Location & Practice Overview

This is a field-based Licensed Vocational Nurse role supporting Adaptive Home Health’s skilled home health operations in the Fort Worth area. Visits take place in patients’ homes as part of the agency’s higher-acuity home health model in Texas.

Primary Location Fort Worth, TX (field territory)
Care Setting Patient homes
Practice Type Skilled home health agency
Service Focus Higher-acuity, patient-centered home health

Responsibilities

  • Deliver skilled nursing visits in the home within LVN scope under RN or clinical supervision as required.
  • Perform focused assessments, monitor for changes in condition, and escalate promptly to the RN, MD, or 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 using teach-back methods aligned to the plan of care.
  • Support wound care and other skilled tasks per orders and competency, such as dressing changes and reinforcement of teaching.
  • Coordinate with the office and interdisciplinary team so visits occur on time and orders are followed.

The position focuses on safe, reliable skilled care delivery in the home with consistent communication and escalation.

Qualifications & Requirements

Applicants must meet the following mandatory requirements for consideration.

License
Current unrestricted Texas LVN license
Certification
Current CPR (BLS)
Driving Requirement
Current Texas driver’s license and comfort with daily travel across the assigned territory
Core Competencies
Strong communication and documentation; reliable follow-through on orders, visit cadence, and patient goals
Work Preference
Comfort working in a field-based workflow with appropriate escalation judgment

Compensation & Benefits

Compensation is structured on a productivity-point basis with the stated annual range and separate mileage payment.

  • $48.08 per productivity point
  • $75,000–$90,000 per year
  • Mileage in addition to productivity compensation
  • 401(k) with matching
  • Health, dental, vision, and life insurance; paid time off; flexible scheduling; referral program

Schedule & Work Environment

Employment Status Full-time
Primary Schedule Monday–Friday
Additional Coverage Some weekends as needed
Work Environment Field-based with daily travel

Patient Population & Clinical Setting

The role involves providing skilled nursing care to patients in their homes under a higher-acuity home health model.

Setting Patient residences
Acuity Higher-acuity skilled home health patients
Visit Type Scheduled skilled nursing visits
Geographic Scope Assigned territory in the Fort Worth area

Clinical Focus & Key Services

Clinical work centers on skilled nursing interventions delivered in the home within LVN scope and the established plan of care.

Assessment & Monitoring Focused assessments and monitoring for changes in condition
Medication Support Medication reconciliation support and safety education
Wound Care Wound care and related skilled tasks per orders and competency
Education Patient and caregiver education using teach-back

Role Highlights

Distinguishing features of this specific field LVN position include the following elements drawn directly from the role description.

  • Clear productivity-point compensation model ($48.08 per point) with stated annual range of $75,000–$90,000 plus mileage
  • Support from an experienced clinical and operational team
  • Charting tools designed to reduce documentation burden
  • Scheduling product planned to launch soon to improve visit coordination

About Adaptive Home Health

Adaptive Home Health is building a higher-acuity, patient-centered skilled home health model across Texas. The organization’s stated mission is to dramatically improve patient access to home health care. It develops technology to support field clinicians, including charting tools intended to reduce documentation burden and a scheduling product planned for launch to aid visit coordination. The agency provides clinical and operational team support for field staff.

Focus Higher-acuity skilled home health
Geographic Scope Texas (including Fort Worth / DFW area)
Mission Improve patient access to home health care
Clinician Support Clinical and operational team backing; technology tools for charting and scheduling

Frequently Asked Questions

What is the exact compensation structure?
Compensation is $48.08 per productivity point, with a stated range of $75,000–$90,000 per year. Mileage is paid in addition to productivity compensation.
Is prior home health experience required?
Prior home health or hospice experience is listed as a nice-to-have, not a must-have. The required items are a current unrestricted Texas LVN license, BLS, Texas driver’s license, and comfort with field-based work and escalation judgment.
What does the schedule look like?
The position is full-time, Monday through Friday, with some weekends as needed.
Is the role clinic-based or field-based?
The role is field-based. Clinicians travel daily across the assigned territory to deliver care in patients’ homes.
What supervision does an LVN receive?
Skilled nursing visits are delivered within LVN scope under RN or clinical supervision as required. Prompt escalation of changes in condition to the RN, MD, or clinical team is expected.

Licensed Vocational Nurse (LVN) in Fort Worth, TX

Adaptive Home Health is hiring a full-time Licensed Vocational Nurse (LVN) — Field Clinician for the Fort Worth, Texas area. The position is field-based and involves delivering skilled nursing visits in patients’ homes within LVN scope under RN or clinical supervision. Compensation is $48.08 per productivity point, corresponding to a range of $75,000–$90,000 per year, with mileage paid separately. The schedule is Monday through Friday plus some weekends as needed. Core duties include focused assessments, monitoring for changes in condition with prompt escalation, medication reconciliation support and safety education, patient and caregiver teach-back education, wound care and other skilled tasks per orders and competency, and coordination with the office and interdisciplinary team. Required credentials are a current unrestricted Texas LVN license, BLS certification, and a current Texas driver’s license with comfort for daily territory travel. Prior home health or hospice experience and wound care exposure are preferred but not required. The agency is building a higher-acuity skilled home health model across Texas and provides clinical and operational support along with charting tools designed to reduce documentation burden.

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