LPN-HC
Company : Covenant Health
Location : Knoxville, TN, 37909
Job Type : Full Time
Date Posted : 5 January 2026
Overview
Licensed Practical Nurse, Hospice
Up to $4,000 Sign on Bonus for Experienced Candidates
Full Time, 80 Hours Per Pay Period, Day Shift
Required OnCall for weekdays and Holidays, travel - West Territory
Covenant HomeCare is East Tennessee’s largest non-profit homecare and hospice provider. Since 1978, we have provided quality home healthcare to allow patients to live with comfort, dignity, and independence. We care for more than 6,300 patients in our HomeCare and Hospice program every year. Covenant HomeCare is a proud member of Covenant Health, our region’s top-performing healthcare network.
Position Summary:
Provides nursing care to an assigned group of homebound patients under the supervision of a Registered Nurse; administers care with other disciplines. The LPN/LVN reports to the assigned Clinical Supervisor.
Recruiter: Rachel Dudek-Fleming || apply@covhlth.com
Responsibilities
- Performs and records cardiovascular assessments, pulmonary assessments, neurological assessments, GI assessments, skin assessments, intake and output assessments, and pain assessments.
- Performs treatment procedures which include, but are not limited to, insertion of nasogastric/gastrostomy tube, replacement of gastrostomy tube, giving medications by N/G tube, gastrostomy tube and JeJunostomy tubes, providing teaching/training for patient/caregiver on care of feeding tube, insertion of weighted feeding tube, and providing care for patients with bolus tube feeding method and tube feeding per enteral pump.
- Performs intravenous procedures such as inserting peripheral IV line; calculating and maintaining correct rate of IV infusion, labeling, and changing tubing; and performing venipuncture. (Must have IV Certification to perform.)
- Provides colostomy care, tracheostomy care, and suctioning.
- Administers medications per HomeCare policy. Clearly documents administration of medications. Checks for allergies and MD orders before administering medications.
- Has working knowledge of Medicare guidelines, and performs in compliance with such guidelines.
- Follows appropriate plan of care after admission, including discharge and on-call as outlined by HomeCare policy. Consults RN and/or Clinical Supervisor regarding plan of care and care plan changes, including needs for other disciplines (HHA, OT, PT, MSW, ST, and Dietician).
- Supplements the nursing care needs of the patient as provided for by the RN in the plan of care including:
- providing services in accordance with program policies;
- preparing clinical and progress notes;
- assisting the RN or physician in performing specialized duties;
- assisting the RN in carrying out the plan of care;
- assisting the client in learning appropriate self-care techniques; and reporting changes in client's condition to the RN.
- Works collaboratively with members of the team to help meet positive patient care outcomes.
- Performs basic infection control techniques according to Covenant HomeCare policy. Examples are proper hand-washing; glove usage; appropriate handling and disposing of wastes, body fluids, contaminated trash, and needles; proper handling of soiled or contaminated linens or garments; and cleaning all equipment used in the home properly.
- Checks schedule and calls patients to provide patients with arrival times.
- Demonstrates ability to perform skills on annual skills check list.
- Local travel required.
- Follows policies, procedures, and safety standards. Completes required education assignments annually. Works toward achieving goals and objectives, and participates in quality improvement initiatives as requested.
- Performs other duties as assigned.
Qualifications
Minimum Education:
None specified; however, must be sufficient to meet the standards for achievement of the below indicated license and/or certification as required by the issuing authority.
Minimum Experience:
One (1) year of professional experience in a hospital/clinical setting or prior home health experience. Successful completion of LPN advanced skills course.
Licensure Requirement:
Must have and maintain Tennessee LPN license or Licensed Vocational Nurse. CPR required. Employee must have a valid Tennessee driver’s license and state mandated minimum insurance coverage. Driving record must meet Covenant Health minimum standards at the date of hire and throughout employment tenure.
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Frequently asked questions
An LPN-HC in Knoxville primarily delivers personalized care in patients’ homes, focusing on complex treatments like tube feeding and IV therapy. Unlike hospital settings, this role demands adaptability to various home environments and strong communication with caregivers, ensuring comfort and dignity outside clinical walls.
Mastering advanced procedures such as nasogastric tube management, peripheral IV insertion, and comprehensive patient assessments is vital. Additionally, understanding Medicare regulations and honing patient education techniques enhance effectiveness in homecare nursing roles like the LPN-HC.
In Tennessee, LPN-HC nurses can progress by gaining certifications like IV therapy or wound care, then advancing to RN roles via bridge programs. Experience in homecare broadens clinical skills, making candidates competitive for supervisory or specialized nursing positions within regional health networks.
Knoxville's aging population fuels steady demand for LPNs experienced in hospice and homecare. Employers like Covenant Health often offer sign-on bonuses to attract skilled nurses, reflecting competitive hiring for candidates with advanced homecare competencies and flexible scheduling.
Knoxville's urban-suburban mix requires LPNs to plan travel efficiently across dispersed patient locations, often handling weekday and holiday on-call duties. Familiarity with west territory routes helps minimize commute delays, ensuring timely patient visits throughout the day shift.
Covenant Health stands out by integrating LPN-HC nurses into a respected non-profit network with access to quality training, a collaborative team environment, and up to $4,000 sign-on bonuses for experienced hires—enhancing both career growth and job satisfaction.
At Covenant Health, LPN-HCs engage deeply in patient-centered home care, performing specialized treatments like enteral feeding and tracheostomy care under RN supervision. This contrasts with standard clinical LPN roles that often focus on facility-based care with less autonomy in diverse settings.
LPN-HC positions in Knoxville typically offer competitive salaries around $45,000 to $55,000 annually, with Covenant Health providing up to a $4,000 sign-on bonus for experienced candidates. Pay can vary based on certifications, experience, and the specific responsibilities of the role.
Covenant Health ensures LPN-HCs receive structured schedules balancing on-call weekday and holiday duties, along with resources for clinical consultation. This system promotes manageable workloads while maintaining high-quality patient care across the homecare network.
Candidates must hold a valid Tennessee LPN or LVN license and CPR certification. Additionally, possessing an IV certification enhances eligibility, reflecting Covenant Health’s emphasis on advanced practical skills for delivering comprehensive home nursing care.