Nurse II

Texas Health and Human Services Wichita Falls, TX 76301, US

$6,579.41 - $7,761.50 / month

Functional Title: Nurse II
Job Title: Nurse II
Agency: Health & Human Services Comm
Department: ExtendCarePsych Direct Care
Posting Number: 16040
Closing Date: 07/16/2026
Posting Audience: Internal and External
Occupational Category: Healthcare Practitioners and Technical
Salary Range: $6,579.41 - $7,761.50
Pay Frequency: Monthly
Salary Group: TEXAS-B-22
Shift: Regular Night and Weekend
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: Wichita Falls State Hospital
Job Location City: WICHITA FALLS
Job Location Address: 6515 KEMP BLVD
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.

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.

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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 Manager Agency: Health & Human Services Comm Department: Infirmary-Nursing Posting Number: 19930 Closing Date: 08/25/2026 Posting Audience: Internal and External Occupational Category: Healthcare Practitioners and Technical Salary Range: $8,300.00 - $10,785.83 Pay Frequency: MonthlySalary Group: TEXAS-B-26 Shift: Day Additional Shift: Days (First) Telework: Not Eligible for Telework Travel: Up to 5% Regular/Temporary: Regular Full Time/Part Time: Full time FLSA Exempt/Non-Exempt: Exempt Facility Location: Lufkin State Supported Living Center Job Location City: POLLOK Job Location Address: 6844 N US HWY 69 Other Locations: MOS Codes: 290X,46AX,46FX,46NX,46PX,46SX,46YX,66B,66C,66E,66F,66G,66H,66N,66P,66R,66S,66T,66W Brief Job Description: Come work in an environment where we truly value and respect those we serve and believe in the mission that all people can achieve a higher level of wellness and independence. The state supported living centers serve people with intellectual and developmental disabilities who are medically fragile or who have behavioral problems. The centers provide campus-based direct services and supports at 13 centers located throughout the state. Learn About Our State Supported Living Centers If you are looking for a place to work where you can establish a career that is filled with purpose, this is the job for you! Free CEUs and updated resources through Lippincott access for all nurses. The Nurse Manager performs advanced (senior-level) nursing functions such as planning, developing, coordinating, supervising and evaluating the provision of nursing care on a 24-hour basis. Directs the day-to-day operations of all assigned areas. Identifies and implements standards of practice that are consistent with the Health and Human Services Commission (HHSC), The Texas Administrative Code (TAC), the Texas State Board of Nursing and other state and federal regulations related to SSLC and SHs. Ensures a competent and sufficient workforce including hiring, time and leave activities, training/coaching, and evaluating staff performance. Provides clinical direction and expertise and ensures care is provided based on individual resident characteristics such as age, developmental level, diagnoses, and/or specialized resident needs. Participates in the development and support of integrated treatment teams. Works closely with other divisions and departments, interdisciplinary teams (IDTs), patients/individuals and their families, and external organizations such as professional groups, advocacy groups, surveyors and monitors. Participates in performance improvement and quality assurance activities. Provides treatment to HHS employees injured in course and scope of employment. Works under minimal supervision, with considerable latitude for the use of initiative and independent judgement. This position may be eligible to earn additional pay for work performed on evenings, nights and/or weekends. This position may also be eligible to earn additional pay for work performed on maximum security locations. Essential Job Functions (EJFs): Attends work on a regular basis and may be required to work a specific shift schedule or, at times, even a rotating schedule, extended shift and/or overtime in accordance with agency leave policy and performs other duties as assigned. May serve in an on-call status on a rotating schedule as required to meet operational needs of the facility. Plans, organizes, directs and manages the daily operations and activities of the assigned nursing area following HHSC policies and procedures, and state and federal rules and regulations, in order to provide quality health services and care to individuals served. Facilitates the implementation of standards of practice that are consistent with oversight entities such as the Board of Nursing, ICF-IID standards, Joint Commission, Centers for Medicare and Medicaid (CMS) conditions of participation, Texas Administrative Code (TAC), and the rules and regulations of the Agency and SSLC or State Hospital. Establishes, implements and evaluates a nursing staffing plan that identifies and deploys minimum resources needed to comply with all regulatory and professional standards. Ensures the continuous (24-hours/day, 7 days/week) timely availability of nursing staff to meet resident care needs. Assesses and develops assignments to direct care nurses based on patient needs and care complexity that will assure safe and quality care. As assigned, collaborates with other nurse managers to establish and evaluate an annual staffing plan for nursing service that identifies minimum staffing for all levels of nursing personnel to promote a safe environment that complies with all regulatory and professional standards. Seeks and utilizes suggestions to effectively streamline work efforts and minimize redundancy. Keeps 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. Ensures the reporting of general patterns and trends of nursing care are provided (e.g., 24-hour nursing report, nursing documentation regarding restraints, staff call-ins, etc.). Hires, trains, and promotes professional growth of assigned nurses so that a competent workforce is maintained. Ensures that all assigned staff are compliant in training pursuant to agency and facility standards. Reviews essential job functions, performance expectations, coaches job performance, and provides supportive and constructive feedback. Conducts performance evaluations of assigned staff to give employees timely feedback on their performance and oversees staff development plans. Ensures awards and recognition activities that promote staff morale. Proactively identifies and seeks opportunities for improved recruitment and retention of qualified personnel. Conducts performance evaluations as assigned. Ensures awards and recognition activities that promote staff morale. Plans, organizes, and manages the daily activities of the assigned nursing staff. Provides clinical direction and expertise and ensures that the nursing services provided based upon provider orders and meet the specialized resident needs. Oversees nursing performance indicators to ensure nursing tasks and treatments are performed with accuracy and quality. Participates in performance improvement activities which include monitoring nursing performance indicators, conducting nursing record reviews, conducting nursing peer reviews, and participating in reviews of serious incidents when assigned. Effectively uses a tracking system to oversee performance indicators. Provides feedback and takes any corrective action needed. Oversees the implementation of nursing policies, procedures and protocols so as to promote a professional environment, promote the mission of the program and assure congruence with professional and organizational expectations. Conducts periodic rounds/ observations of the assigned nurses as they perform routine work. Collaborates with other disciplines to ensure nurses are operating as part of the interdisciplinary team. Performs chart reviews/audits to determine the nursing documentation is sufficient and accurate. Assists nurses in resolving issues that arise. As needed, advocates for the nursing perspective and initiates action to resolve issues, consulting with the Chief Nurse Executive (CNE) if necessary. Conducts monthly meeting(s) with nursing staff and other managers to provide feedback and resolve issues. Develops and updates training curricula and provides in-service training to assigned nursing staff in collaboration with the Nurse Educator. Oversees completion of required training. Assigns targeted training, such as training on nursing care plans based upon audits/reviews. Provides clinical direction and expertise and ensures that care provided is based on an appropriate developmental level to meet specific and specialized resident needs. Works with teams to implement resident-centered trauma informed care. Provides opportunities for clinical learning experiences such as by visiting other SSLCs, State Hospitals, and local hospitals. Serves as a resource on nursing practices and education programs by performing consultative and administrative work. Ensures a competent workforce by participating in the design, development and oversight of the implementation of systems that evaluate and contribute to the quality of resident care by participating in Quality Assessment and Quality Improvement (QAQI) initiatives that address important aspects of nursing care. Incorporates program specific monitoring into on-going performance improvement activities and assures timely reporting. Utilizes data as a basis to identify and address patterns and trends as they relate to the delivery of nursing care. Ensures that patient/individuals’ rights are protected by addressing issues found in resident care reports, client abuse and neglect reports, 24-hour reports, and other reporting mechanisms. Ensures systematic capture, review and analysis, communication, and follow-up in relation to significant events on the program (e.g., Medication Errors, Adverse Drug Reactions, Unauthorized Departures, Deaths, Unusual Occurrences, etc.). Oversees and conducts clinical reviews to ensure adequate clinical care is provided to residents when assigned. Alerts leadership to safety/risk management issues and actively facilitates problem-solving strategies. Participates in the development and support of partnerships with key stakeholders including patients/individuals and their families. Partners with leadership to help design and deliver a high-quality system of care to residents using an interdisciplinary approach. Participates in assigned committees and workgroups as requested. Promotes positive working relationships with outside agencies (e.g. Provider Investigations (PI), Office of Inspector General (OIG), other HHSC departments, programs and divisions including ancillary/support services, (e.g. Pharmacy, Medical Staff, Risk Management, Quality Assurance, Dietary, etc.). Works with external stakeholders such as professional groups, advocacy groups, surveyors and monitors as assigned. Provide treatment to HHS employees injured in course and scope of employment. Maintains skills in CPR and other emergency techniques and initiates emergency treatment as necessary. Performs other duties as assigned. Other duties as assigned include but are not limited to actively participating and/or serving in a supporting role to meet the agency’s obligations for disaster response and/or recovery or Continuity of Operations (COOP) activation. Such participation may require an alternate shift pattern assignment and/or location. Knowledge, Skills and Abilities (KSAs): Knowledge of nursing techniques, standards, and procedures; of health care laws and regulations; of medical diagnoses and procedures; of accepted medical treatment patterns; of community health and nursing care principles, practices, and procedures; of program regulations and procedures; and of utilization review and control measures. Knowledge of state and federal laws and Intermediate Care Facility for individuals with intellectual disabilities (ICF-IID) rules or Joint Commission, regulations, policy and procedures related to State Supported Living Center/State Hospital or ability to quickly gain that knowledge. Excellent verbal and written communication skills and the ability to present ideas clearly and concisely in both written and oral communications. Skill in the care and treatment of patients. Skills in the use of computer/software and an electronic health record system. Skill in time management and prioritization. Strong interpersonal skills which promote teamwork. Strong coaching skills. Ability to appropriately interact with individuals with intellectual/developmental disabilities, with their family members, and with staff members. Ability to provide patient care; to prepare and maintain records; to interpret policies and procedures; to interpret health care regulations; and to recognize patterns of medical necessity treatment. Ability to interpret regulations and communicate them effectively both orally and in writing. Ability to organize, coordinate, and evaluate nursing activities. Ability to instruct, train, and supervise the work of others. Ability to work independently and productively with all levels of staff. Ability and skills to perform comprehensive physical assessments and identify abnormal findings on evaluation and to recognize signs and symptoms of illness or injury. Ability to analyze, assimilate, and integrate information in order to make nursing judgments about conditions and the acuity of conditions, to develop plans of care, and to evaluate outcomes of care. Ability to provide nursing care for residents and/or staff members in emergency situations. Must maintain current CPR certification. Must have strength and flexibility to safely perform Cardiopulmonary Resuscitation (CPR). Registrations, Licensure Requirements or Certifications: Licensed to practice as a Registered Nurse (RN) in the state of Texas, or in a party state, that recognizes reciprocity through the Nurse Licensure Compact Initial Screening Criteria: At least two (2) years of experience as a practicing registered nurse is required. At least three (3) years of experience as a practicing registered nurse in a health agency, hospital, or health-care facility is preferred. Bachelor's Degree is preferred. At least 2 years of nursing supervisory experience is preferred. Previous experience working with individuals with intellectual and/or developmental disabilities (IDD) is preferred. Additional Information: Applicants must pass a fingerprint criminal background check, pre-employment drug screen, and registry checks including the Client Abuse/Neglect Reporting System (CANRS), Nurse Aide, Medication Aide and Employee Misconduct and HHS List of Excluded Individuals/Entities (LEIE). Males between the ages of 18 – 25 must be registered with the Selective Service. All State Supported Living Center Employees are subject to Random Drug Testing. Flexibility in work hours may be required for this position. The position may be required to work overtime and/or extended hours. Must be willing to work weekends and holidays. All applicants must be at least 18 years of age to be considered for employment at a state-operated facility. Review our Tips for Success when applying for jobs at DFPS, DSHS and HHSC. Active Duty, Military, Reservists, Guardsmen, and Veterans: Military occupation(s) that relate to the initial selection criteria and registration or licensure requirements for this position may include, but not limited to those listed in this posting. All active-duty military, reservists, guardsmen, and veterans are encouraged to apply if qualified to fill this position. For more information please see the Texas State Auditor’s Job Descriptions, Military Crosswalk and Military Crosswalk Guide at Texas State Auditor's Office - Job Descriptions. ADA Accommodations: In compliance with the Americans with Disabilities Act (ADA), HHSC and DSHS agencies will provide reasonable accommodation during the hiring and selection process for qualified individuals with a disability. If you need assistance completing the on-line application, contact the HHS Employee Service Center at 1-888-894-4747. If you are contacted for an interview and need accommodation to participate in the interview process, please notify the person scheduling the interview. Pre-Employment Checks and Work Eligibility: Depending on the program area and position requirements, applicants selected for hire may be required to pass background and other due diligence checks. HHSC uses E-Verify. You must bring your I-9 documentation with you on your first day of work. Download the I-9 Form Telework Disclaimer: This position may be eligible for telework. Please note, all HHS positions are subject to state and agency telework policies in addition to the discretion of the direct supervisor and business needs.

1 day ago

Senior Direct Care Registered Nurse with associate degree in nursing (SDCRN - ADN)

Texas Health and Human Services Pollok, TX

Join the Texas Health and Human Services Commission (HHSC) and be part of a team committed to creating a positive impact in the lives of fellow Texans. At HHSC, your contributions matter, and we support you at each stage of your life and work journey. Our comprehensive benefits package includes 100% paid employee health insurance for full-time eligible employees, a defined benefit pension plan, generous time off benefits, numerous opportunities for career advancement and more. Explore more details on the Benefits of Working at HHS webpage. Functional Title: Senior Direct Care Registered Nurse with associate degree in nursing (SDCRN - ADN) Job Title: Nurse III- SDCRN (ADN) Agency: Health & Human Services Comm Department: Woodland Crossing - Nursing Posting Number: 19931 Closing Date: 09/10/2026 Posting Audience: Internal and External Occupational Category: Healthcare Practitioners and Technical Salary Range: $7,532.75 - $8,886.16 Pay Frequency: MonthlySalary Group: TEXAS-B-24 Shift: Evening Additional Shift: Telework: Not Eligible for Telework Travel: Up to 5% Regular/Temporary: Regular Full Time/Part Time: Full time FLSA Exempt/Non-Exempt: Exempt Facility Location: Lufkin State Supported Living Center Job Location City: POLLOK Job Location Address: 6844 N US HWY 69 Other Locations: MOS Codes: 290X,46AX,46FX,46NX,46PX,46SX,46YX,66B,66C,66E,66F,66G,66H,66N,66P,66R,66S,66T,66W Brief Job Description: Come work in an environment where we truly value and respect those we serve and believe in the mission that all people can achieve a higher level of wellness and independence. The state supported living centers serve people with intellectual and developmental disabilities who are medically fragile or who have behavioral problems. The centers provide campus-based direct services and supports at 13 centers located throughout the state. Learn About Our State Supported Living Centers If you are looking for a place to work where you can establish a career that is filled with purpose, this is the job for you! The Senior Direct Care Registered Nurse with Associate’s Degree in Nursing (ADN) performs highly complex (senior level) nursing work providing for the assessment, care and integrated treatment of individuals residing at the SSLC. Performs highly complex and technical nursing tasks, procedures, and assessments, administers medications, immunizations and treatments in accordance with HHSC, SSLC and state regulations. Interprets and evaluates diagnostic tests, collects specimens, and communicates findings and recommendations. Makes rounds, coordinates, and organizes nursing services and activities, monitors and reports the health of individuals. Provides consultation, training, instruction, and technical assistance to others. Develops in-service training and health education strategies. Provides leadership, oversight, coaching and monitoring to tasks performed by LVNs and RNs, and acts as a preceptor, as assigned, to RNs. Performs timely and accurate documentation. Works independently and productively with all levels of staff and departments. Identifies and implements various courses of action for routine and non-routine situations and works in conjunction with other nurses and health care providers. Analyzes data, evaluates nursing intervention outcomes, and provides input to other members of the interdisciplinary team (IDT) to assist in assessing the treatment plan. Attends assigned meetings and communicates results. Responds to emergency situations in accordance with protocols. Provides treatment to HHS employees injured in the course and scope of employment as needed. Performs other duties as assigned. Works under the limited supervision of the Nurse Manager or other designated supervisor depending on SSLC needs, with considerable latitude for the use of initiative and independent judgment. This position may be eligible to earn additional pay for work performed on evenings, nights and/or weekends. This position may also be eligible to earn additional pay for work performed on maximum security locations. Essential Job Functions (EJFs): Attends work on a regular basis and may be required to work a specific shift schedule or, at times, even a rotating schedule, extended shift and/or overtime in accordance with agency leave policy and performs other duties as assigned. Performs highly complex and technical nursing tasks and procedures in accordance with HHSC, SSLC and state regulations, such as tracheostomy care, gastrostomy/jejunostomy care, wound care, and breathing treatments. Administers medications, immunizations, and treatments and observes patients for unusual symptoms and reactions. For new admissions, in collaboration with the assigned RN Case Manager, provides a detailed initial assessment and review of data to present key findings to providers and other members of the interdisciplinary team. Interprets and evaluates diagnostic tests to identify and assess individuals’ response to planned care, as appropriate to the scope of practice. Collects specimens for laboratory examination and conducts appropriate screening tests when requested by lab personnel. Communicates findings and recommendations to other nurses, Primary Care Providers (PCP) and other staff. Coordinates and organizes the nursing services and activities they provide for individuals on their assigned home/unit to ensure tasks are completed effectively and efficiently. Observes individuals and gathers pertinent information. Monitors individuals’ weight, diet, feedings, and vital signs. Monitors for signs and symptoms of illness and uses appropriate nursing judgement to provide adequate care for the individual, including initiating acute care plans. Makes rounds and/or to other homes/units as needed and works in other locations at the SSLC as needed. Discusses any pressing issues or concerns that are found with the appropriate supervisor. Communicates effectively, and provides consultation, training, and technical assistance to direct support professionals (DSPs) about individuals’ unique care needs. Instructs DSPs on how to monitor individuals after a treatment or procedure using instruction sheets such as that used for post-sedation monitoring of signs and symptoms. Answers questions from DSPs and other members of the treatment team, related to treatment or medication, within the scope of practice. Develops in-service training and health education strategies related to the assigned individual(s) when needed including signs and symptoms to observe for and report to a nurse. When warranted, instructs, counsels, and assists individuals in meeting their health care needs. Assists the Nurse Manager by providing leadership and oversight within the assigned home/unit/department such as overseeing the work of, coaching and monitoring services provided by Licensed Vocational Nurses (LVNs) assigned to the nursing department. Acts as a preceptor for other registered nurses, as assigned. Trains/instructs new nurses to perform nursing functions at the SSLC, including acclimating them to the individuals, their needs and preferences. Serves as a Nurse Manager in their absence, as appointed. Provides support to Nurse Managers by providing day-to-day supervision including reviewing and following up on controlled drug counts, medication counts, emergency checklist logs, refrigerator temperature logs, and glucose controls. Assists LVNs and RNs with implementation of protocols, procedures and programs to improve overall health and safety of staff and individuals. Assists with completing follow up assessments, guidelines, acute care plan (ACP) interventions, interventions in the chronic care plan, injury reports, restraints, and med variances. Assists in monitoring the completion of chronic care plan interventions. Timely and accurately documents and reports pertinent treatments and observations in the individual’s electronic medical record (EMR) in accordance with SSLC procedures and protocols. When training others, oversees the completion of their required documentation. Works independently and productively with all levels of staff and departments. Identifies and implements various courses of action for routine and non-routine situations and works in conjunction with other nurses and health care providers. For example, assists the Infection Control nurse by implementing measures that prevent the spread of disease, assists the Quality Assurance Nurse in developing and implementing quality assurance programs, and assists in the implementation of therapeutic nursing programs. Participates in facility Quality Assurance/Quality Improvement initiatives. Makes recommendations to supervisors on how to improve processes to ensure quality services for individuals. Analyzes data, evaluates nursing intervention outcomes, and provides input to other members of the interdisciplinary team (IDT) to assist in assessing the treatment plan. As assigned, attends and/or provides information to a designee for meetings related to the status and care of assigned individuals such as daily morning medical, Incident Management Review Team (IMRT), or IDT meetings to ensure nursing issues or concerns are addressed promptly. Follows local SSLC policies and protocols to ensure pertinent information, such as diagnoses and treatment plans is clearly communicated to SSLC staff and, when instructed to do so, to guardians/Legally Authorized Representatives (LARs). Responds to emergency situations to ensure safety of individuals. Follows safety and infection control procedures of the SSLC. Provides educational and safety training to SSLC staff upon request. Provides treatment to HHS employees injured in course and scope of employment. Other duties as assigned include but are not limited to actively participating and/or serving in a supporting role to meet the agency’s obligations for disaster response and/or recovery or Continuity of Operations (COOP) activation. Such participation may require an alternate shift pattern assignment and/or location. Knowledge, Skills and Abilities (KSAs): Knowledge of: State and federal laws and Intermediate Care Facility for individuals with intellectual disabilities (ICF-IID) rules, regulations, policy and procedures related to State Supported Living Center or ability to quickly gain that knowledge. Evidence-based practices applicable to treatment of individuals with developmental disabilities Emergency procedures and emergency equipment, i.e., Cardiopulmonary Resuscitation (CPR), and ability to assess and care for residents and/or staff members in emergency situations. Advanced knowledge of nursing techniques, standards, and procedures; of health care laws and regulations; of medical diagnoses and procedures; of accepted medical treatment patterns; of community health and nursing care principles, best practices, and procedures; of program regulations and procedures; and of utilization review and control measures Advanced knowledge of nursing care standards and Healthcare Guidelines. Skill in: The care and treatment of patients. The use of computer/software and an electronic health record system. Working with individuals with complex physical and nutritional management needs, behavioral challenges and varying methods of communication. Excellent verbal and written communication skills and the ability to present ideas clearly and concisely in both written and oral communications. Ability to: Provide patient care; to prepare and maintain records; to organize, coordinate, and evaluate nursing activities and delivery of health services; to interpret policies and procedures; to interpret health care regulations; and to recognize patterns of medical necessity treatment. Interpret regulations and communicate them effectively both orally and in writing. Appropriately interact with individuals with intellectual/developmental disabilities, with their family members, and with staff members and with staff members. Work independently and productively with all levels of staff. Train, in-service, coach, monitor and instruct all levels of staff in accordance with the scope of practice. make nursing decisions and recommendations to the team. Must maintain current CPR certification. Must have strength and flexibility to safely perform CPR, safe use of restraint (SUR) and Ukeru techniques (once trained). Registrations, Licensure Requirements or Certifications: Licensed to practice as a registered nurse in the State of Texas (or a state that recognizes reciprocity through the Nurse Licensure Compact) Initial Screening Criteria: Associate degree in nursing (ADN) is required. At least two (2) year of experience as a practicing registered nurse in a health agency, hospital, or health-care facility is required. Experience in assessment and documentation of health status is required. Specialized training or experience working with individuals with complex medical and behavioral health issues is preferred. Experience working with Individuals with Intellectual and/or Developmental Disabilities (IDD) is preferred. Additional Information: Applicants must pass a fingerprint criminal background check, pre-employment drug screen, and registry checks including the Client Abuse/Neglect Reporting System (CANRS), Nurse Aide, Medication Aide and Employee Misconduct and HHS List of Excluded Individuals/Entities (LEIE). Males between the ages of 18 – 25 must be registered with the Selective Service. All State Supported Living Center Employees are subject to Random Drug Testing. Flexibility in work hours may be required for this position. The position may be required to work overtime and/or extended hours. Must be willing to work weekends and holidays. All applicants must be at least 18 years of age to be considered for employment at a state-operated facility. Review our Tips for Success when applying for jobs at DFPS, DSHS and HHSC. Active Duty, Military, Reservists, Guardsmen, and Veterans: Military occupation(s) that relate to the initial selection criteria and registration or licensure requirements for this position may include, but not limited to those listed in this posting. All active-duty military, reservists, guardsmen, and veterans are encouraged to apply if qualified to fill this position. For more information please see the Texas State Auditor’s Job Descriptions, Military Crosswalk and Military Crosswalk Guide at Texas State Auditor's Office - Job Descriptions. ADA Accommodations: In compliance with the Americans with Disabilities Act (ADA), HHSC and DSHS agencies will provide reasonable accommodation during the hiring and selection process for qualified individuals with a disability. If you need assistance completing the on-line application, contact the HHS Employee Service Center at 1-888-894-4747. If you are contacted for an interview and need accommodation to participate in the interview process, please notify the person scheduling the interview. Pre-Employment Checks and Work Eligibility: Depending on the program area and position requirements, applicants selected for hire may be required to pass background and other due diligence checks. HHSC uses E-Verify. You must bring your I-9 documentation with you on your first day of work. Download the I-9 Form Telework Disclaimer: This position may be eligible for telework. Please note, all HHS positions are subject to state and agency telework policies in addition to the discretion of the direct supervisor and business needs.