Nursing Jobs in Fayetteville, TX

apartment Texas Health and Human Services location_onBrenham, TX

RN Shift Supervisor - Part-time

Join the Texas Health and Human Services Commission (HHSC) and be part of a team committed to creating a positive impact in the lives of fellow Texans. At HHSC, your contributions matter, and we support you at each stage of your life and work journey. Our comprehensive benefits package includes 100% paid employee health insurance for full-time eligible employees, a defined benefit pension plan, generous time off benefits, numerous opportunities for career advancement and more. Explore more details on the Benefits of Working at HHS webpage . Functional Title: RN Shift Supervisor - Part-time Job Title: Nurse III Agency: Health & Human Services Comm Department: Campus Nursing Posting Number: 12496 Closing Date: 04/05/2026 Posting Audience: Internal and External Occupational Category: Healthcare Support Salary Group: TEXAS-B-24 Salary Range: $3,577.88 - $4,443.08 Pay Frequency: Monthly Shift: Day Additional Shift: Telework: Not Eligible for Telework Travel: Up to 5% Regular/Temporary: Regular Full Time/Part Time: Part time FLSA Exempt/Non-Exempt: Exempt Facility Location: Brenham State Supported Living Center Job Location City: BRENHAM Job Location Address: 4001 S HWY 36 Other Locations: MOS Codes: 290X,46AX,46FX,46NX,46PX,46SX,46YX,66B,66C,66E,66F,66G,66H,66N,66P,66R,66S,66T,66W This position is for 6am to 4 pm weekends only.. 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 Shift Supervisor is responsible for coordinating and overseeing nursing activities and ensuring appropriate nursing staff coverage during the assigned shift. Serves as the point-of-contact for other interdisciplinary staff for coordination of nursing services for the assigned areas, or the SSLC as a whole, specific to SSLC needs. Responds to emergency situations to provide assessment and ensures safety and care of individuals and staff. Provides treatment to HHS employees injured in course and scope of employment. Performs complex nursing work, including comprehensive physical assessments and care intervention, such as health screenings, treatments and other nursing procedures. Evaluates and documents healthcare needs and/or issues and reports health care needs and/or issues to the appropriate person(s). Provides oversight and coaching of, and delegates work to, nursing staff including direct care RNs and LVNs during the assigned shift. Assists with on-the-job nursing instruction and training of other nurses as instructed and serves as a resource for other nurses. Reports personnel issues to the assigned nurse managers for follow up. Provides input into subordinate nursing staff evaluations, as requested. Models appropriate interaction with individuals with intellectual and developmental disabilities, their family members, and with staff members. Develops and presents information for inservice training or staff development, as assigned. Communicates with others, such as direct care staff, physicians, primary care practitioners (PCPs), administration, and other nursing staff to ensure optimal care as part of the interdisciplinary team. Notifies the Nurse Manager, Nurse Operations Officer (NOO) or other designated supervisor, of trends and concerns to ensure that communication is in place to provide consistent, high quality care for all persons served. Maintains a professional, harmonious working relationship with facility employees as well as outside agency employees. Keeps informed of and follows all agency, and facility policies and procedures. Completes other assignments as instructed. Works under general supervision of the Nurse Manager, NOO or other designated supervisor, 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. During the shift, is assigned to either a home, group of homes or the SSLC as a whole, depending on SSLC size. Ensures appropriate nursing staff coverage is maintained for the assigned area during the assigned shift by collaborating with person(s) responsible for nursing schedule and other appropriate staff. Makes adjustment to nursing assignments based upon call-ins and the immediate needs of individuals served. Delegates work assignments to nursing staff within the assigned area and reports significant nursing coverage issues to the appropriate administrator. Serves as the point-of-contact for other interdisciplinary staff for coordination of nursing services for the assigned areas, or the SSLC as a whole, specific to SSLC needs. For the assigned area, receives calls for assistance from staff members such as direct care nurses, the campus coordinator, home supervisor, on-duty supervisor, incident and risk management staff and other department heads. Responds to these calls by assessing nursing services being providing and the need for additional or different services. Coordinates with other nursing staff, medical staff or administrative staff to ensure the needed services are received in the assigned area. Needs might include a specific nursing assessment, treatment, or consultation with medical staff for consideration for transfer offsite to a hospital to receive assessment or treatment. Performs complex nursing work including comprehensive physical health assessments, health screenings, and treatments campus wide. Performs technical nursing procedures according to facility and state regulations after demonstration for competency, i.e., tracheostomy care, gastrostomy/jejunostomy care, wound care, breathing treatments. Maintains competency in use of all medical equipment as ordered by physician/PCP. Administers medications, immunizations, and treatment and observes patients for unusual symptoms and reactions. Demonstrates knowledge of medications administered in order to identify desired effects or adverse reactions. Evaluates and documents healthcare needs and/or issues and reports health care needs and/or issues to the appropriate person(s). Communicates health status/needs to other disciplines, and to families as needed. Provides teaching and training to staff and individuals. Assists with on-the-job nursing instruction and training of other nurses, such as LVNs and Nurse Is during the assigned shift by observing them perform their essential job duties and providing feedback to them in their performance of nursing protocols and treatments. Develops and presents information for Inservice training or staff development, as assigned. Serves as a resource for other nurses by answering their questions about nursing protocols and providing information about where to seek additional information for in their professional development such as the use of online learning platforms. Models appropriate interaction with individuals with intellectual and developmental disabilities, their family members, and with staff members. Provides input to nurse manager and other supervisors to assist in the evaluation of employee performance. Responds to emergency situations to ensure safety of individuals. Performs CPR, suctioning, and other emergency procedures as directed by physician/PCP/protocol. Administers emergency medications as prescribed. Demonstrates a working knowledge of emergency procedures and emergency equipment. Recognizes and coaches appropriate Safe Use of Restraint (SUR) procedures. Provides treatment to HHS employees injured in course and scope of employment. Performs related work as assigned. Serves as resource/mentor to other nurses. Cross-trains other registered nurse(s) to back–up as RN Shift Supervisor, as needed. Provides back-up coverage for nursing activities on an as-needed basis. For example, as needed, assists in lab to draw blood samples as per scheduled time periods, etc. Collects specimens for laboratory examination and conducts appropriate screening tests (after competency is documented) as requested by lab personnel. Actively participates in, and prepares for in advance, essential meetings related to care of persons served in order to manage and coordinate health care to achieve optimal health. Updates necessary items in the automated system(s) and other tracking documents and takes the necessary action to communicate information to other disciplines. 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. Complies with all State/Federal/Local standards; Facility Policy, ICF Standards, and Texas Nurse Practice Act. by following standard precautions to minimize cross contamination. Provide 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, 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. 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. Knowledge of infectious diseases and infection prevention and control principles and practices in the healthcare setting. Knowledge of standards and Infection Prevention Control standards related to infection control and utilization management. Skills in the use of computer/software and an electronic health record system Skill in the care and treatment of patients. Exceptional physical assessment skills. Exceptional organizational skills. Excellent verbal and written communication skills and the ability to present ideas clearly and concisely in both written and oral communications, and via telemedicine equipment. Ability to provide patient care; to prepare and maintain records; 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 supervise the work of others. Ability to interpret regulations and communicate them effectively both orally and in writing. 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 train all levels of staff and coordinate shift assignments. Ability to make decisions and recommendations to SSLC leadership including on-call administrators. 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. 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. 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 or Developmental Disabilities (IDD) is preferred. Nursing supervisory experience 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.

apartment Right at Home Brenham location_onBrenham, TX

Weekend Caregivers Brenham

Are you a compassionate and dedicated Caregiver / PCA in Brenham, TX or surrounding cities areas? We want YOU to be part of our team! Here, we will value your incredible skills and foster your positive, can-do attitude! Why work with us? - Gratifying Work! Make a meaningful difference in someone's life every day. - Part-Time and Flexible Scheduling!! Find the perfect work-life balance that suits your needs. - Competitive Pay (Every Week!) - Direct Deposit (FREE pay cards available) - TapCheck (get your pay SAME DAY! – T&C apply) - Referral program (get $$ for bringing your friends to work with us!! – T&C apply) - Spread the love and be rewarded for it. - FREE hands-on and Online Training! Enhance your caregiving skills and grow professionally with our support. - Recognition and respect from office staff!! Feel valued and appreciated for your exceptional work. - We offer drive time (between clients) and support your transportation needs to ensure you can focus on providing excellent care. - Paid Orientation and paid training! – we're here to help you settle in and succeed! - Monthly Caregiver Appreciation! Celebrate your hard work and dedication! - Free Smiles and Support from our staff! Enjoy a friendly and supportive work environment that feels like family. A key benefit in working for Right at Home is the flexibility you will enjoy in your schedule. Right at Home can create a schedule that works with the demands of your personal life. Job Details: - Schedule: Part time WEEKENDS (Flexible schedules!) - Base Pay: $15 - $18 per hour - Special Requirement: Willing to drive at least 30 minutes to arrive at client’s home A Caregiver / PCA duties: - Provide companionship to clients – your caring presence brings joy and comfort. - Prepare meals – nourishing bodies and souls with love. - Perform light housekeeping – creating a safe and tidy environment. - Assist with changing diapers, bathing, dressing, grooming – helping with compassion and dignity. - Provide transportation (Valid DL required) – ensuring clients can stay connected to the world. - Promote positive, supportive, and respectful communication with patients, families, and fellow employees – kindness is at the heart of our care. Apply now or call 512-643-9869 for more information.

apartment Right at Home Brenham location_onBellville, TX

105 Caregiver / PCA Bellville, TX

Are you a compassionate and dedicated Caregiver / PCA in Bellville or surrounding cities areas? We want YOU to be part of our team! Here, we will value your incredible skills and foster your positive, can-do attitude! Why work with us? Gratifying Work! Make a meaningful difference in someone's life every day. Part-Time and Flexible Scheduling!! Find the perfect work-life balance that suits your needs. Competitive Pay (Every Week!) Direct Deposit (FREE pay cards available) TapCheck (get your pay SAME DAY! – T&C apply) Referral program (get $$ for bringing your friends to work with us!! – T&C apply) - Spread the love and be rewarded for it. FREE hands-on and Online Training! Enhance your caregiving skills and grow professionally with our support. Recognition and respect from office staff!! Feel valued and appreciated for your exceptional work. We offer drive time (between clients) and support your transportation needs to ensure you can focus on providing excellent care. Paid Orientation and paid training! – we're here to help you settle in and succeed! Monthly Caregiver Appreciation! Celebrate your hard work and dedication! Free Smiles and Support from our staff! Enjoy a friendly and supportive work environment that feels like family. A key benefit in working for Right at Home is the flexibility you will enjoy in your schedule. Right at Home can create a schedule that works with the demands of your personal life. Job Details: Schedule: Part-time (Flexible schedules!) – Work when it suits you best! Base Pay: $15 - $18 an hour – Competitive pay for your invaluable work. Special Requirement: Willing to drive at least 30 minutes to arrive at clients' homes. A Caregiver / PCA duties: Provide companionship to clients – your caring presence brings joy and comfort. Prepare meals – nourishing bodies and souls with love. Perform light housekeeping – creating a safe and tidy environment. Assist with changing diapers, bathing, dressing, grooming – helping with compassion and dignity. Provide transportation (Valid DL required) – ensuring clients can stay connected to the world. Promote positive, supportive, and respectful communication with patients, families, and fellow employees – kindness is at the heart of our care. Apply now or call 512-643-9869 for more information.

apartment SYNERGY HomeCare location_onNew Ulm, TX

Caregiver

Experience the SYNERGY HomeCare difference, where we are united under one purpose, to bring wholehearted, life-energizing care to as many people as possible - on their own terms, in their own homes. And that starts with compassionate caregivers like YOU! When you join the SYNERGY HomeCare team, you will feel appreciated, recognized, and rewarded for the comforting, life-affirming care that comes right from your heart! Our promise to our clients is to bring the full support for fuller lives and to elevate their confidence knowing they have a caregiver like you by their side. Do you: Enjoy serving others? Have a big heart with a lot of love to share? Take charge with a warm smile? We always have an opening for caregivers who can answer yes to these questions. At SYNERGY HomeCare we create a world of care at home for all, which means you will have the opportunity to care for a wide variety of people; spanning all ages and all abilities. We are seeking caregivers to join our independently owned and operated national agency. SYNERGY HomeCare offers: Competitive pay ($12-15/hr) Direct deposit Paid orientation and ongoing training Time-and-a-half pay for overtime and holidays Flexible schedules and matching caregivers with nearby clients Employee recognition programs As a Caregiver with SYNERGY HomeCare, you will: Provide attention to clients’ non-medical needs, including companionship and social engagement Assist client with light housekeeping, meal preparation, and medication reminders Establish communication and a professional relationship with clients, family members, and co-workers Provide reliable care by being punctual and consistently covering shifts If you would like to join our outstanding team at SYNERGY HomeCare, apply today!

apartment Right at Home Brenham location_onGiddings, TX

140 Caregiver / Personal Care Attendant Giddings, TX, 78942

Are you a compassionate and dedicated Caregiver / HHA/ PCA in Giddings, TX, 78942 or surrounding cities areas? We want YOU to be part of our team! Here, we will value your incredible skills and foster your positive, can-do attitude! Why work with us? Make an Impact! Every day you’ll change lives for the better. Flexible Hours – Work part-time and keep your life balanced. Weekly Pay + Same-Day Options via TapCheck ( T&C apply ). Direct Deposit & FREE Pay Cards for convenience. Referral Rewards – Bring friends and earn bonuses! ( T&C apply ). FREE Training & Paid Orientation – We invest in your success. Drive Time Compensation – We’ve got your travel covered. Recognition & Appreciation – Monthly caregiver celebrations! Friendly Office Support – We’re here for you every step of the way. Job Details: Schedule: Part time! (Flexible schedules!) Base Pay: $15 -$18 an hour – Competitive pay for your invaluable work. Special Requirement: Help with all ADLs & IADLs needed. Willing to drive between A Caregiver / HHA/ PCA duties: Provide companionship to clients – your caring presence brings joy and comfort. Prepare meals – nourishing bodies and souls with love. Perform light housekeeping – creating a safe and tidy environment. Assist with changing diapers, bathing, dressing, grooming – helping with compassion and dignity. Provide transportation (Valid DL required) – ensuring clients can stay connected to the world. Promote positive, supportive, and respectful communication with patients, families, and fellow employees – kindness is at the heart of our care. Apply now or call 512-643-9869 for more information.

apartment Right at Home Brenham location_onFayetteville, TX

86 Caregiver Fayetteville, TX

We are looking for the best Caregivers in Fayetteville , TX, and surrounding areas, to work at Fayetteville , Brenham, and surrounding areas, at a healthy and happy environment, with a competitive pay and looking to start as soon as possible! Schedule: Part-time, flexible Base pay: $15–$18/hour Special requirements: Must be willing to travel up to 30 minutes CAREGIVER MUST HAVE A STRONG WORK ETHICS, AND A CAN-DO ATTITUDE! A Caregiver duties: - Provide companionship to client. - Provide preparation of meals. - Light housekeeping. - Assist with bathing, dressing, grooming. - Provide transportation. (Valid DL required) - Promote positive, supportive, respectful communication to patient/family and other employees. - Provide an environment which promotes respect for patient, privacy and property. - Demonstrate effective time management skills. - Report unsafe conditions, problems and observations supervisor. - Demonstrate commitment, professional growth and competency through attending required in-services. - Promote the Right at Home philosophy and administrative policies to ensure quality of care. Benefits of working with the Right Team include: - Gratifying Work! - Part-Time and Flexible Scheduling!! - Competitive Pay (Every Week!) - Direct Deposit (FREE pay cards available) - TapCheck (get your pay of worked hours any time before pay day! – T&C apply) - Referral program (get $$ for bringing your friends to work with us!! – T&C apply) - FREE hands-on Training! - Recognition and respect from office staff!! **A key benefit in working for Right at Home is the flexibility you will enjoy in your schedule. Right at Home can create a schedule that works with the demands of your personal life.** APPLY TODAY!!!

apartment Texas Health and Human Services location_onBrenham, TX

Quality Monitoring Registered Nurse

Join the Texas Health and Human Services Commission (HHSC) and be part of a team committed to creating a positive impact in the lives of fellow Texans. At HHSC, your contributions matter, and we support you at each stage of your life and work journey. Our comprehensive benefits package includes 100% paid employee health insurance for full-time eligible employees, a defined benefit pension plan, generous time off benefits, numerous opportunities for career advancement and more. Explore more details on the Benefits of Working at HHS webpage . Functional Title: Quality Monitoring Registered Nurse Job Title: Nurse III Agency: Health & Human Services Comm Department: QMP Nurses and Pharm RMS FTE Posting Number: 11865 Closing Date: 03/11/2026 Posting Audience: Internal and External Occupational Category: Healthcare Practitioners and Technical Salary Group: TEXAS-B-24 Salary Range: $5,425.33 - $8,886.16 Pay Frequency: Monthly Shift: Day Additional Shift: Days (First) Telework: Travel: Up to 80% Regular/Temporary: Regular Full Time/Part Time: Full time FLSA Exempt/Non-Exempt: Exempt Facility Location: Job Location City: BRENHAM Job Location Address: 2248 S MARKET ST Other Locations: Abilene; Alamo; Alice; Alpine; Alvin; Amarillo; Anahuac; Andrews; Angleton; Anson; Aransas Pass; Archer City; Arlington; Athens; Atlanta; Austin; Bacliff; Ballinger; Bandera; Bastrop; Bay City; Baytown; Beaumont; Bedford; Beeville; Bellville; Big Spring; Boerne; Bonham; Borger; Bowie; Brady; Breckenridge; Brenham; Brownfield; Brownsville; Brownwood; Bryan; Burnet; Caldwell; Cameron; Canton; Canutillo; Carlsbad; Carrizo Springs; Carrollton; Carthage; Center; Centerville; Childress; Clarksville; Cleburne; Cleveland; Coldspring; Columbus; Conroe; Copperas Cove; Corpus Christi; Corsicana; Crockett; Crosby; Crystal City; Cuero; Cypress; Daingerfield; Dallas; Decatur; Del Rio; Denton; Dickinson; Dumas; Duncanville; Eagle Pass; Eastland; Edinburg; El Paso; Elgin; Elsa; Ennis; Fabens; Falfurrias; Floresville; Fort Stockton; Fort Worth; Fredericksburg; Gainesville; Galveston; Garland; Gatesville; Georgetown; Giddings; Gilmer; Goliad; Gonzales; Graham; Granbury; Grand Prairie; Grapevine; Greenville; Hallettsville; Hamilton; Harlingen; Haskell; Hearne; Hemphill; Hempstead; Henderson; Hereford; Hillsboro; Hondo; Houston; Humble; Huntsville; Hurst; Irving; Jacksonville; Jasper; Johnson City; Jourdanton; Karnes City; Katy; Kaufman; Kerrville; Killeen; Kingsville; Kingwood; Kirbyville; La Grange; Lake Jackson; Lake Worth; Lamesa; Lampasas; Lancaster; Laredo; Levelland; Lewisville; Liberty; Linden; Littlefield; Livingston; Llano; Lockhart; Longview; Lubbock; Lufkin; Lumberton; Madisonville; Marble Falls; Marfa; Marlin; Marshall; Mcallen; Mckinney; Mercedes; Meridian; Mesquite; Mexia; Midland; Mineola; Mineral Wells; Mission; Monahans; Mount Pleasant; Mount Vernon; Nacogdoches; Navasota; New Boston; New Braunfels; Odessa; Orange; Palestine; Pampa; Paris; Pasadena; Pearland; Pearsall; Pecos; Perryton; Pharr; Pittsburg; Plainview; Plano; Pollok; Port Arthur; Port Lavaca; Presidio; Quitman; Raymondville; Refugio; Richardson; Richmond; Rio Grande City; Robstown; Rockwall; Rosenberg; Round Rock; Rowlett; Rusk; San Angelo; San Antonio; San Benito; San Juan; San Marcos; San Saba; Schertz; Seguin; Seminole; Seymour; Sherman; Silsbee; Sinton; Snyder; Socorro; Sonora; South Houston; Stephenville; Sugar Land; Sulphur Springs; Sweetwater; Taylor; Temple; Terrell; Texarkana; Texas City; The Woodlands; Tomball; Trinity; Tyler; Uvalde; Van Horn; Vernon; Victoria; Waco; Washington; Watauga; Waxahachie; Weatherford; Webster; Weslaco; Wharton; Wichita Falls; Woodville; Zapata MOS Codes: 290X,46AX,46FX,46NX,46PX,46SX,46YX,66B,66C,66E,66F,66G,66H,66N,66P,66R,66S,66T,66W J ob Description The Nurse Quality Monitor III reports to the Quality Monitoring Nurse Manager. This position makes a significant contribution to MCS’s mission by conducting monitoring visits in Texas nursing facilities. The Nurse Quality Monitor III utilizes expertise in the area of nursing to assess conditions that could place facility residents’ health, safety, and welfare at risk and assists providers in improving systems. This position must be able to apply the complex knowledge of nursing practice as well as the rules outlined in the Texas Nursing Practice Act. The Nurse III will be familiar with local, state, and federal laws and regulations relevant to long-term care. The Quality Monitor Nurse (QMN) III works under limited supervision, with considerable latitude for the use of initiative and independent judgment. Performs highly complex (senior-level) nursing work. The Quality Monitor Nurse utilizes expertise in the area of nursing to assess conditions that could place facility residents’ health, safety, and welfare at risk and assist providers in improving systems. Work may include serving as a resource on nursing practices and education programs by performing consultative and administrative work. May serve as a mentor providing direction to others. Essential Job Functions Attends work on a regular and predictable schedule in accordance with agency leave policy and performs other duties as assigned. Works collaboratively across MCS to identify innovative and effective solutions. Maintains cooperative and collaborative relationships with colleagues and facility staff. Performs other work as assigned by Nurse Manager III or Nurse Program Manager V. Coordinates and/or conducts various types of visits to nursing facilities; including quality monitoring visits, rapid response team visits, mentoring visits and in-service visits. Acts as a team coordinator on Rapid Response Team visits offering leadership and direction to team members. Monitors and evaluates facility systems through observations, interviews, and record reviews identifying facility strengths and weakness making recommendations on opportunities for improvement. Instructs, counsels, and assists nursing facilities to achieve best practice. Reviews facilities policy/procedures and performance reports to determine if the facility's systems are consistent with evidence-based best practice. (50%) Documents accurate and complete reports of monitoring visits. Communicates accurate information, findings, recommendations, and technical assistance to the facility administrator and staff as well as quality monitoring leadership. Disseminates and teaches from appropriate education tools and materials. (20%) Communicates with various audiences (internally or externally) to provide clinical information, answer inquiries, address issues, and/or resolve problems. Maintains current knowledge in assigned areas by attending unit meetings, seminars, or other training and by continually reviewing program policies, procedures, and any changes. May conduct literature reviews and analyze complex information to update nursing-related evidence-based best practices technical assistance material. (10%) Develops and provides in-service education and other training to facility-licensed and non-licensed staff regarding evidence-based best practices. (10%) May train and mentor others in the context of a quality monitoring team visit, and orientation to peers as needed. May assists with the development and updating of program policy/procedures, evidence-based best practice standards, and educational programs. (10%) Registration, Certification, or Licensure Must be licensed as a Registered Nurse in the State of Texas or a state that recognizes reciprocity through the Nurse Licensure Compact and a current Texas driver’s license. Knowledge, Skills, and Abilities Knowledge of nursing principles and acceptable professional standard of patient care. Knowledge of local, state, and federal laws and regulations relevant to long-term care as well as an understating of long-term care facility operations. Knowledge of modern office management practices and procedures and technology tools such as Microsoft Office, SharePoint, and Teams productivity tools. Skill in researching, creating, analyzing, monitoring, and evaluating complex clinical issues. Skills in communication and public speaking. Skill in managing multiple and competing priorities. Skill in promoting data-driven decision-making. By identifying trends, concerns, evaluating alternatives, and negotiating and implementing solutions. Skills in working with diverse groups and interests, resolving conflicts, building consensus and problem solving. Ability to gather, evaluate, analyze facts by observation, interviews, and record reviews. Ability to interpret policies, procedures, and regulations as they relate to long term care facility. Ability to organize and present information effectively, both orally and in writing. Ability to serve as a mentor to others. Ability to work collaboratively across HHS/MCS/QMP to accomplish objectives . Ability to balance team and individual responsibilities. Ability to exercise judgment and work independently with moderate direction. Ability to lift twenty-five pounds. Must be able to travel up to 80% including overnight travel and hours other than 8am- 5pm and days other than Monday-Friday. Initial Screening Criteria Graduation with a bachelor's degree from an accredited four-year college or university with major coursework in nursing preferred. An associate in nursing with a four-year degree in an applicable healthcare-related field will be considered. Experience may be substituted for education on a year-for-year basis with a maximum of four years. A minimum of 3 years of nursing experience is required. Experience in mentoring peers is required. Experience with or knowledge of Long-Term Care Nursing Facilities with knowledge of CMS requirements or a SMQT (surveyor minimum qualifications test) is preferred. Must be able to travel up to 80% including overnight travel and hours other than 8am-5pm and days other than Monday-Friday. Must have reliable transportation Review our Tips for Success when applying for jobs at DFPS, DSHS and HHSC . Active Duty, Military, Reservists, Guardsmen, and Veterans : Military occupation(s) that relate to the initial selection criteria and registration or licensure requirements for this position may include, but not limited to those listed in this posting. All active-duty military, reservists, guardsmen, and veterans are encouraged to apply if qualified to fill this position. For more information please see the Texas State Auditor’s Job Descriptions, Military Crosswalk and Military Crosswalk Guide at Texas State Auditor's Office - Job Descriptions . ADA Accommodations: In compliance with the Americans with Disabilities Act (ADA), HHSC and DSHS agencies will provide reasonable accommodation during the hiring and selection process for qualified individuals with a disability. If you need assistance completing the on-line application, contact the HHS Employee Service Center at 1-888-894-4747. If you are contacted for an interview and need accommodation to participate in the interview process, please notify the person scheduling the interview. Pre-Employment Checks and Work Eligibility: Depending on the program area and position requirements, applicants selected for hire may be required to pass background and other due diligence checks. HHSC uses E-Verify. You must bring your I-9 documentation with you on your first day of work. Download the I-9 Form Telework Disclaimer: This position may be eligible for telework. Please note, all HHS positions are subject to state and agency telework policies in addition to the discretion of the direct supervisor and business needs.

apartment Texas Health and Human Services location_onBrenham, TX

Quality Monitoring Registered Nurse

Join the Texas Health and Human Services Commission (HHSC) and be part of a team committed to creating a positive impact in the lives of fellow Texans. At HHSC, your contributions matter, and we support you at each stage of your life and work journey. Our comprehensive benefits package includes 100% paid employee health insurance for full-time eligible employees, a defined benefit pension plan, generous time off benefits, numerous opportunities for career advancement and more. Explore more details on the Benefits of Working at HHS webpage . Functional Title: Quality Monitoring Registered Nurse Job Title: Nurse III Agency: Health & Human Services Comm Department: QMP Nurses and Pharm RMS FTE Posting Number: 11865 Closing Date: 03/11/2026 Posting Audience: Internal and External Occupational Category: Healthcare Practitioners and Technical Salary Group: TEXAS-B-24 Salary Range: $5,425.33 - $8,886.16 Pay Frequency: Monthly Shift: Day Additional Shift: Days (First) Telework: Travel: Up to 80% Regular/Temporary: Regular Full Time/Part Time: Full time FLSA Exempt/Non-Exempt: Exempt Facility Location: Job Location City: BRENHAM Job Location Address: 2248 S MARKET ST Other Locations: Abilene; Alamo; Alice; Alpine; Alvin; Amarillo; Anahuac; Andrews; Angleton; Anson; Aransas Pass; Archer City; Arlington; Athens; Atlanta; Austin; Bacliff; Ballinger; Bandera; Bastrop; Bay City; Baytown; Beaumont; Bedford; Beeville; Bellville; Big Spring; Boerne; Bonham; Borger; Bowie; Brady; Breckenridge; Brenham; Brownfield; Brownsville; Brownwood; Bryan; Burnet; Caldwell; Cameron; Canton; Canutillo; Carlsbad; Carrizo Springs; Carrollton; Carthage; Center; Centerville; Childress; Clarksville; Cleburne; Cleveland; Coldspring; Columbus; Conroe; Copperas Cove; Corpus Christi; Corsicana; Crockett; Crosby; Crystal City; Cuero; Cypress; Daingerfield; Dallas; Decatur; Del Rio; Denton; Dickinson; Dumas; Duncanville; Eagle Pass; Eastland; Edinburg; El Paso; Elgin; Elsa; Ennis; Fabens; Falfurrias; Floresville; Fort Stockton; Fort Worth; Fredericksburg; Gainesville; Galveston; Garland; Gatesville; Georgetown; Giddings; Gilmer; Goliad; Gonzales; Graham; Granbury; Grand Prairie; Grapevine; Greenville; Hallettsville; Hamilton; Harlingen; Haskell; Hearne; Hemphill; Hempstead; Henderson; Hereford; Hillsboro; Hondo; Houston; Humble; Huntsville; Hurst; Irving; Jacksonville; Jasper; Johnson City; Jourdanton; Karnes City; Katy; Kaufman; Kerrville; Killeen; Kingsville; Kingwood; Kirbyville; La Grange; Lake Jackson; Lake Worth; Lamesa; Lampasas; Lancaster; Laredo; Levelland; Lewisville; Liberty; Linden; Littlefield; Livingston; Llano; Lockhart; Longview; Lubbock; Lufkin; Lumberton; Madisonville; Marble Falls; Marfa; Marlin; Marshall; Mcallen; Mckinney; Mercedes; Meridian; Mesquite; Mexia; Midland; Mineola; Mineral Wells; Mission; Monahans; Mount Pleasant; Mount Vernon; Nacogdoches; Navasota; New Boston; New Braunfels; Odessa; Orange; Palestine; Pampa; Paris; Pasadena; Pearland; Pearsall; Pecos; Perryton; Pharr; Pittsburg; Plainview; Plano; Pollok; Port Arthur; Port Lavaca; Presidio; Quitman; Raymondville; Refugio; Richardson; Richmond; Rio Grande City; Robstown; Rockwall; Rosenberg; Round Rock; Rowlett; Rusk; San Angelo; San Antonio; San Benito; San Juan; San Marcos; San Saba; Schertz; Seguin; Seminole; Seymour; Sherman; Silsbee; Sinton; Snyder; Socorro; Sonora; South Houston; Stephenville; Sugar Land; Sulphur Springs; Sweetwater; Taylor; Temple; Terrell; Texarkana; Texas City; The Woodlands; Tomball; Trinity; Tyler; Uvalde; Van Horn; Vernon; Victoria; Waco; Washington; Watauga; Waxahachie; Weatherford; Webster; Weslaco; Wharton; Wichita Falls; Woodville; Zapata MOS Codes: 290X,46AX,46FX,46NX,46PX,46SX,46YX,66B,66C,66E,66F,66G,66H,66N,66P,66R,66S,66T,66W J ob Description The Nurse Quality Monitor III reports to the Quality Monitoring Nurse Manager. This position makes a significant contribution to MCS’s mission by conducting monitoring visits in Texas nursing facilities. The Nurse Quality Monitor III utilizes expertise in the area of nursing to assess conditions that could place facility residents’ health, safety, and welfare at risk and assists providers in improving systems. This position must be able to apply the complex knowledge of nursing practice as well as the rules outlined in the Texas Nursing Practice Act. The Nurse III will be familiar with local, state, and federal laws and regulations relevant to long-term care. The Quality Monitor Nurse (QMN) III works under limited supervision, with considerable latitude for the use of initiative and independent judgment. Performs highly complex (senior-level) nursing work. The Quality Monitor Nurse utilizes expertise in the area of nursing to assess conditions that could place facility residents’ health, safety, and welfare at risk and assist providers in improving systems. Work may include serving as a resource on nursing practices and education programs by performing consultative and administrative work. May serve as a mentor providing direction to others. Essential Job Functions Attends work on a regular and predictable schedule in accordance with agency leave policy and performs other duties as assigned. Works collaboratively across MCS to identify innovative and effective solutions. Maintains cooperative and collaborative relationships with colleagues and facility staff. Performs other work as assigned by Nurse Manager III or Nurse Program Manager V. Coordinates and/or conducts various types of visits to nursing facilities; including quality monitoring visits, rapid response team visits, mentoring visits and in-service visits. Acts as a team coordinator on Rapid Response Team visits offering leadership and direction to team members. Monitors and evaluates facility systems through observations, interviews, and record reviews identifying facility strengths and weakness making recommendations on opportunities for improvement. Instructs, counsels, and assists nursing facilities to achieve best practice. Reviews facilities policy/procedures and performance reports to determine if the facility's systems are consistent with evidence-based best practice. (50%) Documents accurate and complete reports of monitoring visits. Communicates accurate information, findings, recommendations, and technical assistance to the facility administrator and staff as well as quality monitoring leadership. Disseminates and teaches from appropriate education tools and materials. (20%) Communicates with various audiences (internally or externally) to provide clinical information, answer inquiries, address issues, and/or resolve problems. Maintains current knowledge in assigned areas by attending unit meetings, seminars, or other training and by continually reviewing program policies, procedures, and any changes. May conduct literature reviews and analyze complex information to update nursing-related evidence-based best practices technical assistance material. (10%) Develops and provides in-service education and other training to facility-licensed and non-licensed staff regarding evidence-based best practices. (10%) May train and mentor others in the context of a quality monitoring team visit, and orientation to peers as needed. May assists with the development and updating of program policy/procedures, evidence-based best practice standards, and educational programs. (10%) Registration, Certification, or Licensure Must be licensed as a Registered Nurse in the State of Texas or a state that recognizes reciprocity through the Nurse Licensure Compact and a current Texas driver’s license. Knowledge, Skills, and Abilities Knowledge of nursing principles and acceptable professional standard of patient care. Knowledge of local, state, and federal laws and regulations relevant to long-term care as well as an understating of long-term care facility operations. Knowledge of modern office management practices and procedures and technology tools such as Microsoft Office, SharePoint, and Teams productivity tools. Skill in researching, creating, analyzing, monitoring, and evaluating complex clinical issues. Skills in communication and public speaking. Skill in managing multiple and competing priorities. Skill in promoting data-driven decision-making. By identifying trends, concerns, evaluating alternatives, and negotiating and implementing solutions. Skills in working with diverse groups and interests, resolving conflicts, building consensus and problem solving. Ability to gather, evaluate, analyze facts by observation, interviews, and record reviews. Ability to interpret policies, procedures, and regulations as they relate to long term care facility. Ability to organize and present information effectively, both orally and in writing. Ability to serve as a mentor to others. Ability to work collaboratively across HHS/MCS/QMP to accomplish objectives . Ability to balance team and individual responsibilities. Ability to exercise judgment and work independently with moderate direction. Ability to lift twenty-five pounds. Must be able to travel up to 80% including overnight travel and hours other than 8am- 5pm and days other than Monday-Friday. Initial Screening Criteria Graduation with a bachelor's degree from an accredited four-year college or university with major coursework in nursing preferred. An associate in nursing with a four-year degree in an applicable healthcare-related field will be considered. Experience may be substituted for education on a year-for-year basis with a maximum of four years. A minimum of 3 years of nursing experience is required. Experience in mentoring peers is required. Experience with or knowledge of Long-Term Care Nursing Facilities with knowledge of CMS requirements or a SMQT (surveyor minimum qualifications test) is preferred. Must be able to travel up to 80% including overnight travel and hours other than 8am-5pm and days other than Monday-Friday. Must have reliable transportation Review our Tips for Success when applying for jobs at DFPS, DSHS and HHSC . Active Duty, Military, Reservists, Guardsmen, and Veterans : Military occupation(s) that relate to the initial selection criteria and registration or licensure requirements for this position may include, but not limited to those listed in this posting. All active-duty military, reservists, guardsmen, and veterans are encouraged to apply if qualified to fill this position. For more information please see the Texas State Auditor’s Job Descriptions, Military Crosswalk and Military Crosswalk Guide at Texas State Auditor's Office - Job Descriptions . ADA Accommodations: In compliance with the Americans with Disabilities Act (ADA), HHSC and DSHS agencies will provide reasonable accommodation during the hiring and selection process for qualified individuals with a disability. If you need assistance completing the on-line application, contact the HHS Employee Service Center at 1-888-894-4747. If you are contacted for an interview and need accommodation to participate in the interview process, please notify the person scheduling the interview. Pre-Employment Checks and Work Eligibility: Depending on the program area and position requirements, applicants selected for hire may be required to pass background and other due diligence checks. HHSC uses E-Verify. You must bring your I-9 documentation with you on your first day of work. Download the I-9 Form Telework Disclaimer: This position may be eligible for telework. Please note, all HHS positions are subject to state and agency telework policies in addition to the discretion of the direct supervisor and business needs.

apartment Monogram Health location_onBrenham, TX

Nurse Practitioner

Job Description: Nurse Practitioner Monogram Health is looking for skilled Nurse Practitioners and Physician Assistants eager for the opportunity to make a difference in patients' lives. The Advanced Practitioner at Monogram Health is a key member of an integrated Care Team which includes a Registered Nurse and a Social Worker. The patients we serve often struggle with multiple serious diseases. Our Nurse Practitioners and Physician Assistants help patients improve their quality of life in the home and slow the progression of kidney disease, enabling positive health outcomes. Your Impact Using your skills in this position will allow you to deliver personalized compassionate medical care to individuals mainly with CKD and/or ESRD/ESKD. You will also be responsible for caring for patients, maintaining accurate and current patient records and scheduling, and administering follow-up appointments to patients as required. Your gifts as a healthcare professional are urgently needed. In healthcare systems, the patient has too often become secondary due to processes and incentives that don’t positively impact the patient for the long term. Here at Monogram, we strive to change that narrative by putting our patients and their quality of life at the forefront of what we do. Roles and Responsibilities Conducts assessments, which includes comprehensive annual wellness exams on patients both in the patients' home and in the virtual environment Counsels and educates patients and families about benefits and programs available to help them live healthier lives Documents items such as: appropriate chief complaint, all applicable diagnosis, past medical, family, and social history, review of systems, examinations, medications, allergies, assessment, and plan Responsible for the coordination of care with primary care providers, specialists, and appropriate ancillary services Completes all documentation and paperwork in a timely manner Maintains quality of care standards as defined by the practice This position will not be office-based but will be remote in state in which employed and will need to attend periodic training/meetings outside of that state Deliver evidence-based, timely care in a manner that reduces avoidable hospitalizations, maximizes quality of life, and puts patient health and satisfaction first Prescribe medications, order tests, and collaborate with patient’s Monogram physician Perform effectively, as reflected by improved patient quality outcomes, which will be measured and reported daily Facilitates closing gaps in care by educating patients about preventive monitoring and working with physician practices to schedule diagnostic testing Assists patients with enrolling to access educational videos Participates in the integrated care team meetings Knowledge of disease diagnosis and prevention Make assessment of patient's health status Develop treatment plan Implement a plan consistent with appropriate plan of care Follow-up and evaluate patient's status Other duties as assigned Position Requirements Bilingual (English/Spanish) highly preferred Basic Life Support (BLS) certification is required in this role. The company will support your certification completion through onboarding. Active and unrestricted Registered Nurse and Nurse Practitioner or Physician Assistant license Board certified for appropriate licensure (NP: ANCC/AANP; PA: NCCPA) Current and unrestricted DEA certificate Ability to work without direct supervision and practice autonomously Access to transportation, a valid driver's license, and car insurance Must be proficient with medical instruments and equipment required by the work Knowledge of computer-based data management programs and information systems, as well as medical records and point-of-interview technology Ability to communicate effectively in verbal and written form with retail and medical partners at various levels, patients, family members, physicians and representatives of the community Sound understanding of all federal and state regulations including HIPAA and OSHA 2 or more years of direct patient care required Managed Care/IPA/Health Plan experience Experience conducting annual wellness visits or similar comprehensive visits virtually or in the home Benefits Comprehensive Benefits - Medical, dental, and vision insurance, employee assistance program, employer-paid and voluntary life insurance, disability insurance, plus health and flexible spending accounts Financial & Retirement Support – Competitive compensation, 401k with employer match, and financial wellness resources Time Off & Leave – Paid holidays, flexible vacation time/PSSL, and paid parental leave Wellness & Growth – Work life assistance resources, physical wellness perks, mental health support, employee referral program, and BenefitHub for employee discounts About Monogram Health Monogram Health is a leading multispecialty provider of in-home, evidence-based care for the most complex of patients who have multiple chronic conditions. Monogram health takes a comprehensive and personalized approach to a person’s health, treating not only a disease, but all of the chronic conditions that are present - such as diabetes, hypertension, chronic kidney disease, heart failure, depression, COPD, and other metabolic disorders. Monogram Health employs a robust clinical team, leveraging specialists across multiple disciplines including nephrology, cardiology, endocrinology, pulmonology, behavioral health, and palliative care to diagnose and treat health issues; review and prescribe medication; provide guidance, education, and counselling on a patient’s healthcare options; as well as assist with daily needs such as access to food, eating healthy, transportation, financial assistance, and more. Monogram Health is available 24 hours a day, 7 days a week, and on holidays, to support and treat patients in their home. Monogram Health’s personalized and innovative treatment model is proven to dramatically improve patient outcomes and quality of life while reducing medical costs across the health care continuum.

LVN

Home Health