Licensed Vocational Nurse II

Baylor College of Medicine · Houston, TX Full Time
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Job Description

Summary The Department of Neurology is looking to recruit a Licensed Vocational Nurse II to serve as the clinical coordinator for the Neuromuscular practice and ALS multidisciplinary clinic in the Texas Medical Center. The candidate will work directly with physician leadership, clinical management, and clinical support staff to serve the patients and their families. A successful candidate will manage complex patient cases, coordinate care plans, provide educational resources, and help patients navigate the treatment process. The Department of Neurology at Baylor College of Medicine provides personalized care for patients with neurological disease, trains medical students and residents in clinical care and research, conducts research to advance the art and science of neurology, and provides meaningful new therapies for patients. https://www.bcm.edu/healthcare/specialties/neurology/neuromuscular-diseases/amyotrophic-lateral-sclerosis Job Duties Performs responsibilities in a manner that promotes quality and safe patient care and customer service. Adheres to the scope of practice as defined by the Texas Nurse Practice Act. Assists physicians and registered nurses with various medical procedures. Administers a variety of tests and medications and takes patients’ vital signs. Schedules appointments, tests, and procedures for patients. Collects pertinent clinical data to support the RN, APP and/or MD with patient clinical telephone calls, refers and preauthorizes treatment, and provides information to patient. Documents patient care services by charting in patient’s electronic medical record. Manages Epic in-basket messages, coordinates referrals, and enters orders for patient testing. Coordinates home health, palliative care, hospice care, and durable medical equipment needs for patients. Helps patients understand social security, disability, and Medicare services available for patients with a diagnosis of ALS. Partners with ALS Association for equipment needs that patient is unable to obtain with insurance (from ALSA loaner closet). Creates pre-clinic patient summary sheets, provide after-clinic summary sheets to the patient, and maintain documentation for the ALS clinic. Attends ALS Clinic huddle on 2nd & 4th Fridays of the month before clinic. Performs other job related duties as assigned. Minimum Qualifications High School diploma or G.E.D and graduated from an approved licensed practical nurse/vocational nurse (LPN/LVN). Two years of relevant experience as a Licensed Vocational Nurse (LVN) or as a Licensed Practical Nurse (LPN). Current license as a Licensed Vocational Nurse (LVN) or as a Licensed Practical Nurse (LPN) by the State of Texas Board of Nurse Examiners. Basic Life Support certification (BLS). Preferred Qualifications Neurology experience. Work Authorization Requirement: This position is not eligible for visa sponsorship. Candidates must be legally authorized to work in the United States at the time of application and throughout the duration of employment. Baylor College of Medicine is an Equal Opportunity/Affirmative Action/Equal Access Employer.

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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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