Pediatric LVN RN 78223

First Step Nursing and Therapy Services PLLC

San Antonio, Texas

Posted Aug 22

Shift and hours: 12-⁠hour days2 shifts · 24 hours a week
Unit and setting: Home Health
License: LVN licenseActive Texas RN or LVN license (unencumbered)
Term: Permanent

Do you qualify?

New grads: Welcomed
License: Active Texas RN or LVN license (unencumbered) Check your license
Certification: Current CPR certification
Also asks: Reliable transportation
Also asks: Ability to perform physical tasks (lifting, standing, transfers)
Also asks: Training provided (in-office and on-site)
Also asks: Why First Steps Nursing and Therapy
Also asks: One-on-one patient care
Also asks: Consistent scheduling opportunities
Also asks: Supportive and responsive office team
Also asks: Ongoing training and development
Also asks: Meaningful work with pediatric patients

Preferred

Experience: Pediatric experience preferred but not required

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What it pays

Benefits

Health insurance
Dental insurance
401(k)
Vision insurance
Direct deposit

The role and schedule

Charting: KanTime
Weekends: Weekends required

The workplace

First Step Nursing and Therapy Services PLLC

Hiring organization

Organization profile

The team behind this role

Preceptors and orientation

Training provided in-office and on-site; pediatric experience preferred but not required; ongoing training.

First Step Nursing and Therapy Services PLLC · employer research

Sources

As of 2026

Scheduling at this employer

Scheduling

Flexible scheduling; FT, PT, and PRN for pediatric home cases. Therapy Coordinator listed Mon–Fri 8:00 AM–5:00 PM.

First Step Nursing and Therapy Services PLLC · confirm this unit

Sources

As of 2026

Explore First Step Nursing and Therapy Services PLLC

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Your fit

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On your path

Pediatrics is open from year one. Children's hospitals run their own new grad residencies.

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Original listing

Posted on First Step Nursing and Therapy Services PLLC’s careers page.

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First Steps Nursing and Therapy is seeking a compassionate Licensed Vocational Nurse (LVN) or Registered Nurse (RN) to provide one-on-one care for a pediatric patient in the home setting near Southcross, 78223. Case Details

Patient: 6-year-old Care Needs: G-tube, Trach, Vent

Schedule

Satuday-Sunday 6:00 AM–6:00 PM

Responsibilities

Provide direct, hands-on care to assigned patient

Assess patient condition and document observations

Administer prescribed medications, treatments, and therapies

Perform tracheostomy care and monitor patient status

Conduct vital signs and ongoing assessments

Communicate changes in condition to supervisor and/or physician

Educate and support family members and caregivers

Complete accurate and timely documentation in EMR system (Kantime)

Requirements

Active Texas RN or LVN license (unencumbered)

Current CPR certification

Reliable transportation

Ability to perform physical tasks (lifting, standing, transfers)

Pediatric experience preferred but not required

Training provided (in-office and on-site)

Why First Steps Nursing and Therapy

One-on-one patient care

Consistent scheduling opportunities

Supportive and responsive office team

Ongoing training and development

Meaningful work with pediatric patients

Benefits

Weekly direct deposit

Health, dental, and vision insurance

Supplemental insurance options

401(k) for eligible employees

24/7 on-call support

Apply today to join a team that values compassionate care, consistency, and supporting our nurses every step of the way.

What's around it?

In San Antonio, TX

San Antonio, TXFrom Census ACS 2024.

Living costs about 5% below the US average

Median rent: $1,324/mo
Household income: $65,056/yr, all local households, not nurse pay

Life in San Antonio, TX

NeighborhoodsYoung professionals and many healthcare workers land in Monte Vista, Alta Vista, Tobin Hill, and Olmos Park for historic streets and a short drive to the core, or in The Pearl, Southtown, and King William for walkable food and nightlife at higher rents. Stone Oak (Northeast ISD) and Alamo Ranch or Helotes (Northside ISD) are the suburban defaults with newer homes; Alamo Heights and Terrell Hills are premium and urban-adjacent. Budget buyers look at South Side corridors such as Palm Heights, Highland Hills, and Harlandale, where three-beds still list around $150,000-$220,000, or East Side pockets like Dignowity Hill, Government Hill, and Denver Heights. Military and Randolph AFB commuters often choose Schertz, Cibolo, Converse, or Universal City, while Boerne and Fair Oaks Ranch sit 30-40 minutes northwest as Hill Country premiums.

Young professionals and many healthcare workers land in Monte Vista, Alta Vista, Tobin Hill, and Olmos Park for historic streets and a short drive to the core, or in The Pearl, Southtown, and King William for walkable food and nightlife at higher rents. Stone Oak (Northeast ISD) and Alamo Ranch or Helotes (Northside ISD) are the suburban defaults with newer homes; Alamo Heights and Terrell Hills are premium and urban-adjacent.

Budget buyers look at South Side corridors such as Palm Heights, Highland Hills, and Harlandale, where three-beds still list around $150,000-$220,000, or East Side pockets like Dignowity Hill, Government Hill, and Denver Heights. Military and Randolph AFB commuters often choose Schertz, Cibolo, Converse, or Universal City, while Boerne and Fair Oaks Ranch sit 30-40 minutes northwest as Hill Country premiums.

Sources

As of Sep 11, 2026Source 1: reddit.com Source 2: undergrads.com Source 3: livinginsatx.com Source 4: hellolanding.com

Getting aroundMost people drive—about 90%—and VIA buses are a backup, not a substitute; a car is treated as required. Peak congestion hits 4-6 p.m. on I-10, I-35, I-281, and Loop 1604, with frequent construction; one source puts annual delay around 39 hours. South Side to downtown is often 10-20 minutes, Boerne 30-40 minutes northwest, and locals still claim much of the city is reachable in about 20 minutes with easy parking and gas about 6% below the national average. Expect routine crosstown drives among Stone Oak, the Medical Center, the North Side, Joint Base San Antonio-Lackland, Fort Sam, and Randolph AFB rather than a walkable hospital-campus commute.

Most people drive—about 90%—and VIA buses are a backup, not a substitute; a car is treated as required. Peak congestion hits 4-6 p.m. on I-10, I-35, I-281, and Loop 1604, with frequent construction; one source puts annual delay around 39 hours.

South Side to downtown is often 10-20 minutes, Boerne 30-40 minutes northwest, and locals still claim much of the city is reachable in about 20 minutes with easy parking and gas about 6% below the national average. Expect routine crosstown drives among Stone Oak, the Medical Center, the North Side, Joint Base San Antonio-Lackland, Fort Sam, and Randolph AFB rather than a walkable hospital-campus commute.

Sources

As of Sep 11, 2026Source 1: hellolanding.com Source 2: undergrads.com Source 3: livinginsatx.com Source 4: extraspace.com Source 5: brooksrealestatetx.com

OutdoorsBrackenridge Park's 370-plus acres pack the San Antonio Zoo, Japanese Tea Garden, Witte Museum, the city's oldest municipal golf course, trails, playgrounds, picnic areas, birding, and a miniature railway. The River Walk and Mission Reach are used for jogs and bikes; Leon Creek Greenway is a named bike-trail network. Weekends go to Government Canyon, Friedrich Wilderness, Eisenhower Park, Canyon Lake, and New Braunfels' Guadalupe and Comal rivers; the five Spanish missions sit on a 7.7-mile stretch, and the Gulf beach is about a two-hour drive. Six Flags Fiesta Texas is the big family outdoor park.

Brackenridge Park's 370-plus acres pack the San Antonio Zoo, Japanese Tea Garden, Witte Museum, the city's oldest municipal golf course, trails, playgrounds, picnic areas, birding, and a miniature railway. The River Walk and Mission Reach are used for jogs and bikes; Leon Creek Greenway is a named bike-trail network.

Weekends go to Government Canyon, Friedrich Wilderness, Eisenhower Park, Canyon Lake, and New Braunfels' Guadalupe and Comal rivers; the five Spanish missions sit on a 7.7-mile stretch, and the Gulf beach is about a two-hour drive. Six Flags Fiesta Texas is the big family outdoor park.

Sources

As of Sep 11, 2026Source 1: hellolanding.com Source 2: visitsanantonio.com Source 3: bloggeratlarge.com Source 4: tourtexas.com Source 5: reddit.com Source 6: brooksrealestatetx.com

Others hiring in San Antonio, TX

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Moving for this role?

Check the commute at your shift’s start and end, upfront housing costs, and whether moving assistance must be repaid if you leave.

Living in San Antonio

San Antonio still sells large-metro life at small-metro prices: no state income tax, May 2026 median homes near $260,000, and one-bedrooms around $1,070, with healthcare and Joint Base San Antonio as the job spine. What is distinct is daily Tex-Mex, Fiesta's ten days of parades, Pearl's farmers market and Hotel Emma, and UNESCO missions along Mission Reach. Nurses should assume a car: VIA is thin, I-10/I-35/I-281/Loop 1604 clog at 4-6 p.m., and the Medical Center, Joint Base San Antonio, and Fort Sam/Randolph-area facilities sit across a sprawl. Monte Vista, Tobin Hill, and Southtown shorten the core commute; Stone Oak and Alamo Ranch buy newer homes and stronger Northside/Northeast schools; South Side and Converse stretch an $80k-$150k paycheck. Tradeoffs are triple-digit summers, doubled A/C, winter cedar fever, 2%+ property tax plus about $3,500 insurance, flood pockets, and campuses that swing from Boerne and Alamo Heights to struggling Harlandale. Heat and highway time are the price of Brackenridge Park, the greenways, and a genuinely neighborly city.

AI area guide

Sources

As of 2026Source 1: undergrads.com Source 2: livinginsatx.com Source 3: hellolanding.com Source 4: thehonestlocal.com Source 5: brooksrealestatetx.com Source 6: extraspace.com Source 7: bloggeratlarge.com Source 8: visitsanantonio.com

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Do you qualify?

Preferred

What it pays

Benefits

The role and schedule

The workplace

The team behind this role

Worth asking

Ask Mira

Your fit

On your path

Original listing

Schedule

What's around it?

San Antonio, TXiFrom Census ACS 2024.

Life in San Antonio, TX

Moving for this role?

Nurses on this role

Nurses on this role

The team behind this role

Life in San Antonio, TX

Moving for this role?

Nurses on this role

San Antonio, TXFrom Census ACS 2024.