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$65k–$85k/yr
Full-time
professional certificate
401(k), 401(k) Matching, Health Insurance, Dental Insurance, Vision Insurance, Life Insurance
Posted 2d ago
~40 hrs/week
Responsibilities
Deliver skilled nursing visits in patients' homes, performing focused assessments and monitoring for changes in condition. Coordinate with the interdisciplinary team and document all care accurately within the Homecare Homebase system.
Requirements
Must possess an unrestricted Texas LVN license, a valid Texas driver's license, and BLS certification. Requires comfort with field-based workflows and strong communication skills for clinical escalation.
Full job description
Role: Licensed Vocational Nurse (LVN) — Field Clinician
Comp: $48.08 / point | $65,000 - $85,000 /year
Mileage in addition to productivity comp
Schedule: Full-time Monday–Friday + some weekends (as needed)
Location: Field-based
Who We Are:
Adaptive Home Health is building a higher-acuity, patient-centered, skilled home health model across Texas. 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 to better support field clinicians. Our charting product is designed to reduce documentation burden and keep visits moving, and our scheduling product (launching soon) will make it easier to coordinate visits, reduce last-minute changes, and protect clinician time.
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 with the office and interdisciplinary team so visits happen on time and orders are followed.
Document thoroughly and on time in Homecare Homebase (HCHB) — defensible, efficient, and consistent.
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)
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
CPR required (BLS)
Current Texas driver’s license and comfort with daily travel across assigned territory
Nice-to-haves
Prior home health or hospice experience
Familiarity with Homecare Homebase (HCHB) or similar EMR
Adaptive Home Health's is a Medicare-certified home health agency with a proven track record of delivering compassionate, high-acuity care — and we're expanding our team across the United States. Founded and led by veterans, nurses, and operators who are deeply committed to the patient above all else, Adaptive has built a 300+ person clinical team trusted by major hospitals, orthopedic practices, wound centers, and cancer centers to deliver specialized skilled nursing, physical therapy, occupational therapy, wound and infusion care, and orthopedic rehab directly in the home.
Backed by a robust tech stack — built by top AI engineers and operators from Palantir, Character AI, and Citadel — we are pairing Adaptive's world-class clinical infrastructure with an AI operating system that automates administrative workflows, eliminates waste, and empowers clinicians to focus on what they do best: caring for patients.
The problem we're solving is urgent: 38% of referred home health patients never receive care, and 30% of all healthcare spend is lost to administrative burden — but every $1 invested in home health saves $2 from the broader system. We are fixing that, and we're hiring mission-driven clinicians, technologists, and operators all across the country to help us do it. If you want to work at the intersection of compassionate care and cutting-edge AI, and you want your work to genuinely matter, come build with us.
Offices: 1410 E Renner Rd, Richardson, Texas 75082, US · 4201 W Parmer Ln, Austin, Texas 78727, US · 600 Rockmead Dr, Houston, Texas 77339, US · 2027 S 61st St, Temple, Texas 76504, US · 115 N Central Ave, Cameron, Texas 76520, US
Health CareHome Health CareNursing and Residential CareTherapeutics
Adaptive Home Health's is a Medicare-certified home health agency with a proven track record of delivering compassionate, high-acuity care — and we're expanding our team across the United States. Founded and led by veterans, nurses, and operators who are deeply committed to the patient above all else, Adaptive has built a 300+ person clinical team trusted by major hospitals, orthopedic practices, wound centers, and cancer centers to deliver specialized skilled nursing, physical therapy, occupational therapy, wound and infusion care, and orthopedic rehab directly in the home.
Backed by a robust tech stack — built by top AI engineers and operators from Palantir, Character AI, and Citadel — we are pairing Adaptive's world-class clinical infrastructure with an AI operating system that automates administrative workflows, eliminates waste, and empowers clinicians to focus on what they do best: caring for patients.
The problem we're solving is urgent: 38% of referred home health patients never receive care, and 30% of all healthcare spend is lost to administrative burden — but every $1 invested in home health saves $2 from the broader system. We are fixing that, and we're hiring mission-driven clinicians, technologists, and operators all across the country to help us do it. If you want to work at the intersection of compassionate care and cutting-edge AI, and you want your work to genuinely matter, come build with us.
Offices: 1410 E Renner Rd, Richardson, Texas 75082, US · 4201 W Parmer Ln, Austin, Texas 78727, US · 600 Rockmead Dr, Houston, Texas 77339, US · 2027 S 61st St, Temple, Texas 76504, US · 115 N Central Ave, Cameron, Texas 76520, US
Health CareHome Health CareNursing and Residential CareTherapeutics