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Residential Licensed Vocational Nurse (LVN)

Advance Kids -
Sacramento, CA

Quick Apply

Job Details

Full-time
$32 - $40 an hour

Benefits

AD&D insurance
Paid holidays
Health insurance
Dental insurance
401(k)
Flexible spending account
Paid time off
Employee assistance program
Vision insurance
Paid sick time

Qualifications

Caregiving documentation requirements
LVN
Care documentation
Driver's License
Records management
Health information management
Managing patient records

Full Job Description

Licensed Vocational Nurse (LVN)

Residential Crisis Program | Sacramento Region, CA

$32-$40/Hour, Full-Time

Join 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 care and program operations.

Required Same-Day RN Notification

The LVN must contact the RN the same day for:

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

Compensation:

$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)

Why Advance Kids?

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.

Quick Apply

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Licensed Vocational Nurse (LVN)

Residential Crisis Program | Sacramento Region, CA

Position Summary

Qualifications

Required

Physical Requirements

Pre-Employment Requirements

What You'll Do

Clinical Care & Nursing Support

Medication Management

Medical Appointment Coordination

Documentation & Compliance

Staff Support & Training

Emergency Response

Additional Responsibilities

Required Same-Day RN Notification

Why Advance Kids?

Apply Today and Help Us Change Lives.