Licensed Vocational Nurse

Job Details

Location:

Administrative Offices - Sacramento, CA 95827

Salary Range: $32.00 - $40.00 Hourly

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.

• 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

• 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 care and program operations.
• Required Same-Day RN Notification
  • Any medication change
  • Medication errors or MAR discrepancies
  • Emergency room visits, hospitalizations, or 911 activations
  • New physician or psychiatric orders
  • Changes in client condition, symptoms, or behavior
  • Significant medical or psychiatric appointment findings
  • Provider communications containing clinical information
  • Any situation exceeding LVN scope of practice or requiring clinical guidance

$32 - $40/hour

Benefits:

• Employer-subsidized medical, dental & vision coverage
• 401(k) with employer contribution
• PTO accrual
• Separate paid sick time
• Paid holidays
• Annual performance based compensation growth potential
• Loyalty bonus every 5 years
• Life & AD&D coverage at no cost to you
• Comprehensive EAP—100% employer funded
• Tax-advantaged healthcare & dependent care FSAs
• Ongoing professional development (CEUs)

At Advance Kids, you’ll join a team of passionate professionals dedicated to helping individuals with developmental disabilities achieve greater independence, safety, and quality of life. We foster a culture of compassion, teamwork, continuous learning, and meaningful impact. Every day offers an opportunity to make a difference in the lives of the people we serve.

If you are a compassionate, detail-oriented LVN who wants to be part of a mission-driven organization, we’d love to hear from you.

Apply Today and Help Us Change Lives.