Licensed Vocational Nurse (LVN/LPN) at Fira Health

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

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.

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

Licensed Vocational Nurse (LVN/LPN)