Licensed Practical Nurse

Deliver assigned nursing visits and supportive clinical services under RN direction and supervision. Observe member status, reinforce caregiver education, maintain accurate records and escalate concerns promptly to support safe and consistent care.

The responsibilities listed below represent the essential functions of the position and are not intended to be an exhaustive list of all duties, responsibilities, or qualifications associated with the role.

• Complete assigned LPN visits and participate in admissions and assessments in tandem with the RN and Case Manager, consistent with RN direction, the member’s plan of care, the published schedule and applicable LPN scope of practice.
• Observe and document member condition, functional changes, medication-related concerns, caregiver practices and environmental or safety issues.
• Observe, document and promptly communicate findings from admissions, assessments and ongoing visits to the RN and Case Manager; refer matters requiring independent RN assessment, clinical judgment or care-plan approval to the RN.
• Complete assigned follow-up after visits, communicate outcomes to the supervising RN and verify closure of outstanding actions.

• Reinforce RN-established caregiver education, health-maintenance guidance and approved care-plan actions within LPN scope and assigned responsibilities.
• Observe caregiver understanding and implementation of instructions; report potential competency or safety concerns to the RN.
• Collect and review assigned caregiver logs within required cycles, identify missing or inconsistent entries and escalate discrepancies through the approved process.
• Prepare clear, timely nursing progress notes and other assigned records, distinguishing direct nursing care from outreach, scheduling or administrative work.

• Work closely with the RN, Case Manager, Regional Manager and other departments to ensure visit findings, follow-up needs and service barriers are communicated.
• Collaborate with the RN and Case Manager during admissions, initial and ongoing assessments, transitions and caregiver follow-up; coordinate observations, documentation and handoffs while maintaining RN supervision and professional scope boundaries.
• Identify travel, workload or scheduling barriers early and coordinate with leadership to protect visit completion and documentation quality.

• Coordinate with Regional Operations, nursing, Caregiver Experience, Scheduling, Credentialing, Medical Records and Compliance to resolve service barriers and ensure accurate handoffs.
• Document escalations, identify accountable owners and follow through until issues are resolved; communicate emerging risks before they interrupt services.
• Coordinate collaboratively with Scheduling regarding assigned visits, member and caregiver availability, changes in visit plans and efficient field routes; promptly report barriers to timely service.
• Observe and report home-setting readiness, environmental safety issues, emergency-preparedness concerns and caregiver support needs to the RN and Case Manager; do not independently determine qualified-setting eligibility.
• Support case management by communicating relevant member and caregiver observations, documenting follow-up needs and reinforcing approved care-plan instructions within LPN scope and RN direction.
• Partner with the RN, Case Manager and regional leadership to flag emerging issues that may require home-preparedness interventions, scheduling adjustments or care-plan review.

• Maintain timely, accurate and complete records in approved systems, including assessments, visits, communications, outstanding actions and resolutions.
• Follow established standard operating procedures, confidentiality requirements and documentation standards; identify recurring gaps and recommend practical workflow improvements.
• Participate in quality reviews, required training, competency evaluations and periodic field shadowing; use performance data and feedback to improve service quality.

• Perform duties primarily in members’ homes and other assigned field locations. The Braintree, Massachusetts office is the organizational base; office attendance is limited to required training, meetings or other specifically requested activities.
• Build professional, supportive relationships with members and caregivers through in-person visits; listen to concerns, provide practical guidance within role scope and ensure issues reach the appropriate team promptly.
• Work directly with the Regional Manager and Regional Director to share meaningful case observations, caregiver concerns, service barriers and opportunities to improve member outcomes and continuity of care.
• Provide timely, actionable case insights to the RN, Case Manager and regional leadership, as applicable, and contribute to the creation, implementation and updates of individualized plans of care within professional scope.
• Plan field visits geographically and coordinate schedules to reduce unnecessary travel, protect member-facing time and meet required visit windows without compromising care quality.
• Maintain accurate mileage records and submit mileage expense reports with required trip details, supporting documentation and approvals in accordance with company policy; promptly resolve discrepancies.
• Keep field notes, case updates and follow-up assignments organized in approved systems; communicate key findings and outstanding needs across departments while safeguarding confidential information.
• Regular business hours are generally Monday through Friday; however, schedule flexibility may be required to support member needs, operational priorities, training requirements, or business necessity.

• Current, unrestricted Licensed Practical Nurse license issued by the Massachusetts Board of Registration in Nursing.
• At least two years of recent direct-care experience with elders or adults with disabilities.
• Strong observation, communication, caregiver-education and clinical documentation skills; ability to work effectively under RN direction and supervision.
• Ability to travel to member homes; valid driver’s license and proof of insurance where driving is required. Additional language skills preferred.
• Proficiency with Microsoft Office applications, mobile devices, and electronic documentation systems.
• Reliable transportation and the ability to travel throughout the assigned service area on a regular basis.
• Employment is contingent upon successful completion of all required pre-employment screenings, including license verification, background checks, reference checks, and any program or regulatory requirements applicable to the position.

• Assigned nursing visits completed within required timeframes.
• Timely, accurate and complete nursing notes and assigned documentation.
• Caregiver-log reviews completed within assigned cycles.
• Health changes and clinical concerns escalated promptly to the RN.
• Assigned caregiver education and follow-up actions completed and documented.
• Quality and timeliness of case insights, plan-of-care contributions and escalations to the Regional Manager and Regional Director.
• Efficient field-route planning, accurate mileage documentation and on-time expense report submission.
• Effective collaboration with Scheduling, timely resolution of home-readiness concerns and documented case management support within the role’s scope.

This is a field-based position involving regular travel between member homes and community settings, variable home environments, standing, walking, sitting, computer and mobile-device use, and direct member and caregiver interactions. The organizational office is in Braintree, Massachusetts; office attendance is only as needed for required training or specifically requested meetings. Field routes should be organized efficiently, with accurate mileage reporting in accordance with company policy. Essential duties are performed with reasonable accommodation where applicable.

Maintain confidentiality, follow organizational policies and applicable program requirements, participate in required training, and perform other related duties consistent with the position and professional scope as assigned. Vitra Health is an equal opportunity employer.