Residential Licensed Vocational Nurse; LVN

Position: Residential Licensed Vocational Nurse (LVN)
Licensed Vocational Nurse (LVN)
Residential Crisis Program | Sacramento Region, CAJoin a team that changes lives every day.

At Advance Kids, we believe every individual deserves the opportunity to live a meaningful, fulfilling life. For more than 25 years, we have provided innovative residential, clinical, educational, and crisis intervention services for children, teens, and adults with autism spectrum disorder and developmental disabilities. Our mission is simple: to improve quality of life through compassionate, individualized support and evidence-based care.

We are seeking a dedicated Licensed Vocational Nurse (LVN) to support our residential crisis programs. This is an opportunity to work alongside a multidisciplinary team that values integrity, accountability, collaboration, and clinical excellence while making a profound impact on the lives of individuals with complex support needs.

Position Summary The LVN operates under the indirect supervision of the Nurse Consultant (RN) in accordance with California law. The RN is not required to be physically present during LVN service delivery. The LVN is a vital member of the clinical team and is responsible for implementing nursing interventions, coordinating healthcare services, supporting clients and staff, and ensuring accurate clinical documentation.

This role is active and hands-on. The LVN is expected to remain engaged in clinical coordination, client care support, documentation, training activities, and healthcare management throughout each shift.

Qualifications Required Current  California Licensed Vocational Nurse (LVN) license

Ability to work effectively within scope of practice and under RN supervision

Strong clinical documentation skills

Valid driver's license and reliable transportation (if required for appointments)

Physical Requirements Ability to lift up to 50 pounds

Ability to perform physical aspects of client support and residential care activities

Pre-Employment Requirements Successful criminal background check

Reference verification

Education verification

Immunization records

Negative TB test

What You'll Do Clinical Care & Nursing Support Implement nursing interventions as outlined in physician and RN-directed care plans.

Monitor client health status and document observations, medication responses, behavioral changes, and health-related events.

Measure and document weekly vital signs and weights for assigned clients.

Identify and immediately report significant changes in client condition to the supervising RN.Medication Management Administer medications according to physician orders and current Medication Administration Records (MARs).Complete medication documentation accurately and timely.

Conduct medication audits as assigned.

Reconcile medications following physician appointments or prescription changes.

Notify the RN immediately regarding any medication changes, discrepancies, or errors.

Medical Appointment Coordination Schedule and coordinate medical, psychiatric, and specialty appointments.

Accompany clients to appointments as needed.

Ensure all required documentation and forms are completed.

Submit appointment summaries and provider recommendations to the RN within 24 hours.

Documentation & Compliance Maintain accurate client health records.

Submit updated MARs monthly and whenever changes occur.

Forward provider correspondence, treatment notes, and recommendations to the RN.Ensure all clinical documentation is completed on the day services are provided.

Staff Support & Training Deliver RN-developed training programs to residential staff.

Support Direct Support Professionals (DSPs) with health-related tasks.

Escalate clinical concerns beyond LVN scope to the RN.Collect training attendance documentation and submit to nursing leadership.

Emergency Response Respond appropriately to emergencies, including activating emergency medical services when necessary.

Notify leadership and supervising RN promptly.

Complete required documentation following incidents.

Additional Responsibilities Assist with hygiene-related support as assigned.

Assist with household tasks and residential operations as assigned.

Perform other duties necessary to support quality client…