Quality Monitor Nurse III

apartment Texas Health and Human Services location_onLubbock, TX 79401, US

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: Quality Monitor Nurse III
Job Title: Nurse III
Agency: Health & Human Services Comm
Department: QMP Nurses and Pharm RMS FTE
Posting Number: 13154
Closing Date: 04/29/2026
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: Not Eligible for Telework
Travel: Up to 80%
Regular/Temporary: Regular
Full Time/Part Time: Full time
FLSA Exempt/Non-Exempt: Exempt
Facility Location:
Job Location City: LUBBOCK
Job Location Address: 5121 69TH ST BLDG B
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

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

Full-time

Registered Nurse

apartment Community Options, Inc. location_onLubbock, TX

Description Community Options, Inc. is a national non-profit agency providing services to individuals with disabilities in 12 states. We are now hiring a Full Time Registered Nurse in Lubbock , TX . The Registered Nurse delivers care to individuals with disabilities in a community setting utilizing the nursing process of assessment, planning, intervention, implementation, and evaluation. This person will interact with individuals, significant others, and health team members while maintaining the standards of professional nursing. *This is an On-call Position * Offering an $8,000 sign on bonus payable at 6 months. Must be Full-time and working all scheduled hours, complete all required training by referred employee, must successfully pass the 6 month introductory/probationary period per the Executive Director’s approval. Responsibilities Provide treatment and health care procedures ordered by a physician and required by the standards of professional practice or law Ensure individuals attend medical appointments per their Individual Support Plan (ISP) Advise supervisor of all concerns and issues related to the provision of nursing services Create and distribute medical/health reports detailing general health, health care goals, and physician recommendations Conduct programmatic trainings including medication administration and delegation Develop and update Individual Support Plans (ISP)/Person Centered Plans (PCP) with an interdisciplinary team to include any concerns, observations, and behavioral developments Train employees on the medical needs of assigned individuals Monitor health and medical conditions of individuals and refer for medical services as needed Monitor the use of medications through medication administration logs Administers medication and management as needed Provides health teaching to the client and assists the client in learning appropriate self-care techniques and safety measures Conducts nursing assessment visit as needed Reports all incidents per operation procedure and regulatory standards Follows policies and procedures according to operational, state, and regulatory standards Completes supervisory visits based on compliance and regulations to include review of plan of care, caregiver competency assessment, and completion of required documentation. Complete daily, monthly, quarterly and annual nursing documents as required Attends and participates in staff meetings, in-services, and other meetings as requested Ensures the ordering, reviewing, monitoring, discontinuation, and, if necessary, the disposal of medications as prescribed by the physician Transcribes or ensures transcription of physician phone orders and other medically related reports Ensures that appointments for health-related issues are scheduled, completed, and that appropriate responses to findings are implemented in a timely manner Provides new employee training, annual re-certification training, and competency validation for health and safety-related topics Employee must cooperate with the license and department staff in any inspection, inquiry, or investigation Minimum Requirements Bachelor’s degree or equivalent experience in nursing field Minimum of one year of experience providing nursing services to individuals with disabilities Valid R.N. license Valid driver’s license with a satisfactory driving record Understanding and commitment to community-based support for persons with disabilities Excellent verbal and written communication skills Employment is contingent upon successful completion of checks of criminal background, central registry, child abuse registry, and drug testing Why Community Options? Competitive Insurance Options (Medical, Dental, Vision) (Day 1) Paid Holidays—Including a Birthday Holiday! Generous Paid Time Off (PTO). Employee Incentive & Discount Programs. 403b Retirement Plan. Exceptional Career Growth Opportunities. Great coworkers/team that support you! University partnerships that include tuition reduction Please Visit Our Website to Complete an Online Application! Careers.comop.org Community Options is an Equal Opportunity Employer M/F/D/V #IND-LU

Hospice

Other

RN - Hospice

apartment Enhabit Home Health & Hospice location_onLubbock, TX

Overview Are you in search of a new career opportunity that makes a meaningful impact? If so, now is the time to find your calling at Enhabit Home Health & Hospice. As a national leader in home-based care, Enhabit is consistently ranked as one of the best places to work in the country. We’re committed to expanding what’s possible for patient care in the home, all while fostering a unique culture that is both innovative and collaborative. At Enhabit, the best of what’s next starts with us. We not only make it a priority to maintain an ethical and stable workplace but also continually invest in our employees. By extending ongoing professional development opportunities and providing cutting-edge technology solutions, we ensure our employees are always moving their careers forward and prepared to deliver a better way to care for our patients. Ever-mindful of the need for employees to care for themselves and their families, Enhabit offers competitive benefits that support and promote healthy lifestyle choices. Subject to employee eligibility, some benefits, tools and resources include: 30 days PDO – Up to 6 weeks (PDO includes company observed holidays) Continuing education opportunities Scholarship program for employees Matching 401(k) plan for all employees Comprehensive insurance plans for medical, dental and vision coverage for full-time employees Supplemental insurance policies for life, disability, critical illness, hospital indemnity and accident insurance plans for full-time employees Flexible spending account plans for full-time employees Minimum essential coverage health insurance plan for all employees Electronic medical records and mobile devices for all clinicians Incentivized bonus plan Responsibilities Provide coordination of care, ensure continuous assessment of each patient's and family's needs, and implement the interdisciplinary care plan. Perform services in accordance with the physician’s orders and the established plan of care (POC). Ensure delivery of care is compliant with the federal and state regulations. Qualifications Must be a graduate of an approved school of clinical education. Must be licensed in the state where they currently practice. Must have at least one year experience as a licensed professional. Must have basic demonstrated technology skills, including operation of a mobile device. Education and experience, preferred Experience as a licensed professional may be deferred with a review and approval from the regional and executive service line clinical leadership. Medicare home health or hospice experience is preferred. Requirements Must possess a valid state driver license Must maintain automobile liability insurance as required by law Must maintain dependable transportation in good working condition Must be able to safely drive an automobile in all types of weather conditions Must possess CPR certification for the healthcare provider Additional Information Enhabit Home Health & Hospice is an equal opportunity employer. We work to promote differences in a collaborative and respectful manner. We are committed to a work environment that supports, encourages and motivates all individuals without discrimination on the basis of race, color, religion, sex (including pregnancy or related medical conditions), sexual orientation, gender identity, marital status, age, disability, national or ethnic origin, military service status, citizenship, genetic information, or other protected characteristic. At Enhabit, we celebrate and embrace the special differences that makes our community extraordinary.

Hospice

Other

RN - Hospice

apartment Enhabit Home Health & Hospice location_onLubbock, TX

Director of Nursing

Full-time

Director of Nursing

apartment Oceans Healthcare location_onLubbock, TX

Oceans Lubbock provides inpatient and outpatient mental health services in a safe and comfortable environment with individual and group treatment programs designed to meet the specific needs of patients during any stage of life. The Director of Nursing is responsible for upholding the standards of nursing care as established by the Nurse Practice Act, Psychiatric Standards of Nursing, policy and procedures, and all other external governing and credentialing bodies. The Director of Nursing directs the staff and operation of the Nursing Department at all facility locations; coordinates, plans and manages nursing activities; formulates nursing program goals and objectives; manages nursing positions; evaluates staff; assists in the management of the nursing budget; maintains contacts with individuals both within and outside of the department who might impact on program activities; participates in recruitment and retention programs; determines the quality of nursing care; participates in performance improvement programs; collaborates with clinical instructors for educational programs; represents the Nursing Department in professional and/or community organizations; demonstrates age specific and cultural sensitivity. All duties to be done in accordance with Joint Commission, Federal and State regulations, Oceans’ Mission, policies and procedures and Performance Improvement Standards. Essential Functions: Utilizes the principles of management/nursing to coordinate patient care and nursing service activities towards positive outcomes; demonstrates fiscal responsibility in scheduling staffing patterns while considering patient safety. Supervises nursing personnel including: determining workload and delegating assignments, training, monitoring and evaluating performance, and initiating corrective or disciplinary actions. Conducts and reviews evaluations on individual staff; makes recommendations for promotion, salary adjustment and/or disciplinary actions. Accountable for nursing performance improvement and contributions to problem identification, investigation and monitoring of resolutions in providing quality care and customer satisfaction. Develops data collection tools, identifies trends, risk areas, and evaluates reliance of research. Coordinates with employees to collect data on the quality of Nursing services; analyzes data collected and submits monthly report to Performance Improvement Director. Oversees and adheres to safety regulations of facility policies and procedures and external regulatory and credentialing bodies; participates as a member of the facility wide safety team. Provides support and acts as a resource for development and implementation of Infection Control, standard precautions policies and procedures. Supports and coordinates patient safety issues in conjunction with Hospital Administrator; analyzes, reviews and follows up on incident reports related to nursing/patient safety issues in conjunction with Risk Management. Ensures staff compliance with patient care, documentation, hospital/unit policies and procedures, protocols, and guidelines; Ensures appropriate nursing staff for each unit to meet patient needs. Directs appropriate training activities for all nursing employees as well as assurance of proper current licensure, continuing education, CPR, and an Oceans Healthcare approved behavioral health de-escalation program; participates in orientation of new and current nursing staff. Performs other duties and projects as assigned.

Full-time

Registered Nurse RN Full Time Nights

apartment Oceans Healthcare location_onLubbock, TX

Oceans Lubbock provides inpatient and outpatient mental health services in a safe and comfortable environment with individual and group treatment programs designed to meet the specific needs of patients during any stage of life. ***We Offer Sponsorships For Registered Nurses*** Benefits We Offer: Medical, Dental, Vision Coverage (Multiple Plan Options) - Eligible first of the month after 30 days. 401 (k) Retirement Savings Plan with Discretionary Company Match Tuition Reimbursement Daily Pay Paid Time Off Competitive Market Compensation Short Term Disability, Long Term Disability Life Insurance Employee Assistance Program The Registered Nurse assumes primary leadership accountability and responsibility for milieu management and directing patient care activities of other nursing staff. The Registered Nurse maintains standards of professional nursing practice in accordance with facility policy and procedures, other external governing and credentialing bodies, performance improvement standards, and psychiatric nursing standards. The Registered Nurse assesses the patient utilizing the nursing process to formulate an individualized plan of care for each patient, implements interventions, and evaluates outcomes consistent with policy and appropriate to the current client’s condition, which promote, maintain, and restore physical and mental health, and prevent illness. The Registered Nurse interprets age/disability specific information in response to client population served. The Registered Nurse provides for the safe delivery of medication in accordance with the policies and procedures, physicians orders and/or current practice. The Registered Nurse is responsible for thorough, accurate reporting, and documentation of the patient’s symptoms, responses, and progress. The Registered Nurse assumes responsibility for professional development, continuing education and maintaining licensure. All duties to be done in accordance with Joint Commission, Federal and State regulations, Oceans' Mission, policies and procedures and Performance Improvement Standards. Essential Functions: Utilizes the nursing process: assessment, planning, intervention, implementation, and evaluation and formulating nursing interventions directed towards development of an individualized plan of care and treatment modalities. Identifies risk levels, precautions, and expected outcomes individualized to the client to include discharge planning; prescribes interventions to attain expected outcomes; evaluates the effectiveness of interventions in relation to expected outcomes; conducts ongoing assessment of clients from admission to discharge; initiates medical/psychiatric crisis intervention to stabilize and ensure the well-being of the patient's conditions. Demonstrates knowledge of psychiatric disorders and appropriate nursing interventions; implements nursing interventions identified in the plan of care that is individualized to the patient needs. Applies appropriate interventions to progress the patient towards wellness and addresses maintenance of wellness. Administers medications as prescribed safely; provides education on prescribed medications; recognizes signs and symptoms of adverse drug reactions. Demonstrates professionalism, accountability, and responsibility for decision making, quality nursing care, and knowledge base of psychiatric nursing care. Reviews, revises, and updates medical records within facility guidelines and timeframes. Transcribes and implements physician's orders according to facility policy; documents care, progress, response to intervention in medical record in an accurate, thorough and concise manner. Follows up on client care responsibilities, communicates incomplete assignments, and current client needs to staff to assure continuity of care. Implements staff assignments and delegation of duties using appropriate judgment and knowledge; Demonstrates positive willingness to assist staff and patients; functions as an advocate for patient needs/safety Utilizes nursing knowledge to successfully meet the needs of the facility, patient population, and staff members utilizes nursing resources to enhance evidence-based practice Float among various clinical services, where qualified and competent and performs other duties and projects as assigned.