Nursing Jobs in Abilene, TX

Cook Children's Health Care System

NP/PA/CNM, Maternal Fetal Medicine Opportunity

Location: Abilene Maternal Fetal Medicine Department: Maternal Fetal Medicine Shift: First Shift (United States of America) Standard Weekly Hours: 40 Summary: Cook Children's is seeking a Maternal Fetal Medicine Advanced Practice Provider (AAP) to join our clinic in Abilene, Texas. The Maternal Fetal Medicine Advanced Practice Provider (APP), which may include Nurse Practitioners (NP’s), Physician Assistants (PA’s), or Certified Nurse Midwife (CNM) functions in a collaborative practice to deliver specialized care to high-risk obstetric patients under the direction and supervision of MFM physicians. Autonomously performs patient assessment, diagnosis, and intervention according to approved protocols. Supports physician to develop and maintain patients. Collaborates with multidisciplinary teams to provide high risk adjunctive prenatal care and consulting, coordinate diagnostic testing, and manage complex maternal and fetal conditions. Provides office coverage for physician(s) during periods of absence. Education & Experience Advanced Practice Registered Nurses Master’s Degree in Nursing as Advanced Practice Registered Nurse. Primary Care or Women’s Health Experience highly preferred Physician Assistants Master’s Degree in Physician Assistant Studies strongly preferred Primary Care or Women’s Health Experience highly preferred Licensure, Registration, and/or Certification Advanced Practice Registered Nurses Current Texas professional registered nurse license Current Texas professional advance practice registered nurse license Recognition from the Texas State Board of Nurse Examiners as an Advanced Practice Nurse Certification Family Practice Nurse Practitioner OR Nurse Midwife Current Basic Life Support (CPR) required Current Advanced Cardiovascular Life Support (ACLS) preferred Intermediate to Advanced AWHONN Fetal Monitoring required within the first year of hire Physician Assistants Current Texas professional physician assistant license Recognition from the Texas State Medical Board as a Physician Assistant. Certification as a Physician Assistant PA-C required. Current Basic Life Support (CPR) required Current Advanced Cardiovascular Life Support (ACLS) preferred Intermediate to Advanced AWHONN Fetal Monitoring required within the first year of hire #CCPN #LI-DB1 About Cook Children’s: Our not-for-profit organization is comprised of a flagship medical center in Fort Worth, Texas, a new medical center in Prosper, Texas, a physician network, home health company, surgery centers, health plan, health services, and health foundation. With more than 60 primary, specialty and urgent care locations throughout Texas, families can access our top-ranked specialty programs and network of services to meet the unique needs of their child. Cook Children's is honored to continually receive recognition for our outstanding efforts and outcomes in pediatric health care. At Cook Children's, we're more than a health care system––we're your friends, neighbors and even family members. And we're parents too, so we can see the world through your eyes. We see what you're going through––and how we can help you and your child get the best care and support possible. Cook Children’s is an equal opportunity employer. As such, Cook Children’s offers equal employment opportunities without regard to race, color, religion, sex, age, national origin, physical or mental disability, pregnancy, protected veteran status , genetic information, or any other protected class in accordance with applicable federal laws. These opportunities include terms, conditions and privileges of employment, including but not limited to hiring, job placement, training, compensation, discipline, advancement and termination.
RN Full-time
Oceans Healthcare

International Registered Nurse

Oceans Healthcare is now sponsoring International Registered Nurses! We are seeking Registered Nurses in multiple states. Please apply today and a member of Oceans Healthcare's recruitment team will do a quick visa evaluation and will discuss open opportunities! Benefits Include: Medical, Dental, Vision Coverage (Multiple Plan Options) 401(k) Retirement Savings Plan Health Reimbursement Account Flexible Spending Account Health Savings Account Life and AD&D Insurance Long-Term and Short-Term Disability Employee Assistance Program At Oceans Healthcare, we are passionate about helping individuals attain the best possible quality of life. As a nationally recognized provider of behavioral health services, we support patients on their journey to healing and long-term recovery. Through our specialized inpatient services and intensive outpatient programs, Oceans Healthcare offers comprehensive behavioral and mental health treatment to help patients at every stage of the healing process.
RN Per Diem
Oceans Healthcare

Registered Nurse RN PRN Nights

At Oceans Behavioral Hospital Abilene, healing is our focus. We are passionate about helping adolescents, adults and seniors manage the challenges associated with anxiety, depression and other mental health issues. Utilizing proven, innovative and progressive therapies, our qualified professionals strive to promote long-term wellness through a range of inpatient and outpatient psychiatric counseling and treatment options. ***We Offer Sponsorships For Registered Nurses*** 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.
LVN Full-time
Texas Health and Human Services

Licensed Vocational Nurse III

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: Licensed Vocational Nurse III Job Title: Licensed Vocational Nurse III Agency: Health & Human Services Comm Department: Campus Nursing Posting Number: 14044 Closing Date: 05/20/2026 Posting Audience: Internal and External Occupational Category: Healthcare Practitioners and Technical Salary Range: $4,866.58 - $6,335.66 Pay Frequency: Monthly Salary Group: TEXAS-A-19 Shift: 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: Nonexempt 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,68C,68Z 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. 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. Performs advanced vocational nursing work. Provides for the care, treatment, and general welfare of individuals residing at the State Supported Living Center who have complex medical, mental health and/or behavioral health issues. Performs basic and advanced routine and non-routine nursing tasks to promote the health of the individuals within the assigned areas and assigned shift. Collects specimens for lab work and performs health screenings. Instructs direct support professionals and other staff on how to provide service and care that support the individual’s medical needs. Performs technical nursing procedures according to facility and state regulations. Keeps informed of and follows all agency, SSLC and unit/home policies and procedures. Provides direction and assists with on-the-job training to others such as newly hired LVNs and direct care staff. Provides on-the-job nursing instruction and training for new LVNs, within their scope of practice, as requested by RN Supervisor. Monitors, oversees the work of, and assigns work to, LVNs as needed. Evaluates nursing intervention outcomes and provides input to other members of the healthcare team. Assists RNs with implementation of protocols, procedures and programs to improve overall health and safety of staff and individuals. Works under the limited supervision of a Registered Nurse (RN), with considerable latitude for the use of initiative and independent judgment. This position may be eligible to earn additional pay for work performed on evenings, nights and/or weekends. 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. Administers medications and treatments orally, rectally, internally, or by injection. Makes rounds and/or home visits as needed and works in other locations at the SSLC as needed. Demonstrates competency in performing complex technical nursing tasks and procedures in accordance with HHSC, SSLC and state regulations. Performs complex and technical nursing procedures according to facility 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. Monitors individuals’ weight, diet, feedings, and vital signs. Monitors individuals’ health status after treatments and procedures. Monitors for signs and symptoms of illness. Evaluates nursing intervention outcomes and provides input to other members of the healthcare team. 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. Recognize symptoms of illness and reports accurately to RN and/or Primary Care Provider. Fosters interdisciplinary collaboration and integration. Communicates pertinent information orally and in writing to other team members, such as the RN Case Manager, in order to ensure the treatment team has the best information possible to make decisions. Collects data for RN/ Primary Care Provider. Leads, monitors, and oversees others who are monitoring individuals before, during, and after treatments and procedures are completed. Evaluates nursing intervention outcomes and confers with other health care members as necessary. Trains/instructs new LVN staff to perform nursing functions at the SSLC, including acclimating them to the individuals, their needs and preferences. Oversees and monitors the work of LVNs as assigned and provides feedback to the supervisor. Assists the new LVN to complete the “on the job training” checklist, observes and gives feedback as the new LVN performs daily assignments, plans daily learning experiences for new LVN, meets with the new LVN’s manager at the end of the orientation to discuss progress made, and is a continued resource for the new LVN. Assists RNs with implementation of protocols, procedures and programs to improve overall health and safety of staff and individuals. Assists the Infection Control nurse by implementing measures that prevent the spread of disease, assists the QA Nurse in developing and implementing quality assurance programs, and assists in the implementation of therapeutic nursing programs. Participates in facility Quality Assurance/Quality Improvement initiatives. Participates in facility committees as requested on a regular basis. 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. Performs other duties as assigned such as assisting the infection control nurse, medication variance, scheduling. 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 care standards, nursing procedures and techniques and of the principles and processes used in providing appropriate patient care. Knowledge of emergency procedures and emergency equipment, i.e., CPR., and ability to assess and care for residents and/or staff members in emergency situations. 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 using reasoning to identify problems and in considering appropriate resolution of situations. Skill in the operation of computers and applicable computer software. Skill in the care and treatment of patients. Ability to organize, coordinate, and evaluate nursing activities and delivery of health services; to interpret policies and procedures; to interpret health care regulations; to recognize patterns of medical necessity treatment; and to plan, assign, and/or oversee the work of others. Ability to interpret regulations and communicate them effectively both orally and in writing. Ability to provide patient care to a wide variety of individuals with complex medical, mental health and/or behavioral health issues. Ability to prepare and maintain records and to use an electronic health record system. Ability to communicate effectively and to instruct others. Must maintain current CPR certification. Must have strength and flexibility to safely perform Cardiopulmonary Resuscitation (CPR). Registrations, Licensure Requirements or Certifications: Licensed to practice as a licensed vocation nurse in the state of Texas, or a state that recognizes reciprocity through the Nurse Licensure Compact Initial Screening Criteria: Graduation from a LVN program. 6 months prior employment experience as an LVN. At least 12 months of prior employment as an LVN is preferred. Experience working or volunteering directly with persons with intellectual disabilities or other developmental disabilities is preferred. Experience training/teaching or leading others is preferred. Experience using an electronic health record system 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.
LVN Full-time
Texas Health and Human Services

Licensed Vocational Nurse II

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: Licensed Vocational Nurse II Job Title: Licensed Vocational Nurse II Agency: Health & Human Services Comm Department: Campus Nursing Posting Number: 14043 Closing Date: 05/20/2026 Posting Audience: Internal and External Occupational Category: Healthcare Practitioners and Technical Salary Range: $4,594.16 - $5,921.16 Pay Frequency: Monthly Salary Group: TEXAS-A-18 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: Nonexempt 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,68C,68Z 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. 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. Performs highly complex vocational nursing work. Provides for the care, treatment, and general welfare of individuals residing at the SSLC who have complex medical, mental health and/or behavioral health issues. Performs basic and complex routine and non-routine nursing tasks to promote the health of the individuals within the assigned areas and assigned shift. Collects specimens for lab work and performs health screenings. Instructs direct support professionals and other staff on how to provide service and care that support the individual’s medical needs. Performs technical nursing procedures according to facility and state regulations. Keeps informed of and follows all agency, SSLC, and unit/home policies and procedures. Provides direction and assists with on-the-job training to others such as newly hired LVNs and direct care staff. Assists Registered Nurses (RNs) with implementation of protocols, procedures and programs to improve overall health and safety of staff and individuals. Works under general supervision of an RN with moderate 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. Administers medications and treatments orally, rectally, internally, or by injection. Assists other medical staff, such as Registered Nurses (RNs), Physicians, Advanced Practice Registered Nurses and Physician Assistants, in examining and caring for patients. Makes rounds and/or home visits as needed and works in other locations at the SSLC as needed. Demonstrates competency in performing complex technical nursing tasks and procedures in accordance with HHSC, SSLC and state regulations. Trains/instructs new LVN staff to perform nursing functions at the SSLC, including acclimating them to the individuals, and describing their needs and preferences. Performs complex and technical nursing procedures according to facility 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. Monitors individuals’ weight, diet, feedings, and vital signs. Monitors individuals’ health status after treatments and procedures. 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. Recognize symptoms of illness and reports accurately to RN and/or Primary Care Provider. Fosters interdisciplinary collaboration and integration. Communicates pertinent information orally and in writing to other team members, such as the RN Case Manager, in order to ensure the treatment team has the best information possible to make decisions. Serves as a resource/mentor for new LVNs. Assists the RN Supervisor with on-the-job nursing instruction and training of other new LVNs. Assists RNs with implementation of protocols, procedures, and programs to improve overall health and safety of staff and individuals. Assists the Infection Control Nurse by implementing measures that prevent the spread of disease, assists the QA Nurse in developing and implementing quality assurance programs, and assists in the implementation of therapeutic nursing programs. Collects data for RN/Primary Care Provider. Provides information and education to individuals, in accordance with their care plan, when performing procedures and treatments such as explaining the name and purpose of a particular medication and explaining why the individuals is taking the medication. Ensures the individual is positioned correctly prior to providing a treatment and, when necessary, assists or instructs other staff in turning/repositioning individuals to administer treatments. Ensures that supplies are available, in advance, to provide the required procedure or treatment. Takes inventory and ensures the home/unit is properly stocked. Orders supplies through appropriate channels when they are needed. Responds to emergency situations to ensure safety of individuals. Follows safety and infection control procedures of the SSLC. Performs other duties as assigned such as working in the clinic or lab, assisting with patient scheduling, and/or accompanying individuals off site for activities or appointments that need nursing attendance. Provide treatment to HHS employees injured in courses 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 care standards, nursing procedures and techniques, and of the principles and processes used in providing appropriate patient care. Knowledge of emergency procedures and emergency equipment, i.e., CPR, and ability to assess and care for residents and/or staff members in emergency situations. Skills in using reasoning to identify problems and in considering appropriate resolution of situations. Skill in the operation of computers and applicable computer software. Skill in the care and treatment of patients. Ability to provide patient care to a wide variety of individuals with complex medical, mental health, and/or behavioral health issues. Ability to prepare and maintain records and to use an electronic health record system once trained. Ability to communicate effectively and to instruct others. Ability to appropriately interact with individuals with intellectual/developmental disabilities, with their family members, and with staff members. Must maintain current CPR certification. Must have strength and flexibility to safely perform Cardiopulmonary Resuscitation (CPR). Registrations, Licensure Requirements or Certifications: Licensed to practice as a licensed vocation nurse in the state of Texas or a state that recognizes reciprocity through the Nurse Licensure Compact. Or Issued a temporary permit to perform supervised nursing duties awaiting licensure. Initial Screening Criteria: Graduation from a LVN program. Prior employment experience as an LVN is preferred. Experience working or volunteering directly with persons with intellectual disabilities or other developmental disabilities is preferred. Experience using an electronic health record system 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.
LPN Outpatient Full-time
Fresenius Medical Care

Outpatient Licensed Practical Nurse - LPN - LVN - Dialysis Preceptor

PURPOSE AND SCOPE: Functions as a member of the hemodialysis health care team in providing safe and effective dialysis therapy for patients under the direct supervision of a registered nurse in accordance with Fresenius Kidney Care (FKC) policies, procedures, and training and in compliance with regulations set forth by the corporation, state, and federal agencies. Assists with clinical orientation precepting and on-going training of all appropriate direct patient care personnel as well as the orientation of all facility staff to FKC. Participates in the implementation and evaluation of patient care. Promote and assist in the maintenance of a safe and clean working environment. Supports the FKC commitment to the Quality Enhancement Program (QEP) and Quality Assurance Indicators (QAI) activities, including those related to patient satisfaction and actively participates in process improvement activities that enhance the likelihood that patients will achieve the FKC Quality Enhancement Goals (QEP). PRINCIPAL DUTIES AND RESPONSIBILITIES: STAFF RELATED Participates in the recruitment process for new clinical staff. Assists with clinical orientation and on-going training of all appropriate direct patient care personnel as well as the orientation of all facility staff to FKC. Functions as preceptor in direct patient care training programs to support the delivery of quality patient care as per the standards set forth in the FKC Clinical Services Clinical Training Manual(s), FKC policies and procedures, and FKC training standards. Delivers and maintains on-going competency evaluations/audits to ensure ongoing performance of other LPNs and PCTs. Collaborates with the Clinical Manager and Education Coordinator in driving FKC quality standards through education regarding all Chronic Kidney Disease (CKD) regulatory and legal requirements and the practice of Continuous Quality Improvement. Assists in training of applicable direct patient care staff on appropriate programs. Provides coaching and developmental support to applicable clinical and facility staff. Education/Communication: Partners with RN and IDT staff to educate the appropriate personnel regarding the integrity and safety of the facility water systems, as allowed by local regulations. Partners with RN and IDT staff to educate the appropriate personnel regarding the maintenance of environmental integrity, including patient and staff safety, of the facility. Ensures a strong communication process between the Clinical Managers, Education Coordinators, direct patient care staff, and all support staff at the facility regarding appropriate training and organizational development programs and initiatives. Participates in implementing and potentially designs creative educational programs for direct patient care staff including contests and other team-based programs. Monitors processes in the delivery of patient care through regular Quality Assurance Indicator (QAI) activities. Ensures all FKC business policies, procedures and systems are incorporated into training, including compliance with ethical business practices. PATIENT RELATED: Education: Assists other health care members in providing patient specific detailed education regarding adequacy measures where appropriate - Online Clearance Monitoring (OLC), Adequacy Monitoring Program (AMP), Urea Kinetic Modeling (UKM), and regarding disease process/access. Treatment: Welcomes assigned patients and inquire as to their well-being since their last treatment. Evaluates vascular access for patency. Obtains necessary pre - and post - treatment vital signs and weight. Performs vascular access evaluation pre-treatment. Performs vascular access cannulation. Performs administration of Heparin, as delegated or as allowed by state law. Responsible for the setup and operation of hemodialysis machines. Initiates dialysis treatment according to prescribed orders including blood flow (QB) and dialysate flow (QD). Evaluates intradialytic problems and provides intervention as prescribed by physician order or as directed. Monitors patients' response to dialysis therapy. Obtains vital signs prior to reinfusion; performs all relevant functions necessary for the discontinuation of treatment Discontinues dialysis treatment according to established procedures. Evaluates patient prior to termination of venous access - standing & sitting blood pressure. Obtains Hemostasis and applies appropriate dressings. Evaluates the patient prior to discharge. Performs and records pre and post dialysis evaluation, weight and vital signs with initial identification. Responsible for calculating and entry of individual patients' dialysis machine programming for Ultrafiltration (UF) goal; treatment time; Sodium (Na) modeling; and UF modeling as prescribed. Responsible for ensuring appropriate safety alarms are enabled, including Narrow Venous Limits, (NVL) 160. Records accurate and timely information regarding vital signs and treatment parameters onto the Hemodialysis Treatment Sheet with initial identification. Responsible for accurate documentation of information related to patient treatment, including completion of Hemodialysis Treatment Sheet and, if applicable, progress notes. Reports directly to the nurse supervisor. Responsible for reporting and documenting any significant information and/or change in patient condition, all new or unusual incidents, information, complaints, or problems to the nurse supervisor. Observes patient, and conducts machine safety checks according to facility policy. Reports any change or unusual findings to the nurse supervisor. Performs and documents any intervention for unusual patient status and document patients' response to intervention. Evaluates patients' vascular access during treatment including arterial and venous monitoring pressures; provides appropriate intervention as needed, documents and reports any unusual findings to the nurse supervisor. Obtains all prescribed laboratory testing and prepare specimens for collection. Assists in developing and following the teaching plan to educate the patient and family regarding end stage renal disease, dialysis therapy, diet, and medications. Assists with all emergency operational procedures. Administers medications including intravenous in accordance with physician orders and state nurse practice laws. Initiates basic CPR measures in the event of cardiac and/or pulmonary arrest and respond to emergency situations related to dialysis treatment. INFECTION CONTROL SPECIALIZATION: Assists with facility Quality Assurance Indicators (QAI) infection control audits. Acts as a change agent for infection control practices within clinic. Under the direction of the CM or designee, monitors staff and patient adherence to infection control practices. Reinforces new hire employee adherence to infection control Policies and Procedures. Supports ongoing staff and patient engagement on infection control practices under the direction of CM or designee for example participation in patient lobby days and staff meetings to reinforce infection control practice. Quarterly and under the direction of the CM reinforces patient and staff adherence to infection control Policies and Procedures through visual media such as posters, flyers or bulletin boards. Under the direction of the Education Department, participates in education response to internal and external facility surveys. Participates in and reinforces infection control education of new patients and families under the direction of the CM or designee. MAINTENANCE/TECHNICAL: Maintains environmental integrity and aesthetics; ensures all areas are safe and clean. Cleans and disinfects dialysis machine surface, chair, equipment, and surrounding area between treatments according to facility policy. Conducts all tasks necessary for preparation for dialysis treatment and document where appropriate. Performs all required pretreatment dialysis machine alarm testing including Pressure Holding (PHT). Initiates Solution Delivery System (SDS) system. Ensures that all blood spills are immediately cleaned with appropriate disinfectant according to facility policy. Prepares, organizes, and efficiently utilizes supplies and equipment to prevent wastage. RECORD KEEPING: Completes and documents ongoing participation in Quality Assurance Indicators (QAI) activities. Enters all treatment data into the designated clinical application in an accurate and timely manner. Reviews treatment sheets for completeness, ensure nursing signatures are documented, and ensure omitted entries are completed or corrected where appropriate. Prepares initial patient chart for admission and compile paperwork for appropriate placement in chart. Prepares lab requisitions for prescribed or stat Lab specimens according to laboratory destination. Collects, labels, appropriately prepares and stores lab samples according required laboratory specifications. Ensures collection of lab specimens by appropriate lab courier. PHYSICAL DEMANDS AND WORKING CONDITIONS: The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Day to day work includes desk and personal computer work and interaction with patients, facility staff and physicians. The position requires travel between assigned facilities and various locations within the community. Travel to regional, Business Unit and Corporate meetings may be required. The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials. The position provides direct patient care that regularly involves heavy lifting and moving of patients, and assisting with ambulation. Equipment aids and/or coworkers may provide assistance. This position requires frequent, prolonged periods of standing and the employee must be able to bend over. The employee may occasionally be required to move, with assistance, machines and equipment of up to 200 lbs., and may lift chemical and water solutions of up to 30 lbs. up as high as 5 feet. There is a two-person assist program and material assist devices for the heavier items. EDUCATION AND LICENSES : Graduate of an accredited School of Practical Nursing (LPN, LVN) Current appropriate state licensure Attendance and active participation in all applicable preceptor training programs as established by the Regional Education Manager Attends FKC and publicly offered skill-based training as assigned by Clinical Manager History of high performance as measured by no lower than a commendable performance evaluation rating on reviews with no recent corrective actions Participation in our Leading with Values and Patient Experience workshops desired EXPERIENCE AND REQUIRED SKILLS: At least five years patient care experience in a hospital setting or a related facility preferred Employees must meet the necessary requirements of Ishihara's Color Blindness test as a condition of employment Continued employment is dependent on successful completion of the FKC dialysis training program and successful completion of CPR certification Intravenous Certification if required by State Nurse Practice Act Excellent communication skills - both verbal and written Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws. Fresenius Medical Care is an equal opportunity employer and does not discriminate on the basis of race, color, religion, sexual orientation, gender identity, parental status, national origin, age, disability, military service, or other non-merit-based factors
RN Full-time
Texas Health and Human Services

Registered Nurse II

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: 14045 Closing Date: 05/19/2026 Posting Audience: Internal and External Occupational Category: Healthcare Practitioners and Technical Salary Range: $6,579.41 - $7,761.50 Pay Frequency: Monthly Salary Group: TEXAS-B-22 Shift: Evening Additional Shift: Days (First); 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: 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.
RN Full-time
Texas Health and Human Services

Registered Nurse Case Manager

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 Case Manager Job Title: Nurse III Agency: Health & Human Services Comm Department: Campus Nursing Posting Number: 13822 Closing Date: 02/26/2026 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: 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: 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 RN Case Manager performs complex nursing work providing for the assessment, care and integrated treatment of individuals residing at the SSLC. Oversees the delivery of nursing care necessary and monitors the health care status to meet the health care needs of individuals assigned to the caseload. As a member of the interdisciplinary team (IDT), works closely and professionally with members of other disciplines to ensure that communication is in place to provide consistent, high quality interdisciplinary and holistic care for all persons served. Performs physical assessments, documents healthcare needs, develops health care plans, oversees the implementing nursing intervention(s), evaluates and analyzes the outcomes of the interventions. Works proactively to ensure optimal health care outcomes for assigned individuals. Reviews available documentation for issues and incidents involving assigned individuals. Performs and reports trend analysis of health care needs and/or issues to the appropriate person and creates nursing care plans that accurately and definitively direct the implementation of all necessary care. Self-initiates to maintain competence in nursing best practices. Uses established nursing methods, procedures and techniques to successfully complete job duties. Attends medical appointments with individuals when need to ensure optimal communication and continuity of care. Participates in quality assurance reviews, attends meetings, mentors and coaches new RN case managers as assigned, and participates in committees and workgroups as assigned. Provides treatment to HHS employees injured in the course and scope of employment as needed. Works under the general supervision of a manager who is a Registered Nurse, with latitude for the use of initiative and independent judgment. Starting salary for this position: 7532.75 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. Monitors the health status of all individuals assigned to the RN Case Manager. Conducts rounds on the assigned home(s) to gather information from direct support professionals, nursing staff, and others. Observes and interacts with the individuals. Oversees the implementing nursing intervention(s), evaluates and analyzes the outcomes of the interventions. Uses nursing skill and judgment and established procedures to identify current and emerging issues. Documents and follows up on those issues in accordance with protocols. Ensures that proactive nursing care is provided in an attempt to promote the optimal health of persons served. Demonstrates thorough knowledge of the nursing process and nursing procedures. Provides hands-on nursing care as needed, including guidance for LVNs and direct care staff to implement health care plans. Actively participates as member of the individual’s interdisciplinary team (IDT) as the nursing expert. Participates in proactive problem solving related to care of persons served and nursing processes and issues. Educates others such as the interdisciplinary team members, the Legally Authorized Representative (LAR), the individual, other medical care providers about the individual’s health care plan and status. Works to achieve consensus within the interdisciplinary team. Advocates for the need and preferences of the individual. Actively participates in, and prepares for in advance, essential meetings related to the individuals on the assigned caseload to manage and coordinate health care. Updates necessary items in the automated system(s) and other tracking documents and takes the necessary action to communicate information to other disciplines. Performs physical assessments on a monthly, quarterly and annual basis and as needed, in accordance with training and facility protocols. Uses information gathered to develop acute care plans, integrated health care plans, and referrals to health care providers and conveys information gathered to the interdisciplinary team. Completes required documentation in accordance with schedule (i.e. daily, weekly, monthly, quarterly, annually) and established guidelines and protocols. These include individual plans of care, comprehensive quarterly and annual individualized assessments, and complete physical assessments. Meets required deadlines consistently. Reviews physician’s orders and Medication Administration Records (MAR) to ascertain that medications/treatments are administered as ordered. Reviews available information for incidents and issues such as emesis, falls, seizures, restraints, and/or injuries. Uses knowledge of medications administered in order to identify desired effects or adverse reactions. Analyzes data for trends and takes appropriate action based on the findings. Attends on campus medical appointments, treatment and/or clinics with the individual as assigned. When required to coordinate continuity of care, attends off campus medical specialist appointments. Participates in competency-based training and continuing education activities and meetings to maintain competence in nursing best practice. Demonstrates knowledge of safety and infection control practices to ensure a safe working environment. Complies with state mandated continuing education to maintain licensure as a registered nurse. Follows information security protocols in order to maintain the accuracy and confidentiality of consumer records. Establishes and maintains professional work relationships with persons served, co-workers, supervisors, ancillary staff and visitors. Mentors and coaches new RN Case Managers as assigned. Participates in quality assurance reviews and other activities related to the development/enhancement/refinement of nursing policy and procedure in order to evaluate and improve the quality of nursing care provided on campus. Participates in other work groups and committees as assigned. Provide treatment to HHS employees injured in the 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, standards, and procedures; of health care laws and regulations; of medical diagnoses and procedures; of accepted medical treatment patterns; of community health and nursing care principles, practices, and procedures; of program regulations and procedures; and of utilization review and control measures. Skill in the care and treatment of patients. 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. Ability to appropriately interact with individuals with intellectual/developmental disabilities, with their family members, and with staff members. 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. Skills in the use of computer/software and an electronic health record system. Skill in time management and prioritization. Excellent verbal and written communication skills and the ability to present ideas clearly and concisely in both written and oral communications. Ability to work independently and productively with all levels of staff. Must maintain current CPR certification. Must have strength and flexibility to safely perform Cardiopulmonary Resuscitation (CPR). Knowledge of emergency procedures and emergency equipment, i.e., CPR., and ability to assess and care for residents and/or staff members in emergency situations. Knowledge of nursing care standards, the Settlement Agreement and the Healthcare Guidelines or ability to quickly gain the knowledge. Ability to interpret regulations and communicate them effectively both orally and in writing. Ability and skills to perform comprehensive physical assessments and identify abnormal findings on evaluation and to recognize signs and symptoms of illness or injury. Ability to analyze, assimilate, and integrate information in order to make nursing judgments about conditions and the acuity of conditions, to develop plans of care, and to evaluate outcomes of care. 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: At least one (1) year experience as a practicing registered nurse is required. Experience in assessment and documentation of health status is required. At least two (2) years of experience as a practicing registered nurse in a health agency, hospital, or health-care facility is preferred. Bachelor's Degree is preferred. Previous experience working with Individuals with Intellectual and/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.
LVN Full-time
Windcrest Health & Rehabilitation

LVN- Full Time Staff Nurse

Now Hiring: Licensed Vocational Nurses (LVNs) & Registered Nurses (RNs)! Windcrest Health & Rehabilitation – A 5-Star Facility Are you a compassionate nurse who takes pride in delivering top-quality care ? At Windcrest Health & Rehabilitation , we’re not just a healthcare facility—we’re a 5-star rated community specializing in short-term rehabilitation and certified dementia care . We’re searching for dedicated LVNs and RNs to join our outstanding team and make a real impact every day. Why You’ll Love Windcrest: Competitive pay & shift differentials Health, dental, vision, and retirement benefits Paid time off & holiday pay Supportive, team-oriented environment Professional growth, training, and advancement opportunities Work in a highly rated facility that values staff just as much as residents What You’ll Do: Deliver compassionate nursing care with excellence and integrity Support residents in their recovery and ongoing care Collaborate with an interdisciplinary team for the best outcomes Educate and empower residents and families about care plans Lead with professionalism in a positive, team-centered culture Why Choose Windcrest? Because here, you’re more than an employee—you’re part of a family. Our reputation for 5-star quality care comes from people like YOU, who go above and beyond every day. Location: Windcrest Health & Rehabilitation Apply Today! Join our award-winning team, where compassion and excellence go hand in hand. Shifts available: 8 hour Split Shift 8 hour M-F 2pm-10pm PRN
RN Full-time
Takeda

Plasma Center Nurse- RN- $2500 Sign on Bonus!

By clicking the “Apply” button, I understand that my employment application process with Takeda will commence and that the information I provide in my application will be processed in line with Takeda’s Privacy Notice and Terms of Use . I further attest that all information I submit in my employment application is true to the best of my knowledge. Job Description This position is eligible for a $2500 Sign on Bonus! Please take this virtual tour to get a sneak peek of one of our Plasma Donation Centers. About BioLife Plasma Services Every day, the donors you meet will motivate you. The high-quality plasma you collect will become life-changing medicines. Here, a commitment to customer service and quality is expected. You will report to the Plasma Center Manager and will perform as a Medical Support Specialist (Plasma Center Nurse) to support plasma center operations. BioLife Plasma Services is a subsidiary of Takeda Pharmaceutical Company Ltd. About the role: Every day, the donors you meet will motivate you. The high-quality plasma you collect will become life-changing medicines. Here, a commitment to customer service and quality is expected. You will determine donor eligibility to donate plasma, management of donor adverse events, review of laboratory test results, and donor notification of unsuitable test results. The Medical Support Specialist (Plasma Center Nurse) works under the guidance of the Center Manager (or Assistant Manager as applicable) for operational guidance and under the management of the Center Physician for medical issues. The Medical Support Specialist will be familiar with regulations of the plasma collection industry or a manufacturing environment. The Medical Support Specialist follows guidance provided by BioLife Medical Affairs and provides center level support of environmental, health and safety (EHS). How you will contribute You will determine donor eligibility; to include, proper management of informed consent, AIDS education and confidential self-exclusion, medical history interview and acceptance requirements, physical examination, blood testing, and reviewing Serological Protein Electrophoresis (SPE). You will evaluate donor reaction(s), which occurs at the facility as outlined in the SOPs. Follow applicable SOPs for medical emergencies including the development of Center Physician's standing orders and donor transport to emergency care facilities. You will refer to the Center Physician or Medical Affairs (as applicable) when in need of providing unacceptable findings to donors, or guidance concerning medical or technical issues, including donor safety and eligibility. You will support the Hepatitis B and Seasonal Flu vaccination programs for employees as applicable. You will manage employee incidents and determine whether further evaluation is required by occupational health/ER. Refer to EHS guidance regarding employee incidents. You can be a Pandemic Coordinator when authorized by EHS and support investigations associated with pandemic threats within the local community as indicated by EHS or Medical Affairs. What you bring to Takeda: High school diploma or equivalent to including graduate equivalent of a recognized educational nursing program with state requirements Currently licensed or certified in the state where responsibilities will be assigned: Registered Nurse (RN), Nurse Practitioner (NP) or Physician Assistant (PA) Current Cardiopulmonary Resuscitation (CPR) and AED certification Fulfill state requirements (in state of licensure) for basic IV therapy Satisfactorily complete the FDA approved training requirements for BioLife Medical Support Specialist Two years in a clinical or hospital setting What Takeda can offer you: Every day at Takeda, we feel good knowing that what we do helps improve the lives of patients with rare diseases. At BioLife, while you focus on our donors, we will support you. We offer a purpose you can believe in, a team you can count on, opportunities for career growth, and a comprehensive benefits program to include medical/dental, paid time off and retirement benefits, all in a fast-paced, friendly environment. More about us: At Takeda, we are transforming patient care through the development of novel specialty pharmaceuticals and best in class patient support programs. Takeda is a patient-focused company that will inspire and empower you to grow through life-changing work. Certified as a Global Top Employer, Takeda offers stimulating careers, encourages innovation, and strives for excellence in everything we do. We foster an inclusive, collaborative workplace, in which our teams are united by an unwavering commitment to bring Better Health and a Brighter Future to people around the world. BioLife Compensation and Benefits Summary We understand compensation is an important factor as you consider the next step in your career. W e are committed to equitable pay for all employees, and we strive to be more transparent with our pay practices. For Location: USA - TX - Abilene U.S. Hourly Wage Range: $30.24 - $41.58 The estimated hourly wage range reflects an anticipated range for this position. The actual hourly wage offered may depend on a variety of factors, including the qualifications of the individual applicant for the position, years of relevant experience, specific and unique skills, level of education attained, certifications or other professional licenses held, and the location in which the applicant lives and/or from which they will be performing the job. The actual hourly wage offered will be in accordance with state or local minimum wage requirements for the job location. U.S. based employees may be eligible for short-term incentives. U.S. based employees may be eligible to participate in medical, dental, vision insurance, a 401(k) plan and company match, short-term and long-term disability coverage, basic life insurance, a tuition reimbursement program, paid volunteer time off, company holidays, and well-being benefits, among others. U.S. based employees are also eligible to receive, per calendar year, up to 80 hours of sick time, and new hires are eligible to accrue up to 120 hours of paid vacation. EEO Statement Takeda is proud in its commitment to creating a diverse workforce and providing equal employment opportunities to all employees and applicants for employment without regard to race, color, religion, sex, sexual orientation, gender identity, gender expression, parental status, national origin, age, disability, citizenship status, genetic information or characteristics, marital status, status as a Vietnam era veteran, special disabled veteran, or other protected veteran in accordance with applicable federal, state and local laws, and any other characteristic protected by law. Locations USA - TX - Abilene Worker Type Employee Worker Sub-Type Regular Time Type Full time Job Exempt No
LPN Full-time
Takeda

Plasma Center Nurse- LPN- $2500 Sign on Bonus!

By clicking the “Apply” button, I understand that my employment application process with Takeda will commence and that the information I provide in my application will be processed in line with Takeda’s Privacy Notice and Terms of Use . I further attest that all information I submit in my employment application is true to the best of my knowledge. Job Description This position is eligible for a $2500 Sign on Bonus! Please take this virtual tour to get a sneak peek of one of our Plasma Donation Centers. About BioLife Plasma Services Every day, the donors you meet will motivate you. The high-quality plasma you collect will become life-changing medicines. Here, a commitment to customer service and quality is expected. You will report to the Plasma Center Manager and will perform as a Medical Support Specialist (Plasma Center Nurse) to support plasma center operations. BioLife Plasma Services is a subsidiary of Takeda Pharmaceutical Company Ltd. About the role: Every day, the donors you meet will motivate you. The high-quality plasma you collect will become life-changing medicines. Here, a commitment to customer service and quality is expected. You will determine donor eligibility to donate plasma, management of donor adverse events, review of laboratory test results, and donor notification of unsuitable test results. The Medical Support Specialist (Plasma Center Nurse) works under the guidance of the Center Manager (or Assistant Manager as applicable) for operational guidance and under the management of the Center Physician for medical issues. The Medical Support Specialist will be familiar with regulations of the plasma collection industry or a manufacturing environment. The Medical Support Specialist follows guidance provided by BioLife Medical Affairs and provides center level support of environmental, health and safety (EHS). How you will contribute You will determine donor eligibility; to include, proper management of informed consent, AIDS education and confidential self-exclusion, medical history interview and acceptance requirements, physical examination, blood testing, and reviewing Serological Protein Electrophoresis (SPE). You will evaluate donor reaction(s), which occurs at the facility as outlined in the SOPs. Follow applicable SOPs for medical emergencies including the development of Center Physician's standing orders and donor transport to emergency care facilities. You will refer to the Center Physician or Medical Affairs (as applicable) when in need of providing unacceptable findings to donors, or guidance concerning medical or technical issues, including donor safety and eligibility. You will support the Hepatitis B and Seasonal Flu vaccination programs for employees as applicable. You will manage employee incidents and determine whether further evaluation is required by occupational health/ER. Refer to EHS guidance regarding employee incidents. You can be a Pandemic Coordinator when authorized by EHS and support investigations associated with pandemic threats within the local community as indicated by EHS or Medical Affairs. What you bring to Takeda: High school diploma or equivalent to including graduate equivalent of a recognized educational nursing program with state requirements Currently licensed or certified in the state where responsibilities will be assigned: LPN or LVN Current Cardiopulmonary Resuscitation (CPR) and AED certification Fulfill state requirements (in state of licensure) for basic IV therapy Satisfactorily complete the FDA approved training requirements for BioLife Medical Support Specialist Two years in a clinical or hospital setting What Takeda can offer you: Every day at Takeda, we feel good knowing that what we do helps improve the lives of patients with rare diseases. At BioLife, while you focus on our donors, we will support you. We offer a purpose you can believe in, a team you can count on, opportunities for career growth, and a comprehensive benefits program to include medical/dental, paid time off and retirement benefits, all in a fast-paced, friendly environment. More about us: At Takeda, we are transforming patient care through the development of novel specialty pharmaceuticals and best in class patient support programs. Takeda is a patient-focused company that will inspire and empower you to grow through life-changing work. Certified as a Global Top Employer, Takeda offers stimulating careers, encourages innovation, and strives for excellence in everything we do. We foster an inclusive, collaborative workplace, in which our teams are united by an unwavering commitment to bring Better Health and a Brighter Future to people around the world. BioLife Compensation and Benefits Summary We understand compensation is an important factor as you consider the next step in your career. W e are committed to equitable pay for all employees, and we strive to be more transparent with our pay practices. For Location: USA - TX - Abilene U.S. Hourly Wage Range: $22.69 - $31.20 The estimated hourly wage range reflects an anticipated range for this position. The actual hourly wage offered may depend on a variety of factors, including the qualifications of the individual applicant for the position, years of relevant experience, specific and unique skills, level of education attained, certifications or other professional licenses held, and the location in which the applicant lives and/or from which they will be performing the job. The actual hourly wage offered will be in accordance with state or local minimum wage requirements for the job location. U.S. based employees may be eligible for short-term incentives. U.S. based employees may be eligible to participate in medical, dental, vision insurance, a 401(k) plan and company match, short-term and long-term disability coverage, basic life insurance, a tuition reimbursement program, paid volunteer time off, company holidays, and well-being benefits, among others. U.S. based employees are also eligible to receive, per calendar year, up to 80 hours of sick time, and new hires are eligible to accrue up to 120 hours of paid vacation. EEO Statement Takeda is proud in its commitment to creating a diverse workforce and providing equal employment opportunities to all employees and applicants for employment without regard to race, color, religion, sex, sexual orientation, gender identity, gender expression, parental status, national origin, age, disability, citizenship status, genetic information or characteristics, marital status, status as a Vietnam era veteran, special disabled veteran, or other protected veteran in accordance with applicable federal, state and local laws, and any other characteristic protected by law. Locations USA - TX - Abilene Worker Type Employee Worker Sub-Type Regular Time Type Full time Job Exempt No
RN Full-time
Oceans Healthcare

International Registered Nurse

Oceans Healthcare is now sponsoring International Registered Nurses! We are seeking Registered Nurses in multiple states. Please apply today and a member of Oceans Healthcare's recruitment team will do a quick visa evaluation and will discuss open opportunities! Benefits Include: Medical, Dental, Vision Coverage (Multiple Plan Options) 401(k) Retirement Savings Plan Health Reimbursement Account Flexible Spending Account Health Savings Account Life and AD&D Insurance Long-Term and Short-Term Disability Employee Assistance Program At Oceans Healthcare, we are passionate about helping individuals attain the best possible quality of life. As a nationally recognized provider of behavioral health services, we support patients on their journey to healing and long-term recovery. Through our specialized inpatient services and intensive outpatient programs, Oceans Healthcare offers comprehensive behavioral and mental health treatment to help patients at every stage of the healing process.
LPN Full-time
BrightSpring Health Services

LVN / LPN

Our Company ResCare Community Living Overview Works under the supervision of a Registered Nurse. Duties include providing routine care, general observation of client’s health status, assists the RN and physician in treatments and communicating with clients and their families/guardians. Reports changes in condition and/or additional client needs to supervisor. Responsibilities Communicates health/nursing needs and/or recommendations to RN supervisor Coordinates admissions, discharges, and follow-up as needed Assists in medical/health appointments as needed Ensures the provision of nursing/health services under the direction of the RN and as ordered by the physician, provides direct care as outlined in the Service Plan/Nursing Care Plan Takes and records vital signs, weights, wound measurements, etc. Identifies trends outside of parameters, or in need of attention and communicates to RN/physician Reports pertinent information and changes in individual health status to attending physician/health professionals and to the Team as needed in a timely manner Ensures the provision of needed adaptive equipment Medication Administration: Administers medications, verifying the correct medications are administered (per the six “rights” of medication administration), and that client’s response to medications is noted and documented along with any noted side effects Works closely with home/facility/pharmacy staff in consulting on psychotropic medications, side effects, and medication reviews Orders, reviews, monitors, and discontinues medications as ordered by physician. Dispose of unused medication per policy Assures that monthly Medication Administration Records (MAR’s) are accurately transcribed in each individual’s record Checks the medication cabinet on a weekly basis to ensure medications are administered as ordered, appropriately documented on the MAR, and that missed medications are documented, and required follow-up occurs Returns completed med cards at the end of each month, along with expired and unused medications as applicable Checks program/service areas on a frequent but not less than a monthly basis to ensure the necessary medical/nursing/medication supplies are available and in ample supply Reports client illness, potential communicable diseases or infections and works closely with RN, direct care staff, other programmatic and health care professionals, and family in maintaining a safe environment for clients and staff. Implements isolation precautions as needed Ensures health status, care and services are documented accurately and timely per company and state requirements Provides supervision and education for non-licensed staff in the provision of care and services and reports any changes Complete a quarterly nursing evaluation/review of body systems on assigned individuals per program requirements. Refer to physician any assessment findings needing further review. Ensures incidents are recorded, the individual is safe, receives required medical care, communicates to RN, operations leadership timely Participates in clinics completed at the operation with PCP, psych, etc. as assigned.Participate in on-call duties to ensure weekend and after-hours access to clinicians by staff and individuals served (participates in on-call rotation as assigned) Participates in quarterly quality improvement activities, weekly team/staff meetings and Interdisciplinary Team meetings (IDT/PDP) Transcribes physician phone orders and other medically related reports Work hours may vary – weekends and evening shifts/visits may be required Qualifications Education: Completion of a state approved training program (e.g., diploma, associate’s degree, etc per state requirement) Qualifications: Must be a Licensed Practical/Vocational Nurse (LPN or LVN, per state licensure requirements) in good standing CPR certification Must have at least 6 months of direct nursing experience Experience in providing services and supports to individuals with developmental disabilities, or related disorders preferred Valid driver’s license, with a satisfactory driving record, as defined by ResCare’s vehicle policy Must have the ability to use a computer utilizing company documentation systems Ability to communicate (verbally and written) with all levels of personnel, internal and external to the company About our Line of Business ResCare Community Living, an affiliate of BrightSpring Health Services, has five decades of experience in the disability services field, providing support to individuals who need assistance with daily living due to an intellectual, developmental, or cognitive disability. We provide a comprehensive range of high-quality services, including: community living, adult host homes for adults regardless of disability, behavioral/mental health support, in-home pharmacy solutions, telecare and remote support, supported employment and training programs, and day programs. For more information, please visit www.rescarecommunityliving.com. Follow us on Facebook and LinkedIn. Salary Range USD $25.00 / Hour
RN Per Diem
Oceans Healthcare

Registered Nurse RN PRN Nights

At Oceans Behavioral Hospital Abilene, healing is our focus. We are passionate about helping adolescents, adults and seniors manage the challenges associated with anxiety, depression and other mental health issues. Utilizing proven, innovative and progressive therapies, our qualified professionals strive to promote long-term wellness through a range of inpatient and outpatient psychiatric counseling and treatment options. ***We Offer Sponsorships For Registered Nurses*** 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.
CNA Full-time
Windcrest Health & Rehabilitation

Certified Nurse Aide (CNA)

Now Hiring: Certified Nurse Aides (CNAs)! Windcrest Health & Rehabilitation – A 5-Star Facility Are you ready to join a team that’s truly five-star ? At Windcrest Health & Rehabilitation , we specialize in short-term rehabilitation and dementia care , delivering excellence with compassion every single day. As a CNA on our team, you’ll play a vital role in supporting residents and making a difference in their lives. What We Offer You: Competitive pay & shift differentials Comprehensive benefits package (medical, dental, vision, 401k) Paid time off & holiday pay Ongoing training & career advancement opportunities A supportive team environment where YOU matter! Your Role as a CNA: Provide compassionate, hands-on care to residents Assist with daily living activities to promote comfort and dignity Work alongside an incredible nursing team in a collaborative environment Build meaningful connections with residents and their families Why Choose Windcrest? Because we’re not just a workplace—we’re a community . Our 5-star rating reflects the quality of care we provide, but it’s our team members who make it possible. At Windcrest, you’ll find purpose, passion, and people who truly care. Location: Windcrest Health & Rehabilitation 6050 Hospital Dr. Abilene, TX 79606 Apply Today! Come grow with us, and be part of something exceptional. Shifts Available: 6am-6pm 2pm-10pm 6am-2pm
RN Full-time
Windcrest Health & Rehabilitation

RN- Full Time Nurse (Long Term Care Facility)

Now Hiring: Licensed Vocational Nurses (LVNs) & Registered Nurses (RNs)! Windcrest Health & Rehabilitation – A 5-Star Facility Are you a compassionate nurse who takes pride in delivering top-quality care ? At Windcrest Health & Rehabilitation , we’re not just a healthcare facility—we’re a 5-star rated community specializing in short-term rehabilitation and certified dementia care . We’re searching for dedicated LVNs and RNs to join our outstanding team and make a real impact every day. Why You’ll Love Windcrest: Competitive pay & shift differentials Health, dental, vision, and retirement benefits Paid time off & holiday pay Supportive, team-oriented environment Professional growth, training, and advancement opportunities Work in a highly rated facility that values staff just as much as residents What You’ll Do: Deliver compassionate nursing care with excellence and integrity Support residents in their recovery and ongoing care Collaborate with an interdisciplinary team for the best outcomes Educate and empower residents and families about care plans Lead with professionalism in a positive, team-centered culture Why Choose Windcrest? Because here, you’re more than an employee—you’re part of a family. Our reputation for 5-star quality care comes from people like YOU, who go above and beyond every day. Location: Windcrest Health & Rehabilitation 6050 Hospital Dr. Abilene, TX 79606 Apply Today! Join our award-winning team, where compassion and excellence go hand in hand. 8 hour Split Shift 8 hour M-F 2pm-10pm PRN
NP Pediatric Other
ERP International

Nurse Practitioner - Pediatrics

Overview ERP International is seeking a Pediatric Nurse Practitioner, for a temporary contract position supporting Dyess AFB TX. Apply online today and discover more about this exceptional employment opportunity. www.erpinternational.com Be the Best! Join our team of exceptional health care professionals across the nation. Come discover the immense pride and job satisfaction ERP Employees experience in providing care for our Military Members, their Families and Retired Military Veterans! ERP International is honored to be named a 2025 Top Workplace by The Washington Post! 6 Years Running. Connect With Us! Apply online today and discover more about this exceptional employment opportunity. www.erpinternational.com About ERP International, LLC: ERP is a nationally respected provider of health, science, and technology solutions supporting clients in the government and commercial sectors. We provide comprehensive enterprise information technology, strategic sourcing, and management solutions to DoD and federal civilian agencies in 40 states. Founded in 2006, ERP is headquartered in Laurel, MD and maintains satellite offices in Montgomery, AL and San Antonio, TX - plus project locations nationwide. ERP is an Equal Opportunity Employer - Disability and Veteran. Responsibilities Work Schedule: Monday - Friday, 9 hours between 7:00am and 4:00pm, including a one hour lunch Core Duties: • Provide a full range of outcome-based nurse practitioner services in accordance with privileges granted by the MTF (e.g., supervise and provide general screening and medical care and examinations of patients for routine, acute and chronic conditions involving any and all organ systems; provide immunizations; diagnose, treat, and counsel patients as indicated).• Technically direct and teach other staff, provide evidenced-based educational lectures and participate in in-service training to staff members. • Diagnose and treat patients with common acute conditions, chronic illnesses, or minor trauma within accepted protocols, clinical practice guidelines, Nurse Practice Acts, and/or in consultation with a physician.• Promote preventive care and health maintenance including annual physicals, positive health behaviors and self-care through both formal and individual education and counseling.• Communicate and collaborate with a diverse group of people for the purpose of informing the healthcare team of plans/actions, for teaching/education to benefit the patient/family and organization. • Recognize conditions that require isolation and ensure universal precautions are used in all patient encounters.• Attend staff meetings to provide case discussion, continuing education, and continuous quality improvement and safety. • Provider will be required to see a minimum of 100 bookable appointments per week, in accordance with the template manager, and cannot deviate without adequate justification. Per AFI 44-171, para 2.6.4.2 the Group Practice Manager and the Access to Care Function have local waiver authority for increasing or decreasing appointments per week based on provider contract limitations, local workload issues, experience/clinical capability of providers, inpatient/currency requirements, mission essential function. • The nurse practitioner may become the Primary Care Manager (PCM) for a panel of up to 1,300 patients. As a PCM, the provider will be the primary person responsible for the management of the health and wellness of his/her assigned patients. Duties include Direct, perform, or assist in the instruction of other health care professionals within the scope of the clinical privileges or responsibilities. Examine, diagnose, treat, or prescribe courses of treatment within the scope of training, experience, and privileges. Provide preventive and health maintenance care, including annual physicals, positive health behaviors, and self-care skills through education and counseling. Technically direct and teach other staff, provide evidenced- based educational lectures and participate in in-service training to staff members. Order diagnostic tests as applicable as well as request consultation or referral with appropriate physicians, clinics, or other health care providers. Provide a full range of primary care pediatric nurse practitioner services in accordance with privileges granted by the MTF. Perform routine developmental screenings. Diagnose and treat common childhood illnesses. Provide anticipatory guidance regarding common child health concerns.• Provide childhood immunizations. Perform school and sports physicals. Perform therapeutic procedures and prescribe pediatric treatment and medications based on assessment results and standards of care within the scope of practice of a pediatric nurse practitioner as defined and approved on the provider privileges list. Privileges scope of care and standards of practice guidelines are as defined by the National Association of Pediatric Nurse Practitioners (NAPNAP). Examines, diagnoses, and treats acute episodic and chronic diseases, minor traumas and behavioral/psychological problems of newborns, infants, children, and adolescents up to age 23 years. • Identifies and manages specific pediatric illnesses. Prepares and reviews case histories and clinical records of newborns, infants, children, and adolescents up to age 23 years. Note, if the applicant is a FNP, a small percentage of adults will be assigned to maintain practice currency. Secures a health and developmental history from the patient or parent; records findings and makes critical evaluation. Examines patients, determines need for radiological examinations Laboratory tests, and interprets examinations findings and test results. Also, performs or requests special screening and developmental tests and interprets the results. Provides notification to patients of results and adjusts the treatment plans as clinically warranted. • Evaluates total health care needs of patients and develops a plan to meet these needs. Teaches patients and family member’s different ways to maintain or improve their health status. • Provides healthcare and preventative services to pediatric patients and their family members, including age specific anticipatory guidance in growth and development, nutrition, common illnesses, safety, and discipline. Evaluates clinical practice and collaborates with health care team members as the Primary Care Manager to improve patient delivery for an empanelment of pediatric patients. Makes appropriate referrals to general pediatrician, family practice physician, and/or specialty physician as warranted. Qualifications Minimum Qualifications: • Degree: Master's degree in nursing. • Education: Graduate from an academic program in the nursing specialty accredited by a recognized nursing accrediting agency (ACEN or CCNE). • Certification: National certification as a Pediatric Nurse Practitioner (PNP) or Family Nurse Practitioner (FNP) • Experience: Minimum of 24 months of full-time, dedicated pediatric patient care experience as a Nurse Practitioner within the last 5 years, in a credentialed primary care setting. This experience must be in a role specifically focused on pediatric patients. • Licensure: Current, full, active, and unrestricted Registered Nurse (RN) license and Nurse Practitioner (NP) Licenses • Controlled Substances: Must have and maintain an active, valid, current, and unrestricted State Controlled Substance License and be eligible to obtain a DEA license. * Life Support Certification: Possess current ARC or AHA BLS Healthcare Provider certification. * Security: Must possess ability to pass a Government background check/security clearance.
RN Full-time
Oceans Healthcare

International Registered Nurse

Oceans Healthcare is now sponsoring International Registered Nurses! We are seeking Registered Nurses in multiple states. Please apply today and a member of Oceans Healthcare's recruitment team will do a quick visa evaluation and will discuss open opportunities! Benefits Include: Medical, Dental, Vision Coverage (Multiple Plan Options) 401(k) Retirement Savings Plan Health Reimbursement Account Flexible Spending Account Health Savings Account Life and AD&D Insurance Long-Term and Short-Term Disability Employee Assistance Program At Oceans Healthcare, we are passionate about helping individuals attain the best possible quality of life. As a nationally recognized provider of behavioral health services, we support patients on their journey to healing and long-term recovery. Through our specialized inpatient services and intensive outpatient programs, Oceans Healthcare offers comprehensive behavioral and mental health treatment to help patients at every stage of the healing process.
RN Full-time
Texas Health and Human Services

Registered Nurse II

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.
RN Full-time
Texas Health and Human Services

Registered Nurse II

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.
LVN Full-time
Texas Health and Human Services

Licensed Vocational Nurse II

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: Licensed Vocational Nurse II Job Title: Licensed Vocational Nurse II Agency: Health & Human Services Comm Department: Campus Nursing Posting Number: 11699 Closing Date: 03/04/2026 Posting Audience: Internal and External Occupational Category: Healthcare Practitioners and Technical Salary Group: TEXAS-A-18 Salary Range: $4,594.16 - $5,921.16 Pay Frequency: Monthly Shift: Evening Additional Shift: Days (First); Nights (Third); Weekends Telework: Not Eligible for Telework Travel: Up to 5% Regular/Temporary: Regular Full Time/Part Time: Full time FLSA Exempt/Non-Exempt: Nonexempt 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,68C,68Z 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. 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. Performs highly complex vocational nursing work. Provides for the care, treatment, and general welfare of individuals residing at the SSLC who have complex medical, mental health and/or behavioral health issues. Performs basic and complex routine and non-routine nursing tasks to promote the health of the individuals within the assigned areas and assigned shift. Collects specimens for lab work and performs health screenings. Instructs direct support professionals and other staff on how to provide service and care that support the individual’s medical needs. Performs technical nursing procedures according to facility and state regulations. Keeps informed of and follows all agency, SSLC, and unit/home policies and procedures. Provides direction and assists with on-the-job training to others such as newly hired LVNs and direct care staff. Assists Registered Nurses (RNs) with implementation of protocols, procedures and programs to improve overall health and safety of staff and individuals. Works under general supervision of an RN with moderate 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. Administers medications and treatments orally, rectally, internally, or by injection. Assists other medical staff, such as Registered Nurses (RNs), Physicians, Advanced Practice Registered Nurses and Physician Assistants, in examining and caring for patients. Makes rounds and/or home visits as needed and works in other locations at the SSLC as needed. Demonstrates competency in performing complex technical nursing tasks and procedures in accordance with HHSC, SSLC and state regulations. Trains/instructs new LVN staff to perform nursing functions at the SSLC, including acclimating them to the individuals, and describing their needs and preferences. Performs complex and technical nursing procedures according to facility 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. Monitors individuals’ weight, diet, feedings, and vital signs. Monitors individuals’ health status after treatments and procedures. 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. Recognize symptoms of illness and reports accurately to RN and/or Primary Care Provider. Fosters interdisciplinary collaboration and integration. Communicates pertinent information orally and in writing to other team members, such as the RN Case Manager, in order to ensure the treatment team has the best information possible to make decisions. Serves as a resource/mentor for new LVNs. Assists the RN Supervisor with on-the-job nursing instruction and training of other new LVNs. Assists RNs with implementation of protocols, procedures, and programs to improve overall health and safety of staff and individuals. Assists the Infection Control Nurse by implementing measures that prevent the spread of disease, assists the QA Nurse in developing and implementing quality assurance programs, and assists in the implementation of therapeutic nursing programs. Collects data for RN/Primary Care Provider. Provides information and education to individuals, in accordance with their care plan, when performing procedures and treatments such as explaining the name and purpose of a particular medication and explaining why the individuals is taking the medication. Ensures the individual is positioned correctly prior to providing a treatment and, when necessary, assists or instructs other staff in turning/repositioning individuals to administer treatments. Ensures that supplies are available, in advance, to provide the required procedure or treatment. Takes inventory and ensures the home/unit is properly stocked. Orders supplies through appropriate channels when they are needed. Responds to emergency situations to ensure safety of individuals. Follows safety and infection control procedures of the SSLC. Performs other duties as assigned such as working in the clinic or lab, assisting with patient scheduling, and/or accompanying individuals off site for activities or appointments that need nursing attendance. Provide treatment to HHS employees injured in courses 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 care standards, nursing procedures and techniques, and of the principles and processes used in providing appropriate patient care. Knowledge of emergency procedures and emergency equipment, i.e., CPR, and ability to assess and care for residents and/or staff members in emergency situations. Skills in using reasoning to identify problems and in considering appropriate resolution of situations. Skill in the operation of computers and applicable computer software. Skill in the care and treatment of patients. Ability to provide patient care to a wide variety of individuals with complex medical, mental health, and/or behavioral health issues. Ability to prepare and maintain records and to use an electronic health record system once trained. Ability to communicate effectively and to instruct others. Ability to appropriately interact with individuals with intellectual/developmental disabilities, with their family members, and with staff members. Must maintain current CPR certification. Must have strength and flexibility to safely perform Cardiopulmonary Resuscitation (CPR). Registrations, Licensure Requirements or Certifications: Licensed to practice as a licensed vocation nurse in the state of Texas or a state that recognizes reciprocity through the Nurse Licensure Compact. Or Issued a temporary permit to perform supervised nursing duties awaiting licensure. Initial Screening Criteria: Graduation from a LVN program. Prior employment experience as an LVN is preferred. Experience working or volunteering directly with persons with intellectual disabilities or other developmental disabilities is preferred. Experience using an electronic health record system 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.
LVN Full-time
Texas Health and Human Services

Licensed Vocational Nurse III

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: Licensed Vocational Nurse III Job Title: Licensed Vocational Nurse III Agency: Health & Human Services Comm Department: Campus Nursing Posting Number: 11697 Closing Date: 03/04/2026 Posting Audience: Internal and External Occupational Category: Healthcare Practitioners and Technical Salary Group: TEXAS-A-19 Salary Range: $4,866.58 - $6,335.66 Pay Frequency: Monthly Shift: Evening Additional Shift: Days (First); Evenings (Second); Weekends Telework: Not Eligible for Telework Travel: Up to 5% Regular/Temporary: Regular Full Time/Part Time: Full time FLSA Exempt/Non-Exempt: Nonexempt 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,68C,68Z 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. 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. Performs advanced vocational nursing work. Provides for the care, treatment, and general welfare of individuals residing at the State Supported Living Center who have complex medical, mental health and/or behavioral health issues. Performs basic and advanced routine and non-routine nursing tasks to promote the health of the individuals within the assigned areas and assigned shift. Collects specimens for lab work and performs health screenings. Instructs direct support professionals and other staff on how to provide service and care that support the individual’s medical needs. Performs technical nursing procedures according to facility and state regulations. Keeps informed of and follows all agency, SSLC and unit/home policies and procedures. Provides direction and assists with on-the-job training to others such as newly hired LVNs and direct care staff. Provides on-the-job nursing instruction and training for new LVNs, within their scope of practice, as requested by RN Supervisor. Monitors, oversees the work of, and assigns work to, LVNs as needed. Evaluates nursing intervention outcomes and provides input to other members of the healthcare team. Assists RNs with implementation of protocols, procedures and programs to improve overall health and safety of staff and individuals. Works under the limited supervision of a Registered Nurse (RN), with considerable latitude for the use of initiative and independent judgment. This position may be eligible to earn additional pay for work performed on evenings, nights and/or weekends. 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. Administers medications and treatments orally, rectally, internally, or by injection. Makes rounds and/or home visits as needed and works in other locations at the SSLC as needed. Demonstrates competency in performing complex technical nursing tasks and procedures in accordance with HHSC, SSLC and state regulations. Performs complex and technical nursing procedures according to facility 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. Monitors individuals’ weight, diet, feedings, and vital signs. Monitors individuals’ health status after treatments and procedures. Monitors for signs and symptoms of illness. Evaluates nursing intervention outcomes and provides input to other members of the healthcare team. 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. Recognize symptoms of illness and reports accurately to RN and/or Primary Care Provider. Fosters interdisciplinary collaboration and integration. Communicates pertinent information orally and in writing to other team members, such as the RN Case Manager, in order to ensure the treatment team has the best information possible to make decisions. Collects data for RN/ Primary Care Provider. Leads, monitors, and oversees others who are monitoring individuals before, during, and after treatments and procedures are completed. Evaluates nursing intervention outcomes and confers with other health care members as necessary. Trains/instructs new LVN staff to perform nursing functions at the SSLC, including acclimating them to the individuals, their needs and preferences. Oversees and monitors the work of LVNs as assigned and provides feedback to the supervisor. Assists the new LVN to complete the “on the job training” checklist, observes and gives feedback as the new LVN performs daily assignments, plans daily learning experiences for new LVN, meets with the new LVN’s manager at the end of the orientation to discuss progress made, and is a continued resource for the new LVN. Assists RNs with implementation of protocols, procedures and programs to improve overall health and safety of staff and individuals. Assists the Infection Control nurse by implementing measures that prevent the spread of disease, assists the QA Nurse in developing and implementing quality assurance programs, and assists in the implementation of therapeutic nursing programs. Participates in facility Quality Assurance/Quality Improvement initiatives. Participates in facility committees as requested on a regular basis. 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. Performs other duties as assigned such as assisting the infection control nurse, medication variance, scheduling. 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 care standards, nursing procedures and techniques and of the principles and processes used in providing appropriate patient care. Knowledge of emergency procedures and emergency equipment, i.e., CPR., and ability to assess and care for residents and/or staff members in emergency situations. 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 using reasoning to identify problems and in considering appropriate resolution of situations. Skill in the operation of computers and applicable computer software. Skill in the care and treatment of patients. Ability to organize, coordinate, and evaluate nursing activities and delivery of health services; to interpret policies and procedures; to interpret health care regulations; to recognize patterns of medical necessity treatment; and to plan, assign, and/or oversee the work of others. Ability to interpret regulations and communicate them effectively both orally and in writing. Ability to provide patient care to a wide variety of individuals with complex medical, mental health and/or behavioral health issues. Ability to prepare and maintain records and to use an electronic health record system. Ability to communicate effectively and to instruct others. Must maintain current CPR certification. Must have strength and flexibility to safely perform Cardiopulmonary Resuscitation (CPR). Registrations, Licensure Requirements or Certifications: Licensed to practice as a licensed vocation nurse in the state of Texas, or a state that recognizes reciprocity through the Nurse Licensure Compact Initial Screening Criteria: Graduation from a LVN program. 6 months prior employment experience as an LVN. At least 12 months of prior employment as an LVN is preferred. Experience working or volunteering directly with persons with intellectual disabilities or other developmental disabilities is preferred. Experience training/teaching or leading others is preferred. Experience using an electronic health record system 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.
LVN Full-time
Texas Health and Human Services

Licensed Vocational Nurse II

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: Licensed Vocational Nurse II Job Title: Licensed Vocational Nurse II Agency: Health & Human Services Comm Department: Campus Nursing Posting Number: 11699 Closing Date: 03/04/2026 Posting Audience: Internal and External Occupational Category: Healthcare Practitioners and Technical Salary Group: TEXAS-A-18 Salary Range: $4,594.16 - $5,921.16 Pay Frequency: Monthly Shift: Evening Additional Shift: Days (First); Nights (Third); Weekends Telework: Not Eligible for Telework Travel: Up to 5% Regular/Temporary: Regular Full Time/Part Time: Full time FLSA Exempt/Non-Exempt: Nonexempt 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,68C,68Z 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. 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. Performs highly complex vocational nursing work. Provides for the care, treatment, and general welfare of individuals residing at the SSLC who have complex medical, mental health and/or behavioral health issues. Performs basic and complex routine and non-routine nursing tasks to promote the health of the individuals within the assigned areas and assigned shift. Collects specimens for lab work and performs health screenings. Instructs direct support professionals and other staff on how to provide service and care that support the individual’s medical needs. Performs technical nursing procedures according to facility and state regulations. Keeps informed of and follows all agency, SSLC, and unit/home policies and procedures. Provides direction and assists with on-the-job training to others such as newly hired LVNs and direct care staff. Assists Registered Nurses (RNs) with implementation of protocols, procedures and programs to improve overall health and safety of staff and individuals. Works under general supervision of an RN with moderate 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. Administers medications and treatments orally, rectally, internally, or by injection. Assists other medical staff, such as Registered Nurses (RNs), Physicians, Advanced Practice Registered Nurses and Physician Assistants, in examining and caring for patients. Makes rounds and/or home visits as needed and works in other locations at the SSLC as needed. Demonstrates competency in performing complex technical nursing tasks and procedures in accordance with HHSC, SSLC and state regulations. Trains/instructs new LVN staff to perform nursing functions at the SSLC, including acclimating them to the individuals, and describing their needs and preferences. Performs complex and technical nursing procedures according to facility 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. Monitors individuals’ weight, diet, feedings, and vital signs. Monitors individuals’ health status after treatments and procedures. 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. Recognize symptoms of illness and reports accurately to RN and/or Primary Care Provider. Fosters interdisciplinary collaboration and integration. Communicates pertinent information orally and in writing to other team members, such as the RN Case Manager, in order to ensure the treatment team has the best information possible to make decisions. Serves as a resource/mentor for new LVNs. Assists the RN Supervisor with on-the-job nursing instruction and training of other new LVNs. Assists RNs with implementation of protocols, procedures, and programs to improve overall health and safety of staff and individuals. Assists the Infection Control Nurse by implementing measures that prevent the spread of disease, assists the QA Nurse in developing and implementing quality assurance programs, and assists in the implementation of therapeutic nursing programs. Collects data for RN/Primary Care Provider. Provides information and education to individuals, in accordance with their care plan, when performing procedures and treatments such as explaining the name and purpose of a particular medication and explaining why the individuals is taking the medication. Ensures the individual is positioned correctly prior to providing a treatment and, when necessary, assists or instructs other staff in turning/repositioning individuals to administer treatments. Ensures that supplies are available, in advance, to provide the required procedure or treatment. Takes inventory and ensures the home/unit is properly stocked. Orders supplies through appropriate channels when they are needed. Responds to emergency situations to ensure safety of individuals. Follows safety and infection control procedures of the SSLC. Performs other duties as assigned such as working in the clinic or lab, assisting with patient scheduling, and/or accompanying individuals off site for activities or appointments that need nursing attendance. Provide treatment to HHS employees injured in courses 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 care standards, nursing procedures and techniques, and of the principles and processes used in providing appropriate patient care. Knowledge of emergency procedures and emergency equipment, i.e., CPR, and ability to assess and care for residents and/or staff members in emergency situations. Skills in using reasoning to identify problems and in considering appropriate resolution of situations. Skill in the operation of computers and applicable computer software. Skill in the care and treatment of patients. Ability to provide patient care to a wide variety of individuals with complex medical, mental health, and/or behavioral health issues. Ability to prepare and maintain records and to use an electronic health record system once trained. Ability to communicate effectively and to instruct others. Ability to appropriately interact with individuals with intellectual/developmental disabilities, with their family members, and with staff members. Must maintain current CPR certification. Must have strength and flexibility to safely perform Cardiopulmonary Resuscitation (CPR). Registrations, Licensure Requirements or Certifications: Licensed to practice as a licensed vocation nurse in the state of Texas or a state that recognizes reciprocity through the Nurse Licensure Compact. Or Issued a temporary permit to perform supervised nursing duties awaiting licensure. Initial Screening Criteria: Graduation from a LVN program. Prior employment experience as an LVN is preferred. Experience working or volunteering directly with persons with intellectual disabilities or other developmental disabilities is preferred. Experience using an electronic health record system 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.
LVN Full-time
Texas Health and Human Services

Licensed Vocational Nurse III

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: Licensed Vocational Nurse III Job Title: Licensed Vocational Nurse III Agency: Health & Human Services Comm Department: Campus Nursing Posting Number: 11697 Closing Date: 03/04/2026 Posting Audience: Internal and External Occupational Category: Healthcare Practitioners and Technical Salary Group: TEXAS-A-19 Salary Range: $4,866.58 - $6,335.66 Pay Frequency: Monthly Shift: Evening Additional Shift: Days (First); Evenings (Second); Weekends Telework: Not Eligible for Telework Travel: Up to 5% Regular/Temporary: Regular Full Time/Part Time: Full time FLSA Exempt/Non-Exempt: Nonexempt 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,68C,68Z 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. 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. Performs advanced vocational nursing work. Provides for the care, treatment, and general welfare of individuals residing at the State Supported Living Center who have complex medical, mental health and/or behavioral health issues. Performs basic and advanced routine and non-routine nursing tasks to promote the health of the individuals within the assigned areas and assigned shift. Collects specimens for lab work and performs health screenings. Instructs direct support professionals and other staff on how to provide service and care that support the individual’s medical needs. Performs technical nursing procedures according to facility and state regulations. Keeps informed of and follows all agency, SSLC and unit/home policies and procedures. Provides direction and assists with on-the-job training to others such as newly hired LVNs and direct care staff. Provides on-the-job nursing instruction and training for new LVNs, within their scope of practice, as requested by RN Supervisor. Monitors, oversees the work of, and assigns work to, LVNs as needed. Evaluates nursing intervention outcomes and provides input to other members of the healthcare team. Assists RNs with implementation of protocols, procedures and programs to improve overall health and safety of staff and individuals. Works under the limited supervision of a Registered Nurse (RN), with considerable latitude for the use of initiative and independent judgment. This position may be eligible to earn additional pay for work performed on evenings, nights and/or weekends. 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. Administers medications and treatments orally, rectally, internally, or by injection. Makes rounds and/or home visits as needed and works in other locations at the SSLC as needed. Demonstrates competency in performing complex technical nursing tasks and procedures in accordance with HHSC, SSLC and state regulations. Performs complex and technical nursing procedures according to facility 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. Monitors individuals’ weight, diet, feedings, and vital signs. Monitors individuals’ health status after treatments and procedures. Monitors for signs and symptoms of illness. Evaluates nursing intervention outcomes and provides input to other members of the healthcare team. 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. Recognize symptoms of illness and reports accurately to RN and/or Primary Care Provider. Fosters interdisciplinary collaboration and integration. Communicates pertinent information orally and in writing to other team members, such as the RN Case Manager, in order to ensure the treatment team has the best information possible to make decisions. Collects data for RN/ Primary Care Provider. Leads, monitors, and oversees others who are monitoring individuals before, during, and after treatments and procedures are completed. Evaluates nursing intervention outcomes and confers with other health care members as necessary. Trains/instructs new LVN staff to perform nursing functions at the SSLC, including acclimating them to the individuals, their needs and preferences. Oversees and monitors the work of LVNs as assigned and provides feedback to the supervisor. Assists the new LVN to complete the “on the job training” checklist, observes and gives feedback as the new LVN performs daily assignments, plans daily learning experiences for new LVN, meets with the new LVN’s manager at the end of the orientation to discuss progress made, and is a continued resource for the new LVN. Assists RNs with implementation of protocols, procedures and programs to improve overall health and safety of staff and individuals. Assists the Infection Control nurse by implementing measures that prevent the spread of disease, assists the QA Nurse in developing and implementing quality assurance programs, and assists in the implementation of therapeutic nursing programs. Participates in facility Quality Assurance/Quality Improvement initiatives. Participates in facility committees as requested on a regular basis. 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. Performs other duties as assigned such as assisting the infection control nurse, medication variance, scheduling. 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 care standards, nursing procedures and techniques and of the principles and processes used in providing appropriate patient care. Knowledge of emergency procedures and emergency equipment, i.e., CPR., and ability to assess and care for residents and/or staff members in emergency situations. 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 using reasoning to identify problems and in considering appropriate resolution of situations. Skill in the operation of computers and applicable computer software. Skill in the care and treatment of patients. Ability to organize, coordinate, and evaluate nursing activities and delivery of health services; to interpret policies and procedures; to interpret health care regulations; to recognize patterns of medical necessity treatment; and to plan, assign, and/or oversee the work of others. Ability to interpret regulations and communicate them effectively both orally and in writing. Ability to provide patient care to a wide variety of individuals with complex medical, mental health and/or behavioral health issues. Ability to prepare and maintain records and to use an electronic health record system. Ability to communicate effectively and to instruct others. Must maintain current CPR certification. Must have strength and flexibility to safely perform Cardiopulmonary Resuscitation (CPR). Registrations, Licensure Requirements or Certifications: Licensed to practice as a licensed vocation nurse in the state of Texas, or a state that recognizes reciprocity through the Nurse Licensure Compact Initial Screening Criteria: Graduation from a LVN program. 6 months prior employment experience as an LVN. At least 12 months of prior employment as an LVN is preferred. Experience working or volunteering directly with persons with intellectual disabilities or other developmental disabilities is preferred. Experience training/teaching or leading others is preferred. Experience using an electronic health record system 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.