must possess a current, unencumbered, active license to practice as a Licensed Vocational Nurse or Registered Nurse in the State A Registered Nurse License is preferred. 2 years’ experience in Long-Term Care experience preferred. Six (6) months of experience in rehabilitative and restorative nursing practices preferred. 2 years’ experience in RAI process completion preferred. Must possess the ability to make independent decisions when circumstances warrant such action. Must be able to demonstrate leadership, organizational skills, and maintain a positive and professional attitude. Strong utilization knowledge of Point Click Care, preferred. Computer literacy skills (Microsoft Outlook, Microsoft Office, Internet). Ability to work well under pressure, meet deadlines and handle multiple tasks simultaneously. Paradigm Healthcare was founded on the belief that by empowering each other, we can achieve more and provide better care to every patient we serve. We believe in taking a fundamental and basic human approach to our business, keeping it simple, real and to the point. We believe that by building an empowered team, who knows the value they hold, we can provide an unparalleled level of care to the residents who count on us. Job Type: Full-time Benefits: Dental insurance Health insurance Life insurance Paid time off Referral program Vision insurance Medical Specialty: Geriatrics Physical Setting: Long term care Rehabilitation center Schedule: Monday to Friday Experience: RAI/MDS: 2 years (Required)
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General overview for this role type — specific duties and requirements vary by employer.
Support roles in senior living — housekeeping, maintenance, activities, and social work — are far more resident-facing than similar positions in other industries. Housekeepers and maintenance staff interact with residents in their personal living spaces daily, which requires discretion, patience, and genuine respect for the people who live there. In Texas, even non-clinical staff must complete facility-specific training on topics like abuse prevention, infection control, and emergency procedures.
Activities coordinators and social workers play a direct role in resident well-being — isolation and depression are significant concerns in senior living, and programming that keeps residents socially engaged has measurable health outcomes. Maintenance staff in senior care need to understand life-safety systems (fire alarms, emergency generators, call systems) and are often the first responders for building emergencies. Background checks are required for all positions, and many facilities prefer candidates who have previous experience working with older adults.
What to Expect in This Role Day-to-Day
Based on typical senior living facilities in the Houston area.
For housekeeping roles, the day follows a room-by-room schedule — cleaning resident rooms, sanitizing common areas, managing laundry, and responding to spill or accident cleanups as they happen. Infection control protocols are more rigorous than in hotels or commercial cleaning, especially during flu season or respiratory illness outbreaks.
Maintenance staff handle a daily work order queue — everything from changing light bulbs and fixing call buttons to HVAC maintenance and plumbing repairs. Life-safety equipment checks (fire extinguishers, exit lighting, generator testing) happen on set schedules. Activities professionals plan and lead group programming — exercise classes, crafts, music sessions, outings — and also provide one-on-one engagement for residents who cannot participate in group settings. Social workers manage care conferences, discharge planning, family mediation, and community resource referrals. Across all these roles, the common thread is that you become a familiar, trusted presence in residents' daily lives.
Houston Area Salary Data
According to the Bureau of Labor Statistics, Home Health and Personal Care Aide positions in the Houston metro area earn a median wage of
$11.27/hr ($23,442/yr).
The typical range is $10.92 – $13.35/hr
(25th–75th percentile).
Entry Level (10th)$22,235/yr
Houston Median$23,442/yr
Experienced (90th)$31,928/yr
vs. National Median-34.5%
Source: Bureau of Labor Statistics, Occupational Employment & Wage Statistics (Houston-Pasadena-The Woodlands, TX Metro Area).
Salary data provided by Houston Senior Living Guide.