Licensed Vocational Nurse Home Health LVN

Doctor's Choice Home Care & Hospice Texas · Houston, TX Full Time
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Job Description

Description Summary of Essential Functions for the Position: A qualified Licensed Vocational Nurse (LVN) administers one-on-one skilled nursing care to patients on an intermittent basis in their place of residence. The nurse collaborates with physicians, patients and their families, nurses, therapists, social workers, and other members of the patient care team to implement and follow a patient specific care and treatment plan in accordance with the physician orders and under the direction of the Registered Nurse. The nurse will assess, monitor, document and report progress of patients’ health and condition using required clinical notes in the clinical technology within established timelines. Services are furnished in accordance with Agency policies. Qualifications Qualifications / Licensure / Certification / Knowledge / Skills / Abilities: Currently licensed in the state(s) in which practicing Minimum of one (1) year experience in nursing, preferred CPR certified with American Heart Association or American Red Cross Ability to exercise initiative and independent judgment Strong communication skills, both oral and in writing, with excellent interpersonal skills Must demonstrate good customer relations skills and a commitment to providing quality service May be required to be on call at least once per month Valid drivers license, automobile liability insurance and reliable transportation required Acceptance and ability to demonstrate support the core values and goals of Agency On-call may be required 100% travel required Requires a valid drivers license and automobile insurance. Educational Requirements: High School Diploma or GED. Graduate of a state approved school of practical (vocational) nursing. Working Conditions & Physical Requirements: Works in patient homes and travels to/from patient homes. Requires considerable physical effort most of the day including kneeling, squatting, reaching, twisting, climbing, walking, exposure to temperature and humidity changes and maximal assist in lifting and/or transferring of a 100-pound patient. Must possess sight/hearing senses or use appropriate adaptive devices that will enable senses to function at a level required to meet the essential duties of the position. Must provide evidence of annual TB test and other state-required tests or examinations. Be able to tolerate exposure to elements including, but not limited to, odors, blood, body fluids and excrements, adverse environmental conditions and hazardous materials.

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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 $47.02/hr ($97,802/yr). The typical range is $38.29 – $50.95/hr (25th–75th percentile).

Entry Level (10th) $69,368/yr
Houston Median $97,802/yr
Experienced (90th) $125,320/yr
vs. National Median +4.5%

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

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