Medical Officer - Licensed Vocational Nurse/Emergency Medical Technician – Paramedic

Harris County Hospice Inc · Houston, TX Full Time
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Job Description

Position Description About Harris County Juvenile Probation Department (HCJPD) Harris County Juvenile Probation Department (HCJPD) is the third-largest juvenile justice agency in the country and the second-largest department in Harris County, employing over 1,200 professionals dedicated to youth justice transformation and reform. HCJPD is committed to improving outcomes for youth, reducing racial disproportionality, and ensuring a safe environment for both staff and residents. We continuously innovate by implementing systemic changes to lower detention populations and promote positive youth development. About Health Services: The Health Services division of the HCJPD is responsible for the medical, psychological, and treatment programs within the agency. The services operated within this division include the medical staff that assess and treat youth in the detention center and post-adjudicated facilities. In addition, the division has mental health therapists who provide crisis counseling, and individual, group and family therapy to youth both in the detention center and under community supervision. Lastly, the Health Services division oversees the four specialty courts that operate within the agency to help address some of the underlying factors that may be impacting a youth’s functioning. Position Overview: This position provides safe and effective medical care for all youth in custody. The LVN will practice under the direction/supervision of a Registered Nurse/Physician, providing support to the overall functioning of the medical department. The LVN will assist in the determination of predictable health care needs of youth in custody, by utilizing the Nursing Process which includes assessment, planning, intervention and evaluation of care. This individual will operate in accordance with the Nurse Practice Act, agency policies, procedures, standing orders, physician orders and the overall treatment plan. Specific duties will be assigned based on level of training, education, experience and licensure. Duties and Responsibilities: Provide nursing care with a focus on resident's needs, environmental and technical safety; utilizing a four step systemic process (Nursing Process) to deliver patient care. This includes assessment, planning, implementation and evaluation. Utilizes a problem solving approach as the basis for decision making in practice, including reporting relevant information to supervising Registered Nurse and/or Physician. Performs technical nursing skills, within the scope of practice for a LVN, and in accordance with agency policies and procedures for individual and/or multiple resident assignments. Performs diagnostic tests, administers medications, sets up equipment and applies therapeutic treatments. Documents relevant information regarding nursing care in patient records, charts and reports. Documents observations of residents signs, symptoms, test results, behaviors, and response to medications and treatments. Informs, explains and educates residents and family members/guardians regarding medications, relevant treatment information, and disease process. Provides pertinent h

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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.

About This Employer

Harris County Hospice Inc is a Parent Agency located in Houston, TX at 2922 Rosedale St STE 1230.

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Employer profile provided by Houston Senior Living Guide

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.

Facility Snapshot

Facility Type Parent Agency

2922 Rosedale St STE 1230, Houston, TX 77004

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