Pediatric LVN RN New Braunfels

First Step Nursing and Therapy Services PLLC

New Braunfels, Texas

Posted Sep 5

Shift and hours: 12-⁠hour days
Unit and setting: Home Health
License: RN or LVN licenseActive Texas RN or LVN license (unencumbered)
Term: Permanent

Do you qualify?

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)

Preferred

Experience: Pediatric experience preferred but not required

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What it pays

Against similar roles: Texas staff median is $43/hrTexas staff postings that state pay run $28/hr to $63/hr, the middle half $35/hr to $51/hr, across 1,505 postings. This posting's $20/hr to $38/hr is wider than that, so where you land depends on the offer.

Benefits

Health insurance
Dental insurance
401(k)
Vision insurance

The role and schedule

Charting: Kantime
On call: On-call rotation

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

Worth asking

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Your fit

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On your path

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Original listing

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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 in New Braunfels, TX . Full-time, Part-time and PRN

Case Details

Patient: 2-year-old Care Needs: G-tube, oxygen (Low Acuity

Schedule

Monday ,Thursday and Sunday 7a-7p

Patient: 5-year-old Care Needs: G-tube, ventilator (Low Acuity)

Schedule

Wednesday, Thursday, Saturday and Sunday 7a-7p

Patient: 8-year-old Care Needs: G-tube, ventilator, trach (High Acuity)

Schedule

Friday-Sunday 7a-7p

Responsibilities

Provide direct, hands-on care to assigned patient

Assess patient condition during each visit and document observations

Administer prescribed medications, treatments, and therapies

Monitor and manage G-tube and respiratory needs

Perform 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 New Braunfels, TX

New Braunfels, TXFrom Census ACS 2024.

Living costs about 5% below the US average

Median rent: $1,654/mo
Household income: $86,021/yr, all local households, not nurse pay

Life in New Braunfels, TX

NeighborhoodsDowntown New Braunfels ($250K–$500K) is the walkable dining-and-shopping core; Westpointe ($250K–$400K) is the entry-level New Braunfels ISD option; Mission Hill ($280K–$450K) is pitched for I-35 convenience. River Chase ($300K–$500K) is newer construction with a waterpark-community feel and strong NBISD zoning; Gruene ($350K–$700K) is historic river-town fabric minutes from the Guadalupe. Vintage Oaks ($400K–$800K, with some river/Hill Country and Copper Ridge listings $600K–$1M+) is 1–5 acre estate lots with resort pools, a lazy river, and trails, about 25 minutes to San Antonio off-peak and car-dependent. Active master-planned growth includes Veramendi, Meyer Ranch, and Overlook at Creekside.

Downtown New Braunfels ($250K–$500K) is the walkable dining-and-shopping core; Westpointe ($250K–$400K) is the entry-level New Braunfels ISD option; Mission Hill ($280K–$450K) is pitched for I-35 convenience. River Chase ($300K–$500K) is newer construction with a waterpark-community feel and strong NBISD zoning; Gruene ($350K–$700K) is historic river-town fabric minutes from the Guadalupe.

Vintage Oaks ($400K–$800K, with some river/Hill Country and Copper Ridge listings $600K–$1M+) is 1–5 acre estate lots with resort pools, a lazy river, and trails, about 25 minutes to San Antonio off-peak and car-dependent. Active master-planned growth includes Veramendi, Meyer Ranch, and Overlook at Creekside.

Sources

As of Sep 11, 2026Source 1: lrgrealty.com Source 2: livinginsatx.com Source 3: coventryhomes.com

Getting aroundThere is no public transit; outside downtown/Gruene the city is fully car-dependent. Local average commute is cited around 22 minutes, but I-35 congestion is the real constraint: downtown San Antonio 35–55 minutes, San Antonio Medical Center 40–55 minutes, JBSA-Randolph 25–35 minutes, JBSA-Lackland 50–65 minutes (poor for a daily drive), and Austin 50–70 minutes. Peak backups concentrate on I-35, Loop 337, Highway 46, and I-35 feeders; Vintage Oaks is about 25 minutes to San Antonio off-peak and Gruene about 30. Daily Austin commuting is widely described as challenging; local work (including Resolute Health Hospital) or hybrid/remote fits far better. San Antonio International is about 40–50 minutes; Austin-Bergstrom about 55–70.

There is no public transit; outside downtown/Gruene the city is fully car-dependent. Local average commute is cited around 22 minutes, but I-35 congestion is the real constraint: downtown San Antonio 35–55 minutes, San Antonio Medical Center 40–55 minutes, JBSA-Randolph 25–35 minutes, JBSA-Lackland 50–65 minutes (poor for a daily drive), and Austin 50–70 minutes.

Peak backups concentrate on I-35, Loop 337, Highway 46, and I-35 feeders; Vintage Oaks is about 25 minutes to San Antonio off-peak and Gruene about 30. Daily Austin commuting is widely described as challenging; local work (including Resolute Health Hospital) or hybrid/remote fits far better. San Antonio International is about 40–50 minutes; Austin-Bergstrom about 55–70.

Sources

As of Sep 11, 2026Source 1: livinginsatx.com Source 2: realestate.usnews.com Source 3: lrgrealty.com Source 4: popbyrealty.com Source 5: facebook.com Source 6: coventryhomes.com

OutdoorsDaily outdoor life is built around the spring-fed Comal River (about 68–72°F year-round, roughly a 2.5-hour tube float with the Tube Chute) and the Guadalupe, especially May through October. Landa Park is the in-town green space on the water; Schlitterbahn is the destination waterpark; Canyon Lake is the nearby weekend lake. Parks are described with large lawns, shade trees, picnic areas, golf, and splash pads; Vintage Oaks and other master-planned communities add miles of trails, pools, and lazy rivers. Nearby day trips include Natural Bridge Caverns and Natural Bridge Wildlife Ranch.

Daily outdoor life is built around the spring-fed Comal River (about 68–72°F year-round, roughly a 2.5-hour tube float with the Tube Chute) and the Guadalupe, especially May through October. Landa Park is the in-town green space on the water; Schlitterbahn is the destination waterpark; Canyon Lake is the nearby weekend lake.

Parks are described with large lawns, shade trees, picnic areas, golf, and splash pads; Vintage Oaks and other master-planned communities add miles of trails, pools, and lazy rivers. Nearby day trips include Natural Bridge Caverns and Natural Bridge Wildlife Ranch.

Sources

As of Sep 11, 2026Source 1: landarivertrips.com Source 2: youtube.com Source 3: livinginsatx.com Source 4: lrgrealty.com Source 5: foratravel.com Source 6: facebook.com

Others hiring in New Braunfels, TX

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Living in New Braunfels

New Braunfels sits on I-35 between San Antonio (~30 miles) and Austin (~50 miles) as a mid-sized Comal County river town—neither a quiet Hill Country hideaway nor a dense San Antonio suburb. What is genuinely distinct is how the Comal and Guadalupe shape ordinary life from May through October: tubing the spring-fed Comal (about 72°F year-round) past the Tube Chute, Landa Park on the water, live music at Gruene Hall (called the oldest dance hall in Texas), Wurstfest, Schlitterbahn, and Canyon Lake weekends. A nurse can work in town at Resolute Health Hospital or drive 40–55 minutes to San Antonio’s Medical Center; there is no transit, and I-35, Loop 337, and Highway 46 clog at peak, so a daily Austin run (50–70 minutes) is a real cost. Most housing sits in the $250s–$550s (median values cited around $324,000–$357,000; median rent about $1,368), with Veramendi, River Chase, and Westpointe for newer or entry-level NBISD/Comal ISD homes and Vintage Oaks or river lots at a premium. Locals call people friendly and the outdoor calendar unmatched, but the city has more than doubled, summers are long and very hot, humidity and allergies bite, tourist weekends crowd the rivers, and utilities plus traffic are the usual complaints.

AI area guide

Sources

As of 2026Source 1: livinginsatx.com Source 2: landarivertrips.com Source 3: lrgrealty.com Source 4: popbyrealty.com Source 5: coventryhomes.com Source 6: realestate.usnews.com Source 7: youtube.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

Case Details

Schedule

Schedule

Schedule

Responsibilities

Requirements

Why First Steps Nursing and Therapy

Benefits

What's around it?

New Braunfels, TXiFrom Census ACS 2024.

Life in New Braunfels, TX

Moving for this role?

Nurses on this role

Nurses on this role

The team behind this role

Life in New Braunfels, TX

Moving for this role?

Nurses on this role

New Braunfels, TXFrom Census ACS 2024.