On-Call Licensed Vocational Nurse (LVN)

Role: On-Call Licensed Vocational Nurse (LVN) — Field Clinician

Mileage in addition to productivity comp

Schedule: On-Call After Hours, Part Time (as needed)

Location: Field-based

Comp: $48.08 per point

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.

Spend more time caring for patients—not charting.

At Adaptive Home Health, we're excited to offer our clinicians an innovative AI-native home healthcare platform designed to simplify your day. Enjoy customized schedules, optimized routing for greater efficiency, and ambient AI scribing that automatically documents your visits while you focus on your patients.

Prefer not to record during a patient visit? No problem. Our platform also includes an after-visit voice documentation option, allowing you to capture your notes afterward and leverage AI to draft your charts.

By streamlining documentation and reducing after-hours charting, our technology helps you spend less time on paperwork and more time doing what you do best, providing exceptional 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

1. Carry a high-quality caseload

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

3. 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.

4. 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 — 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.

Must-haves

• Active Michigan LVN license (unrestricted)

• Comfort working in a field-based workflow with appropriate escalation judgment

• Strong communication and documentation

• Reliable follow-through on orders, visit cadence, and patient goals

• Valid driver’s license, auto insurance, and reliable transportation and comfort with daily travel across assigned territory

Nice-to-haves

• Prior home health or hospice experience

• Wound care exposure

The rest of the package

• Mileage Reimbursement

• $1,000 Referral Bonuses