Licensed Vocational Nurse

* $5,000.00 SIGN ON BONUS*

POSITION SUMMARY/SCOPE

The Licensed Vocational Nurse (LVN) in the Rural Health Clinic provides direct patient care and clinical support services under the supervision of a Registered Nurse (RN), Nurse Practitioner (NP), Physician Assistant (PA), or Physician. The LVN functions within the Texas Board of Nursing scope of practice and supports quality patient care in an outpatient rural setting, ensuring compliance with CMS Rural Health Clinic regulations, clinic policies, and patient safety standards.

Supervisory Responsibilities:

• none

Duties /Responsibilities:

Clinical Patient Care

• Perform patient intake, including vital signs, medical history, medication reconciliation, and chief complaint documentation
• Assist providers with examinations, procedures, and treatments
• Administer medications and injections as ordered and within LVN scope of practice
• Perform wound care, dressing changes, suture removal, and basic treatments per provider orders
• Collect specimens (urine, swabs, blood via venipuncture if trained/competent) and prepare for lab processing
• Perform point-of-care testing (e.g., glucose, urinalysis, rapid strep/flu/COVID testing)
Provide patient education related to medications, treatments, and follow-up care under RN/provider guidance

Care Coordination & Documentation

• Accurately document all patient care, treatments, and observations in the electronic health record (EHR)
• Communicate patient condition changes promptly to RN or provider
• Assist with referrals, follow-up appointments, and care coordination
• Support chronic care management and preventive health services as directed

Clinic Operations & Safety

• Prepare exam rooms and maintain clean, stocked, and organized clinical areas
• Follow infection control, OSHA, HIPAA, and safety policies
• Assist with vaccine administration clinics and preventive services
• Oversee the Texas Vaccines for Children program and Immtrac
• Participate in quality improvement initiatives and clinic audits
• Support emergency response within clinic scope (e.g., CPR, basic life support)

Professional & Team Responsibilities

• Work collaboratively with providers, RNs, MAs, LVNs, and administrative staff
• Participate in staff meetings, training, and competency validation
• Maintain required licensure, certifications, and continuing education
• Adhere to clinic policies, ethical standards, and professional conduct expectations

Scope of Practice & Supervision:

• Practices under the supervision of an RN, NP, PA, or Physician in accordance with Texas Board of Nursing rules
• Does not independently assess, diagnose, or prescribe
• Escalates clinical concerns appropriately and timely

  Physical Requirements:

• Ability to stand, walk, and move throughout clinic during shift
• Ability to lift and assist patients up to 50 pounds
• Manual dexterity for clinical procedures
Visual and auditory acuity for patient assessment and safety


• Work Enviroment:

• Outpatient Rural Health Clinic
• Fast-paced environment with variable patient volumes
• Exposure to communicable diseases and bodily fluids

Disclaimer:

• This job description is not intended to be all-inclusive. Duties, responsibilities, and activities may change as clinic needs evolve.
• Other duties as assigned

Required Qualifications:

• Graduate of an accredited Licensed Vocational Nursing program
• Current Texas LVN license in good standing
• Current BLS (CPR) certification (or obtain within 6 months)
• Knowledge of basic clinical procedures and infection control standards
Ability to work independently and as part of a healthcare team in a rural setting

Preferred Qualifications:

• Experience in a Rural Health Clinic, outpatient clinic, or primary care setting
• Experience with EHR systems
• Venipuncture and immunization experience
• Bilingual (English/Spanish) preferred in rural communities