Vocational Nurse (LVN) PBL- Lychner Unit

UTMB Health · Houston, TX Full Time
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Job Description

The mission of Correctional Managed Care is to address the healthcare needs of underserved patient populations within the Texas Department of Criminal Justice (TDCJ) and the Texas Juvenile Justice Department (TJJD). JOB SUMMARY : Provides direct nursing care to an assigned group of patients and performs nursing procedures within the scope of their education and demonstrated abilities. ESSENTIAL JOB FUNCTIONS : Provides direct nursing care to assigned patients. Participates in assessing, planning, implementing and evaluating the nursing care given. Performs admission, discharge, and transfer procedures. Using the nursing plan of care in daily assignments, able to review and, under supervision, modify the plan of care. Demonstrates ability to observe and record the signs, symptoms, and behaviors including the3 physiological status of patients, presents proposed revision of interventions, and desired outcomes. Delivers the designated nursing interventions to assigned patients that are consistent with the state medical plan of care. Notifies appropriate nursing and medical staff of changes in patient status; recognizes patient care priorities, multidisciplinary treatment plans, and potential patient care crises. Follows physician's orders in the deliver of nursing care. Maintains patient's privacy and confidentiality of information and records at all times. Safely and properly administers medications and treatments. Executes written physician's orders for assigned patients. Assembles equipment and supplies for various diagnostic or treatment procedures in the specialty service area; performs or assists others with procedures or treatments. Adheres to required infection control, isolation procedures, and aseptic techniques in the deliver of patient care. Documents nursing care in all assigned patient records. Adheres to internal controls and reporting structures. Performs related duties as required. EQUIPMENT : Standard patient care supplies, equipment and mechanical devices. WORK ENVIRONMENT : Located within the confines of a prison, jail or juvenile detention center. Security clearance is required; pre-employment drug testing is also required. REQUIRED EDUCATION/EXPERIENCE : High school or equivalent. Graduation from a Licensed Vocational Nurse Program and current license/permit as a vocational nurse in the State of Texas. No experience required. Current BLS-HP required. Will consider recent graduates with temporary permits. Hourly rate is commensurate with years of relevant work experience. This is a non-benefit eligible position and limited to a maximum of 19 hours per week. Equal Employment Opportunity UTMB Health strives to provide equal opportunity employment without regard to race, color, religion, age, national origin, sex, gender, sexual orientation, gender identity/expression, genetic information, disability, veteran status, or any other basis protected by institutional policy or by federal, state or local laws unless such distinction is required by law. As a Federal Contractor, UTMB Health takes affirmative action to hire and advance protected veterans and individuals with disabilities.

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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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