SKILLED LVN Pediatric Homecare

Anchor Home Health Care · Fate, TX Full Time

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Job Description

Registered Nurse (RN) Family First Homecare (FFHC) is seeking a compassionate and skilled Registered Nurse (RN) to deliver high-quality, in-home nursing care to pediatric patients. In this vital role, you'll be responsible for providing comprehensive nursing services, adhering strictly to Family First Homecare policies, state Nurse Practice Acts, and all applicable State and Federal regulations. You'll join a great team dedicated to supporting one another and providing the best possible care. We're committed to your professional growth and success, which is why we offer comprehensive training and 24/7 support from your leaders. If you're passionate about making a difference in the lives of children and their families within a home healthcare setting, and value a supportive work environment, we encourage you to apply. At Family First Home Care, we're dedicated to supporting our team with an outstanding benefits package designed to enhance your well-being, financial security, and professional growth. We offer the following benefits: Private Health Care Plans: (Medical, Dental, Vision and Health Savings Account (HSA) with an employer matching contribution 401(k) Retirement Plan and Company Matching Contributions Paid Time Off (PTO) Employee Assistance Program (EAP) for Employee and Family Weekly pay with direct deposit Payroll card allowing you to have your wages deposited directly on your card. May vary by state. W2 employee Professional development with a rapidly growing organization Opportunities for promotions and upward mobility Employee Referral Bonus Program Long-lasting and memorable bonds with clients Individual, hands-on training and support 24-hour management support Work/life balance Fun activities and incentives Promotion opportunities Access to CE courses Eligibility requirements apply, and some benefit offerings may vary by state. Join us and discover a supportive environment where your career can thrive! Family First Homecare team members represent the organization and its services in a competent, professional and responsive manner while maintaining standards of high-quality patient care and customer service in accordance with all state, local and federal requirements, rules and regulations. Key Responsibilities Accountable for providing care that is based on licensure/certification within the scope of practice. Performs admission, transfer, re-certification, resumption of care and discharge paperwork as assigned. Maintains an updated clinical record on each patient at all times, meeting required deadlines for documentation. Evaluates the effectiveness of nursing service to the patient and family on an ongoing basis. Consults with physicians concerning alterations of patient care plans, documentation of changes in patient care and reports all changes in care to the nurse supervisor. Supports FFHC's mission by mentoring and/or coaching new employees during patient specific orientations. Educates patients and their caregivers on topics related to patients' care needs. Performs supervision for LPNs and Aides in the home as assigned. Participates in FFHC Quality Assurance Performance

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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.