Quality Monitoring Registered Nurse

apartment Texas Health and Human Services location_onBrenham, TX 77833, US

Functional Title: Quality Monitoring Registered Nurse
Job Title: Nurse III
Agency: Health & Human Services Comm
Department: QMP Nurses and Pharm RMS FTE
Posting Number: 11865
Closing Date: 03/11/2026
Posting Audience: Internal and External
Occupational Category: Healthcare Practitioners and Technical
Salary Group: TEXAS-B-24
Salary Range: $5,425.33 - $8,886.16
Pay Frequency: Monthly
Shift: Day
Additional Shift: Days (First)
Telework:
Travel: Up to 80%
Regular/Temporary: Regular
Full Time/Part Time: Full time
FLSA Exempt/Non-Exempt: Exempt
Facility Location:
Job Location City: BRENHAM
Job Location Address: 2248 S MARKET ST
Other Locations: Abilene; Alamo; Alice; Alpine; Alvin; Amarillo; Anahuac; Andrews; Angleton; Anson; Aransas Pass; Archer City; Arlington; Athens; Atlanta; Austin; Bacliff; Ballinger; Bandera; Bastrop; Bay City; Baytown; Beaumont; Bedford; Beeville; Bellville; Big Spring; Boerne; Bonham; Borger; Bowie; Brady; Breckenridge; Brenham; Brownfield; Brownsville; Brownwood; Bryan; Burnet; Caldwell; Cameron; Canton; Canutillo; Carlsbad; Carrizo Springs; Carrollton; Carthage; Center; Centerville; Childress; Clarksville; Cleburne; Cleveland; Coldspring; Columbus; Conroe; Copperas Cove; Corpus Christi; Corsicana; Crockett; Crosby; Crystal City; Cuero; Cypress; Daingerfield; Dallas; Decatur; Del Rio; Denton; Dickinson; Dumas; Duncanville; Eagle Pass; Eastland; Edinburg; El Paso; Elgin; Elsa; Ennis; Fabens; Falfurrias; Floresville; Fort Stockton; Fort Worth; Fredericksburg; Gainesville; Galveston; Garland; Gatesville; Georgetown; Giddings; Gilmer; Goliad; Gonzales; Graham; Granbury; Grand Prairie; Grapevine; Greenville; Hallettsville; Hamilton; Harlingen; Haskell; Hearne; Hemphill; Hempstead; Henderson; Hereford; Hillsboro; Hondo; Houston; Humble; Huntsville; Hurst; Irving; Jacksonville; Jasper; Johnson City; Jourdanton; Karnes City; Katy; Kaufman; Kerrville; Killeen; Kingsville; Kingwood; Kirbyville; La Grange; Lake Jackson; Lake Worth; Lamesa; Lampasas; Lancaster; Laredo; Levelland; Lewisville; Liberty; Linden; Littlefield; Livingston; Llano; Lockhart; Longview; Lubbock; Lufkin; Lumberton; Madisonville; Marble Falls; Marfa; Marlin; Marshall; Mcallen; Mckinney; Mercedes; Meridian; Mesquite; Mexia; Midland; Mineola; Mineral Wells; Mission; Monahans; Mount Pleasant; Mount Vernon; Nacogdoches; Navasota; New Boston; New Braunfels; Odessa; Orange; Palestine; Pampa; Paris; Pasadena; Pearland; Pearsall; Pecos; Perryton; Pharr; Pittsburg; Plainview; Plano; Pollok; Port Arthur; Port Lavaca; Presidio; Quitman; Raymondville; Refugio; Richardson; Richmond; Rio Grande City; Robstown; Rockwall; Rosenberg; Round Rock; Rowlett; Rusk; San Angelo; San Antonio; San Benito; San Juan; San Marcos; San Saba; Schertz; Seguin; Seminole; Seymour; Sherman; Silsbee; Sinton; Snyder; Socorro; Sonora; South Houston; Stephenville; Sugar Land; Sulphur Springs; Sweetwater; Taylor; Temple; Terrell; Texarkana; Texas City; The Woodlands; Tomball; Trinity; Tyler; Uvalde; Van Horn; Vernon; Victoria; Waco; Washington; Watauga; Waxahachie; Weatherford; Webster; Weslaco; Wharton; Wichita Falls; Woodville; Zapata
MOS Codes: 290X,46AX,46FX,46NX,46PX,46SX,46YX,66B,66C,66E,66F,66G,66H,66N,66P,66R,66S,66T,66W

Job Description

The Nurse Quality Monitor III reports to the Quality Monitoring Nurse Manager. This position makes a significant contribution to MCS’s mission by conducting monitoring visits in Texas nursing facilities. The Nurse Quality Monitor III utilizes expertise in the area of nursing to assess conditions that could place facility residents’ health, safety, and welfare at risk and assists providers in improving systems. This position must be able to apply the complex knowledge of nursing practice as well as the rules outlined in the Texas Nursing Practice Act. The Nurse III will be familiar with local, state, and federal laws and regulations relevant to long-term care.

The Quality Monitor Nurse (QMN) III works under limited supervision, with considerable latitude for the use of initiative and independent judgment. Performs highly complex (senior-level) nursing work. The Quality Monitor Nurse utilizes expertise in the area of nursing to assess conditions that could place facility residents’ health, safety, and welfare at risk and assist providers in improving systems. Work may include serving as a resource on nursing practices and education programs by performing consultative and administrative work. May serve as a mentor providing direction to others.

Essential Job Functions

Attends work on a regular and predictable schedule in accordance with agency leave policy and performs other duties as assigned.
Works collaboratively across MCS to identify innovative and effective solutions. Maintains cooperative and collaborative relationships with colleagues and facility staff. Performs other work as assigned by Nurse Manager III or Nurse Program Manager V.
Coordinates and/or conducts various types of visits to nursing facilities; including quality monitoring visits, rapid response team visits, mentoring visits and in-service visits. Acts as a team coordinator on Rapid Response Team visits offering leadership and direction to team members. Monitors and evaluates facility systems through observations, interviews, and record reviews identifying facility strengths and weakness making recommendations on opportunities for improvement. Instructs, counsels, and assists nursing facilities to achieve best practice. Reviews facilities policy/procedures and performance reports to determine if the facility's systems are consistent with evidence-based best practice. (50%)
Documents accurate and complete reports of monitoring visits. Communicates accurate information, findings, recommendations, and technical assistance to the facility administrator and staff as well as quality monitoring leadership. Disseminates and teaches from appropriate education tools and materials. (20%)
Communicates with various audiences (internally or externally) to provide clinical information, answer inquiries, address issues, and/or resolve problems. Maintains current knowledge in assigned areas by attending unit meetings, seminars, or other training and by continually reviewing program policies, procedures, and any changes. May conduct literature reviews and analyze complex information to update nursing-related evidence-based best practices technical assistance material. (10%)
Develops and provides in-service education and other training to facility-licensed and non-licensed staff regarding evidence-based best practices. (10%)
May train and mentor others in the context of a quality monitoring team visit, and orientation to peers as needed. May assists with the development and updating of program policy/procedures, evidence-based best practice standards, and educational programs. (10%)

Registration, Certification, or Licensure

Must be licensed as a Registered Nurse in the State of Texas or a state that recognizes reciprocity through the Nurse Licensure Compact and a current Texas driver’s license.

Knowledge, Skills, and Abilities

Knowledge of nursing principles and acceptable professional standard of patient care.
Knowledge of local, state, and federal laws and regulations relevant to long-term care as well as an understating of long-term care facility operations.
Knowledge of modern office management practices and procedures and technology tools such as Microsoft Office, SharePoint, and Teams productivity tools.
Skill in researching, creating, analyzing, monitoring, and evaluating complex clinical issues.
Skills in communication and public speaking.
Skill in managing multiple and competing priorities.
Skill in promoting data-driven decision-making. By identifying trends, concerns, evaluating alternatives, and negotiating and implementing solutions.
Skills in working with diverse groups and interests, resolving conflicts, building consensus and problem solving.
Ability to gather, evaluate, analyze facts by observation, interviews, and record reviews.
Ability to interpret policies, procedures, and regulations as they relate to long term care facility.
Ability to organize and present information effectively, both orally and in writing.
Ability to serve as a mentor to others.

Ability to work collaboratively across HHS/MCS/QMP to accomplish objectives.
Ability to balance team and individual responsibilities.
Ability to exercise judgment and work independently with moderate direction.
Ability to lift twenty-five pounds.
Must be able to travel up to 80% including overnight travel and hours other than 8am-5pm and days other than Monday-Friday.

Initial Screening Criteria

Graduation with a bachelor's degree from an accredited four-year college or university with major coursework in nursing preferred. An associate in nursing with a four-year degree in an applicable healthcare-related field will be considered. Experience may be substituted for education on a year-for-year basis with a maximum of four years.
A minimum of 3 years of nursing experience is required.
Experience in mentoring peers is required.
Experience with or knowledge of Long-Term Care Nursing Facilities with knowledge of CMS requirements or a SMQT (surveyor minimum qualifications test) is preferred.
Must be able to travel up to 80% including overnight travel and hours other than 8am-5pm and days other than Monday-Friday.
Must have reliable transportation

Review our Tips for Success when applying for jobs at DFPS, DSHS and HHSC.

Active Duty, Military, Reservists, Guardsmen, and Veterans:

Military occupation(s) that relate to the initial selection criteria and registration or licensure requirements for this position may include, but not limited to those listed in this posting. All active-duty military, reservists, guardsmen, and veterans are encouraged to apply if qualified to fill this position. For more information please see the Texas State Auditor’s Job Descriptions, Military Crosswalk and Military Crosswalk Guide at Texas State Auditor's Office - Job Descriptions.

ADA Accommodations:

In compliance with the Americans with Disabilities Act (ADA), HHSC and DSHS agencies will provide reasonable accommodation during the hiring and selection process for qualified individuals with a disability. If you need assistance completing the on-line application, contact the HHS Employee Service Center at 1-888-894-4747. If you are contacted for an interview and need accommodation to participate in the interview process, please notify the person scheduling the interview.

Pre-Employment Checks and Work Eligibility:

Depending on the program area and position requirements, applicants selected for hire may be required to pass background and other due diligence checks.

HHSC uses E-Verify. You must bring your I-9 documentation with you on your first day of work. Download the I-9 Form

Telework Disclaimer:

This position may be eligible for telework. Please note, all HHS positions are subject to state and agency telework policies in addition to the discretion of the direct supervisor and business needs.

Share this job

Related Jobs

Manager/Supervisor

Full-time

RN III Nurse Manager

apartment Texas Health and Human Services location_onDenton, TX

Join the Texas Health and Human Services Commission (HHSC) and be part of a team committed to creating a positive impact in the lives of fellow Texans. At HHSC, your contributions matter, and we support you at each stage of your life and work journey. Our comprehensive benefits package includes 100% paid employee health insurance for full-time eligible employees, a defined benefit pension plan, generous time off benefits, numerous opportunities for career advancement and more. Explore more details on the Benefits of Working at HHS webpage . Functional Title: RN III Nurse Manager Job Title: Nurse III/Nurse Manager Agency: Health & Human Services Comm Department: Campus Nursing Posting Number: 12207 Closing Date: 01/17/2026 Posting Audience: Internal and External Occupational Category: Healthcare Practitioners and Technical Salary Group: TEXAS-B-24 Salary Range: $7,532.75 - $8,886.16 Pay Frequency: Monthly Shift: Day Additional Shift: Days (First) Telework: Not Eligible for Telework Travel: Up to 5% Regular/Temporary: Regular Full Time/Part Time: Full time FLSA Exempt/Non-Exempt: Exempt Facility Location: Denton State Supported Living Center Job Location City: DENTON Job Location Address: 3980 STATE SCHOOL RD Other Locations: Denton MOS Codes: 290X,46AX,46FX,46NX,46PX,46SX,46YX,66B,66C,66E,66F,66G,66H,66N,66P,66R,66S,66T,66W Brief Job Description: Come work in an environment where we truly value and respect those we serve and believe in the mission that all people can achieve a higher level of wellness and independence. The state supported living centers serve people with intellectual and developmental disabilities who are medically fragile or who have behavioral problems. The centers provide campus-based direct services and supports at 13 centers located throughout the state. Learn About Our State Supported Living Centers If you are looking for a place to work where you can establish a career that is filled with purpose, this is the job for you! Free CEUs and updated resources through Lippincott access for all nurses. The Nurse Manager performs advanced (senior-level) nursing functions such as planning, developing, coordinating, and evaluating the provision of nursing care on a 24-hour basis. The Nurse Manager is responsible for directing the day to day operations in all assigned areas. The Nurse Manager facilitates the identification and implementation of Standards of Practice that are consistent with the Health and Human Services Commission (HHSC), accepted ICF-IID (Intermediate Care Facility for Individuals with Intellectual/Developmental Disabilities) rules, The Texas Administrative Code (TAC), and the Texas State Board of Nursing. The Nurse Manager is responsible for ensuring a competent workforce. They provide clinical direction and expertise and ensure care is provided based on individual resident characteristics such as age, developmental level, diagnoses, and/or specialized resident needs. They participate in the development and support of integrated treatment teams; and work closely with other divisions and departments, interdisciplinary teams (IDTs), residents and their families; and external organizations such as professional groups, advocacy groups, surveyors and monitors. The Nurse Manager participates in performance improvement and quality assurance activities. Supervises the work of others including hiring, time and leave activities, training/coaching, and completing performance evaluations of staff. Provide treatment to HHS employees injured in course and scope of employment. Works under limited supervision, with considerable latitude for the use of initiative and independent judgement. Attends work on a regular basis and may be required to work a specific shift schedule or, at times, even a rotating schedule, extended shift and/or overtime in accordance with agency leave policy and performs other duties as assigned. [May serve in an on-call status on a rotating schedule as required to meet operational needs of the facility.] Plans, organizes, directs and manages the daily operations and activities of the assigned area following SSLC and HHSC policies and procedures, state and federal rules and regulations, and ICF-IID standards in order to provide quality health services and care to individuals served by the state supported living center. Serves as the spokesperson and catalyst for the professional practice of program-based nursing services through active and productive participation in performance improvement activities which include monitoring nursing performance indicators, conducting nursing record reviews, conducting nursing peer reviews, and participating in reviews of serious incidents when assigned. Performance will reflect a high level of involvement, professionalism and productivity. Coordinates and manages overall activities of the nursing services provided in the assigned area by monitoring all levels of nursing staff. Promotes an environment that empowers nurses to provide effective, compassionate and efficient nursing care by fostering a climate that enhances job satisfaction through productivity and quality improvement. Oversees nursing policies and procedures so as to promote a professional environment, promote the mission of the program and assure congruence with professional and organizational expectations. Facilitates, coaches, and supervises others in the development and deployment of strategies to ensure optimal levels of nursing services are available to residents 24 hours a day, seven days a week. Ensures awards and recognition activities that promote staff morale. Assures the reporting of general patterns and trends of nursing care are provided (e.g., 24-hour nursing report, nursing documentation regarding restraints, staff call-ins, etc.). Provides clinical direction and expertise and ensures that care provided is based on an appropriate developmental level to meet specific and specialized resident needs. Works with teams to implement resident-centered trauma informed care. Facilitates the implementation of standards of practice that are consistent with the Board of Nursing, ICF-IID standards, Centers for Medicare and Medicaid (CMS) conditions of participation, Texas Administrative Code (TAC), and the rules and regulations of the Agency and SSLC. Serves as a resource on nursing practices and education programs by performing consultative and administrative work. Ensures a competent workforce by participating in the design, development and oversight of the implementation of systems that evaluate and contribute to the quality of resident care by participating in Quality Assessment and Quality Improvement (QAQI) initiatives that address important aspects of nursing care. Incorporates program specific monitoring into on-going performance improvement activities and assures timely reporting. Utilizes data as a basis to identify and address patterns and trends as they relate to the delivery of nursing care. Ensures that resident’s rights are protected by addressing issues found in resident care reports, client abuse and neglect reports, 24-hour reports, and other SSLC reporting mechanisms. Assures systematic capture, review and analysis, communication, and follow-up in relation to significant events on the program (e.g., Medication Errors, Adverse Drug Reactions, Unauthorized Departures, Deaths, Unusual Occurrences, etc.). Oversees and conducts clinical reviews to ensure adequate clinical care is provided to residents when assigned. Alerts leadership to safety/risk management issues and actively facilitates problem-solving strategies. Works with leadership to meet the nurse staffing plan to support the SSLC mission. Ensures the continuous (24-hours/day, 7 days/week) timely availability of nursing staff to meet resident care needs. As assigned, establishes and evaluates annually a staffing plan for nursing service that identifies minimum staffing for all levels of nursing personnel to promote a safe environment that complies all regulatory and professional standards. Seeks and utilizes suggestions to effectively streamline work efforts and minimize redundancy. Works with leadership, keeping nursing management apprised of nursing services resource allocation and reallocation needs. Tracks and aggregates information for the purpose of analysis and feedback to program staff as well as leadership. Proactively identifies and seeks opportunities for improved recruitment and retention of qualified personnel. Participates in the development and support of partnerships within the SSLC and key stakeholders including residents and their families. Works with external stakeholders such as professional groups, advocacy groups, surveyors and monitors as necessary. Partners with leadership to help design and deliver a high-quality system of care to residents using a multi-disciplinary approach. Participates in assigned committees, workgroups, and task forces as requested. Promotes positive working relationships with outside agencies (e.g. Provider Investigations (PI), Office of Inspector General (OIG)), other SSLC departments, programs and divisions including ancillary/support services, (e.g. Pharmacy, Medical Staff, Risk Management, Quality Assurance, Dietary, etc.). Provide treatment to HHS employees injured in course and scope of employment. Maintains skills in CPR and other emergency techniques and initiates as necessary. Performs other duties as assigned. Other duties as assigned include but are not limited to actively participating and/or serving in a supporting role to meet the agency’s obligations for disaster response and/or recovery or Continuity of Operations (COOP) activation. Such participation may require an alternate shift pattern assignment and/or location. Knowledge, Skills and Abilities (KSAs): Knowledge of Texas Nurse Practice Act, and the role of peer review in the provision of professional nursing Knowledge of management theory, organizational planning, plan deployment, and improving organizational performance Knowledge of training principles, practices, and techniques Knowledge of group process, group dynamics, and interpersonal relations Knowledge of nursing competencies, standards and health care laws and regulations Knowledge of emergency procedures and emergency equipment Knowledge of state and federal laws and Intermediate Care Facility for individuals with intellectual disabilities (ICF-IID) rules, regulations, policy and procedures related to State Supported Living Center or ability to quickly gain that knowledge. Skills in the care and treatment of residents Strong interpersonal skills which promote teamwork Skills in utilizing computer hardware/software. Strong coaching skills Ability to organize, coordinate, and evaluate nursing activities. Ability to instruct, train, and supervise the work of others. Ability to appropriately interact with individuals with intellectual/developmental disabilities, with their family members, and with staff members. Ability to prepare and maintain records. Ability to organize and communicate information both orally and in writing. Ability to interpret and explain standards and regulations. Ability to instruct, train, oversee and provide guidance to others. Ability to create and evaluate training objectives, requirements, and effectiveness of delivery. Ability to communicate effectively both orally and in writing. Ability to formulate learning objectives. Ability to manage time effectively. Ability to perform CPR, use the AED, provide First Aid Ability to provide resident/family education regarding medications, disease processes, and health. Registrations, Licensure Requirements or Certifications: Licensed to practice as a Registered Nurse (RN) in the state of Texas, or in a party state, that recognizes reciprocity through the Nurse Licensure Compact Initial Screening Criteria: At least three (3) years of experience as a practicing registered nurse in a health agency, hospital, or health-care facility is required. Bachelor's Degree is preferred. At least 2 years of nursing supervisory experience is preferred. Previous experience working with individuals with intellectual or developmental disabilities (IDD) is preferred. Additional Information: Applicants must pass a fingerprint criminal background check, pre-employment drug screen, and registry checks including the Client Abuse/Neglect Reporting System (CANRS), Nurse Aide, Medication Aide and Employee Misconduct and HHS List of Excluded Individuals/Entities (LEIE). Males between the ages of 18 – 25 must be registered with the Selective Service. All State Supported Living Center Employees are subject to Random Drug Testing. Flexibility in work hours may be required for this position. The position may be required to work overtime and/or extended hours. Must be willing to work weekends and holidays. All applicants must be at least 18 years of age to be considered for employment at a state-operated facility. Review our Tips for Success when applying for jobs at DFPS, DSHS and HHSC . Active Duty, Military, Reservists, Guardsmen, and Veterans : Military occupation(s) that relate to the initial selection criteria and registration or licensure requirements for this position may include, but not limited to those listed in this posting. All active-duty military, reservists, guardsmen, and veterans are encouraged to apply if qualified to fill this position. For more information please see the Texas State Auditor’s Job Descriptions, Military Crosswalk and Military Crosswalk Guide at Texas State Auditor's Office - Job Descriptions . ADA Accommodations: In compliance with the Americans with Disabilities Act (ADA), HHSC and DSHS agencies will provide reasonable accommodation during the hiring and selection process for qualified individuals with a disability. If you need assistance completing the on-line application, contact the HHS Employee Service Center at 1-888-894-4747. If you are contacted for an interview and need accommodation to participate in the interview process, please notify the person scheduling the interview. Pre-Employment Checks and Work Eligibility: Depending on the program area and position requirements, applicants selected for hire may be required to pass background and other due diligence checks. HHSC uses E-Verify. You must bring your I-9 documentation with you on your first day of work. Download the I-9 Form Telework Disclaimer: This position may be eligible for telework. Please note, all HHS positions are subject to state and agency telework policies in addition to the discretion of the direct supervisor and business needs.

Full-time

Public Health Nurse

apartment Texas Health and Human Services location_onKerrville, TX

DSHS is committed to hiring skilled and dedicated individuals who share a passion for public health to pursue our vision of A Healthy Texas . If you are looking to make an impact and tackle new challenges, we encourage you to consider a career with us. Employee Benefits: DSHS offers insurance coverage and other benefits available through the State of Texas Group Benefits Plan administered by the Employee Retirement System of Texas (ERS). To learn more about all the benefits available to you as a DSHS employee and other DSHS opportunities for early career pathways, visit the DSHS Careers Page . Review our Top 10 Tips for Success when Applying to State of Texas Jobs . Functional Title: Public Health Nurse Job Title: Public Health Nurse I Agency: Dept of State Health Services Department: Region 8 Posting Number: 12086 Closing Date: 01/14/2026 Posting Audience: Internal and External Occupational Category: Healthcare Practitioners and Technical Salary Group: TEXAS-B-20 Salary Range: $4,263.16 - $6,000.00 Pay Frequency: Monthly Shift: Day Additional Shift: Telework: Not Eligible for Telework Travel: Up to 35% Regular/Temporary: Regular Full Time/Part Time: Full time FLSA Exempt/Non-Exempt: Exempt Facility Location: Job Location City: KERRVILLE Job Location Address: 819 WATER ST STE 230 Other Locations: MOS Codes: 290X,46AX,46FX,46NX,46PX,46SX,46YX,66B,66C,66E,66F,66G,66H,66N,66P,66R,66S,66T,66W Job Title: Public Health Nurse Job Description: Public Health Nurse I: Under the supervision of the Community Health Improvement Manager or Supervisor (PHN III), uses the nursing process to assess, plan, implement, coordinate, deliver and evaluate public health nursing services in the assigned geographic area. Provides services to individuals, families, groups and communities with health needs ranging from simple to complex but focused on the promotion of optimum wellness and disease prevention. Serves as the team leader for the DSHS staff in the community. Coordinates the day-to-day operations of population-based services and direct clinic services to include meeting program directives and Title V Maternal Child Health performance measures. Responds to a variety of state or regional emergencies, including disease outbreaks and pandemics, hurricanes, tornados and other natural or man-made disasters. Works with general supervision with moderate latitude for the use of initiative and independent judgment. During public health emergencies, including pandemic responses such as COVID-19, all PHR 8 employees are expected to provide related public health or emergency response services. This may include response, recovery or Continuity of Operations (COOP) activities. This participation may require a change in shift, location and/or supervisor. Essential Job Functions: Attends work on a regular and predictable schedule in accordance with agency leave policy and performs other duties as assigned. Flexibility in work hours may be required for this position. POPULATION BASED SERVICES (45%): Provides essential public health services to assigned communities. Participates in community assessments. Identifies health needs. Plans and implements strategies. Evaluates outcomes in conjunction with community stakeholders/partners and regional work plans. Develops, implements, and evaluates community health education programs and materials as well as action plans to meet selected Title V Maternal Child Health (MCH) performance measures. Establishes and maintains communication and partnerships with stakeholders including local/county officials, community leaders, other agencies, groups, health care providers, schools and the general public. Provides consultation, training and technical assistance to health care providers, academia, and the community. Represents DSHS on local coalitions/collaboratives. Participates in local planning for community preparedness. DIRECT CARE SERVICES (30%): Provides specialized and comprehensive public health nursing services in the field office, home or community. Uses components of the nursing process to assess, plan, implement and evaluate the physical, emotional and psychosocial health status of clients, families and communities. Provides individualized care according to policy, procedure, program standards, physician orders and standing delegation orders. Participates in the development and revision of policies, procedures, and standing delegation orders. Develops and monitors individualized plans of care, which may include lab testing, counseling, home visits, administering medications and vaccines, education, case management, referrals and follow-up. Performs disease intervention, surveillance and prevention functions for TB, HIV, STDs, perinatal hepatitis B and immunizations, including administering vaccines. Applies epidemiological principles and methods to assess, prevent, and control disease and promote health. COORDINATION AND TEAM LEADERSHIP (15%): Participates in the evaluation of nursing services; training/orientation of staff; interpreting program operations, policies and procedures; and writing and monitoring annual clinic and MCH goals. Coordinates schedules. Assigns and delegates work to assure that services are provided. Manages clinical resources and supplies. Conducts and documents quality assurance monitoring activities to include review of medical records and clinic operations. Makes recommendations for improvement based on findings. Prepares and maintains program, statistical and special reports as assigned. Participates in interdisciplinary teams to plan, develop and assess patient care and population-based services. Serves as the team leader for the Community Health Improvement staff in the field office. Provides significant input to the Manager in the development, review and updating of job descriptions and participates in the screening and selection process. Orients, trains and monitors the performance of the field office staff. Makes recommendations regarding discipline and reward. Provides guidance to staff, collects data, and provides input to the manager/supervisor regarding staff performance for evaluations. OTHER DUTIES (10%): During public health emergencies, including pandemic responses such as COVID-19, all PHR 8 employees are expected to provide related public health or emergency response services, which may include response, recovery, or Continiuity of Operations (COOP) activities. Participation may require an alternate schedule, location, and/or supervisor. Safe operation of a state-owned, personal or rental vehicle is required to conduct state business and an acceptable driving record must be maintained. Complies with the Department of State Health Services Immunization Policy. Registrations, Licensure Requirements or Certifications: Licensed to practice nursing as a Registered Nurse in Texas or a state that recognizes reciprocity through the Nurse Licensure Compact. Texas Class C Driver License or equivalent from another state CPR (cardiopulmonary resuscitation certification) If an employee operates a personal or state motor vehicle in performance of their official duties, employee must possess a current valid driver's license for the appropriate type of vehicle. Employees/applicants are responsible for providing a copy of their driver’s license and proof of insurance prior to beginning employment Knowledge Skills Abilities: Knowledge of professional nursing theory, nursing process and the legal framework of nursing including the Texas State Board of Nurse Examiners' rules and regulations, the Nurse Practice Act and medical standing delegation orders. Knowledge of pharmacy and CLIA rules and regulations. Knowledge of public health principles and practice, epidemiology, disease prevention and health promotion.Knowledge of teaching and learning theories. Knowledge of cultural, social and economic forces in families and communities. Knowledge of principles of quality assurance. Knowledge of community resources. Knowledge of the use of health assessment tools. Skill in developing and providing individual and group education or training. Skill in the assessment of clients, including communities, with complex health problems. Skill in providing direct nursing care to individuals, families and communities. Skill in basic computer use including data input, word processing, spreadsheet, e-mail and internet. Ability to problem solve, prioritize, plan and execute work using supervisory and consultation resources as needed. Ability to identify and interpret laws, regulations and policies related to specific programs that protect health and inform communities about these policies. Ability to communicate effectively in written and verbal formats. Ability to function as a team member. Ability to initiate and maintain effective and collaborative working relationships with the public, local officials, various levels of health care professionals and local agency personnel. Ability to travel. Ability to meet agency employee immunization requirements. Ability to meet physical demands of the job functions. Ability to maintain confidentiality and comply with the Health Insurance Portability and Accountability Act (HIPAA) requirements. Initial Screening Criteria: Have at least one year of nursing experience (may include LVN experience). Licensed to practice as a Registered Nurse in Texas or a state that recognizes reciprocity through the Nurse Licensure Compact. Experience working in a health setting, or a public or community health clinic. Experience providing group or individual education, especially in a public health setting. Experience administering injections, drawing blood and screening clients. Experience with computer software applications including Microsoft Word, Excel, Outlook and the internet. Active Duty, Military, Reservists, Guardsmen, and Veterans: Military occupation(s) that relate to the initial selection criteria and registration or licensure requirements for this position may include, but not limited to those listed in this posting. All active-duty military, reservists, guardsmen, and veterans are encouraged to apply if qualified for this position. For more information see the Texas State Auditor’s Military Crosswalk at https://hr.sao.texas.gov/CompensationSystem/JobDescriptions/ . ADA Accommodations: In compliance with the Americans with Disabilities Act (ADA), DSHS will provide reasonable accommodation during the hiring process for individuals with a qualifying disability. If reasonable accommodation is needed to participate in the interview process, please notify the person who contacts you to schedule the interview. If you need assistance completing the on-line application, contact the HHS Employee Service Center at 1-888-894-4747 or via email at HHSServiceCenter.Applications@ngahrhosting.com . Salary Information, Pre-employment Checks, and Work Eligibility: The salary offered will follow DSHS starting salary guidelines. Any employment offer is contingent upon available budgeted funds. Depending on the program area and position requirements, applicants selected for hire may be required to pass background and other due diligence checks. DSHS uses E-Verify. You must bring your I-9 documentation with you on your first day of work. Download the I-9 form

Manager/Supervisor

Full-time

Nurse Manager-Coral Sea Unit

apartment Texas Health and Human Services location_onCorpus Christi, TX

Join the Texas Health and Human Services Commission (HHSC) and be part of a team committed to creating a positive impact in the lives of fellow Texans. At HHSC, your contributions matter, and we support you at each stage of your life and work journey. Our comprehensive benefits package includes 100% paid employee health insurance for full-time eligible employees, a defined benefit pension plan, generous time off benefits, numerous opportunities for career advancement and more. Explore more details on the Benefits of Working at HHS webpage . Functional Title: Nurse Manager-Coral Sea Unit Job Title: Nurse III/Nurse Manager Agency: Health & Human Services Comm Department: Coral Sea - Nursing Posting Number: 12083 Closing Date: 01/14/2026 Posting Audience: Internal and External Occupational Category: Healthcare Practitioners and Technical Salary Group: TEXAS-B-24 Salary Range: $7,532.75 - $8,886.16 Pay Frequency: Monthly Shift: Day Additional Shift: Days (First) Telework: Not Eligible for Telework Travel: Up to 5% Regular/Temporary: Regular Full Time/Part Time: Full time FLSA Exempt/Non-Exempt: Exempt Facility Location: Corpus Christi State Supported Living Center Job Location City: CORPUS CHRISTI Job Location Address: 902 AIRPORT RD Other Locations: MOS Codes: 290X,46AX,46FX,46NX,46PX,46SX,46YX,66B,66C,66E,66F,66G,66H,66N,66P,66R,66S,66T,66W Brief Job Description: Come work in an environment where we truly value and respect those we serve and believe in the mission that all people can achieve a higher level of wellness and independence. The state supported living centers serve people with intellectual and developmental disabilities who are medically fragile or who have behavioral problems. The centers provide campus-based direct services and supports at 13 centers located throughout the state. Learn About Our State Supported Living Centers If you are looking for a place to work where you can establish a career that is filled with purpose, this is the job for you! Free CEUs and updated resources through Lippincott access for all nurses. The Nurse Manager performs advanced (senior-level) nursing functions such as planning, developing, coordinating, and evaluating the provision of nursing care on a 24-hour basis. The Nurse Manager is responsible for directing the day to day operations in all assigned areas. The Nurse Manager facilitates the identification and implementation of Standards of Practice that are consistent with the Health and Human Services Commission (HHSC), accepted ICF-IID (Intermediate Care Facility for Individuals with Intellectual/Developmental Disabilities) rules, The Texas Administrative Code (TAC), and the Texas State Board of Nursing. The Nurse Manager is responsible for ensuring a competent workforce. They provide clinical direction and expertise and ensure care is provided based on individual resident characteristics such as age, developmental level, diagnoses, and/or specialized resident needs. They participate in the development and support of integrated treatment teams; and work closely with other divisions and departments, interdisciplinary teams (IDTs), residents and their families; and external organizations such as professional groups, advocacy groups, surveyors and monitors. The Nurse Manager participates in performance improvement and quality assurance activities. Supervises the work of others including hiring, time and leave activities, training/coaching, and completing performance evaluations of staff. Provide treatment to HHS employees injured in course and scope of employment. Works under limited supervision, with considerable latitude for the use of initiative and independent judgement. Essential Job Functions (EJFs): Attends work on a regular basis and may be required to work a specific shift schedule or, at times, even a rotating schedule, extended shift and/or overtime in accordance with agency leave policy and performs other duties as assigned. May serve in an on-call status on a rotating schedule as required to meet operational needs of the facility. Plans, organizes, directs and manages the daily operations and activities of the assigned area following SSLC and HHSC policies and procedures, state and federal rules and regulations, and ICF-IID standards in order to provide quality health services and care to individuals served by the state supported living center. Serves as the spokesperson and catalyst for the professional practice of program-based nursing services through active and productive participation in performance improvement activities which include monitoring nursing performance indicators, conducting nursing record reviews, conducting nursing peer reviews, and participating in reviews of serious incidents when assigned. Performance will reflect a high level of involvement, professionalism and productivity. Coordinates and manages overall activities of the nursing services provided in the assigned area by monitoring all levels of nursing staff. Promotes an environment that empowers nurses to provide effective, compassionate and efficient nursing care by fostering a climate that enhances job satisfaction through productivity and quality improvement. Oversees nursing policies and procedures so as to promote a professional environment, promote the mission of the program and assure congruence with professional and organizational expectations. Facilitates, coaches, and supervises others in the development and deployment of strategies to ensure optimal levels of nursing services are available to residents 24 hours a day, seven days a week. Ensures awards and recognition activities that promote staff morale. Assures the reporting of general patterns and trends of nursing care are provided (e.g., 24-hour nursing report, nursing documentation regarding restraints, staff call-ins, etc.). Provides clinical direction and expertise and ensures that care provided is based on an appropriate developmental level to meet specific and specialized resident needs. Works with teams to implement resident-centered trauma informed care. Facilitates the implementation of standards of practice that are consistent with the Board of Nursing, ICF-IID standards, Centers for Medicare and Medicaid (CMS) conditions of participation, Texas Administrative Code (TAC), and the rules and regulations of the Agency and SSLC. Serves as a resource on nursing practices and education programs by performing consultative and administrative work. Ensures a competent workforce by participating in the design, development and oversight of the implementation of systems that evaluate and contribute to the quality of resident care by participating in Quality Assessment and Quality Improvement (QAQI) initiatives that address important aspects of nursing care. Incorporates program specific monitoring into on-going performance improvement activities and assures timely reporting. Utilizes data as a basis to identify and address patterns and trends as they relate to the delivery of nursing care. Ensures that resident’s rights are protected by addressing issues found in resident care reports, client abuse and neglect reports, 24-hour reports, and other SSLC reporting mechanisms. Assures systematic capture, review and analysis, communication, and follow-up in relation to significant events on the program (e.g., Medication Errors, Adverse Drug Reactions, Unauthorized Departures, Deaths, Unusual Occurrences, etc.). Oversees and conducts clinical reviews to ensure adequate clinical care is provided to residents when assigned. Alerts leadership to safety/risk management issues and actively facilitates problem-solving strategies. Works with leadership to meet the nurse staffing plan to support the SSLC mission. Ensures the continuous (24-hours/day, 7 days/week) timely availability of nursing staff to meet resident care needs. As assigned, establishes and evaluates annually a staffing plan for nursing service that identifies minimum staffing for all levels of nursing personnel to promote a safe environment that complies all regulatory and professional standards. Seeks and utilizes suggestions to effectively streamline work efforts and minimize redundancy. Works with leadership, keeping nursing management apprised of nursing services resource allocation and reallocation needs. Tracks and aggregates information for the purpose of analysis and feedback to program staff as well as leadership. Proactively identifies and seeks opportunities for improved recruitment and retention of qualified personnel. Participates in the development and support of partnerships within the SSLC and key stakeholders including residents and their families. Works with external stakeholders such as professional groups, advocacy groups, surveyors and monitors as necessary. Partners with leadership to help design and deliver a high-quality system of care to residents using a multi-disciplinary approach. Participates in assigned committees, workgroups, and task forces as requested. Promotes positive working relationships with outside agencies (e.g. Provider Investigations (PI), Office of Inspector General (OIG)), other SSLC departments, programs and divisions including ancillary/support services, (e.g. Pharmacy, Medical Staff, Risk Management, Quality Assurance, Dietary, etc.). Provide treatment to HHS employees injured in course and scope of employment. Maintains skills in CPR and other emergency techniques and initiates as necessary. Performs other duties as assigned. Other duties as assigned include but are not limited to actively participating and/or serving in a supporting role to meet the agency’s obligations for disaster response and/or recovery or Continuity of Operations (COOP) activation. Such participation may require an alternate shift pattern assignment and/or location. Knowledge, Skills and Abilities (KSAs): Knowledge of Texas Nurse Practice Act, and the role of peer review in the provision of professional nursing Knowledge of management theory, organizational planning, plan deployment, and improving organizational performance Knowledge of training principles, practices, and techniques Knowledge of group process, group dynamics, and interpersonal relations Knowledge of nursing competencies, standards and health care laws and regulations Knowledge of emergency procedures and emergency equipment Knowledge of state and federal laws and Intermediate Care Facility for individuals with intellectual disabilities (ICF-IID) rules, regulations, policy and procedures related to State Supported Living Center or ability to quickly gain that knowledge. Skills in the care and treatment of residents Strong interpersonal skills which promote teamwork Skills in utilizing computer hardware/software. Strong coaching skills Ability to organize, coordinate, and evaluate nursing activities. Ability to instruct, train, and supervise the work of others. Ability to appropriately interact with individuals with intellectual/developmental disabilities, with their family members, and with staff members. Ability to prepare and maintain records. Ability to organize and communicate information both orally and in writing. Ability to interpret and explain standards and regulations. Ability to instruct, train, oversee and provide guidance to others. Ability to create and evaluate training objectives, requirements, and effectiveness of delivery. Ability to communicate effectively both orally and in writing. Ability to formulate learning objectives. Ability to manage time effectively. Ability to perform CPR, use the AED, provide First Aid Ability to provide resident/family education regarding medications, disease processes, and health. Registrations, Licensure Requirements or Certifications: Licensed to practice as a Registered Nurse (RN) in the state of Texas, or in a party state, that recognizes reciprocity through the Nurse Licensure Compact Initial Screening Criteria: At least three (3) years of experience as a practicing registered nurse in a health agency, hospital, or health-care facility is required. Bachelor's Degree is preferred. At least 2 years of nursing supervisory experience is preferred. Previous experience working with individuals with intellectual or developmental disabilities (IDD) is preferred. Additional Information: Applicants must pass a fingerprint criminal background check, pre-employment drug screen, and registry checks including the Client Abuse/Neglect Reporting System (CANRS), Nurse Aide, Medication Aide and Employee Misconduct and HHS List of Excluded Individuals/Entities (LEIE). Males between the ages of 18 – 25 must be registered with the Selective Service. All State Supported Living Center Employees are subject to Random Drug Testing. Flexibility in work hours may be required for this position. The position may be required to work overtime and/or extended hours. Must be willing to work weekends and holidays. All applicants must be at least 18 years of age to be considered for employment at a state-operated facility. Review our Tips for Success when applying for jobs at DFPS, DSHS and HHSC . Active Duty, Military, Reservists, Guardsmen, and Veterans : Military occupation(s) that relate to the initial selection criteria and registration or licensure requirements for this position may include, but not limited to those listed in this posting. All active-duty military, reservists, guardsmen, and veterans are encouraged to apply if qualified to fill this position. For more information please see the Texas State Auditor’s Job Descriptions, Military Crosswalk and Military Crosswalk Guide at Texas State Auditor's Office - Job Descriptions . ADA Accommodations: In compliance with the Americans with Disabilities Act (ADA), HHSC and DSHS agencies will provide reasonable accommodation during the hiring and selection process for qualified individuals with a disability. If you need assistance completing the on-line application, contact the HHS Employee Service Center at 1-888-894-4747. If you are contacted for an interview and need accommodation to participate in the interview process, please notify the person scheduling the interview. Pre-Employment Checks and Work Eligibility: Depending on the program area and position requirements, applicants selected for hire may be required to pass background and other due diligence checks. HHSC uses E-Verify. You must bring your I-9 documentation with you on your first day of work. Download the I-9 Form Telework Disclaimer: This position may be eligible for telework. Please note, all HHS positions are subject to state and agency telework policies in addition to the discretion of the direct supervisor and business needs.

Full-time

Nurse II

apartment Texas Health and Human Services location_onVernon, TX

Join the Texas Health and Human Services Commission (HHSC) and be part of a team committed to creating a positive impact in the lives of fellow Texans. At HHSC, your contributions matter, and we support you at each stage of your life and work journey. Our comprehensive benefits package includes 100% paid employee health insurance for full-time eligible employees, a defined benefit pension plan, generous time off benefits, numerous opportunities for career advancement and more. Explore more details on the Benefits of Working at HHS webpage . Functional Title: Nurse II Job Title: Nurse II Agency: Health & Human Services Comm Department: MaxSecPsych Nursing Posting Number: 4968 Closing Date: 01/17/2026 Posting Audience: Internal and External Occupational Category: Healthcare Support Salary Group: TEXAS-B-22 Salary Range: $6,579.41 - $7,761.50 Shift: Regular Weekend Day Additional Shift: Days (First); Evenings (Second); Nights (Third) Telework: Not Eligible for Telework Travel: Up to 5% Regular/Temporary: Regular Full Time/Part Time: Full time FLSA Exempt/Non-Exempt: Exempt Facility Location: Vernon State Hospital Job Location City: VERNON Job Location Address: 4730 COLLEGE DR Other Locations: MOS Codes: 290X,46AX,46FX,46NX,46PX,46SX,46YX,66B,66C,66E,66F,66G,66H,66P,66R,66S,66T,66W Brief Job Description: Would you thrive in an environment where you learn and grow personally and professionally all while helping make a positive impact on people’s lives? Do you appreciate being around others like yourself who are dependable, trustworthy, hard workers who believe in the value of teamwork? HSCS is dedicated to building an atmosphere where employees feel valued and supported while providing specialized care for Texans in need. HSCS is comprised of nine psychiatric hospitals, one youth residential treatment facility, and thirteen state supported living centers. The psychiatric hospitals are a hub of excellence for forensic mental health and complex psychiatric care, with all facilities accredited by The Joint Commission. They provide state-of-the-art treatment that is recovery-oriented and science-based. If providing hope and healing through compassionate, innovative, and individualized care interests you, we welcome your application for the position below. Under the direct supervision of the Nurse Administrator\Nurse Manager, observes, assesses, plans, intervenes and evaluates outcomes and documents all aspects of patient care. Possesses a unique knowledge regarding the patient population to be served. May coordinate scheduling within assigned areas. Provides primary proactive management for service area during assigned shift with a supportive but clear supervisory manner. Supervises, counsels, and evaluates other nursing staff. Collaborates with Nurse Coordinator, other Nurse Managers, and MH Supervisor/Specialist to ensure 24-hour continuity of care. Assumes duties of the Nurse Coordinator during absence. Is flexible in work schedule. Has broad latitude for initiative and independent judgment. Provides direct nursing care to individual patients as needed. Understands that duties, location of work and shift/pattern are subject to change as determined by the administration to meet the needs of the hospital. Must understand that duties may include exposure to blood or other potentially infectious materials. Performs other duties as assigned. Other duties as assigned include but are not limited to actively participating and/or serving in a supporting role to meet the agency’s obligations for disaster response and/or recovery or Continuity of Operations (COOP) activation. Such participation may require an alternate shift pattern assignment and/or location. This position may be eligible to earn additional pay for work performed on evenings, nights and/or weekends. This position may also be eligible to earn additional pay for work performed on maximum security locations. Essential Job Functions (EJFs): Attends work on a regular basis and may be asked to work a specific shift schedule or, at times, even a rotating schedule, extended shift and/or overtime in accordance with agency leave policy and performs other duties as assigned. Assess the health/mental status of the patient upon admission and/or transfer and on an ongoing basis and documents assessment, planning, intervention, and evaluation in patient record in order to determine priorities and plan therapeutic nursing care. Performs CPR/Heimlich techniques correctly and safely according to the specifications of the American Heart Association. Provides direction and coordination of staffing and patient care activities on assigned units in a consultative manner with nurse administrators and staff nurses by addressing performance problems promptly and keeping accurate documentation of interventions. Facilitates a smooth admission and/or transfer process during working hours in order to achieve the hospital mission by communicating with admissions staff, unit staff reviewing written documentation to ensure appropriate status and triage patients when needed. Carries out medical staff orders and implements nursing interventions according to acceptable nursing care standards and hospital policies and procedures. Meets with unit nursing staff to inform and disseminate information. Provides and documents individual/group teaching to patients regarding medications, illness, special treatment, etc. utilizing appropriate teaching/response methods for various age groups and cognitive levels to facilitate patient learning. Implements special precautions as ordered, explain and document rights restrictions and implements restraint/seclusion procedures according to departmental policy and established nursing standards to maintain patient safety. Protect the patient from causing harm to self and/or others and uphold patient rights. Participates in the client abuse and neglect process, assures patient safety, and meets patient needs, monitors, and implements Treatment Intervention Protection Strategies (TIPS). Follows all established protocols, policies, and procedures. Participates as the nursing representative in Performance improvement teams. Coordinates and administers effective utilization of nursing service personnel on assigned units. Attends mandatory trainings, participates in on-going in-service and other education and training programs appropriate to the population/age group to meet the physical, psychosocial, and cultural needs of patients. Performs other duties as assigned. Other duties as assigned include but are not limited to actively participating and/or serving in a supporting role to meet the agency’s obligations for disaster response and/or recovery or Continuity of Operations (COOP) activation. Such participation may require an alternate shift pattern assignment and/or location. Knowledge, Skills and Abilities (KSAs): Knowledge of recognized American Nurses Association Nursing Standards. Knowledge of departmental policies and procedures. Knowledge of the Nurse Practice Act. Skills in supervisory and management techniques. Skills and ability to perform CPR, agency approved aggression management and restraint techniques, and emergency care in a medical or psychiatric emergency. Skills for positive interaction with patients, staff, families, and the public. Ability to handle crisis situations calmly. Ability to communicate effectively, verbally and in writing. Registrations, Licensure Requirements or Certifications: Licensed to practice as a registered nurse (RN) in the State of Texas (or state that recognizes reciprocity through the Nurse Licensure Compact). Initial Screening Criteria: Graduation from a Nursing Program accredited by the Texas Board of Nurse Examiners required. Six (6) months of work experience as a RN in a recognized health agency, hospital, or health care facility is required. One (1) year of work experience as a RN is preferred. Bachelor's Degree is preferred. Additional Information: Applicants must pass a fingerprint criminal background check, pre-employment drug screen, and registry checks including the Client Abuse/Neglect Reporting System (CANRS), Nurse Aid, Medication Aide and Employee Misconduct, List of Excluded Individuals/Entities (LEIE). Males between the ages of 18-25 must be registered with the Selective Service. All applicants must be at least 18 years of age to be considered for employment at a state-operated facility. Waco Center for Youth applicants must be 21 years of age. Flexibility in work hours may be required for this position. The position may be required to work overtime and/or extended hours. Compliance with HHSC immunization policy and state hospital operating procedures related to immunizations is required. According to the Centers for Disease Control and Prevention, healthcare workers are considered to be at significant risk for acquiring or transmitting hepatitis B, measles, mumps, rubella, varicella (chicken pox), tetanus, diphtheria, pertussis (whooping cough), and influenza. All these diseases are vaccine preventable. As a result, state hospital policy requires employees be vaccinated according to their level of contact with individuals. In the event you choose to not be immunized for the influenza virus, you may be required to wear a mask and take other protective measures. Review our Tips for Success when applying for jobs at DFPS, DSHS and HHSC . Active Duty, Military, Reservists, Guardsmen, and Veterans : Military occupation(s) that relate to the initial selection criteria and registration or licensure requirements for this position may include, but not limited to those listed in this posting. All active-duty military, reservists, guardsmen, and veterans are encouraged to apply if qualified to fill this position. For more information please see the Texas State Auditor’s Job Descriptions, Military Crosswalk and Military Crosswalk Guide at Texas State Auditor's Office - Job Descriptions . ADA Accommodations: In compliance with the Americans with Disabilities Act (ADA), HHSC and DSHS agencies will provide reasonable accommodation during the hiring and selection process for qualified individuals with a disability. If you need assistance completing the on-line application, contact the HHS Employee Service Center at 1-888-894-4747. If you are contacted for an interview and need accommodation to participate in the interview process, please notify the person scheduling the interview. Pre-Employment Checks and Work Eligibility: Depending on the program area and position requirements, applicants selected for hire may be required to pass background and other due diligence checks. HHSC uses E-Verify. You must bring your I-9 documentation with you on your first day of work. Download the I-9 Form Telework Disclaimer: This position may be eligible for telework. Please note, all HHS positions are subject to state and agency telework policies in addition to the discretion of the direct supervisor and business needs.

Full-time

Registered Nurse II

apartment Texas Health and Human Services location_onAbilene, TX

Join the Texas Health and Human Services Commission (HHSC) and be part of a team committed to creating a positive impact in the lives of fellow Texans. At HHSC, your contributions matter, and we support you at each stage of your life and work journey. Our comprehensive benefits package includes 100% paid employee health insurance for full-time eligible employees, a defined benefit pension plan, generous time off benefits, numerous opportunities for career advancement and more. Explore more details on the Benefits of Working at HHS webpage . Functional Title: Registered Nurse II Job Title: Nurse II Agency: Health & Human Services Comm Department: Campus Nursing Posting Number: 11696 Closing Date: 03/05/2026 Posting Audience: Internal and External Occupational Category: Healthcare Practitioners and Technical Salary Group: TEXAS-B-22 Salary Range: $6,579.41 - $7,761.50 Pay Frequency: Monthly Shift: Day Additional Shift: Telework: Not Eligible for Telework Travel: Up to 5% Regular/Temporary: Regular Full Time/Part Time: Full time FLSA Exempt/Non-Exempt: Exempt Facility Location: Abilene State Supported Living Center Job Location City: ABILENE Job Location Address: 2501 MAPLE ST Other Locations: Abilene MOS Codes: 290X,46AX,46FX,46NX,46PX,46SX,46YX,66B,66C,66E,66F,66G,66H,66N,66P,66R,66S,66T,66W Brief Job Description: This position is available for Morning, Evening and Night shifts on multiple homes. This position may be eligible to earn additional pay for work performed on evenings, nights and/or weekends. This position may also be eligible to earn additional pay for work performed on maximum security locations. Come work in an environment where we truly value and respect those we serve and believe in the mission that all people can achieve a higher level of wellness and independence. The state supported living centers serve people with intellectual and developmental disabilities who are medically fragile or who have behavioral problems. The centers provide campus-based direct services and supports at 13 centers located throughout the state. Learn About Our State Supported Living Centers If you are looking for a place to work where you can establish a career that is filled with purpose, this is the job for you! Free CEUs and updated resources through Lippincott access for all nurses. The Direct Care RN performs routine level nursing work providing for the assessment, care and treatment of individuals who reside in a State Supported Living Center (SSLC) setting. Evaluates, treats and documents healthcare needs and/or issues and reports needs and/or issues to the appropriate person(s). Communicates with others, such as direct care staff, physicians/PCP, administration, and other nursing staff to ensure optimal care as part of the interdisciplinary team. Notifies the supervisor and PCP of trends and concerns to ensure that communication is in place to provide consistent, high quality care for all persons served. Completes data entry, required documentation and reports and maintains records. Assists with services provided by LVNs and Certified Medication Aides (CMA), as needed, and makes recommendations for improvements. Participates in facility quality assurance/quality improvement (QA/QI) initiatives, as required. Provides treatment to HHS employees injured in course and scope of employment. Responds to emergency situations to ensure safety and care of individuals and staff. Works under moderate supervision of the Nurse Manager or Nursing Operations Officer, with limited latitude for the use of initiative and independent judgment. Essential Job Functions (EJFs): Attends work on a regular basis and may be required to work a specific shift schedule or, at times, even a rotating schedule, extended shift and/or overtime in accordance with agency leave policy and performs other duties as assigned. May serve in an on-call status on a rotating schedule as required to meet operational needs of the facility. Performs routine nursing tasks and procedures in accordance with HHSC, SSLC and state regulations, such as tracheostomy care, gastrostomy/jejunostomy care, wound care, breathing treatments. Collects specimens for laboratory examination and conducts appropriate screening tests when requested by lab personnel. Administers medications, immunizations, and treatments and observes patients for unusual symptoms and reactions. Makes rounds and/or home visits as needed and works in other locations at the SSLC as needed. Monitors individuals’ weight, diet, feedings, and vital signs. Monitors for signs and symptoms of illness and uses appropriate nursing judgement to provide adequate care for the individual, including initiating acute care plans. Assists in evaluating nursing intervention outcomes and provides input to other members of the healthcare team including recommendations for improvements. Instructs direct support professionals on how to monitor individuals after a treatment or procedure using instruction sheets such as that used for post-sedation monitoring of signs and symptoms. Timely and accurately documents and reports pertinent treatments and observations in the individual’s medical record (electronic health record or paper chart) in accordance with SSLC procedures and protocols. Prepares reports as required. Assists with services provided by LVNs and/or Certified Medication Aides (CMA), as needed, and makes recommendations for improvements, including acclimating them to the individuals, their needs and preferences. Assists LVNs with implementation of protocols, procedures and programs to improve overall health and safety of staff and individuals. Provides assistance with completing follow up assessments, guidelines, acute care plan (ACP) interventions, injury reports, restraints, and med variances. Provides support to Nurse Manager’s including reviews and follow up on controlled drug counts, medication counts, emergency checklist logs, refrigerator temp logs, and glucose controls. Assists the Infection Control nurse by implementing measures that prevent the spread of disease, assists the Quality Assurance Nurse in the implementation of therapeutic nursing programs. Participates in facility Quality Assurance/Quality Improvement initiatives. Responds to emergency situations to ensure safety of individuals. Follows safety and infection control procedures of the SSLC. Provides educational and safety training to SSLC staff upon request. Provides treatment to HHS employees injured in course and scope of employment. Other duties as assigned include but are not limited to actively participating and/or serving in a supporting role to meet the agency’s obligations for disaster response and/or recovery or Continuity of Operations (COOP) activation. Such participation may require an alternate shift pattern assignment and/or location. Knowledge, Skills and Abilities (KSAs): Knowledge of nursing techniques and procedures; of health care laws and regulations; of medical diagnoses and procedures; of accepted medical treatment programs; and of community health and nursing care principles, practices, and procedures. Knowledge of state and federal laws and Intermediate Care Facility for individuals with intellectual disabilities (ICF-IID) rules, regulations, policy and procedures related to State Supported Living Center or ability to quickly gain that knowledge. Knowledge of nursing care standards, the Settlement Agreement and the Healthcare Guidelines or ability to quickly gain the knowledge. Skill in the care and treatment of patients. Skills in the use of computer/software and an electronic health record system. Excellent verbal and written communication skills and the ability to present ideas clearly and concisely in both written and oral communications. Ability to provide patient care; to prepare and maintain records; to interpret policies and procedures; to interpret health care regulations; and to recognize patterns of medical necessity treatment. Ability to demonstrate a working knowledge of emergency procedures and emergency equipment. Ability to appropriately interact with individuals with intellectual/developmental disabilities, with their family members, and with staff members. Ability to work independently and productively with all levels of staff. Ability to provide support and coaching to LVNs, CMAs and DSPs. Ability to make decisions and recommendations to SSLC leadership including on-call administrators Registrations, Licensure Requirements or Certifications: Licensed to practice as a registered nurse in the State of Texas (or a state that recognizes reciprocity through the Nurse Licensure Compact). Initial Screening Criteria: Work experience as a practicing registered nurse is required. At least six (6) months of experience as a practicing registered nurse in a health agency, hospital, or health-care facility is preferred. Bachelor's Degree is preferred. Additional Information: Applicants must pass a fingerprint criminal background check, pre-employment drug screen, and registry checks including the Client Abuse/Neglect Reporting System (CANRS), Nurse Aide, Medication Aide and Employee Misconduct and HHS List of Excluded Individuals/Entities (LEIE). Males between the ages of 18 – 25 must be registered with the Selective Service. All State Supported Living Center Employees are subject to Random Drug Testing. Flexibility in work hours may be required for this position. The position may be required to work overtime and/or extended hours. Must be willing to work weekends and holidays. All applicants must be at least 18 years of age to be considered for employment at a state-operated facility. Review our Tips for Success when applying for jobs at DFPS, DSHS and HHSC . Active Duty, Military, Reservists, Guardsmen, and Veterans : Military occupation(s) that relate to the initial selection criteria and registration or licensure requirements for this position may include, but not limited to those listed in this posting. All active-duty military, reservists, guardsmen, and veterans are encouraged to apply if qualified to fill this position. For more information please see the Texas State Auditor’s Job Descriptions, Military Crosswalk and Military Crosswalk Guide at Texas State Auditor's Office - Job Descriptions . ADA Accommodations: In compliance with the Americans with Disabilities Act (ADA), HHSC and DSHS agencies will provide reasonable accommodation during the hiring and selection process for qualified individuals with a disability. If you need assistance completing the on-line application, contact the HHS Employee Service Center at 1-888-894-4747. If you are contacted for an interview and need accommodation to participate in the interview process, please notify the person scheduling the interview. Pre-Employment Checks and Work Eligibility: Depending on the program area and position requirements, applicants selected for hire may be required to pass background and other due diligence checks. HHSC uses E-Verify. You must bring your I-9 documentation with you on your first day of work. Download the I-9 Form Telework Disclaimer: This position may be eligible for telework. Please note, all HHS positions are subject to state and agency telework policies in addition to the discretion of the direct supervisor and business needs.