Licensed Vocational Nurse | Home Health (23321)

Cantex Continuing Care Network · Prestonwood, TX Full Time
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Job Description

Description Location: Grayson County Job Summary: TheraCare Home Health is seeking a dependable and patient-focused Licensed Vocational Nurse (LVN) to provide skilled nursing care in the home setting under the supervision of a Registered Nurse. In this role, you will support patient care delivery, assist with care planning, and collaborate with the interdisciplinary team to ensure high-quality outcomes. This is a great opportunity for an LVN who enjoys working independently while being part of a supportive clinical team. Qualifications Qualifications: Licensed Vocational Nurse (LVN) in the state of Texas Minimum of 1 year of home health experience preferred Strong knowledge of patient care, infection control, and documentation practices Ability to follow and implement a Plan of Care (POC) under RN supervision Strong clinical assessment, documentation, and communication skills Ability to identify and report changes in patient condition Experience working with interdisciplinary teams in a home health setting preferred Reliable transportation with valid driver’s license and current auto liability insurance Ability to read, write, and communicate effectively in English Essential Functions: Provide skilled nursing care to patients in the home setting under the supervision of a Registered Nurse Assist in identifying patient physical, psychosocial, and environmental needs Participate in developing and implementing the Plan of Care (POC) in collaboration with the RN Administer treatments and interventions in accordance with physician orders and agency policies Monitor patient condition and report changes to the supervising RN Maintain accurate and timely clinical documentation in compliance with regulatory standards Participate in interdisciplinary communication and weekly case conferences (IDG/IDT) Provide verbal and written updates to the RN prior to reassessment, supervisory, and discharge visits Follow and maintain infection control and safety protocols (OSHA standards) Ensure patient safety and quality of care at all times Comply with all state regulations and professional standards of nursing practice Participate in required in-service training and maintain clinical competency Meet productivity expectations and ensure documentation is completed within required timeframes Benefits: Highly competitive compensation Generous 401K with matching contributions Continuing education reimbursement for professional growth Ample vacation, sick leave, and holidays. Over-productivity pay Employee recognition program with financial rewards Mileage reimbursement Comprehensive medical, dental, and supplemental insurance We are an Equal opportunity employer; We offer an excellent benefit plan to include 401K with match, CEU reimbursement, vacation, sick, holidays, medical, dental, and supplemental insurance Plans as well as a Highly competitive compensation package. HCBSHP

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What Most Job Listings Don’t Tell You

General overview for this role type — specific duties and requirements vary by employer.

Nursing roles in senior living are fundamentally different from hospital nursing. Most positions involve building long-term relationships with the same residents over months or years rather than cycling through new patients every shift. Facilities in the DFW area typically require an active Texas RN or LVN license, current CPR/BLS certification, and many prefer at least one year of geriatric or long-term care experience.

Shift patterns vary widely — some facilities run traditional 8-hour shifts (day, evening, night), while others use 12-hour rotations. Weekend and holiday coverage is almost always part of the schedule. The nurse-to-resident ratio in assisted living is generally more favorable than in hospitals, but you will likely be the highest-level clinical staff on the floor during your shift, which means more autonomy and more responsibility for clinical judgment calls.

What to Expect in This Role Day-to-Day

Based on typical senior living facilities in the DFW area.

A typical shift starts with medication pass and resident assessments. You will review overnight notes from the previous shift, check vitals for residents on your watch list, and coordinate with CNAs on any changes in condition. Mid-shift usually involves documentation, family communication, and working with physicians on care plan updates — often by phone or telehealth rather than in-person rounds.

Depending on the facility, you may also handle admissions paperwork, manage wound care, supervise medication techs, and respond to emergencies. The documentation load in senior living is significant — state surveys and compliance requirements mean thorough charting is non-negotiable. Many nurses in this setting say the most rewarding part is knowing their residents personally and being able to notice subtle changes that a rotating hospital nurse might miss.

DFW Area Salary Data

According to the Bureau of Labor Statistics, Registered Nurse positions in the DFW metroplex area earn a median wage of $48.76/hr ($101,421/yr). The typical range is $39.25 – $53.19/hr (25th–75th percentile).

Entry Level (10th) $73,403/yr
DFW Median $101,421/yr
Experienced (90th) $129,709/yr
vs. National Median +4.0%

Source: Bureau of Labor Statistics, Occupational Employment & Wage Statistics (Dallas-Fort Worth-Arlington, TX Metro Area). Salary data provided by DFW Senior Living Guide.

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