Licensed Vocational Nurse; LVN Job Wayne Nebraska USA,Nursing

Position: Licensed Vocational Nurse (LVN)
Location: Wayne

Role: Licensed Vocational Nurse (LVN) - Field Clinician

Mileage in addition to productivity comp

Schedule: Full-time Monday-Friday + some weekends (as needed)

Location: Field-based

We're fixing home healthcare, and we're building our presence in Detroit

Adaptive is building an AI-native home healthcare platform that enables clinicians to focus on delivering best-in-class care for their patients by leveraging software and innovative support solutions. We're building our team in Detroit with plans to quickly develop an exceptional reputation of delivering excellent patient care.

The mission of this role

Deliver excellent home health care to our patients in Detroit, and set the clinical bar, the documentation standard, and the referral-source trust that our market will be built on.

Objectives

Carry a full, high-quality caseload: ramp to ~30 productivity points/week at target visit quality.

Own your patients' outcomes: drive low avoidable-hospitalization rates and strong patient-experience scores; participate in case conferences/team huddles to improve our quality.

Be a referral-source ambassador: every discharge planner, ALF, and physician you touch should want to send the next patient to us because you were responsive and excellent.

Set the standard others copy: your charting, cadence, and judgment become the template we onboard the next cohort against as the pod grows.

What you'll own

Deliver skilled nursing visits in the home within LVN scope, under RN/clinical supervision as required.
Perform focused assessments, monitor for changes in condition, and escalate promptly to the RN/MD/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 (teach-back) aligned to the plan of care.
Support wound care and other skilled tasks per orders and competency (e.g., dressing changes, basic monitoring, reinforcement of teaching).
Coordinate with the office and interdisciplinary team so visits happen on time and orders are followed.
Document thoroughly and on time in Homecare Homebase (HCHB) - defensible, efficient, and consistent.

Who you are / how you operate

Dedicated clinician: home health experience strongly preferred
High ownership: you treat your caseload like your own panel and your pod like your own business.
Open mindset: Energized by the opportunity to shape the playbook and refine SOPs
Tech-forward: You want to leverage software to accelerate the charting process, and you'll give us blunt feedback to make it better
Trust-builder: Patients, families, and referral partners believe you because you do what you say.

Requirements

Active Michigan LVN license (unrestricted)
Reliable transportation, valid driver's license, auto insurance
Home health experience strongly preferred

Our guarantee

Full-time target: ~30 productivity points/week; clinicians earn more for exceeding it.
Guaranteed floor: ~21 points/week for the first 90 days - if your caseload hasn't filled, you're still paid the floor.

The rest of the package

Mileage reimbursement at the IRS rate (~$0.67/mi)
$1k sign-on bonus paid after first 90 days
$1k bonus for referrals (we're growing)!
Benefits for full-time (medical/dental/vision, PTO)