Private Duty LVN Shifts

Licensed Vocational Nurse (LVN)

Career Nation is seeking experienced and compassionate Licensed Vocational Nurses (LVNs) for an ongoing private-duty home care assignment in New Braunfels, TX. Both day and overnight coverage are available.

This is a 1:1 private-duty case supporting an adult patient in her home. The patient requires skilled nursing support, including blood glucose monitoring and insulin administration. She is also experiencing early signs of cognitive decline/dementia and may have periods of confusion, disorientation, agitation, and aggressive behavior.

We are looking for nurses who are calm, patient, confident, and comfortable providing care to a patient experiencing behavioral and cognitive changes. The right nurse should be able to redirect and de-escalate appropriately while maintaining a safe and respectful environment.

• Provide continuous 1:1 nursing care and supervision in the patient's home
• Monitor blood glucose levels and administer insulin based on ordered parameters
• Monitor and document the patient's condition and changes throughout the shift
• Provide support and redirection during episodes of confusion or disorientation
• Respond calmly and appropriately to agitation or aggressive behaviors
• Maintain patient safety and identify/report significant changes in condition
• Assist with activities of daily living and other care needs as appropriate
• Complete required documentation in the client's EMR
• Communicate relevant updates or concerns to the supervising home health team
• Follow the established plan of care and physician orders

We are currently staffing 12-hour shifts:

• Day: 8:00 AM–8:00 PM
• Night: 8:00 PM–8:00 AM
• Candidates may indicate preference for days, nights, or both
• Ongoing coverage available

$33–$35/hour, depending on experience and availability.

• Active, unrestricted Texas LVN license
• Current BLS/CPR
• Private-duty, home health, geriatric, memory-care, or behavioral-health experience strongly preferred
• Experience with diabetes management and insulin administration
• Comfortable caring for patients experiencing dementia-related confusion, agitation, or behavioral changes
• Strong observation, documentation, and communication skills
• Dependable and comfortable working independently in a private-home setting

This position is in a private residence in New Braunfels, TX 78132. There are five cats in the home, so applicants must be comfortable working around cats.

The patient's spouse is currently away from the home for an extended period, making reliable nursing coverage especially important. The patient benefits from a caregiver who can balance clinical competency with patience, reassurance, and respectful redirection.