Licensed Vocational Nurse Per Diem Casual

Home Care Nurses America Inc · Galena Park, TX Contract

$70800 – $87400 / year

Job Description

Licensed Vocational Nurse (LVN) – $34–$42/hr Per Diem / W2 | Fortnightly Pay | Flexible Shifts | Houston Metro Home Care Nurses America (HCNA) partners with hospitals, skilled nursing facilities, rehabilitation centers, and specialty clinics across the United States to provide qualified healthcare professionals. Our team supports healthcare organizations by delivering dependable, skilled clinicians who maintain high standards of patient care, safety, and professionalism. We are currently seeking experienced Licensed Vocational Nurses (LVNs) to join our team as W2 per diem or contract casual employees supporting healthcare facilities across the Houston metro area . In this role, you will provide safe, high-quality patient care while working collaboratively with physicians, Registered Nurses, and interdisciplinary care teams. Assignments may take place in skilled nursing facilities, rehabilitation centers, long-term care facilities, hospitals, or specialty clinics based on facility needs. Requirements Key Responsibilities • Provide patient care in accordance with clinical standards and facility protocols • Monitor patient conditions and report changes to supervising clinicians or physicians • Administer medications and treatments within LVN scope of practice • Assist with wound care, treatments, and implementation of patient care plans • Maintain accurate and timely documentation in electronic medical record (EMR) systems • Follow infection control procedures and patient safety guidelines at all times • Comply with OSHA, HIPAA, and Texas healthcare regulatory requirements Requirements • Active Texas LVN License in good standing with the Texas Board of Nursing • Minimum 1 year of recent experience in SNF, rehabilitation, LTAC, or hospital settings • Current BLS/CPR certification required • Ability to pass background screening, drug testing, and credential verification • Strong clinical judgment, communication, and teamwork skills Benefits • W2 employee classification • Weekly payroll • Flexible scheduling (day, evening, night, and weekend shifts available) • Access to high-demand Houston-area facilities • Consistent shifts with reliable scheduling • Support from a responsive and professional staffing team Compliance Statement HCNA is an equal opportunity employer. All positions are classified as W2 employee roles with applicable payroll tax withholding in accordance with federal and Texas employment regulations. Employment with HCNA is at-will and may be terminated by either the employee or the employer at any time, with or without cause, in accordance with Texas law.

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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.