Licensed Practical Nurse (LPN/LVN) - Full Time

Hamilton Health Box · Houston, TX Full Time

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Job Description

Full-time Description Role Description: Licensed Practical Nurse (LPN/LVN) - On-Site Clinician Assistant (OSC) Hamilton Health Box (HHB) is a rapidly growing healthcare startup operating hybrid telemedicine-enabled primary care clinics for businesses and rural communities across the country. Our goal is to find high potential individuals to drive a high-touch, low-cost healthcare experience for all of our patients and clients. Position Summary Accountable to the Pod Manager, The On-Site Clinician (OSC) is responsible for carrying out the daily clinical and administrative operations of a Hamilton Health Box location. This includes interacting with patients for scheduling and follow up, delivering protocol-driven care as ordered by the Provider, and implementing initiatives like preventative screening and health education. The OSC may also be coordinating care delivery with pharmacy services and referral networks to deliver excellent, efficient care to our patients. The OSC will communicate barriers to effective care to the Pod Manager and, be committed to training and skill development. The OSC will also need to build and maintain interpersonal relationships with staff, providers, patients and the local community in a manner designed to project a positive image of Hamilton Health Box. There may be travel required to local locations. Duties and Responsibilities Collaborate with other departments to ensure employees receive appropriate care and programs. Formulate individualized programs based on health risk assessment results while targeting high need departments with programs and interventions and adjusting programs as needed. Assist with annual physicals and placement examinations, complete screenings, testing, and results reporting. Help schedule and complete follow-up exams, return to work exams, and consultation. Coordinate client referrals to other providers. Either arrange or perform follow-up evaluations of employees with detailed documentation of progress. Document in each employee's medical record. Participate in formal classes for groups of employees. Coordinate health fairs, conduct training sessions for regulatory requirements. Collect and interpret data on one-on-ones and program offerings assuring tabulations of utilization and evaluations are timely and thoroughly documented. Provide one-on-one counseling/coaching with clients. Provide and interpret screening services as needed consulting the client with results and actions to take. Consult with employees regarding health awareness, education, and care navigation. Consult with internal and external partners to provide care navigation. Build teams and partnerships. Ensure a safe working environment for self and coworkers by following regulatory agency and organizational policies and procedures. Perform other responsibilities within the job class as requested by the PA/Nurse/Medical Assistant. Able to work within electronic medical records and other software solutions to register patients, document visits and health education. Other tasks as specified in the HHB OSC Training Manual May need to travel between clinics. Requirements E

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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.