Licensed Vocational Nurse - Pediatrics

Nexus Health Systems Ltd · Houston, TX Full Time
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Job Description

Licensed Vocational Nurse (LVN) Nexus Children’s Hospital – Houston Schedule: 12-hour shifts | Days or Nights About Nexus Children’s Hospital – Houston Nexus Children’s Hospital – Houston provides structured inpatient care for children ages 4 to 18 with Autism Spectrum Disorder (ASD) and other intellectual or developmental disabilities (IDD). Located in Houston’s Westchase District, our bright, home-like environment offers a safe and supportive setting where children can grow, stabilize , and build the skills needed for success. Our program focuses on behavioral stability, communication development, and daily living skills. Our interdisciplinary team works closely with patients and families to reduce aggressive behaviors, improve social functioning, and help each child successfully reintegrate into their community — because at Nexus, we’re mending minds. Position Summary The Licensed Vocational Nurse (LVN) provides compassionate, hands-on care to children and adolescents with autism and developmental disabilities. Working under the supervision of a Registered Nurse (RN) and reporting to the Director of Nursing (DON) , the LVN assists with medication administration, supports behavioral interventions, and helps maintain the structured environment essential for patient safety and progress. This role requires patience, consistency, and the ability to work with patients who may have behavioral, emotional, or developmental challenges. Key Responsibilities Provide direct nursing care to pediatric patients with autism and developmental disabilities Administer medications and document responses according to physician orders and facility standards Support behavioral interventions and individualized treatment plans Participate in daily routines, therapeutic programming, and educational activities Observe and document patient behavior, participation, and physical condition in the EHR Respond to patient crises using approved de-escalation techniques Communicate with RNs, physicians, therapists, and interdisciplinary team members Maintain a safe, structured, and trauma-informed care environment Support collaboration between nursing, therapy, and education teams Promote consistency, safety, and positive patient outcomes Qualifications Current Texas LVN license required CPR / BLS certification required De-escalation training required within 30 days of hire Experience in pediatric behavioral health, autism, or IDD settings preferred Ability to work effectively within a multidisciplinary clinical team Compassionate, patient-centered approach to care Comfort working in a structured behavioral environment Our Core Values: GOPTIC At Nexus, GOPTIC is more than a slogan—it’s the foundation of how we care for children and families. Genuine – We act with honesty, integrity, and empathy in all interactions. Ownership – We take responsibility for our actions and celebrate our shared success. Positivity – We create a hopeful and encouraging environment for every child and family. Teamwork – We work together across disciplines to achieve the best outcomes. Innovation – We constantly seek better, more creative ways to support healing and growth. Compassion – We put our patients first, leading with kindness and understanding. Before You Apply Ask yourself: Have you worked with children or adolescents who have developmental disabilities? Can you commit to 12-hour shifts ? Are you flexible to work every other weekend ? Are you passionate about helping children build communication, social, and life skills ? Do you live the GOPTIC values every day? If your answer is YES , we invite you to apply today and join the the Houston team within the Nexus network of care — where we’re mending minds and empowering growth every day!

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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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