Job Details: Job Location: Administrative Offices - Sacramento, CA, Salary Range: $32.00 - $40.00Hourly, Licensed Vocational Nurse (LVN) Residential Crisis Program | Sacramento Region, CA Location: Shingle Springs & Orangevale $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 meaningful impact on the lives of individuals with complex support needs. Position Summary The LVN works under the indirect supervision of the Nurse Consultant (RN) and in accordance with California law and the LVN's scope of practice. The RN is not required to be physically present during LVN service delivery. The LVN is an integral member of the clinical team, providing hands-on nursing support, coordinating healthcare services, monitoring client health, administering medications, supporting residential staff, and maintaining accurate clinical documentation. This is an active, hands-on position. The LVN is expected to remain engaged throughout each shift in client care support, clinical coordination, documentation, staff training, and healthcare management. Qualifications Required Prior experience in an ABA setting and experience working with individuals with intellectual and developmental disabilities Current and unrestricted California Licensed Vocational Nurse (LVN) license Ability to work effectively within the LVN scope of practice and under RN supervision Strong clinical documentation and organizational skills Ability to communicate effectively with clients, families, healthcare providers, residential staff, and clinical leadership Valid driver's license and reliable transportation Physical Requirements Ability to lift up to 50 pounds Ability to perform physical aspects of client support and residential care activities Ability to remain active and engaged in a residential setting throughout the workday 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 in accordance with physician orders, RN direction, and established 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 changes in client condition and promptly communicate concerns to the supervising RN. Support clients with health-related needs while maintaining dignity, safety, and respect. Medication Management Administer medications in accordance with physician orders and current Medication Administration Records (MARs). Complete medication documentation accurately and within required timeframes. Conduct medication audits as assigned. Reconcile medications following physician appointments or prescription changes. Immediately notify the RN of medication changes, discrepancies, errors, or concerns. Medical Appointment Coordination Schedule and coordinate medical, psychiatric, and specialty appointments. Accompany clients to appointments as needed. Ensure required documentation and forms are completed and available. Submit appointment summaries and provider recommendations to the RN within 24 hours. Documentation & Compliance Maintain accurate and timely client health records. Submit updated MARs monthly and whenever medication changes occur. Forward provider correspondence, treatment notes, and recommendations to the RN. Complete clinical documentation on the day services are provided. Maintain compliance with applicable nursing, healthcare, and residential program requirements. Staff Support & Training Deliver RN-developed training programs to residential staff. Support Direct Support Professionals (DSPs) with health-related tasks within appropriate scope and direction. Provide health-related guidance to residential staff and escalate concerns beyond LVN scope to the RN. Maintain accurate training attendance and completion records. Emergency Response Respond appropriately to medical and behavioral health emergencies within scope of practice. Activate emergency medical services when necessary. Promptly notify the supervising RN and appropriate program leadership following significant medical events. Complete all required documentation following emergencies and incidents. Same-Day RN Notification The LVN is responsible for notifying the supervising RN the same day regarding: Medication changes, errors, or MAR discrepancies Emergency room visits, hospitalizations, or 911 activations New physician or psychiatric orders Significant changes in client condition, symptoms, or behavior Significant findings from medical or psychiatric appointments Provider communications containing clinical information Any situation that exceeds the LVN's scope of practice or requires clinical guidance Additional Responsibilities Assist with hygiene-related support as assigned. Assist with household and residential operations as needed. Participate as an active member of the multidisciplinary team. Perform other duties as needed to support quality client care, health, safety, and program operations. Compensation $32–$40/hour Full-time benefits include: 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 and CEU opportunities 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 enjoys hands-on clinical work and wants to be part of a mission-driven organization, we'd love to hear from you. Apply Today and Help Us Change Lives. Qualifications: