# Licensed Vocational Nurse \(LVN/LPN\) - Company: [Fira Health]() - Location: Lake Jackson - Team: District - Texas - Employment type: Full Time - Posted: August 25, 2026 ## Job description **Licensed Vocational Nurse (LVN) — Field Clinician** * **Comp:** + Breakdown: $44.40 per point + Mileage reimbursement * **Schedule:** Full-time Monday–Friday + some weekends (as needed) * **Location:** Field-based (Lake Jackson pod) ### 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 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) * 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 * EMR experience * Wound care exposure ### Benefits * 401(k) + 401(k) matching * Health, dental, vision, and life insurance * Paid time off * Flexible scheduling * Referral program ## Apply [Apply on Fira Health]() Canonical job page: