Nursing Jobs in Kemp, TX

RN Full-time
Texas Health Resources

Registered Nurse III- PRN

25011979 Registered Nurse III – Surgery Department Bring your passion to Texas Health so we are Better + Together Work location: Texas Health Kaufman- 850 Ed Hall Drive, Kaufman, TX 75142 Work hours: PRN within Monday through Friday 5:30am-6:00pm, On-call may be required Surgery Department Highlights Texas health Kaufman has 3 OR Suites Specialty surgical services include podiatry, ortho, general, vascular, and gi Strong Unit Based Council (UBC) Work/life balance as well as opportunities for educational and career growth Here’s What You Need Nursing Diploma Nursing is required Or Associate's Degree Nursing is required Or Bachelor's Degree Nursing is preferred 1 Year experience as a Registered Nurse is required RN - Registered Nurse Upon Hire is required And BCLS - Basic Cardiac Life Support prior to providing independent patient care and maintained quarterly is required And ACLS - Advanced Cardiac Life Support 90 Days is required And PALS - Pediatric Advanced Life Support 90 Days is required A high degree of confidentiality, positive interpersonal skills, and ability to function in a fast-paced environment. What You Will Do Basic Human Needs - Responds to others' priorities regarding safety, physical, psychological and social needs. The professional nurse exhibits understanding of basic human needs. Knowledge of basic physiology and pathophysiology Knowledge of human emotions during health and illness Adapts to changes in workload by demonstrating flexibility related to patient needs, staffing and patient acuity Promotes the Magnet and/or Pathways to Excellence standards throughout the organization. Additional Perks Of Being a Texas Health Registered Nurse Benefits include 401k, Employee Assistance Program (EAP), Discount Programs, as well as other benefits. Delivery of high-quality patient care Strong Unit Based Council (UBC). A supportive, team environment with outstanding opportunities for growth. For more than 40 years, Texas Health Presbyterian Hospital Kaufman has delivered full-service, acute care to the communities of Kaufman, Crandall, Forney, Gun Barrel City, Mabank, Terrell, and nearby areas. As an 81-bed hospital, we’re committed to providing compassionate, high-quality care every day. We offer a wide range of services, including orthopedic and general surgery, diagnostic imaging, and outpatient physical therapy. Our specialties also include respiratory care, nuclear medicine, and emergency services—ensuring accessible care across a variety of patient needs. Texas Health Kaufman is Joint Commission-certified and proudly recognized by the American Nurses Credentialing Center (ANCC) as a Pathway to Excellence hospital—reflecting our commitment to a positive, empowering work environment and exceptional patient care. If you’re ready to join us in our mission to improve the health of our community, then let’s show the world how we’re even better together! Learn More About Our Culture, Benefits, And Recent Awards. Do you still have questions or concerns? Feel free to email your questions to recruitment@texashealth.org
Caregiver Full-time
Embark Care

Part Time Caregiver Needed- Van Zandt TX

Caregiver needed in Canton Tx ! We have two clients open at this time, part time starting out, but incoming clients is always taking place. Hands on care will be required, so must have experience. Other open cases in surrounding areas, and fill-in shifts available. You must have verifiable previous caregiver experience, a valid drivers license to be considered for some cases, and reliable transportation with current insurance. If you're interested in employment, Please complete the application and competency quiz on the careers page of our website at www.embarkcare.net/careers/
BlueBonnet Rehab at Ennis

Charge Nurse LVN LPN

Must have current LVN license in the State of Texas. Shifts: 10pm-6am, PRN All Shifts Essential Job Duties: Works using the guidelines established from the Nurse Practice Act, facility Policy and Procedures, use of your nursing judgement. Assess, plan and evaluate nursing care delivered to patients/residents requiring long-term or rehabilitation care. Implement the patient/residents plan of care and evaluate the patient/residents response. Directs and supervises care given by other nursing personnel. Provide input in the formulation and evaluation of standards of care. Maintain knowledge of necessary documentation requirements. Maintain knowledge of equipment set-up, maintenance and use (i.e. monitors, infusion devices, drain devices, etc.). Maintain confidentiality and patient/resident rights, regarding all patient/resident and personnel information. Provide patient/resident, family/caregiver education as directed. Initiate emergency support measures ( CPR, protecting patients/residents from injury) Assessment: o Admission and routine resident observations/transfer notes are complete and accurately reflect the patient/resident’s status o Documentation of observations is complete and reflects knowledge of unit documentation policies and procedures. o Nursing history is present in the medical record for all patients/residents o Assessment identifies changes in the patient/resident’s physical or psychological condition ( Changes in lab data, Vital signs, mental status). Planning of Care: o Nursing care plans are initiated/reviewed/individualized on assigned patients/residents monthly and PRN. o Pertinent nursing problems are identified. o Goals are stated. o Appropriate nursing orders are formulated. Evaluation of Care: o The effectiveness of nursing interventions, medications, etc. is evaluated and documented in the progress notes. Care Plans: o Evaluation of care plan is noted monthly or as indicated. o The care plan is revised and indicated by the patient/resident’s status. General Patients/Resident Care: o Patient/Resident is approached in a kind, gentle, and friendly manner. Respect for the patients/residents dignity and privacy is consistently provided. o Interventions are performed in a timely manner. Explanations for delays in answers/responses are provided. o Independence by the patient/resident in activities or daily living in encouraged to the extent possible. o Treatments are completed as indicated. o Safety concerns are identified and appropriate actions are taken to maintain a safe environment. o Assist/Grab-bars and height of bed are adjusted. o Patient/Resident call light and equipment is within reach. o Restraints, if ordered by a Physician, are maintained properly. o Rooms are neat and orderly. Functional assignments are completed. Emergency situations are recognized and appropriate action is taken. All emergency equipment can be readily located and operated (Emergency Oxygen Supply, Drug Box, Fire Extinguisher, AED/Crash Cart, etc.) Patient/Resident Education/Discharge Planning: o The patient/resident and family are involved in the planning of care and treatment (documented on the plan of care). o Patient/resident and/or family are provided with information related to all intervention and activities as indicated. o Discharge/Death summaries are complete and accurate. o Transfer forms are complete and accurate o Active participation in patient/resident care management is evident Adherence to Facility Procedures: o Facility procedure manuals or reference materials are utilized as needed. o Procedures are performed according to methods outlined in procedure manual. o Body substance precautions and other appropriate infection control practices are utilized with all nursing interventions. o Safety guidelines established by the facility ( i.e. proper needle disposal ) are followed. Documentation: o The patients/resident’s full name and room number are present on the chart forms. Allergies are noted on the chart cover. o Only approved abbreviations are utilized. o TPR graphic is completed properly and timely o I&O summaries are recorded and added correctly o Blood pressure graphic is completed accurately and timely o Progress notes are timed, dated and signed with full signature and title o Unit flow-sheets are completed properly (i.e, Wound Care Records, Treatment Records, IV Therapy Record, etc) Medication Administrations/ Parenteral Therapy Record o Dates that medications are started or discontinued are documented o Medications are charted correctly with name, does, route, site, time and initials of nurse o Pulse and BP are obtained and recorded when appropriate o Medications not given are circled, reason noted and physician notified if applicable o Appropriate notes are written for medication not given and actions taken. o Name and title of nurse administering medication are documented o Patient/residents medication records are labeled with full name, room number, date and allergies. o The procedure for administration and counting of narcotics is followed o All parenteral fluids are charted with time and date started, time infusion completed, sit of infusion and signature of nurse. o All parenteral fluids are administered according to the ordered infusion rate. o Parenteral intake is accurately recorded on the unit flow sheet or I&O record. o IV sites are monitored and catheters changed according to unit policy o IV bags and tubing are changed according to unit policy o Appropriate actions are taken related to identified IV infusions problems (infiltration, phlebitis, poor infusion, etc. ) policy Coordination of Care: o Tests are scheduled and preps are completed as indicated o Co-workers are informed of changes in patient/resident condition or of any other changes occurring on the unit. o Information is relayed to the member of the Health Care Team (i.e. physicians, respitory therapy, physical therapy, social services, etc) o Unit activities are coordinated (i.e. changing patients/residents room for Admission Coordination transfer/discharge forms, etc.) Leadership: o Equitable care assignments are made prior to shift that are appropriate to patient/resident’s needs o Staffing needs are communicated to the nursing supervisors o Assistance, direction, and education is provided to unit personnel and families. o Problems are identified, data is gathered, solutions are suggested, and communications regarding the problem is appropriate. o Transcriptions of all orders is checked o All work areas are neat and clean Communication: o Change of shift report is complete, accurate and concise. o Incident reports are completed accurately and in a timely manner. o Staff meetings are attended, if on duty, or minutes read initialed if not on duty. Cost Awareness: o Supplies are used appropriately o Charge stickers (or charge system) are utilized appropriately o Minimal supplies are stored in resident room o Discharged medications are returned to the pharmacy or destroyed in a timely manner o Floor-stock medications are charged and re-stocked o Participates in the identification of staff educational needs. o Serves as a preceptor, as delegated, for new staff o Maintains patient/resident care supplies, equipment and environment o Participates in the development of unit objectives o Participates in the quality assessment and improvement process and activities. Benefits: All Full Time staff is eligible for Insurance Benefits (Health, Visual, Dental) Our Facility offers a Shift Differential pay for the following shifts: o 6am-2pm = Paid at Regular Base Rate o 2pm-10pm = Paid at $0.50 for hours worked during the shift o 10pm-6am = Paid at $1.00 for hours worked during the shift
Caregiver Full-time
Right at Home Midlothian, TX

Caregiver/Elderly Care/Personal Care Assistant

Don’t just make a living – make a difference! The team at Right at Home is growing and we invite you to become a part of our family of Care Professionals that serve seniors in the South DFW area. We are seeking reliable, compassionate, and enthusiastic individuals who are interested in expanding their caregiving experience. Our extraordinary employee experience includes competitive pay, health and supplemental benefits, flexible scheduling, and training opportunities! Right at Home LOVES our caregivers! Professional caregiving experience is preferred but is not necessarily required – family caregiving experience will be considered. COVID VACCINE NOT REQUIRED! What’s in it for you? Direct deposit Weekly pay Frequent pay raises based on performance review Mileage reimbursement while on client duties and between same day cases Online training opportunities and continuing education Employee referral bonuses Short commute times Flexible schedule Daytime, evening, overnight, and weekend shifts available! Positions available in Cedar Hill, Duncanville, Desoto, Lancaster, Midlothian, Waxahachie, Red Oak, Ennis, Joshua, Cleburne, Burleson, Mansfield and surrounding areas! Job Requirements · Caregiving experience · Valid Driver’s License and proof of automobile insurance · A caring and compassionate attitude · Willingness to help create an extraordinary client experience!
BlueBonnet Rehab at Ennis

Charge Nurse LVN LPN

Must have current LVN license in the State of Texas. Shifts: Double Weekends, PRN All Shifts Essential Job Duties: Works using the guidelines established from the Nurse Practice Act, facility Policy and Procedures, use of your nursing judgement. Assess, plan and evaluate nursing care delivered to patients/residents requiring long-term or rehabilitation care. Implement the patient/residents plan of care and evaluate the patient/residents response. Directs and supervises care given by other nursing personnel. Provide input in the formulation and evaluation of standards of care. Maintain knowledge of necessary documentation requirements. Maintain knowledge of equipment set-up, maintenance and use (i.e. monitors, infusion devices, drain devices, etc.). Maintain confidentiality and patient/resident rights, regarding all patient/resident and personnel information. Provide patient/resident, family/caregiver education as directed. Initiate emergency support measures ( CPR, protecting patients/residents from injury) Assessment: o Admission and routine resident observations/transfer notes are complete and accurately reflect the patient/resident’s status o Documentation of observations is complete and reflects knowledge of unit documentation policies and procedures. o Nursing history is present in the medical record for all patients/residents o Assessment identifies changes in the patient/resident’s physical or psychological condition ( Changes in lab data, Vital signs, mental status). Planning of Care: o Nursing care plans are initiated/reviewed/individualized on assigned patients/residents monthly and PRN. o Pertinent nursing problems are identified. o Goals are stated. o Appropriate nursing orders are formulated. Evaluation of Care: o The effectiveness of nursing interventions, medications, etc. is evaluated and documented in the progress notes. Care Plans: o Evaluation of care plan is noted monthly or as indicated. o The care plan is revised and indicated by the patient/resident’s status. General Patients/Resident Care: o Patient/Resident is approached in a kind, gentle, and friendly manner. Respect for the patients/residents dignity and privacy is consistently provided. o Interventions are performed in a timely manner. Explanations for delays in answers/responses are provided. o Independence by the patient/resident in activities or daily living in encouraged to the extent possible. o Treatments are completed as indicated. o Safety concerns are identified and appropriate actions are taken to maintain a safe environment. o Assist/Grab-bars and height of bed are adjusted. o Patient/Resident call light and equipment is within reach. o Restraints, if ordered by a Physician, are maintained properly. o Rooms are neat and orderly. Functional assignments are completed. Emergency situations are recognized and appropriate action is taken. All emergency equipment can be readily located and operated (Emergency Oxygen Supply, Drug Box, Fire Extinguisher, AED/Crash Cart, etc.) Patient/Resident Education/Discharge Planning: o The patient/resident and family are involved in the planning of care and treatment (documented on the plan of care). o Patient/resident and/or family are provided with information related to all intervention and activities as indicated. o Discharge/Death summaries are complete and accurate. o Transfer forms are complete and accurate o Active participation in patient/resident care management is evident Adherence to Facility Procedures: o Facility procedure manuals or reference materials are utilized as needed. o Procedures are performed according to methods outlined in procedure manual. o Body substance precautions and other appropriate infection control practices are utilized with all nursing interventions. o Safety guidelines established by the facility ( i.e. proper needle disposal ) are followed. Documentation: o The patients/resident’s full name and room number are present on the chart forms. Allergies are noted on the chart cover. o Only approved abbreviations are utilized. o TPR graphic is completed properly and timely o I&O summaries are recorded and added correctly o Blood pressure graphic is completed accurately and timely o Progress notes are timed, dated and signed with full signature and title o Unit flow-sheets are completed properly (i.e, Wound Care Records, Treatment Records, IV Therapy Record, etc) Medication Administrations/ Parenteral Therapy Record o Dates that medications are started or discontinued are documented o Medications are charted correctly with name, does, route, site, time and initials of nurse o Pulse and BP are obtained and recorded when appropriate o Medications not given are circled, reason noted and physician notified if applicable o Appropriate notes are written for medication not given and actions taken. o Name and title of nurse administering medication are documented o Patient/residents medication records are labeled with full name, room number, date and allergies. o The procedure for administration and counting of narcotics is followed o All parenteral fluids are charted with time and date started, time infusion completed, sit of infusion and signature of nurse. o All parenteral fluids are administered according to the ordered infusion rate. o Parenteral intake is accurately recorded on the unit flow sheet or I&O record. o IV sites are monitored and catheters changed according to unit policy o IV bags and tubing are changed according to unit policy o Appropriate actions are taken related to identified IV infusions problems (infiltration, phlebitis, poor infusion, etc. ) policy Coordination of Care: o Tests are scheduled and preps are completed as indicated o Co-workers are informed of changes in patient/resident condition or of any other changes occurring on the unit. o Information is relayed to the member of the Health Care Team (i.e. physicians, respitory therapy, physical therapy, social services, etc) o Unit activities are coordinated (i.e. changing patients/residents room for Admission Coordination transfer/discharge forms, etc.) Leadership: o Equitable care assignments are made prior to shift that are appropriate to patient/resident’s needs o Staffing needs are communicated to the nursing supervisors o Assistance, direction, and education is provided to unit personnel and families. o Problems are identified, data is gathered, solutions are suggested, and communications regarding the problem is appropriate. o Transcriptions of all orders is checked o All work areas are neat and clean Communication: o Change of shift report is complete, accurate and concise. o Incident reports are completed accurately and in a timely manner. o Staff meetings are attended, if on duty, or minutes read initialed if not on duty. Cost Awareness: o Supplies are used appropriately o Charge stickers (or charge system) are utilized appropriately o Minimal supplies are stored in resident room o Discharged medications are returned to the pharmacy or destroyed in a timely manner o Floor-stock medications are charged and re-stocked o Participates in the identification of staff educational needs. o Serves as a preceptor, as delegated, for new staff o Maintains patient/resident care supplies, equipment and environment o Participates in the development of unit objectives o Participates in the quality assessment and improvement process and activities. Benefits: All Full Time staff is eligible for Insurance Benefits (Health, Visual, Dental) Our Facility offers a Shift Differential pay for the following shifts: o 6am-2pm = Paid at Regular Base Rate o 2pm-10pm = Paid at $0.50 for hours worked during the shift o 10pm-6am = Paid at $1.00 for hours worked during the shift
CNA Full-time
BlueBonnet Rehab at Ennis

Certified Nurse Aide

Must hold a valid CNA license in the state of Texas Shifts: Double Weekends (6am-10pm, Saturdays and Sundays) Position Summary: The primary purpose of this position is to assist in the daily activities of our residents. Occupational Skills: Work well with residents, resident families and all staff. Ability to exercise good judgement and tact in dealing with residents, resident families and staff members. Good communication skills Good organizational skills Effective time management Ability to follow written and oral instructions Ability to carry, lift, push, pull and/or move a minimum of 50lbs or more Ability to assist residents with personal care Walking, Standing, reaching, turning, pivoting and bending as needed Flexibility in work schedule and assignments as needed Must be able to properly handle bodily fluids Ability to be patient and understanding in stressful situations Must exercise good judgement Initiative to seek proper resources Ability to perform basis vital signs Essential Job Duties: Attend mandatory in-service meetings to keep certificate current Work under general direction and supervision of charge nurse and/or department heads Handle and serve residents to assure safety and comfort. Observing instructions of nursing staff and performing in line with established routine and scope of practice. Practice Universal Precaution standards Demonstrate working knowledge of proper lifting and transfer techniques along with the demonstration of proper use of total life and stand lift. Assist with duties of the resident care plan Assist in customary daily requirements and tasks in care and treatment such as: bathing, feeding, dressing, observing intake of food, care of hair, nails, moving residents from area to area which includes lifting transferring, and supporting residents who may weigh 50lbs or more Responding to resident call lights Detecting and correcting safety hazards in the facility Observing and reporting to charge nurse any symptoms, reactions or changes in residents Encouraging and participating in rehabilitative measures Assist the resident with feeding Assist residents with toileting and elimination needs Keeping residents living areas neat and clean Encourage fluid intake of residents Ensuring residents have adequate refreshments Cleaning of supplies and equipment Make up resident beds Assist or provide oral care Assisting in proper positioning to accommodate proper circulation Perform vital signs and report any irregularities immediately to charge nurse. Benefits: All Full Time Staff is eligible for Insurance Benefits (Health, Vision, Dental) Our Facility offers a Shift Differential pay for the following shifts: - 6am-2pm = Paid at Regular Base Rate - 2pm-10pm = Paid at + $0.50 for hours worked during the shift - 10pm-6am = Paid at + $1.00 for hours worked during the shift
RN ER Per Diem
ScionHealth

RN ER PRN Nights

Description At ScionHealth , we empower our caregivers to do what they do best. We value every voice by caring deeply for every patient and each other. We show courage by running toward the challenge and we lean into new ideas by embracing curiosity and question asking. Together, we create our culture by living our values in our day-to-day interactions with our patients and teammates. Job Summary The Registered Nurse (RN) – Emergency Department provides direct and indirect patient care in a high-acuity emergency care setting. The RN utilizes the nursing process of assessment, planning, intervention, and evaluation to provide safe and effective care for patients across the lifespan. Collaborates with the interdisciplinary team and contributes to quality outcomes through clinical excellence, compassionate service, and adherence to regulatory standards. Essential Functions Performs triage and prioritizes patient care based on acuity Conducts age-appropriate assessments and reassessments of all patients Administers medications, performs procedures, and manages critical drips Assists physicians with exams and procedures in the emergency department Monitors hemodynamic status and interprets cardiac rhythms Documents care, treatment, assessments, and education accurately and timely Applies infection control and sterile technique practices consistently Educates patients and families about care plans and discharge instructions Collaborates with providers and interdisciplinary team for optimal care delivery Responds calmly and professionally in high-stress, life-threatening situations Knowledge/Skills/Abilities/Expectations Knowledge of emergency nursing protocols, trauma care, and critical interventions Skilled in interpreting ECGs, managing IVs, and operating emergency equipment Strong interpersonal, communication, and time management skills Ability to adapt to rapidly changing clinical situations and multitask effectively Proficient in EMR systems and clinical documentation tools Able to lift up to 50 lbs and perform extended standing, walking, bending, and reaching Demonstrates professionalism, clinical judgment, and a commitment to continuous learning Qualifications Education Associate degree in Nursing required Bachelor of Science in Nursing (BSN) preferred Graduation from an accredited Nursing Diploma program accepted. Licenses/Certifications Current state RN license or compact state equivalent required Basic Life Support (BLS) required within time frame stated in facility policy Advanced Cardiovascular Life Support (ACLS) required within time frame stated in facility policy Pediatric Advanced Life Support (PALS) required within time frame stated in facility policy Crisis Prevention Intervention (CPI) required within time frame stated in facility policy NIH Stroke Scale Certification required within time frame stated in facility policy Trauma Nursing Core Course (TNCC) preferred or required within time frame stated in facility policy Advanced Stroke Life Support (ASLS) preferred Experience Emergency nursing experience in an acute care setting preferred Demonstrated ability to function under pressure and respond effectively to critical situations
RN ER Per Diem
ScionHealth

RN ER PRN

Description At ScionHealth , we empower our caregivers to do what they do best. We value every voice by caring deeply for every patient and each other. We show courage by running toward the challenge and we lean into new ideas by embracing curiosity and question asking. Together, we create our culture by living our values in our day-to-day interactions with our patients and teammates. Job Summary The Registered Nurse (RN) – Emergency Department provides direct and indirect patient care in a high-acuity emergency care setting. The RN utilizes the nursing process of assessment, planning, intervention, and evaluation to provide safe and effective care for patients across the lifespan. Collaborates with the interdisciplinary team and contributes to quality outcomes through clinical excellence, compassionate service, and adherence to regulatory standards. Essential Functions Performs triage and prioritizes patient care based on acuity Conducts age-appropriate assessments and reassessments of all patients Administers medications, performs procedures, and manages critical drips Assists physicians with exams and procedures in the emergency department Monitors hemodynamic status and interprets cardiac rhythms Documents care, treatment, assessments, and education accurately and timely Applies infection control and sterile technique practices consistently Educates patients and families about care plans and discharge instructions Collaborates with providers and interdisciplinary team for optimal care delivery Responds calmly and professionally in high-stress, life-threatening situations Knowledge/Skills/Abilities/Expectations Knowledge of emergency nursing protocols, trauma care, and critical interventions Skilled in interpreting ECGs, managing IVs, and operating emergency equipment Strong interpersonal, communication, and time management skills Ability to adapt to rapidly changing clinical situations and multitask effectively Proficient in EMR systems and clinical documentation tools Able to lift up to 50 lbs and perform extended standing, walking, bending, and reaching Demonstrates professionalism, clinical judgment, and a commitment to continuous learning Qualifications Education Associate degree in Nursing required Bachelor of Science in Nursing (BSN) preferred Graduation from an accredited Nursing Diploma program accepted. Licenses/Certifications Current state RN license or compact state equivalent required Basic Life Support (BLS) required within time frame stated in facility policy Advanced Cardiovascular Life Support (ACLS) required within time frame stated in facility policy Pediatric Advanced Life Support (PALS) required within time frame stated in facility policy Crisis Prevention Intervention (CPI) required within time frame stated in facility policy NIH Stroke Scale Certification required within time frame stated in facility policy Trauma Nursing Core Course (TNCC) preferred or required within time frame stated in facility policy Advanced Stroke Life Support (ASLS) preferred Experience Emergency nursing experience in an acute care setting preferred Demonstrated ability to function under pressure and respond effectively to critical situations
CNA Full-time
BlueBonnet Rehab at Ennis

Certified Nurse Aide

Must hold a valid CNA license in the state of Texas Shifts: 2pm - 10pm Shift Position Summary: The primary purpose of this position is to assist in the daily activities of our residents. Occupational Skills: Work well with residents, resident families and all staff. Ability to exercise good judgement and tact in dealing with residents, resident families and staff members. Good communication skills Good organizational skills Effective time management Ability to follow written and oral instructions Ability to carry, lift, push, pull and/or move a minimum of 50lbs or more Ability to assist residents with personal care Walking, Standing, reaching, turning, pivoting and bending as needed Flexibility in work schedule and assignments as needed Must be able to properly handle bodily fluids Ability to be patient and understanding in stressful situations Must exercise good judgement Initiative to seek proper resources Ability to perform basis vital signs Essential Job Duties: Attend mandatory in-service meetings to keep certificate current Work under general direction and supervision of charge nurse and/or department heads Handle and serve residents to assure safety and comfort. Observing instructions of nursing staff and performing in line with established routine and scope of practice. Practice Universal Precaution standards Demonstrate working knowledge of proper lifting and transfer techniques along with the demonstration of proper use of total life and stand lift. Assist with duties of the resident care plan Assist in customary daily requirements and tasks in care and treatment such as: bathing, feeding, dressing, observing intake of food, care of hair, nails, moving residents from area to area which includes lifting transferring, and supporting residents who may weigh 50lbs or more Responding to resident call lights Detecting and correcting safety hazards in the facility Observing and reporting to charge nurse any symptoms, reactions or changes in residents Encouraging and participating in rehabilitative measures Assist the resident with feeding Assist residents with toileting and elimination needs Keeping residents living areas neat and clean Encourage fluid intake of residents Ensuring residents have adequate refreshments Cleaning of supplies and equipment Make up resident beds Assist or provide oral care Assisting in proper positioning to accommodate proper circulation Perform vital signs and report any irregularities immediately to charge nurse. Benefits: All Full Time Staff is eligible for Insurance Benefits (Health, Vision, Dental) Our Facility offers a Shift Differential pay for the following shifts: - 6am-2pm = Paid at Regular Base Rate - 2pm-10pm = Paid at + $0.50 for hours worked during the shift - 10pm-6am = Paid at + $1.00 for hours worked during the shift
BlueBonnet Rehab at Ennis

Charge Nurse LVN LPN

Must have current LVN license in the State of Texas. Shifts: 2pm-10pm, PRN All Shifts Essential Job Duties: Works using the guidelines established from the Nurse Practice Act, facility Policy and Procedures, use of your nursing judgement. Assess, plan and evaluate nursing care delivered to patients/residents requiring long-term or rehabilitation care. Implement the patient/residents plan of care and evaluate the patient/residents response. Directs and supervises care given by other nursing personnel. Provide input in the formulation and evaluation of standards of care. Maintain knowledge of necessary documentation requirements. Maintain knowledge of equipment set-up, maintenance and use (i.e. monitors, infusion devices, drain devices, etc.). Maintain confidentiality and patient/resident rights, regarding all patient/resident and personnel information. Provide patient/resident, family/caregiver education as directed. Initiate emergency support measures ( CPR, protecting patients/residents from injury) Assessment: o Admission and routine resident observations/transfer notes are complete and accurately reflect the patient/resident’s status o Documentation of observations is complete and reflects knowledge of unit documentation policies and procedures. o Nursing history is present in the medical record for all patients/residents o Assessment identifies changes in the patient/resident’s physical or psychological condition ( Changes in lab data, Vital signs, mental status). Planning of Care: o Nursing care plans are initiated/reviewed/individualized on assigned patients/residents monthly and PRN. o Pertinent nursing problems are identified. o Goals are stated. o Appropriate nursing orders are formulated. Evaluation of Care: o The effectiveness of nursing interventions, medications, etc. is evaluated and documented in the progress notes. Care Plans: o Evaluation of care plan is noted monthly or as indicated. o The care plan is revised and indicated by the patient/resident’s status. General Patients/Resident Care: o Patient/Resident is approached in a kind, gentle, and friendly manner. Respect for the patients/residents dignity and privacy is consistently provided. o Interventions are performed in a timely manner. Explanations for delays in answers/responses are provided. o Independence by the patient/resident in activities or daily living in encouraged to the extent possible. o Treatments are completed as indicated. o Safety concerns are identified and appropriate actions are taken to maintain a safe environment. o Assist/Grab-bars and height of bed are adjusted. o Patient/Resident call light and equipment is within reach. o Restraints, if ordered by a Physician, are maintained properly. o Rooms are neat and orderly. Functional assignments are completed. Emergency situations are recognized and appropriate action is taken. All emergency equipment can be readily located and operated (Emergency Oxygen Supply, Drug Box, Fire Extinguisher, AED/Crash Cart, etc.) Patient/Resident Education/Discharge Planning: o The patient/resident and family are involved in the planning of care and treatment (documented on the plan of care). o Patient/resident and/or family are provided with information related to all intervention and activities as indicated. o Discharge/Death summaries are complete and accurate. o Transfer forms are complete and accurate o Active participation in patient/resident care management is evident Adherence to Facility Procedures: o Facility procedure manuals or reference materials are utilized as needed. o Procedures are performed according to methods outlined in procedure manual. o Body substance precautions and other appropriate infection control practices are utilized with all nursing interventions. o Safety guidelines established by the facility ( i.e. proper needle disposal ) are followed. Documentation: o The patients/resident’s full name and room number are present on the chart forms. Allergies are noted on the chart cover. o Only approved abbreviations are utilized. o TPR graphic is completed properly and timely o I&O summaries are recorded and added correctly o Blood pressure graphic is completed accurately and timely o Progress notes are timed, dated and signed with full signature and title o Unit flow-sheets are completed properly (i.e, Wound Care Records, Treatment Records, IV Therapy Record, etc) Medication Administrations/ Parenteral Therapy Record o Dates that medications are started or discontinued are documented o Medications are charted correctly with name, does, route, site, time and initials of nurse o Pulse and BP are obtained and recorded when appropriate o Medications not given are circled, reason noted and physician notified if applicable o Appropriate notes are written for medication not given and actions taken. o Name and title of nurse administering medication are documented o Patient/residents medication records are labeled with full name, room number, date and allergies. o The procedure for administration and counting of narcotics is followed o All parenteral fluids are charted with time and date started, time infusion completed, sit of infusion and signature of nurse. o All parenteral fluids are administered according to the ordered infusion rate. o Parenteral intake is accurately recorded on the unit flow sheet or I&O record. o IV sites are monitored and catheters changed according to unit policy o IV bags and tubing are changed according to unit policy o Appropriate actions are taken related to identified IV infusions problems (infiltration, phlebitis, poor infusion, etc. ) policy Coordination of Care: o Tests are scheduled and preps are completed as indicated o Co-workers are informed of changes in patient/resident condition or of any other changes occurring on the unit. o Information is relayed to the member of the Health Care Team (i.e. physicians, respitory therapy, physical therapy, social services, etc) o Unit activities are coordinated (i.e. changing patients/residents room for Admission Coordination transfer/discharge forms, etc.) Leadership: o Equitable care assignments are made prior to shift that are appropriate to patient/resident’s needs o Staffing needs are communicated to the nursing supervisors o Assistance, direction, and education is provided to unit personnel and families. o Problems are identified, data is gathered, solutions are suggested, and communications regarding the problem is appropriate. o Transcriptions of all orders is checked o All work areas are neat and clean Communication: o Change of shift report is complete, accurate and concise. o Incident reports are completed accurately and in a timely manner. o Staff meetings are attended, if on duty, or minutes read initialed if not on duty. Cost Awareness: o Supplies are used appropriately o Charge stickers (or charge system) are utilized appropriately o Minimal supplies are stored in resident room o Discharged medications are returned to the pharmacy or destroyed in a timely manner o Floor-stock medications are charged and re-stocked o Participates in the identification of staff educational needs. o Serves as a preceptor, as delegated, for new staff o Maintains patient/resident care supplies, equipment and environment o Participates in the development of unit objectives o Participates in the quality assessment and improvement process and activities. Benefits: All Full Time staff is eligible for Insurance Benefits (Health, Visual, Dental) Our Facility offers a Shift Differential pay for the following shifts: o 6am-2pm = Paid at Regular Base Rate o 2pm-10pm = Paid at $0.50 for hours worked during the shift o 10pm-6am = Paid at $1.00 for hours worked during the shift
CMA Urgent Care Full-time
UTHealth East Texas

Medical Assistant / MA Urgent Care

Overview Join our team as a full-time, Urgent Care Medical Assistant (MA) in Mabank, TX. Why Join Us? Thrive in a People-First Environment and Make Healthcare Better Thrive: We empower our team with career growth opportunities, tuition assistance , and resources that support your wellness, education, and financial well-being. People-First: We prioritize your well-being with paid time off, comprehensive health benefits, and a supportive, inclusive culture where you are valued and cared for. Make Healthcare Better: We use advanced technology to support our team and enhance patient care . Get to Know Your Team: UT Health East Texas has extended its healthcare services to include urgent care facilities. These locations have highly skilled and compassionate healthcare professionals dedicated to providing exceptional care for various non-life-threatening conditions. Learn About a Day in the Life of a Medical Assistant: Responsibilities Job Summary The Medical Assistant Certified (CMA) provides superior patient care and performs both clinical and administrative tasks that support patients in a clinic-based environment as part of a care team led by the physician and/or advanced practice provider. Essential Functions 1. Enters, maintains, and reports all medical history, medical coding, and files claims using an Electronic Medical Record (EMR). 2. Support patient visits by performing chart prep and scrub, greeting patients, escorting patients to exam room to take vital signs, and relaying other applicable medical information to effectively support the reason for the visit and treatment. Qualifications Required Qualifications High school diploma or GED equivalent. Graduate from an accredited medical assistant/medical technologist school/program. Current national certification as a Certified Medical Assistant (CMA) or Registered Medical Assistant (RMA). Prior experience in a clinic or hospital setting supporting patient care Basic Electronic Medical Record (EMR) and Microsoft Office knowledge. Basic Life Support (BLS) Certification Preferred Qualifications Associate’s degree.
Texas Health and Human Services

Nurse 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: Nurse Manager Job Title: Nurse III/Nurse Manager Agency: Health & Human Services Comm Department: Residential Care Supervisor H Posting Number: 11348 Closing Date: 12/20/2025 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: Evening Additional Shift: Days (First); Evenings (Second) Telework: Not Eligible for Telework Travel: Up to 10% Regular/Temporary: Regular Full Time/Part Time: Full time FLSA Exempt/Non-Exempt: Exempt Facility Location: Terrell State Hospital Job Location City: TERRELL Job Location Address: 1200 E BRIN Other Locations: MOS Codes: 290X,46AX,46FX,46NX,46PX,46SX,46YX,66B,66C,66E,66F,66G,66H,66N,66P,66R,66S,66T,66W Brief Job Description: Would you thrive in an environment where you learn and grow personally and professionally all while helping make a positive impact on people’s lives? Do you appreciate being around others like yourself who are dependable, trustworthy, hard workers who believe in the value of teamwork? HSCS is dedicated to building an atmosphere where employees feel valued and supported while providing specialized care for Texans in need. HSCS is comprised of eleven psychiatric hospitals, two youth residential treatment facilities, and thirteen state supported living centers. Psychiatric hospitals are a hub of excellence for forensic mental health and complex psychiatric care, with all facilities accredited by The Joint Commission. They provide state-of-the-art treatment that is recovery-oriented and science-based. If providing hope and healing through compassionate, innovative, and individualized care interests you, we welcome your application for the position below. The Nurse Manager performs advanced (senior-level) nursing functions such as; planning, developing, coordinating, and evaluating the provision of nursing care on a 24-hour basis. The Nurse Manager is responsible for directing the daily operations in all assigned areas. The Nurse Manager facilitates the identification and implementation of Standards of Practice that are consistent with the HHSC and State Hospital rules and regulations, The Texas Administrative Code (TAC), and the Texas State Board of Nursing. The Nurse Manager is responsible for ensuring a competent workforce. They provide clinical direction and expertise and ensure care is provided based on individual patient characteristics such as age, developmental level, diagnoses, and/or specialized patient needs. They participate in the development and support of partnerships within the hospital; other divisions and departments, recovery teams, patients and their families; and external organizations such as professional groups, advocacy groups, and the general public to facilitate community involvement and awareness. The Nurse Manager participates in the performance improvement activities. Supervises the work of others. Works under limited supervision, with considerable latitude for the use of initiative and independent judgement. Performs other duties as assigned. Other duties as assigned include but are not limited to actively participating and/or serving in a supporting role to meet the agency’s obligations for disaster response and/or recovery or Continuity of Operations (COOP) activation. Such participation may require an alternate shift pattern assignment and/or location. This position may be eligible to earn additional pay for work performed on evenings, nights and/or weekends. Essential Job Functions (EJFs): Attends work on a regular basis and may be asked to work a specific shift schedule or, at times, even a rotating schedule, extended shift and/or overtime in accordance with agency leave policy and performs other duties as assigned. Serves as the spokesperson and catalyst for the professional practice of program-based nursing services through active and productive participation in performance improvement activities which include monitoring nursing performance indicators, conducting medical record audits, conducting nursing peer reviews, and participating in patient death reviews. Performance will reflect a high level of involvement, professionalism, and productivity. Promotes an environment that empowers nurses to provide effective, compassionate, and efficient nursing care by fostering a climate that enhances job satisfaction through productivity and quality improvement. Develops nursing policies and procedures that promote a professional environment. Develops program specific policies and procedures that promote the mission of the program and assures congruence with professional and organizational expectations. Facilitates, coaches, and supervises others in the development and deployment of strategies to ensure optimal levels of nursing services are available to patients 24 hours a day, seven days a week. Ensures awards and recognition activities that promote staff morale. Assures the reporting of general patterns and trends of nursing care are provided (e.g., 24-hour nursing report, restraint and seclusion nursing documentation, staff call-ins, etc.). Provides clinical direction and expertise and ensures that care provided is based on an appropriate developmental level to meet specific and specialized patient needs. Works with recovery teams to implement patient-centered trauma informed care. Facilitates the identification and implementation of hospital-based Standards of Practice that are consistent with the Board of Nursing, The Joint Commission (TJC) standards, Centers for Medicare and Medicaid (CMS) conditions of participation, Texas Administrative Code (TAC), and the rules and regulations of the Agency and state hospital. Serves as a resource on nursing practices and education programs by performing consultative and administrative work. Ensures a competent workforce by participating in the design, development, and oversight of the implementation of systems that evaluate and contribute to the quality of patient care by participating in Quality Assessment and Performance Improvement (QAPI) initiatives that address important aspects of nursing care. Incorporates program specific monitoring into on-going performance improvement activities and assures timely reporting. Utilizes data as a basis to identify and address patterns and trends as they relate to the delivery of nursing care. Assures review/revision of program nursing service manuals according to standards. Ensures that patient’s rights are protected by addressing issues found in patient care reports, client abuse and neglect reports, 24-hour reports, patient satisfaction surveys, and other hospital reporting mechanisms. Assures systematic capture, review and analysis, communication, and follow-up in relation to significant events on the program (e.g., Medication Errors, Adverse Drug Reactions, Unauthorized Departures, Emergency Transfers, Deaths, Unusual Occurrences, etc.). Oversees and conducts clinical reviews to ensure adequate clinical care is provided to patients. Alerts leadership of safety/risk management issues and actively facilitates problem-solving strategies. Works with leadership to meet the nurse staffing plan to support the hospitals mission. Ensures the continuous (24-hours/day, 7 days/week) timely availability of nursing staff to meet patient care needs. Establishes and evaluates annually a staffing plan for nursing service that identifies minimum staffing for all levels of nursing personnel to promote a safe environment that complies all regulatory and professional standards. Seeks and utilizes suggestions to effectively streamline work efforts and minimize redundancy. Works with leadership keeping nursing management apprised of nursing services resource allocation and reallocation needs. Tracks and aggregates information for the purpose of analysis and feedback to program staff as well as leadership. Proactively identifies and seeks opportunities for improved recruitment and retention of qualified personnel. The Nurse Manager actively participates in the budget process that reflects patient activity needs, census variance, and staff vacancy rates, within the context of budget allocations and restrictions. Participates in the development and support of partnerships within the hospital and key stakeholders including patients and their families. Works with external organizations such as professional groups, advocacy groups, courts, law enforcement, and the general public to facilitate community involvement. Partners with leadership to help design and deliver a high-quality system of care to patients using a multi-disciplinary approach. Assists the Nurse Educator in providing clinical rotations for academic linkages with colleges, universities, and training programs. Participates in assigned committees, workgroups, and task forces as requested. Promotes positive working relationships with outside agencies (e.g., Provider Investigations (PI), Office of Inspector General (OIG)), other hospital departments, programs and divisions including ancillary/support services, (e.g. Pharmacy, Medical Staff, Information Management, Clinical Laboratories, Dietary, etc.). On an annual basis, uses a customer feedback questionnaire to help identify opportunities for improvement. Performs other duties as assigned. Other duties as assigned include but are not limited to actively participating and/or serving in a supporting role to meet the agency’s obligations for disaster response and/or recovery or Continuity of Operations (COOP) activation. Such participation may require an alternate shift pattern assignment and/or location. Knowledge, Skills and Abilities (KSAs): Knowledge of Texas Nurse Practice Act, and the role of peer review in the provision of professional nursing Knowledge of management theory, organizational planning, plan deployment, and improving organizational performance Knowledge of the Recovery Model of Care Knowledge of training principles, practices, and techniques Knowledge of group process, group dynamics, and interpersonal relations Knowledge of nursing competencies, standards and psychiatric rehabilitation practices and techniques Knowledge of professional nursing Standards, CPR, Abnormal Involuntary Movement Scale (AIMS), Treatment, Intervention, and Protection Strategies (TIPS), and Psychiatric Nursing Assistant (PNA) Curriculum Skills in the care and treatment of patients Strong interpersonal skills which promote teamwork Skills in utilizing computer hardware/software Skills in administering restraint and seclusion Strong coaching skills Ability to organize, coordinate, and evaluate nursing activities Ability to instruct, train, and supervise the work of others Ability to develop a budget Ability to provide patient care Ability to prepare and maintain records Ability to organize and communicate information both orally and in writing Ability to interpret and explain standards and regulations Ability to instruct, train, oversee and provide guidance to others Ability to create and evaluate training objectives, requirements, and effectiveness of delivery Ability to communicate effectively both orally and in writing Ability to formulate learning objectives Ability to manage time effectively Ability to intervene therapeutically with patients experiencing psychiatric disorders (delusions, hallucinations, suicidal/homicidal ideation) Ability to perform TIPS, CPR, the Heimlich Maneuver, use the AED, provide First Aid Ability to provide patient/family education regarding medications, disease processes, and health Registrations, Licensure Requirements or Certifications: Licensed as a Registered Nurse (RN) in the state of Texas, or in a party state, that recognizes reciprocity through the Nurse Licensure Compact. Initial Screening Criteria: Graduation from an accredited four-year college or university with major coursework in nursing or from an accredited nursing program and at least one (1) year of work experience as an RN in a recognized health agency, hospital, or health care facility. OR Three (3) years of work experience as a RN in a recognized health agency, hospital, or health care facility. Additional Information: Applicants must pass a fingerprint criminal background check, pre-employment drug screen, and registry checks including the Client Abuse/Neglect Reporting System (CANRS), Nurse Aid, Medication Aide and Employee Misconduct, List of Excluded Individuals/Entities (LEIE). Males between the ages of 18-25 must be registered with the Selective Service. All applicants must be at least 18 years of age to be considered for employment at a state-operated facility. Waco Center for Youth applicants must be 21 years of age. Flexibility in work hours may be required for this position. The position may be required to work overtime and/or extended hours. Compliance with HHSC immunization policy and state hospital operating procedures related to immunizations is required. According to the Centers for Disease Control and Prevention, healthcare workers are considered to be at significant risk for acquiring or transmitting hepatitis B, measles, mumps, rubella, varicella (chicken pox), tetanus, diphtheria, pertussis (whooping cough), and influenza. All these diseases are vaccine preventable. As a result, state hospital policy requires employees be vaccinated according to their level of contact with individuals. In the event you choose to not be immunized for the influenza virus, you may be required to wear a mask and take other protective measures. Review our Tips for Success when applying for jobs at DFPS, DSHS and HHSC . Active Duty, Military, Reservists, Guardsmen, and Veterans : Military occupation(s) that relate to the initial selection criteria and registration or licensure requirements for this position may include, but not limited to those listed in this posting. All active-duty military, reservists, guardsmen, and veterans are encouraged to apply if qualified to fill this position. For more information please see the Texas State Auditor’s Job Descriptions, Military Crosswalk and Military Crosswalk Guide at Texas State Auditor's Office - Job Descriptions . ADA Accommodations: In compliance with the Americans with Disabilities Act (ADA), HHSC and DSHS agencies will provide reasonable accommodation during the hiring and selection process for qualified individuals with a disability. If you need assistance completing the on-line application, contact the HHS Employee Service Center at 1-888-894-4747. If you are contacted for an interview and need accommodation to participate in the interview process, please notify the person scheduling the interview. Pre-Employment Checks and Work Eligibility: Depending on the program area and position requirements, applicants selected for hire may be required to pass background and other due diligence checks. HHSC uses E-Verify. You must bring your I-9 documentation with you on your first day of work. Download the I-9 Form Telework Disclaimer: This position may be eligible for telework. Please note, all HHS positions are subject to state and agency telework policies in addition to the discretion of the direct supervisor and business needs.
Caregiver Full-time
Embark Care

Caregiver needed Kaufman Co

Embark Care is looking to hire caregivers immediately for part time work in: Terrell - T/Th/Sat 2hrs/day late afternoon Help with basic personal care and housekeeping. This is part time but we are taking in clients in this area and anticipate being able to add clients to the hired caregivers schedule as we get them. Other open cases in surrounding areas, and fill in shifts likely available. You must have previous caregiver experience, a valid driver license to be considered for some cases, and reliable transportation with current insurance. Direct Deposit pay. Paid travel time between clients at hourly rate. If you're interested in employment, please complete the application, competency quiz, and videos section on the careers page of our website at https://embarkcare.net/careers/
CNA Hospice Full-time
Enhabit Home Health & Hospice

Hospice CNA - Full Time

Overview Are you in search of a new career opportunity that makes a meaningful impact? If so, now is the time to find your calling at Enhabit Home Health & Hospice. As a national leader in home-based care, Enhabit is consistently ranked as one of the best places to work in the country. We’re committed to expanding what’s possible for patient care in the home, all while fostering a unique culture that is both innovative and collaborative. At Enhabit, the best of what’s next starts with us. We not only make it a priority to maintain an ethical and stable workplace but also continually invest in our employees. By extending ongoing professional development opportunities and providing cutting-edge technology solutions, we ensure our employees are always moving their careers forward and prepared to deliver a better way to care for our patients. Ever-mindful of the need for employees to care for themselves and their families, Enhabit offers competitive benefits that support and promote healthy lifestyle choices. Subject to employee eligibility, some benefits, tools and resources include: 30 days PDO – Up to 6 weeks (PDO includes company observed holidays) Continuing education opportunities Scholarship program for employees Matching 401(k) plan for all employees Comprehensive insurance plans for medical, dental and vision coverage for full-time employees Supplemental insurance policies for life, disability, critical illness, hospital indemnity and accident insurance plans for full-time employees Flexible spending account plans for full-time employees Minimum essential coverage health insurance plan for all employees Electronic medical records and mobile devices for all clinicians Incentivized bonus plan Responsibilities Enhabit Hospice Nursing Aides assist with various personal care issues including changing bedding, changing clothing, bathing hospice patients and helping with hygienic routines such as brushing teeth, washing hair and keeping wound dressings clean and dry. Our Hospice Nursing Aides may assist patients' family members in caring for their terminally ill relatives by instructing them on how to go about performing basic health-care routines. Nursing Aides consult on a regular basis with their supervising registered nurses in terms of keeping hospice team members apprised of our patients' progression and the families' needs. Qualifications Must meet one of the following requirements: Have a minimum of 1 year of full-time experience in direct client care in an institutional setting (hospital or nursing facility) Have 1 year of experience within the last 5 years in direct client care in a home health or hospice setting Have satisfactorily completed a training and competency evaluation program that complies with federal and state regulations Be registered and listed in good standing on the Nurse Aide Registry in the state of employment Must possess a valid state driver’s license and autombile insurance and have reliable transportation. Must have the ability to recognize the needs of people, to maintain good relationships with people, and have the capacity to make meaningful observations and communicate them to the supervisor. Additional Information Enhabit Home Health & Hospice is an equal opportunity employer. We work to promote differences in a collaborative and respectful manner. We are committed to a work environment that supports, encourages and motivates all individuals without discrimination on the basis of race, color, religion, sex (including pregnancy or related medical conditions), sexual orientation, gender identity, marital status, age, disability, national or ethnic origin, military service status, citizenship, genetic information, or other protected characteristic. At Enhabit, we celebrate and embrace the special differences that makes our community extraordinary.
RN Full-time
Texas Health and Human Services

Nurse III-Nursing Administrator

Join the Texas Health and Human Services Commission (HHSC) and be part of a team committed to creating a positive impact in the lives of fellow Texans. At HHSC, your contributions matter, and we support you at each stage of your life and work journey. Our comprehensive benefits package includes 100% paid employee health insurance for full-time eligible employees, a defined benefit pension plan, generous time off benefits, numerous opportunities for career advancement and more. Explore more details on the Benefits of Working at HHS webpage . Functional Title: Nurse III-Nursing Administrator Job Title: Nurse III Agency: Health & Human Services Comm Department: Residential Care Supervisor H Posting Number: 10155 Closing Date: 01/08/2026 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: Evening Additional Shift: Telework: Not Eligible for Telework Travel: Up to 10% Regular/Temporary: Regular Full Time/Part Time: Full time FLSA Exempt/Non-Exempt: Exempt Facility Location: Terrell State Hospital Job Location City: TERRELL Job Location Address: 1200 E BRIN Other Locations: MOS Codes: 290X,46AX,46FX,46NX,46PX,46SX,46YX,66B,66C,66E,66F,66G,66H,66N,66P,66R,66S,66T,66W Brief Job Description: Would you thrive in an environment where you learn and grow personally and professionally all while helping make a positive impact on people’s lives? Do you appreciate being around others like yourself who are dependable, trustworthy, hard workers who believe in the value of teamwork? HSCS is dedicated to building an atmosphere where employees feel valued and supported while providing specialized care for Texans in need. HSCS is comprised of nine psychiatric hospitals, one youth residential treatment facility, and thirteen state supported living centers. The psychiatric hospitals are a hub of excellence for forensic mental health and complex psychiatric care, with all facilities accredited by The Joint Commission. They provide state-of-the-art treatment that is recovery-oriented and science-based. If providing hope and healing through compassionate, innovative, and individualized care interests you, we welcome your application for the position below. Under the direct supervision of the Chief Nurse Executive/Nurse Administrator/Assistant Chief Nurse Executive, observes, assesses, plans, intervenes and evaluates outcomes and documents all aspects of patient care. Possesses a unique knowledge regarding the patient population to be served. Coordinates scheduling within assigned areas. Provides primary management for service area during assigned shift with a supportive but clear supervisory manner. May supervise, counsel, and evaluate other nursing staff. Collaborates with Nurse Coordinator, other charge nurses, and Mental Health Supervisor/Specialist to ensure 24-hour continuity of care. May assume duties of the Nurse Coordinator/Nurse Manager during absence. Flexible in work schedule. Has broad latitude for initiative and independent judgment. Provides direct nursing care to individual patients as needed. Duties, location of work and shift/pattern are subject to change as determined by administration to meet the needs of the hospital. Duties may include exposure to blood or other potentially infectious materials. Performs other duties as assigned. Other duties as assigned include but are not limited to actively participating and/or serving in a supporting role to meet the agency’s obligations for disaster response and/or recovery or Continuity of Operations (COOP) activation. Such participation may require an alternate shift pattern assignment and/or location. This position may be eligible to earn additional pay for work performed on evenings, nights and/or weekends. Essential Job Functions (EJFs): Attends work on a regular basis and may be asked to work a specific shift schedule or, at times, even a rotating schedule, extended shift and/or overtime in accordance with agency leave policy and performs other duties as assigned. EJF 1. Assess the health/mental status of the patient upon admission and/or transfer and on an ongoing basis and documents assessment, planning, intervention, and evaluation in patient record to determine priorities and plan therapeutic nursing care. Performs CPR/Heimlich techniques correctly and safely according to the specifications of the American Heart Association. (30%) EJF 2. Provides direction and coordination of staffing and patient care activities on assigned units in a consultative manner with nurse administrators and staff nurses by addressing performance problems promptly and keeping accurate documentation of interventions. Coordinates and administers the effective utilization of nursing service personnel on assigned units. (30%) EJF 3. Facilitates a smooth admission and/or transfer process during working hours to achieve the hospital mission by communicating with admissions staff, unit staff reviewing written documentation to ensure appropriate status and triage patients when needed. (15%) EJF 4. Carries out medical staff practitioners’ orders and implements nursing interventions according to acceptable nursing care standards and hospital policies and procedures. Assist in the client abuse and neglect investigation process. (5%) EJF 5. Implements special precautions as ordered and explain and document rights restrictions and implements restraint/seclusion procedures according to departmental policy and established nursing standards to maintain patient safety. Protect the patient from causing harm to self and/or others and uphold patient rights. (5%) EJF 6. Attends mandatory training to ensure staff competence and development. Attends and participates in on-going in-service and other education and training programs appropriate to the population/age group to meet the physical, psychosocial, and cultural needs of patients. Monitors the use of treatment, intervention, and protection strategies (TIPS) to ensure the well-being of patients and staff and that TIPS program requirements are adhered to during an episode of patient restraint (5%) EJF 7. Communicates openly with Chief Nurse Executive/Asst. Chief Nurse Executive/Nurse Administrator/Nurse Manager to obtain current information to inform and disseminate to staff on assigned units. (5%) EJF 8. Performs other duties as assigned. Other duties as assigned include but are not limited to actively participating and/or serving in a supporting role to meet the agency’s obligations for disaster response and/or recovery or Continuity of Operations (COOP) activation. Such participation may require an alternate shift pattern assignment and/or location. (5%) Knowledge, Skills and Abilities (KSAs): Knowledge of recognized American Nurses Association Nursing Standards. Knowledge of departmental policies and procedures. Knowledge of the Nurse Practice Act. Skills in supervisory and management techniques. Skills and ability to perform CPR, agency approved aggression management and restraint techniques, and emergency care in a medical or psychiatric emergency. Skills for positive interaction with patients, staff, families, and the public. Ability to handle crisis situations calmly. Ability to communicate effectively, verbally, and in writing. Ability to use sound judgement and critical thinking skills. Registrations, Licensure Requirements or Certifications: Licensed to practice as a registered nurse (RN) in the State of Texas (or state that recognizes reciprocity through the Nurse Licensure Compact). If transporting patients, must possess a valid Texas driver license or obtain it no later than 90 days after hire date to drive a state vehicle. Applicants with an out-of-state driver license must provide an original certified driving record from the state of driving licensure. Eligible driving record required based on HHSC Fleet Management policy. Initial Screening Criteria: Three (3) years of work experience as a RN in a recognized health agency, hospital, or health care facility. Graduation from a Nursing Program accredited by the Texas Board of Nurse Examiners preferred. Additional Information: Applicants must pass a fingerprint criminal background check, pre-employment drug screen, and registry checks including the Client Abuse/Neglect Reporting System (CANRS), Nurse Aid, Medication Aide and Employee Misconduct, List of Excluded Individuals/Entities (LEIE). Males between the ages of 18-25 must be registered with the Selective Service. All applicants must be at least 18 years of age to be considered for employment at a state-operated facility. Waco Center for Youth applicants must be 21 years of age. Flexibility in work hours may be required for this position. The position may be required to work overtime and/or extended hours. Compliance with HHSC immunization policy and state hospital operating procedures related to immunizations is required. According to the Centers for Disease Control and Prevention, healthcare workers are considered to be at significant risk for acquiring or transmitting hepatitis B, measles, mumps, rubella, varicella (chicken pox), tetanus, diphtheria, pertussis (whooping cough), and influenza. All these diseases are vaccine preventable. As a result, state hospital policy requires employees be vaccinated according to their level of contact with individuals. In the event you choose to not be immunized for the influenza virus, you may be required to wear a mask and take other protective measures. Review our Tips for Success when applying for jobs at DFPS, DSHS and HHSC . Active Duty, Military, Reservists, Guardsmen, and Veterans : Military occupation(s) that relate to the initial selection criteria and registration or licensure requirements for this position may include, but not limited to those listed in this posting. All active-duty military, reservists, guardsmen, and veterans are encouraged to apply if qualified to fill this position. For more information please see the Texas State Auditor’s Job Descriptions, Military Crosswalk and Military Crosswalk Guide at Texas State Auditor's Office - Job Descriptions . ADA Accommodations: In compliance with the Americans with Disabilities Act (ADA), HHSC and DSHS agencies will provide reasonable accommodation during the hiring and selection process for qualified individuals with a disability. If you need assistance completing the on-line application, contact the HHS Employee Service Center at 1-888-894-4747. If you are contacted for an interview and need accommodation to participate in the interview process, please notify the person scheduling the interview. Pre-Employment Checks and Work Eligibility: Depending on the program area and position requirements, applicants selected for hire may be required to pass background and other due diligence checks. HHSC uses E-Verify. You must bring your I-9 documentation with you on your first day of work. Download the I-9 Form Telework Disclaimer: This position may be eligible for telework. Please note, all HHS positions are subject to state and agency telework policies in addition to the discretion of the direct supervisor and business needs.
Medication Aide Full-time
BlueBonnet Rehab at Ennis

Certified Medication Aide

Must have a valid CNA license as well as CMA license in the State of Texas Open Shifts: 2pm-10pm Shift Position Summary: To pour, pass, and document all routine prescribed medications and to give PRN medication upon the instructions of the licensed nurse only. Occupational Skills : Work well with others Ability to exercise good judgment and tact in dealing with resident’s, resident families and staff members Good communication skills • Good organizational skills Familiarity with LTC computer software Ability to follow written and oral instructions Ability to lift, push, pull and/or move a minimum of 50lbs or more Walking, turning, reaching, stooping, squatting, pivoting and bending as needed Flexibility in work schedule and assignments as needed Knowledge of medications and possible side effects Education, Training and Experience Requirements: High school or general education diploma (GED) Must be a certified nurse aide Must have successfully completed state approved school of medication administration Must carry current acknowledgment card or certification issued by state agency Must demonstrate a working knowledge of Universal Precautions and the Blood Borne Pathogen rules Essential Job Duties: Abide by restrictions placed on the job by state agency Observe and report to the facility’s charge licensed nurse reactions and side effects to medication shown by resident Answer resident call lights Take and record vital signs prior to the administration of medication which could affect or change the vital signs Administer regularly prescribed medication which the permit holder has been trained to administer only after personally preparing (setting up) the medication to be administered Administer oxygen per nasal cannula or a non-scaling face mask only in an emergency. Immediately after the emergency, the Medication Aide shall verbally notify the licensed nurse on duty or on call and appropriately document the action and notification Apply specifically ordered ophthalmic, optic, and nasal medication Must be able to follow accurately all principals of good medication administration Must be willing to cooperate with licensed nurse in charge and be accountable for all actions Must be aware of limitations and not attempt to exceed those Must be willing to help with all work in whatever way possible which includes lifting, transferring, and supporting residents who weigh 50 lbs or more Other duties as assigned by the Administrator and/or supervisor A Medication Aide Cannot: Administer medication by the injection route including: a. intramuscular route b. intravenous route c. subcutaneous route d. intradermal route e. hypodermoclysis route Administer medication used for intermittent positive pressure breathing (IPPB) treatments or any form of medication nebulizer treatments Administer previously ordered pro re nata (PRN) medication unless authorization is obtained from the facility’s licensed nurse on duty or on call. If authorization is obtained, the Medication Aide must: a. document in the resident’s records, symptoms indicating the need for the medication and the time the symptoms occurred b. document in resident’s records that the facility’s licensed nurse was contacted, symptoms were described, and permission was granted to administer the medication and the time of contact c. obtain permission to administer the medication each time the symptoms occur in the resident, and d. ensure that the resident’s records are co-signed by the licensed nurse who gave permission by the end of the nurse’s shift or if the nurse was on call, by the end of the nurse’s next tour of duty Administer the initial dose of a medication that has not been previously administered to a resident. Whether a medication has been previously administered shall be determined by the resident’s current clinical records Calculate a resident’s medication doses for administration except that the permit holder may: a. Measure a prescribed amount of a liquid medication to be administered; and b. Break a tablet for administration to a resident provided the licensed nurse on duty or on call has calculated the dosage. The resident’s medication card or its equivalent shall accurately document how the tablet must be altered prior to administration. Crush medication unless authorization is obtained from the licensed nurse on duty or on resident’s medication card or its equivalent Administer medications or feedings by way of a tube inserted in a cavity of the body Receive or assume responsibility for reducing to writing a verbal or telephone order from a physician, dentist, or podiatrist Order a resident’s medications from a pharmacy verbally. (Must be by fax only) Apply topical medications that involve the treatment of skin that is broken or blistered of when specified aseptic technique is ordered by the attending physician Steal, divert, or otherwise misuse medications Fraudulently procure or attempt to procure a permit Neglect to administer appropriate medications, as prescribed, in a responsible manner Administer medications if the person is unable to do so with reasonable skill and safety to residents by reason of drunkenness, excessive use of drugs, narcotics, chemicals, or any other type of material; or Order a STAT medication unless approved by DON/ADON Medication aides must function in accordance with accepted pharmaceutical and nursing practices, and as set forth in this facility’s policies. Benefits: All Full Time Staff is eligible for Insurance Benefits (Health, Dental, Vision) Our Facility offers a Shift Differential pay for the following shifts: -6am-2pm = Paid at Regular Base Rate -2pm-10pm = Paid at + $0.50 for hours worked during the shift -10pm-6am = Paid at + $1.00 for hours worked during the shift
RN Full-time
Texas Health and Human Services

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: Nurse II Job Title: Nurse II Agency: Health & Human Services Comm Department: Adm AcuteCarePsych Nursing Posting Number: 10323 Closing Date: 02/01/2026 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: Regular Evening and Weekend Additional Shift: Days (First); Evenings (Second); Nights (Third); Weekends Telework: Not Eligible for Telework Travel: Up to 10% Regular/Temporary: Regular Full Time/Part Time: Full time FLSA Exempt/Non-Exempt: Exempt Facility Location: Terrell State Hospital Job Location City: TERRELL Job Location Address: 1200 E BRIN Other Locations: MOS Codes: 290X,46AX,46FX,46NX,46PX,46SX,46YX,66B,66C,66E,66F,66G,66H,66N,66P,66R,66S,66T,66W Brief Job Description: Would you thrive in an environment where you learn and grow personally and professionally all while helping make a positive impact on people’s lives? Do you appreciate being around others like yourself who are dependable, trustworthy, hard workers who believe in the value of teamwork? HSCS is dedicated to building an atmosphere where employees feel valued and supported while providing specialized care for Texans in need. HSCS is comprised of nine psychiatric hospitals, one youth residential treatment facility, and thirteen state supported living centers. The psychiatric hospitals are a hub of excellence for forensic mental health and complex psychiatric care, with all facilities accredited by The Joint Commission. They provide state-of-the-art treatment that is recovery-oriented and science-based. If providing hope and healing through compassionate, innovative, and individualized care interests you, we welcome your application for the position below. Under the direct supervision of the Nurse Administrator\Nurse Manager, observes, assesses, plans, intervenes and evaluates outcomes and documents all aspects of patient care. Possesses a unique knowledge regarding the patient population to be served. May coordinate scheduling within assigned areas. Provides primary proactive management for service area during assigned shift with a supportive but clear supervisory manner. Supervises, counsels, and evaluates other nursing staff. Collaborates with Nurse Coordinator, other Nurse Managers, and MH Supervisor/Specialist to ensure 24-hour continuity of care. Assumes duties of the Nurse Coordinator during absence. Is flexible in work schedule. Has broad latitude for initiative and independent judgment. Provides direct nursing care to individual patients as needed. Understands that duties, location of work and shift/pattern are subject to change as determined by the administration to meet the needs of the hospital. Must understand that duties may include exposure to blood or other potentially infectious materials. Performs other duties as assigned. Other duties as assigned include but are not limited to actively participating and/or serving in a supporting role to meet the agency’s obligations for disaster response and/or recovery or Continuity of Operations (COOP) activation. Such participation may require an alternate shift pattern assignment and/or location. This position may be eligible to earn additional pay for work performed on evenings, nights and/or weekends. Essential Job Functions (EJFs): Attends work on a regular basis and may be asked to work a specific shift schedule or, at times, even a rotating schedule, extended shift and/or overtime in accordance with agency leave policy and performs other duties as assigned. Assess the health/mental status of the patient upon admission and/or transfer and on an ongoing basis and documents assessment, planning, intervention, and evaluation in patient record in order to determine priorities and plan therapeutic nursing care. Performs CPR/Heimlich techniques correctly and safely according to the specifications of the American Heart Association. Provides direction and coordination of staffing and patient care activities on assigned units in a consultative manner with nurse administrators and staff nurses by addressing performance problems promptly and keeping accurate documentation of interventions. Facilitates a smooth admission and/or transfer process during working hours in order to achieve the hospital mission by communicating with admissions staff, unit staff reviewing written documentation to ensure appropriate status and triage patients when needed. Carries out medical staff orders and implements nursing interventions according to acceptable nursing care standards and hospital policies and procedures. Meets with unit nursing staff to inform and disseminate information. Provides and documents individual/group teaching to patients regarding medications, illness, special treatment, etc. utilizing appropriate teaching/response methods for various age groups and cognitive levels to facilitate patient learning. Implements special precautions as ordered, explain and document rights restrictions and implements restraint/seclusion procedures according to departmental policy and established nursing standards to maintain patient safety. Protect the patient from causing harm to self and/or others and uphold patient rights. Participates in the client abuse and neglect process, assures patient safety, and meets patient needs, monitors, and implements Treatment Intervention Protection Strategies (TIPS). Follows all established protocols, policies, and procedures. Participates as the nursing representative in Performance improvement teams. Coordinates and administers effective utilization of nursing service personnel on assigned units. Attends mandatory trainings, participates in on-going in-service and other education and training programs appropriate to the population/age group to meet the physical, psychosocial, and cultural needs of patients. Performs other duties as assigned. Other duties as assigned include but are not limited to actively participating and/or serving in a supporting role to meet the agency’s obligations for disaster response and/or recovery or Continuity of Operations (COOP) activation. Such participation may require an alternate shift pattern assignment and/or location. Knowledge, Skills and Abilities (KSAs): Knowledge of recognized American Nurses Association Nursing Standards. Knowledge of departmental policies and procedures. Knowledge of the Nurse Practice Act. Skills in supervisory and management techniques. Skills and ability to perform CPR, agency approved aggression management and restraint techniques, and emergency care in a medical or psychiatric emergency. Skills for positive interaction with patients, staff, families, and the public. Ability to handle crisis situations calmly. Ability to communicate effectively, verbally and in writing. Registrations, Licensure Requirements or Certifications: Licensed to practice as a registered nurse (RN) in the State of Texas (or state that recognizes reciprocity through the Nurse Licensure Compact). Initial Screening Criteria: Graduation from a Nursing Program accredited by the Texas Board of Nurse Examiners required. At least six (6) months of 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 Aid, Medication Aide and Employee Misconduct, List of Excluded Individuals/Entities (LEIE). Males between the ages of 18-25 must be registered with the Selective Service. All applicants must be at least 18 years of age to be considered for employment at a state-operated facility. Waco Center for Youth applicants must be 21 years of age. Flexibility in work hours may be required for this position. The position may be required to work overtime and/or extended hours. Compliance with HHSC immunization policy and state hospital operating procedures related to immunizations is required. According to the Centers for Disease Control and Prevention, healthcare workers are considered to be at significant risk for acquiring or transmitting hepatitis B, measles, mumps, rubella, varicella (chicken pox), tetanus, diphtheria, pertussis (whooping cough), and influenza. All these diseases are vaccine preventable. As a result, state hospital policy requires employees be vaccinated according to their level of contact with individuals. In the event you choose to not be immunized for the influenza virus, you may be required to wear a mask and take other protective measures. Review our Tips for Success when applying for jobs at DFPS, DSHS and HHSC . Active Duty, Military, Reservists, Guardsmen, and Veterans : Military occupation(s) that relate to the initial selection criteria and registration or licensure requirements for this position may include, but not limited to those listed in this posting. All active-duty military, reservists, guardsmen, and veterans are encouraged to apply if qualified to fill this position. For more information please see the Texas State Auditor’s Job Descriptions, Military Crosswalk and Military Crosswalk Guide at Texas State Auditor's Office - Job Descriptions . ADA Accommodations: In compliance with the Americans with Disabilities Act (ADA), HHSC and DSHS agencies will provide reasonable accommodation during the hiring and selection process for qualified individuals with a disability. If you need assistance completing the on-line application, contact the HHS Employee Service Center at 1-888-894-4747. If you are contacted for an interview and need accommodation to participate in the interview process, please notify the person scheduling the interview. Pre-Employment Checks and Work Eligibility: Depending on the program area and position requirements, applicants selected for hire may be required to pass background and other due diligence checks. HHSC uses E-Verify. You must bring your I-9 documentation with you on your first day of work. Download the I-9 Form Telework Disclaimer: This position may be eligible for telework. Please note, all HHS positions are subject to state and agency telework policies in addition to the discretion of the direct supervisor and business needs.
RN Full-time
ScionHealth

RN IMCU FT Nights

Description At ScionHealth , we empower our caregivers to do what they do best. We value every voice by caring deeply for every patient and each other. We show courage by running toward the challenge and we lean into new ideas by embracing curiosity and question asking. Together, we create our culture by living our values in our day-to-day interactions with our patients and teammates. Job Summary The Registered Nurse (RN) - ICU provides comprehensive nursing care to critically ill patients in the Intensive Care Unit. The RN monitors hemodynamic status, administers medications, performs assessments, and collaborates with the interdisciplinary care team. The RN ensures optimal patient outcomes through adherence to clinical protocols, safety guidelines, and effective communication with patients and families. Essential Functions Provides direct and indirect patient care in a critical care setting, including hemodynamic monitoring and management of critically ill patients Administers medications, monitors for side effects, and responds to adverse events Performs comprehensive assessments, including head-to-toe assessments, pain assessments, and reassessments Develops and implements individualized care plans based on patient condition and response to treatment Collaborates with physicians, respiratory therapists, and other healthcare providers to optimize patient care Educates patients and families on treatment plans, medication regimens, and discharge instructions Participates in emergency response and crisis management, including code blue and rapid response situations Assists in invasive procedures, including central line insertions and arterial line placements Adheres to infection control protocols and maintains a safe environment for patients and staff Documents patient care activities, assessments, and interventions accurately and timely in the electronic medical record (EMR) Knowledge/Skills/Abilities/Expectations Advanced clinical knowledge in critical care nursing and emergency response Strong communication and interpersonal skills Ability to prioritize tasks and manage multiple responsibilities effectively Proficiency in electronic medical records (EMR) and medical equipment operation Demonstrates professionalism, integrity, and a commitment to patient-centered care Ability to lift up to 50 lbs and perform extended periods of standing, walking, and physical activity Qualifications Education Associate Degree in Nursing (ADN) required Bachelor of Science in Nursing (BSN) preferred License/Certification Current RN license in the state of practice or compact state required Basic Life Support (BLS) Certification within timeframe specified by facility policy Advanced Cardiovascular Life Support (ACLS) Certification within timeframe specified by facility policy Pediatric Advanced Life Support (PALS) Certification preferred De-escalation Training required Experience Minimum of six (6) months of experience in an acute care setting preferred
RN Full-time
ScionHealth

RN IMCU Full Time Days

Description Description: Are you an RN seeking an exciting new opportunity within the Intensive Care Unit? Here at ­­­­­­­­­­­­­­­­­Ennis Regional we value our nurses and recognize their exceptional contributions to our patient’s health and wellness. As part of our commitment to attracting the best talent, we are offering increased pay rates that are highly competitive in the industry. As an RN on our team, you will have the chance to: Make a real difference in the lives of our patients through the delivery of exceptional, personalized care. Be part of a collaborative, professional environment where your opinions and expertise are valued. Enjoy a flexible schedule that respects your work-life balance. Receive competitive compensation that recognizes your skills and experience, with the added benefit of our updated pay rates. At Ennis Regional, we offer a robust benefits package that will give you and your family the peace of mind you deserve… Multiple offers to choose from which includes PPO to include HSA, FSA, Dental, Vision, Life Insurance, Supplemental Life, Short-term, Long-term, PTO, 401K, Perkspot (discount program), Purchasing power, Voluntary Benefit (legal, critical illness, Accident Insurance, Permanent Life insurance, Hospital Indemnity, Auto Home Ins., Identity theft, and Pet insurance Quantum Health Multi-facetted wellness program Employee Assistance Program Telemedicine program Education Assistance Career Development Employee Resource Groups (ERGs) Clinical Ladder Program Scholarship Of Hope Tuition Advancement Payback Plan We are looking for compassionate, qualified RNs who share our dedication to delivering outstanding patient care. If you are a passionate nurse who wants to be part of a dynamic team, we want to hear from you! Thank you and we look forward to hearing from you! Below is our job description and minimum requirements to apply. Qualifications Qualifications: Minimum Work Experience: Six (6) months of experience as a Registered Nurse (RN) in a direct patient care setting unless entering the Nurse Residency Program Minimum Education: Associate degree in Nursing - Required Bachelors’ degree in Nursing - Preferred Required Skills: Requires critical thinking skills, decisive judgment, and the ability to work with minimal supervision. Must be able to work in a stressful environment and take appropriate action. Certifications: BLS - Required ACLS within 6 months of hire if needed Licenses: Valid licensure in the State of Texas as a Registered Nurse (RN) or COMPACT LICENSE Under the direction of the Clinical Coordinator and/or Nursing Unit Director, perform nursing patient care duties for the assigned unit or department. Plan, provide and evaluate total nursing care in accordance with the established patient care philosophy. Facilitate individualized, goal-directed nursing care through the use of the nursing process and the principles of primary nursing in accordance with departmental and hospital policies and procedures. Relate effectively with other shifts for continuity of care, maintain satisfactory relations with other departments and nursing units; and participate in all phases of education.
RN Per Diem
Texas Health and Human Services

PRN 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: PRN Nurse II Job Title: Nurse II Agency: Health & Human Services Comm Department: Residential Care Supervisor H Posting Number: 10313 Closing Date: 12/19/2025 Posting Audience: Internal and External Occupational Category: Healthcare Practitioners and Technical Salary Group: TEXAS-B-22 Salary Range: $1,973.82 - $2,328.45 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: Terrell State Hospital Job Location City: TERRELL Job Location Address: 1200 E BRIN Other Locations: MOS Codes: 290X,46AX,46FX,46NX,46PX,46SX,46YX,66B,66C,66E,66F,66G,66H,66N,66P,66R,66S,66T,66W Brief Job Description: Would you thrive in an environment where you learn and grow personally and professionally all while helping make a positive impact on people’s lives? Do you appreciate being around others like yourself who are dependable, trustworthy, hard workers who believe in the value of teamwork? HSCS is dedicated to building an atmosphere where employees feel valued and supported while providing specialized care for Texans in need. HSCS is comprised of nine psychiatric hospitals, one youth residential treatment facility, and thirteen state supported living centers. The psychiatric hospitals are a hub of excellence for forensic mental health and complex psychiatric care, with all facilities accredited by The Joint Commission. They provide state-of-the-art treatment that is recovery-oriented and science-based. If providing hope and healing through compassionate, innovative, and individualized care interests you, we welcome your application for the position below. Nurse II (PRN Nurse) performs complex (journey level) nursing work. They work works under the direct supervision of the Assistant Chief Nurse Executive (CNE). Provides routine care and treatment through the application of the nursing process and are responsible for maintaining nursing standards of practice in accordance with the Nurse Practice Act, The Joint Commission (TJC) standards, Centers for Medicare and Medicaid (CMS) conditions of participation, Texas Administrative Code (TAC), and the rules and regulations of the Agency and state hospital system. Communicates and collaborates with other shift RNs to ensure 24-hour continuity of care. Ensures adequate staffing according to the program specific staffing plan; determines staff assignments based on appropriate knowledge and skill to meet individual patient needs. Models and supports a proactive approach to unit management using patient centered trauma informed care. Demonstrates a commitment to a culture that minimizes the use of restrictive interventions. Oversees and assigns work to other staff to include Psychiatric Nursing Assistants and Licensed Vocational Nurses as assigned. The PRN Nurse works under general supervision, with moderate latitude for the use of initiative and independent judgment. Performs other duties as assigned. Other duties as assigned include but are not limited to actively participating and/or serving in a supporting role to meet the agency’s obligations for disaster response and/or recovery or Continuity of Operations (COOP) activation. Such participation may require an alternate shift pattern assignment and/or location. This position may be eligible to earn additional pay for work performed on evenings, nights and/or weekends. Essential Job Functions (EJFs) Attends work on a regular basis and may be asked to work a specific shift schedule or, at times, even a rotating schedule, extended shift and/or overtime in accordance with agency leave policy and performs other duties as assigned. Performs extensive initial and on-going assessment of the patient’s nursing care needs to include medical, psychological, and social needs by accurately reporting and documenting the assessment, nursing diagnoses, plan, intervention(s), and on-going evaluation in the patient’s medical record to provide a clear reflection of care provided, and the patient’s response to that care. Collaborates with other health care professionals by contributing nursing assessment data, diagnoses/problems, towards the development of a multidisciplinary recovery plan. Helps to facilitate a multidisciplinary approach to promote a patient centered individualized plan of care. Presents nursing care needs to the team to be considered for active treatment. Provides relevant data regarding patient’s progress, or lack thereof. Evaluates the outcomes of nursing interventions and documents the same in the medical record. Assures the documentation is thorough, complete, and consistent with overall plan of care and provides a clear understanding and application of the nursing process, and the patient’s response to care provided. Provides comprehensive patient/family education regarding illness process, medications, coping skills, etc., to patients and families. Establishes, monitors, and maintains the therapeutic milieu through clinical oversight and training of other Registered Nurses, Licensed Vocational Nurses, and Psychiatric Nursing Assistants as assigned. Evaluates staffing on a shift per shift basis to ensure an appropriate number and mix of nursing personnel is available to provide a safe, secure environment, which allows for maximum program participation, as well as the fluctuation in patient acuity. Supervises the administration of medications by ensuring physician’s orders are carried out according to acceptable nursing care standards and hospital policies and procedures. Knows the rationale for and the anticipated effects of medications and treatments and supervises the same. Clarifies any order or treatment regimen that believed to be inaccurate, non-efficacious, or contraindicated. Acts as team leader in emergency situations (i.e., medical or psychiatric emergencies) including initiating and monitoring the appropriate use of resuscitative equipment or interventions such as restraint/seclusion. Serves as the contact RN by ensuring adequate staffing for assigned and on-coming shifts is consistent with established nursing policy and procedures and the programmatic staffing plan, as needed. Addresses administrative and clinical issues in a professional manner consistent with the standards of nursing practice, and nursing and program specific policies, and The Joint Commission (TJC) standards, Centers for Medicare and Medicaid (CMS) conditions of participation, Texas Administrative Code (TAC), and the rules and regulations of the Agency and state hospital system. Consistently communicates significant events in patient care, and management of the unit to the Nurse Manager and the Assistant CNE. Performs other duties as assigned. Other duties as assigned include but are not limited to actively participating and/or serving in a supporting role to meet the agency’s obligations for disaster response and/or recovery or Continuity of Operations (COOP) activation. Such participation may require an alternate shift pattern assignment and/or location. Knowledge, Skills and Abilities (KSAs): Knowledge of Texas Nurse Practice Act, and the role of peer review in the provision of professional nursing Knowledge of HHSC policies and procedures Knowledge of management theory, organizational planning, plan deployment, and improving organizational performance Knowledge of the Recovery Model of Care Knowledge of professional nursing Standards, CPR, Abnormal Involuntary Movement Scale (AIMS), Treatment, Intervention, and Protection Strategies (TIPS) Knowledge of nursing techniques and procedures Skills in utilizing computer hardware/software. Skills in administering restraint and seclusion. Strong coaching skills Ability to provide patient care. Ability to prepare and maintain records. Ability to organize and communicate information both orally and in writing. Ability to interpret and explain standards and regulations. Ability to instruct, train, oversee and provide guidance to others. Ability to create and evaluate training objectives, requirements, and effectiveness of delivery. Ability to manage time effectively. Ability to intervene therapeutically with patients experiencing psychiatric disorders (delusions, hallucinations, suicidal/homicidal ideation) Ability to perform CPR, the Heimlich Maneuver, use the AED, provide First Aid Ability to provide patient/family education regarding medications, disease processes, and health maintenance/promotion. Registrations, Licensure Requirements or Certifications: Must be licensed as a registered nurse by the State of Texas or a state that recognizes reciprocity through the Nurse Licensure Compact. If transporting patients, must possess a valid Texas driver license or obtain it no later than 90 days after hire date to drive a state vehicle. Applicants with an out-of-state driver license must provide an original certified driving record from the state of driving licensure. Eligible driving record required based on HHSC Fleet Management policy. Initial Screening Criteria: Graduation from an accredited nursing program or accredited four-year college or university with major coursework in nursing. At least one (1) year of work experience as a RN in a recognized health agency, hospital, or health care facility. At least one (1) year experience working with psychiatric patients preferred. Additional Information: Applicants must pass a fingerprint criminal background check, pre-employment drug screen, and registry checks including the Client Abuse/Neglect Reporting System (CANRS), Nurse Aid, Medication Aide and Employee Misconduct, List of Excluded Individuals/Entities (LEIE). Males between the ages of 18-25 must be registered with the Selective Service. All applicants must be at least 18 years of age to be considered for employment at a state-operated facility. Waco Center for Youth applicants must be 21 years of age. Flexibility in work hours may be required for this position. The position may be required to work overtime and/or extended hours. Compliance with HHSC immunization policy and state hospital operating procedures related to immunizations is required. According to the Centers for Disease Control and Prevention, healthcare workers are considered to be at significant risk for acquiring or transmitting hepatitis B, measles, mumps, rubella, varicella (chicken pox), tetanus, diphtheria, pertussis (whooping cough), and influenza. All these diseases are vaccine preventable. As a result, state hospital policy requires employees be vaccinated according to their level of contact with individuals. In the event you choose to not be immunized for the influenza virus, you may be required to wear a mask and take other protective measures. Review our Tips for Success when applying for jobs at DFPS, DSHS and HHSC . Active Duty, Military, Reservists, Guardsmen, and Veterans : Military occupation(s) that relate to the initial selection criteria and registration or licensure requirements for this position may include, but not limited to those listed in this posting. All active-duty military, reservists, guardsmen, and veterans are encouraged to apply if qualified to fill this position. For more information please see the Texas State Auditor’s Job Descriptions, Military Crosswalk and Military Crosswalk Guide at Texas State Auditor's Office - Job Descriptions . ADA Accommodations: In compliance with the Americans with Disabilities Act (ADA), HHSC and DSHS agencies will provide reasonable accommodation during the hiring and selection process for qualified individuals with a disability. If you need assistance completing the on-line application, contact the HHS Employee Service Center at 1-888-894-4747. If you are contacted for an interview and need accommodation to participate in the interview process, please notify the person scheduling the interview. Pre-Employment Checks and Work Eligibility: Depending on the program area and position requirements, applicants selected for hire may be required to pass background and other due diligence checks. HHSC uses E-Verify. You must bring your I-9 documentation with you on your first day of work. Download the I-9 Form Telework Disclaimer: This position may be eligible for telework. Please note, all HHS positions are subject to state and agency telework policies in addition to the discretion of the direct supervisor and business needs.
RN Per Diem
Texas Health and Human Services

PRN 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: PRN Nurse II Job Title: Nurse II Agency: Health & Human Services Comm Department: Residential Care Supervisor H Posting Number: 10313 Closing Date: 12/19/2025 Posting Audience: Internal and External Occupational Category: Healthcare Practitioners and Technical Salary Group: TEXAS-B-22 Salary Range: $1,973.82 - $2,328.45 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: Terrell State Hospital Job Location City: TERRELL Job Location Address: 1200 E BRIN Other Locations: MOS Codes: 290X,46AX,46FX,46NX,46PX,46SX,46YX,66B,66C,66E,66F,66G,66H,66N,66P,66R,66S,66T,66W Brief Job Description: Would you thrive in an environment where you learn and grow personally and professionally all while helping make a positive impact on people’s lives? Do you appreciate being around others like yourself who are dependable, trustworthy, hard workers who believe in the value of teamwork? HSCS is dedicated to building an atmosphere where employees feel valued and supported while providing specialized care for Texans in need. HSCS is comprised of nine psychiatric hospitals, one youth residential treatment facility, and thirteen state supported living centers. The psychiatric hospitals are a hub of excellence for forensic mental health and complex psychiatric care, with all facilities accredited by The Joint Commission. They provide state-of-the-art treatment that is recovery-oriented and science-based. If providing hope and healing through compassionate, innovative, and individualized care interests you, we welcome your application for the position below. Nurse II (PRN Nurse) performs complex (journey level) nursing work. They work works under the direct supervision of the Assistant Chief Nurse Executive (CNE). Provides routine care and treatment through the application of the nursing process and are responsible for maintaining nursing standards of practice in accordance with the Nurse Practice Act, The Joint Commission (TJC) standards, Centers for Medicare and Medicaid (CMS) conditions of participation, Texas Administrative Code (TAC), and the rules and regulations of the Agency and state hospital system. Communicates and collaborates with other shift RNs to ensure 24-hour continuity of care. Ensures adequate staffing according to the program specific staffing plan; determines staff assignments based on appropriate knowledge and skill to meet individual patient needs. Models and supports a proactive approach to unit management using patient centered trauma informed care. Demonstrates a commitment to a culture that minimizes the use of restrictive interventions. Oversees and assigns work to other staff to include Psychiatric Nursing Assistants and Licensed Vocational Nurses as assigned. The PRN Nurse works under general supervision, with moderate latitude for the use of initiative and independent judgment. Performs other duties as assigned. Other duties as assigned include but are not limited to actively participating and/or serving in a supporting role to meet the agency’s obligations for disaster response and/or recovery or Continuity of Operations (COOP) activation. Such participation may require an alternate shift pattern assignment and/or location. This position may be eligible to earn additional pay for work performed on evenings, nights and/or weekends. Essential Job Functions (EJFs) Attends work on a regular basis and may be asked to work a specific shift schedule or, at times, even a rotating schedule, extended shift and/or overtime in accordance with agency leave policy and performs other duties as assigned. Performs extensive initial and on-going assessment of the patient’s nursing care needs to include medical, psychological, and social needs by accurately reporting and documenting the assessment, nursing diagnoses, plan, intervention(s), and on-going evaluation in the patient’s medical record to provide a clear reflection of care provided, and the patient’s response to that care. Collaborates with other health care professionals by contributing nursing assessment data, diagnoses/problems, towards the development of a multidisciplinary recovery plan. Helps to facilitate a multidisciplinary approach to promote a patient centered individualized plan of care. Presents nursing care needs to the team to be considered for active treatment. Provides relevant data regarding patient’s progress, or lack thereof. Evaluates the outcomes of nursing interventions and documents the same in the medical record. Assures the documentation is thorough, complete, and consistent with overall plan of care and provides a clear understanding and application of the nursing process, and the patient’s response to care provided. Provides comprehensive patient/family education regarding illness process, medications, coping skills, etc., to patients and families. Establishes, monitors, and maintains the therapeutic milieu through clinical oversight and training of other Registered Nurses, Licensed Vocational Nurses, and Psychiatric Nursing Assistants as assigned. Evaluates staffing on a shift per shift basis to ensure an appropriate number and mix of nursing personnel is available to provide a safe, secure environment, which allows for maximum program participation, as well as the fluctuation in patient acuity. Supervises the administration of medications by ensuring physician’s orders are carried out according to acceptable nursing care standards and hospital policies and procedures. Knows the rationale for and the anticipated effects of medications and treatments and supervises the same. Clarifies any order or treatment regimen that believed to be inaccurate, non-efficacious, or contraindicated. Acts as team leader in emergency situations (i.e., medical or psychiatric emergencies) including initiating and monitoring the appropriate use of resuscitative equipment or interventions such as restraint/seclusion. Serves as the contact RN by ensuring adequate staffing for assigned and on-coming shifts is consistent with established nursing policy and procedures and the programmatic staffing plan, as needed. Addresses administrative and clinical issues in a professional manner consistent with the standards of nursing practice, and nursing and program specific policies, and The Joint Commission (TJC) standards, Centers for Medicare and Medicaid (CMS) conditions of participation, Texas Administrative Code (TAC), and the rules and regulations of the Agency and state hospital system. Consistently communicates significant events in patient care, and management of the unit to the Nurse Manager and the Assistant CNE. Performs other duties as assigned. Other duties as assigned include but are not limited to actively participating and/or serving in a supporting role to meet the agency’s obligations for disaster response and/or recovery or Continuity of Operations (COOP) activation. Such participation may require an alternate shift pattern assignment and/or location. Knowledge, Skills and Abilities (KSAs): Knowledge of Texas Nurse Practice Act, and the role of peer review in the provision of professional nursing Knowledge of HHSC policies and procedures Knowledge of management theory, organizational planning, plan deployment, and improving organizational performance Knowledge of the Recovery Model of Care Knowledge of professional nursing Standards, CPR, Abnormal Involuntary Movement Scale (AIMS), Treatment, Intervention, and Protection Strategies (TIPS) Knowledge of nursing techniques and procedures Skills in utilizing computer hardware/software. Skills in administering restraint and seclusion. Strong coaching skills Ability to provide patient care. Ability to prepare and maintain records. Ability to organize and communicate information both orally and in writing. Ability to interpret and explain standards and regulations. Ability to instruct, train, oversee and provide guidance to others. Ability to create and evaluate training objectives, requirements, and effectiveness of delivery. Ability to manage time effectively. Ability to intervene therapeutically with patients experiencing psychiatric disorders (delusions, hallucinations, suicidal/homicidal ideation) Ability to perform CPR, the Heimlich Maneuver, use the AED, provide First Aid Ability to provide patient/family education regarding medications, disease processes, and health maintenance/promotion. Registrations, Licensure Requirements or Certifications: Must be licensed as a registered nurse by the State of Texas or a state that recognizes reciprocity through the Nurse Licensure Compact. If transporting patients, must possess a valid Texas driver license or obtain it no later than 90 days after hire date to drive a state vehicle. Applicants with an out-of-state driver license must provide an original certified driving record from the state of driving licensure. Eligible driving record required based on HHSC Fleet Management policy. Initial Screening Criteria: Graduation from an accredited nursing program or accredited four-year college or university with major coursework in nursing. At least one (1) year of work experience as a RN in a recognized health agency, hospital, or health care facility. At least one (1) year experience working with psychiatric patients preferred. Additional Information: Applicants must pass a fingerprint criminal background check, pre-employment drug screen, and registry checks including the Client Abuse/Neglect Reporting System (CANRS), Nurse Aid, Medication Aide and Employee Misconduct, List of Excluded Individuals/Entities (LEIE). Males between the ages of 18-25 must be registered with the Selective Service. All applicants must be at least 18 years of age to be considered for employment at a state-operated facility. Waco Center for Youth applicants must be 21 years of age. Flexibility in work hours may be required for this position. The position may be required to work overtime and/or extended hours. Compliance with HHSC immunization policy and state hospital operating procedures related to immunizations is required. According to the Centers for Disease Control and Prevention, healthcare workers are considered to be at significant risk for acquiring or transmitting hepatitis B, measles, mumps, rubella, varicella (chicken pox), tetanus, diphtheria, pertussis (whooping cough), and influenza. All these diseases are vaccine preventable. As a result, state hospital policy requires employees be vaccinated according to their level of contact with individuals. In the event you choose to not be immunized for the influenza virus, you may be required to wear a mask and take other protective measures. Review our Tips for Success when applying for jobs at DFPS, DSHS and HHSC . Active Duty, Military, Reservists, Guardsmen, and Veterans : Military occupation(s) that relate to the initial selection criteria and registration or licensure requirements for this position may include, but not limited to those listed in this posting. All active-duty military, reservists, guardsmen, and veterans are encouraged to apply if qualified to fill this position. For more information please see the Texas State Auditor’s Job Descriptions, Military Crosswalk and Military Crosswalk Guide at Texas State Auditor's Office - Job Descriptions . ADA Accommodations: In compliance with the Americans with Disabilities Act (ADA), HHSC and DSHS agencies will provide reasonable accommodation during the hiring and selection process for qualified individuals with a disability. If you need assistance completing the on-line application, contact the HHS Employee Service Center at 1-888-894-4747. If you are contacted for an interview and need accommodation to participate in the interview process, please notify the person scheduling the interview. Pre-Employment Checks and Work Eligibility: Depending on the program area and position requirements, applicants selected for hire may be required to pass background and other due diligence checks. HHSC uses E-Verify. You must bring your I-9 documentation with you on your first day of work. Download the I-9 Form Telework Disclaimer: This position may be eligible for telework. Please note, all HHS positions are subject to state and agency telework policies in addition to the discretion of the direct supervisor and business needs.
RN Full-time
Texas Health and Human Services

Nurse III-Nursing Administrator

Join the Texas Health and Human Services Commission (HHSC) and be part of a team committed to creating a positive impact in the lives of fellow Texans. At HHSC, your contributions matter, and we support you at each stage of your life and work journey. Our comprehensive benefits package includes 100% paid employee health insurance for full-time eligible employees, a defined benefit pension plan, generous time off benefits, numerous opportunities for career advancement and more. Explore more details on the Benefits of Working at HHS webpage . Functional Title: Nurse III-Nursing Administrator Job Title: Nurse III Agency: Health & Human Services Comm Department: Residential Care Supervisor H Posting Number: 10155 Closing Date: 01/08/2026 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: Evening Additional Shift: Telework: Not Eligible for Telework Travel: Up to 10% Regular/Temporary: Regular Full Time/Part Time: Full time FLSA Exempt/Non-Exempt: Exempt Facility Location: Terrell State Hospital Job Location City: TERRELL Job Location Address: 1200 E BRIN Other Locations: MOS Codes: 290X,46AX,46FX,46NX,46PX,46SX,46YX,66B,66C,66E,66F,66G,66H,66N,66P,66R,66S,66T,66W Brief Job Description: Would you thrive in an environment where you learn and grow personally and professionally all while helping make a positive impact on people’s lives? Do you appreciate being around others like yourself who are dependable, trustworthy, hard workers who believe in the value of teamwork? HSCS is dedicated to building an atmosphere where employees feel valued and supported while providing specialized care for Texans in need. HSCS is comprised of nine psychiatric hospitals, one youth residential treatment facility, and thirteen state supported living centers. The psychiatric hospitals are a hub of excellence for forensic mental health and complex psychiatric care, with all facilities accredited by The Joint Commission. They provide state-of-the-art treatment that is recovery-oriented and science-based. If providing hope and healing through compassionate, innovative, and individualized care interests you, we welcome your application for the position below. Under the direct supervision of the Chief Nurse Executive/Nurse Administrator/Assistant Chief Nurse Executive, observes, assesses, plans, intervenes and evaluates outcomes and documents all aspects of patient care. Possesses a unique knowledge regarding the patient population to be served. Coordinates scheduling within assigned areas. Provides primary management for service area during assigned shift with a supportive but clear supervisory manner. May supervise, counsel, and evaluate other nursing staff. Collaborates with Nurse Coordinator, other charge nurses, and Mental Health Supervisor/Specialist to ensure 24-hour continuity of care. May assume duties of the Nurse Coordinator/Nurse Manager during absence. Flexible in work schedule. Has broad latitude for initiative and independent judgment. Provides direct nursing care to individual patients as needed. Duties, location of work and shift/pattern are subject to change as determined by administration to meet the needs of the hospital. Duties may include exposure to blood or other potentially infectious materials. Performs other duties as assigned. Other duties as assigned include but are not limited to actively participating and/or serving in a supporting role to meet the agency’s obligations for disaster response and/or recovery or Continuity of Operations (COOP) activation. Such participation may require an alternate shift pattern assignment and/or location. This position may be eligible to earn additional pay for work performed on evenings, nights and/or weekends. Essential Job Functions (EJFs): Attends work on a regular basis and may be asked to work a specific shift schedule or, at times, even a rotating schedule, extended shift and/or overtime in accordance with agency leave policy and performs other duties as assigned. EJF 1. Assess the health/mental status of the patient upon admission and/or transfer and on an ongoing basis and documents assessment, planning, intervention, and evaluation in patient record to determine priorities and plan therapeutic nursing care. Performs CPR/Heimlich techniques correctly and safely according to the specifications of the American Heart Association. (30%) EJF 2. Provides direction and coordination of staffing and patient care activities on assigned units in a consultative manner with nurse administrators and staff nurses by addressing performance problems promptly and keeping accurate documentation of interventions. Coordinates and administers the effective utilization of nursing service personnel on assigned units. (30%) EJF 3. Facilitates a smooth admission and/or transfer process during working hours to achieve the hospital mission by communicating with admissions staff, unit staff reviewing written documentation to ensure appropriate status and triage patients when needed. (15%) EJF 4. Carries out medical staff practitioners’ orders and implements nursing interventions according to acceptable nursing care standards and hospital policies and procedures. Assist in the client abuse and neglect investigation process. (5%) EJF 5. Implements special precautions as ordered and explain and document rights restrictions and implements restraint/seclusion procedures according to departmental policy and established nursing standards to maintain patient safety. Protect the patient from causing harm to self and/or others and uphold patient rights. (5%) EJF 6. Attends mandatory training to ensure staff competence and development. Attends and participates in on-going in-service and other education and training programs appropriate to the population/age group to meet the physical, psychosocial, and cultural needs of patients. Monitors the use of treatment, intervention, and protection strategies (TIPS) to ensure the well-being of patients and staff and that TIPS program requirements are adhered to during an episode of patient restraint (5%) EJF 7. Communicates openly with Chief Nurse Executive/Asst. Chief Nurse Executive/Nurse Administrator/Nurse Manager to obtain current information to inform and disseminate to staff on assigned units. (5%) EJF 8. Performs other duties as assigned. Other duties as assigned include but are not limited to actively participating and/or serving in a supporting role to meet the agency’s obligations for disaster response and/or recovery or Continuity of Operations (COOP) activation. Such participation may require an alternate shift pattern assignment and/or location. (5%) Knowledge, Skills and Abilities (KSAs): Knowledge of recognized American Nurses Association Nursing Standards. Knowledge of departmental policies and procedures. Knowledge of the Nurse Practice Act. Skills in supervisory and management techniques. Skills and ability to perform CPR, agency approved aggression management and restraint techniques, and emergency care in a medical or psychiatric emergency. Skills for positive interaction with patients, staff, families, and the public. Ability to handle crisis situations calmly. Ability to communicate effectively, verbally, and in writing. Ability to use sound judgement and critical thinking skills. Registrations, Licensure Requirements or Certifications: Licensed to practice as a registered nurse (RN) in the State of Texas (or state that recognizes reciprocity through the Nurse Licensure Compact). If transporting patients, must possess a valid Texas driver license or obtain it no later than 90 days after hire date to drive a state vehicle. Applicants with an out-of-state driver license must provide an original certified driving record from the state of driving licensure. Eligible driving record required based on HHSC Fleet Management policy. Initial Screening Criteria: Three (3) years of work experience as a RN in a recognized health agency, hospital, or health care facility. Graduation from a Nursing Program accredited by the Texas Board of Nurse Examiners preferred. Additional Information: Applicants must pass a fingerprint criminal background check, pre-employment drug screen, and registry checks including the Client Abuse/Neglect Reporting System (CANRS), Nurse Aid, Medication Aide and Employee Misconduct, List of Excluded Individuals/Entities (LEIE). Males between the ages of 18-25 must be registered with the Selective Service. All applicants must be at least 18 years of age to be considered for employment at a state-operated facility. Waco Center for Youth applicants must be 21 years of age. Flexibility in work hours may be required for this position. The position may be required to work overtime and/or extended hours. Compliance with HHSC immunization policy and state hospital operating procedures related to immunizations is required. According to the Centers for Disease Control and Prevention, healthcare workers are considered to be at significant risk for acquiring or transmitting hepatitis B, measles, mumps, rubella, varicella (chicken pox), tetanus, diphtheria, pertussis (whooping cough), and influenza. All these diseases are vaccine preventable. As a result, state hospital policy requires employees be vaccinated according to their level of contact with individuals. In the event you choose to not be immunized for the influenza virus, you may be required to wear a mask and take other protective measures. Review our Tips for Success when applying for jobs at DFPS, DSHS and HHSC . Active Duty, Military, Reservists, Guardsmen, and Veterans : Military occupation(s) that relate to the initial selection criteria and registration or licensure requirements for this position may include, but not limited to those listed in this posting. All active-duty military, reservists, guardsmen, and veterans are encouraged to apply if qualified to fill this position. For more information please see the Texas State Auditor’s Job Descriptions, Military Crosswalk and Military Crosswalk Guide at Texas State Auditor's Office - Job Descriptions . ADA Accommodations: In compliance with the Americans with Disabilities Act (ADA), HHSC and DSHS agencies will provide reasonable accommodation during the hiring and selection process for qualified individuals with a disability. If you need assistance completing the on-line application, contact the HHS Employee Service Center at 1-888-894-4747. If you are contacted for an interview and need accommodation to participate in the interview process, please notify the person scheduling the interview. Pre-Employment Checks and Work Eligibility: Depending on the program area and position requirements, applicants selected for hire may be required to pass background and other due diligence checks. HHSC uses E-Verify. You must bring your I-9 documentation with you on your first day of work. Download the I-9 Form Telework Disclaimer: This position may be eligible for telework. Please note, all HHS positions are subject to state and agency telework policies in addition to the discretion of the direct supervisor and business needs.
RN ER Full-time
ScionHealth

RN ER DAYS

Description At ScionHealth , we empower our caregivers to do what they do best. We value every voice by caring deeply for every patient and each other. We show courage by running toward the challenge and we lean into new ideas by embracing curiosity and question asking. Together, we create our culture by living our values in our day-to-day interactions with our patients and teammates. Job Summary The Registered Nurse (RN) – Emergency Department provides direct and indirect patient care in a high-acuity emergency care setting. The RN utilizes the nursing process of assessment, planning, intervention, and evaluation to provide safe and effective care for patients across the lifespan. Collaborates with the interdisciplinary team and contributes to quality outcomes through clinical excellence, compassionate service, and adherence to regulatory standards. Essential Functions Performs triage and prioritizes patient care based on acuity Conducts age-appropriate assessments and reassessments of all patients Administers medications, performs procedures, and manages critical drips Assists physicians with exams and procedures in the emergency department Monitors hemodynamic status and interprets cardiac rhythms Documents care, treatment, assessments, and education accurately and timely Applies infection control and sterile technique practices consistently Educates patients and families about care plans and discharge instructions Collaborates with providers and interdisciplinary team for optimal care delivery Responds calmly and professionally in high-stress, life-threatening situations Knowledge/Skills/Abilities/Expectations Knowledge of emergency nursing protocols, trauma care, and critical interventions Skilled in interpreting ECGs, managing IVs, and operating emergency equipment Strong interpersonal, communication, and time management skills Ability to adapt to rapidly changing clinical situations and multitask effectively Proficient in EMR systems and clinical documentation tools Able to lift up to 50 lbs and perform extended standing, walking, bending, and reaching Demonstrates professionalism, clinical judgment, and a commitment to continuous learning Qualifications Education Associate degree in Nursing required Bachelor of Science in Nursing (BSN) preferred Graduation from an accredited Nursing Diploma program accepted. Licenses/Certifications Current state RN license or compact state equivalent required Basic Life Support (BLS) required within time frame stated in facility policy Advanced Cardiovascular Life Support (ACLS) required within time frame stated in facility policy Pediatric Advanced Life Support (PALS) required within time frame stated in facility policy Crisis Prevention Intervention (CPI) required within time frame stated in facility policy NIH Stroke Scale Certification required within time frame stated in facility policy Trauma Nursing Core Course (TNCC) preferred or required within time frame stated in facility policy Advanced Stroke Life Support (ASLS) preferred Experience Emergency nursing experience in an acute care setting preferred Demonstrated ability to function under pressure and respond effectively to critical situations
RN ER Full-time
ScionHealth

RN ER NIGHTS

Description At ScionHealth , we empower our caregivers to do what they do best. We value every voice by caring deeply for every patient and each other. We show courage by running toward the challenge and we lean into new ideas by embracing curiosity and question asking. Together, we create our culture by living our values in our day-to-day interactions with our patients and teammates. Job Summary The Registered Nurse (RN) – Emergency Department provides direct and indirect patient care in a high-acuity emergency care setting. The RN utilizes the nursing process of assessment, planning, intervention, and evaluation to provide safe and effective care for patients across the lifespan. Collaborates with the interdisciplinary team and contributes to quality outcomes through clinical excellence, compassionate service, and adherence to regulatory standards. Essential Functions Performs triage and prioritizes patient care based on acuity Conducts age-appropriate assessments and reassessments of all patients Administers medications, performs procedures, and manages critical drips Assists physicians with exams and procedures in the emergency department Monitors hemodynamic status and interprets cardiac rhythms Documents care, treatment, assessments, and education accurately and timely Applies infection control and sterile technique practices consistently Educates patients and families about care plans and discharge instructions Collaborates with providers and interdisciplinary team for optimal care delivery Responds calmly and professionally in high-stress, life-threatening situations Knowledge/Skills/Abilities/Expectations Knowledge of emergency nursing protocols, trauma care, and critical interventions Skilled in interpreting ECGs, managing IVs, and operating emergency equipment Strong interpersonal, communication, and time management skills Ability to adapt to rapidly changing clinical situations and multitask effectively Proficient in EMR systems and clinical documentation tools Able to lift up to 50 lbs and perform extended standing, walking, bending, and reaching Demonstrates professionalism, clinical judgment, and a commitment to continuous learning Qualifications Education Associate degree in Nursing required Bachelor of Science in Nursing (BSN) preferred Graduation from an accredited Nursing Diploma program accepted. Licenses/Certifications Current state RN license or compact state equivalent required Basic Life Support (BLS) required within time frame stated in facility policy Advanced Cardiovascular Life Support (ACLS) required within time frame stated in facility policy Pediatric Advanced Life Support (PALS) required within time frame stated in facility policy Crisis Prevention Intervention (CPI) required within time frame stated in facility policy NIH Stroke Scale Certification required within time frame stated in facility policy Trauma Nursing Core Course (TNCC) preferred or required within time frame stated in facility policy Advanced Stroke Life Support (ASLS) preferred Experience Emergency nursing experience in an acute care setting preferred Demonstrated ability to function under pressure and respond effectively to critical situations
RN Home Health Psych Full-time
Angels Care Home Health

Behavioral Health RN

Behavioral Health Registered Nurse (BHRN) Angels Care Home Health Why choose Angels Care Home Health? Angels Care Home Health is different. Our nurses are not just another ‘employee number’ to us. We strive to be an industry leader and a destination for nurses who are looking for a long-term career with a company that supports them and their professional goals. With over 80 locations & growing, we are always looking for quality nurses to join our team. Angels Care is Nationally Recognized as a ‘Great Place to Work’. What we offer: Generous Paid Time Off The flexibility of our PTO plan allows you to set your own priorities & use it for any number of events in your life. Extensive Training We encourage you to continue your professional development. Angels Care offers access to CEU portals at zero cost to you. Full Health, Dental, & Vision Benefits (Available 1st Month) We offer comprehensive & competitive medical and dental benefits. There are multiple options for you to choose from so you can select a plan that works best for you. Company-Matched 401(k) We care about your financial well-being and help contribute & plan for your future retirement goals. Career Advancement Angels Care has an ‘Internal Promotion’ first mentality. We want you to grow your career with us! About the position: The primary functions of the Behavioral Health Registered Nurse are to provide psychiatric evaluation and therapy to home bound patients. Coordinates care with the interdisciplinary team, patient/family, and referring agency; the BHRN also assumes the responsibility for coordination of care. Qualifications: Graduate of an accredited diploma, Associate or Baccalaureate School of Nursing. Must have 1-2 years of nursing experience (within the last 3 years preferred) in an acute treatment unit in a psychiatric hospital, psychiatric home care, psychiatric hospitalization program, or other outpatient psychiatric service. Current state license as a Registered Nurse. Current state Driver’s License. Proof of current CPR and Hepatitis consent/declination. Reliable transportation with valid and current auto liability insurance. We are an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status.