Pediatric Home Health Nurse LPN RN
How this pay compares
This posting does not state an hourly rate. Open licensed practical nurse jobs in Texas post a median of $28 an hour, the middle half $27.46–$30.38, across 140 jobs that state their pay. Licensed practical nurses employed in Texas earn a median of $29.92 an hour, according to the Bureau of Labor Statistics (May 2025) (source: BLS Occupational Employment and Wage Statistics, opens in a new tab).
Licensed practical nurses in Texas: pay by town and employer
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About the job
Position: Licensed Practical Nurse (LPN/LVN) and Registered Nurse (RN)
Various Shifts available; Full Time and Part -Time positions available
Job Description
The field nurse will provide direct patient care in the patients place of residence. He/she must be able to function independently in performing the nursing process. Assess patients’ condition during every visit and chart observations. Perform evaluation tasks, including vital signs and medication review and implement the plan of care provided by the clinician. Submission of timely documentation via our e-charting system.
If you are looking for a rewarding career, a competitive salary, a management that truly cares about you, and a workplace where you can continue to learn and grow, come apply with First Steps Nursing and Therapy now! We have an immediate opportunity for Registered Nurses or Licensed Vocational Nurses with recent Private Duty Nursing Home Health experience. Full Time and Part time positions available.
Duties
- Provides direct, hands-on care to assigned clients.
- Observes and assesses the client’s condition and care needs appropriately and reports changes in condition to the supervisor and/or physician, as appropriate.
- Administers prescribed medications, treatments, and therapies.
- Medication Monitoring
- Takes appropriate nursing action based on current assessments and achieves expected outcomes.
- Educates and provides ongoing support and education to families and caregivers.
Experience
- Current, unencumbered Texas license to practice as a Registered Nurse (RN) or Licensed Vocational Nurse (LVN)
- Current CPR certification
- Reliable transportation
- Meet physical demands of lifting, transfers, kneeling and standing.
- Pediatrics experience is recommended, but not necessary. In-Office and On-Site training provided
Benefits
- Competitive Pay Rates
- Weekly Direct deposit
- 24 HR On-Call Service
- Insurance Benefits and Supplemental Insurance
- 401K plan for qualified employee
Transportation: Reliable transportation, valid and current auto liability insurance (if driving patients).
Environmental and Working Conditions: Work in patient's home in various conditions; possible exposure to blood and bodily
fluids and infectious diseases; ability to work flexible schedule; ability to travel local; some exposure to unpleasant weather; PRN emergency call.
Physical and
Mental Effort: Prolonged standing and walking required, with ability to lift and move patients.
Requires working under some stressful conditions to meet deadlines and patient needs, and to make quick decisions and resources acquisition; meet patient/family individualized psycho social needs.
Requires hand/eye coordination and manual dexterity.
Standard Evaluation Assess home health patients to identify the physical, psycho-social, and environmental needs as evidenced by documentation, clinical record, case conference, team report, and evaluations.
Implement/ develop/ document the plan of care to ensure quality and continuity of care.
Provide care utilizing infection control measures that protect both the staff and the patient. (OSHA)Nursing reflects compliance with State, Federal, & Local regulations.
Comply with all First Step Nursing Services policies and procedures.
Provide effective communication to patient/family, team members, and other health care
professionals as evidence by clinical notes, case conferences, communication notes, and evaluations.
Notify supervising nurse of changes in the client's condition immediately.
Provide health education to client and or caregiver.
Documents interim changes of plan of care in timely fashion.
From First Step Nursing and Therapy Services's job posting, checked Oct 29, 2026. The employer's own page is the final word on requirements and availability.
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About First Step Nursing and Therapy Services
First Step Nursing and Therapy Services hires nurses and therapists in San Antonio, Converse and other towns in Texas.
Hires in TexasPay on its listings: 72.2% of its open jobs state an hourly rate
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