Licensed Vocational Nurse (LVN)

Position Summary

The Licensed Vocational Nurse (LVN) provides direct patient care and clinical support within Enhanced Care Management (ECM) and street-medicine programs serving individuals experiencing homelessness and other underserved populations. This role operates exclusively in community-based, mobile, and non-traditional settings (e.g., street outreach, shelters, encampments), collaborating closely with interdisciplinary teams to deliver accessible, trauma-informed care and support care coordination efforts.

Key Highlights

• Compensation: The compensation range for this role is $35 - $45 an hour, with final compensation determined based on experience, qualifications, and role scope.

• Work Location & Expectations: This role requires daily in-person engagement in the San Bernardino county region.

• Professional Development: Opportunity to collaborate with cross-functional leaders across Behavioral Health, Medical, Street Medicine, Public Health, Rural Health, and Tribal Health initiatives.

Clinical Responsibilities

• Deliver direct patient care in community-based and street-medicine settings in accordance with LVN scope of practice, ECM requirements, and organizational protocols.

• Auxiliary licensed providers with patient examinations, treatments, and procedures conducted in non-traditional settings.

• Administer approved medications and vaccinations as ordered by licensed providers.

• Perform venipuncture and blood draws for laboratory testing in the field at outdoor encampments, including proper specimen handling, labeling, and transport.

• Perform routine clinical procedures, including:

  • Obtaining and documenting vital signs.
  • Collecting laboratory specimens and performing CLIA-waived tests as ordered.
  • Wound care, dressing changes, and basic first aid.
  • Monitor patients for adverse or allergic reactions following medication or treatment administration and initiate emergency measures per protocol.
  • Conduct health assessments and screenings during street outreach, shelter-based events, and mobile medical operations.
  • Provide patient education related to medications, disease prevention, harm reduction, and basic health maintenance.

• Handle, store, and manage medications and vaccines in compliance with CDC, OSHA, and organizational policies.

• Accurately document medical and psychosocial histories, assessments, treatments, medications, and outcomes in the electronic health record in support of ECM and street medicine activities.

• Collaborate with ECM team members, including community health workers, case managers, and social workers, to support care coordination and continuity of care.

• Advocate for the healthcare needs of individuals experiencing homelessness and work to reduce systemic barriers to accessing care.

Administrative & Operational Responsibilities

• Maintain accurate, timely, and complete documentation to support ECM compliance, reporting, and care coordination requirements.

• Ensure strict adherence to HIPAA and patient confidentiality standards in field-based environments.

• Support patient flow during outreach and street medicine operations and communicate delays or changes to team members and patients as appropriate.

• Coordinate internal and external referrals to medical, behavioral health, and community-based resources.

• Ensure medical equipment, supplies, and medications are stocked, organized, and ready for field deployment.

• Manage clinical supplies and inventory, including restocking and usage tracking.

• Assist with prescription coordination, including refill requests and pharmacy communication, within LVN scope of practice.

• Transport clinical and operational supplies to outreach sites and points of care as required.

• Attend required staff meetings, conferences, trainings, and organizational meetings.

• Perform other duties as assigned to support ECM and street-medicine operations.