HiredNow AI
Fira Health

Licensed Vocational Nurse (LVN/LPN)

  • Missouri City, Texas
  • Full time
  • District - Texas

Found by HiredNow AI on Oct 5, 2026. Subscribers saw it first.

About the role

  • Licensed Vocational Nurse (LVN) — Field Clinician
  • Comp:
  • Breakdown: $44.40 per point
  • Schedule: Full-time Monday–Friday + (on call rotation required)
  • Location: Field-based (Missouri City Pod)
  • Mileage reimbursement in addition to productivity comp

Who we are

  • Adaptive Home Health is building a higher-acuity, patient-centered, skilled home health mode. Our ultimate mission is to dramatically improve patient access to home health care.
  • The LVN role supports that mission by delivering safe, reliable skilled care in the home within LVN scope — with excellent communication and escalation to the RN/clinical team so patients stay safe and on track.
  • We build technology designed around the way clinicians actually work, so you can spend less time on documentation and coordination, and more time with patients.
  • Smarter charting: Record or dictate visits with AI Scribe, start with prefilled assessments, extract medication lists from photos, and keep all visit information in one easy-to-use place.
  • Scheduling that protects your time: Text patients, plan more efficient routes, and stay aligned on visit changes through one clear, coordinated schedule.

The result: less administrative burden, fewer coordination headaches, and more time for patient care.

What you will do

  • Deliver skilled nursing visits in the home within LVN scope, under RN/clinical supervision as required.
  • Perform focused assessments, monitor for changes in condition, and escalate promptly to the RN/MD/clinical team using clear, objective information.
  • Support medication reconciliation and medication safety education (within scope), and identify discrepancies or risks for RN review.
  • Provide patient and caregiver education (teach-back) aligned to the plan of care.
  • Support wound care and other skilled tasks per orders and competency (e.g., dressing changes, basic monitoring, reinforcement of teaching).
  • Coordinate care with the office and interdisciplinary team so visits happen on time and orders are followed.
  • Document thoroughly and on time

Why Adaptive

  • Operations that back you up: You are supported by an experienced clinical and operational team so you can focus on patient care, not chasing logistics.
  • Clear productivity model with upside: You are paid per productivity point with clear expectations.
  • Schedule flexibility: We build schedules to make field work sustainable, and we support smart routing and coordination, so your day is predictable whenever possible.
  • Cutting-edge tech built for clinicians: Our charting tools reduce documentation burden, and our scheduling product (launching soon) will streamline visit coordination.
  • Mission-driven work: We are here to expand access to high-quality home health care, and we want clinicians who take pride in raising the standard.

Requirements

Must-haves

  • Current Texas LVN license (unrestricted)
  • 1 year LVN
  • Comfort working in a field-based workflow with appropriate escalation judgment
  • Strong communication and documentation
  • Reliable follow-through on orders, visit cadence, and patient goals
  • Current Texas driver’s license and comfort with daily travel across assigned territory

Nice-to-haves

  • Prior home health or hospice experience
  • Wound care exposure

Benefits

  • 401(k) + 401(k) matching
  • Health, dental, vision, and life insurance
  • Paid time off
  • Flexible scheduling
  • Referral program
  • Mileage reimbursement
Apply at Fira Health