Licensed Vocational Nurse- Night Shift

Promises Behavioral Health, Llc · Houston, TX Full Time

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Job Description

JOB DESCRIPTION The Licensed Vocational Nurse (LVN) completes client admissions and screenings, administers and stocks medication, develops treatment plans and provides nursing care. This position also manages medical record documentation and supervises subordinate staff. Currently hiring for night shift weekends, but schedule subject to change per facility needs. JOB RESPONSIBILITIES Completes client admission process including assessment of client's physical and psychological status during intoxication, withdrawal and stabilization. Monitors and documents client progress and makes required referrals to physician or emergency services including crisis intervention. Develops individual client treatment plans and provides input regarding clients' needs, performance and progress, and provides client health education. Provides nursing care including vital signs, administering of and noting response to medication, first-aid, specimen collection for labwork, and infection control/assessment. Completes and maintains all documentation such as medication records/reports, progress notes, client files, charting logbooks, chart audits, and inventories of medical supplies. Receives and transcribes doctor orders. Supervises subordinate staff. JOB QUALIFICATIONS Valid LV N license from state of employment. LVN certification, AA or BS in related field. Minimum of two (2) years' experience in healthcare. Venipucture and TB skin testing experience, current CPR, AED and first aid. Experience in addiction, mental health and behavioral health preferred. Excellent verbal, written and computer skills. CPR/First Certification required at time of hire or obtained within the required number of days after start of employment. CPR/First Aid Certification is required for this position. If not CPR/First Aid certified at time of hire, certification must be obtained within the state mandated time frame after first day of employment.

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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.