Nursing Jobs in Axtell, TX
$8,300 - $10,785.83 / month
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 IV / Nurse Manager Job Title: Nurse Manager Agency: Health & Human Services Comm Department: Chld /orAdolPsych Nursing Posting Number: 20740 Closing Date: 09/11/2026 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: Telework: Not Eligible for Telework Travel: Up to 15% Regular/Temporary: Regular Full Time/Part Time: Full time FLSA Exempt/Non-Exempt: Exempt Facility Location: Waco Center for Youth Job Location City: WACO Job Location Address: 3501 N 19TH ST 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 ten psychiatric hospitals, two youth residential treatment facilities, 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. 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 State Hospitals (SHs). Ensures a competent and sufficient workforce including hiring, time and leave activities, training/coaching, and evaluating staff performance. Participates in the development and support of integrated interdisciplinary treatment teams. Works closely with other divisions and departments, interdisciplinary teams (IDTs), 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. 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. • 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, Joint Commission, Centers for Medicare and Medicaid (CMS) conditions of participation, Texas Administrative Code (TAC), and the rules and regulations of the Agency and 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 individual care needs. Assesses and develops assignments to direct care nurses based on individual needs and care complexity that will assure safe and quality care. As assigned, collaborates with other nurse managers and the hospital Staffing Committee 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. • Plans, organizes, and manages the daily activities of the assigned nursing staff. Provides clinical direction and expertise and ensures that the nursing care provided is based on provider orders and meets the specialized individual 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 ensure 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 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 Assistant Chief Nurse Executive (ACNE) and/or the Chief Nurse Executive (CNE) if necessary. Conducts or participates in 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 cognitive level to meet specific and specialized individual needs. Works with teams to implement resident-centered trauma informed care. Provides opportunities for clinical learning experiences such as by visiting other SHs, SSLCs, 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 individual care by participating in Quality Assessment and Quality Improvement (QAQI) initiatives that address important aspects of nursing care. Incorporates program-specific monitoring into ongoing performance improvement activities and ensures 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 individuals’ rights are protected by addressing issues found in individual 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 individuals 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 individuals and their families. Partners with leadership to help design and deliver a high-quality program 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. • Provides 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 by the supervisor to ensure efficient operation of the patient care unit. 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, the Joint Commission, regulations, and policy and procedures related State Hospitals, 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 individuals. • Skill in the use of computers/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’ mental illness, with their family members, and with staff members. • Ability to provide individual care; to prepare and maintain records; to interpret policies and procedures; to interpret health care regulations; and to recognize patterns of medically necessary 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 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 individuals and/or staff members in emergency situations. • Must maintain current CPR certification. • Must have strength and flexibility to safely perform Cardiopulmonary Resuscitation (CPR) and Treatment Intervention and Protection Strategies (TIPS). Registrations, Licensure Requirements, or Certifications: • Must possess a valid Texas driver's license or obtain it no later than 90 days after hire date to drive a state vehicle. Applicants with an out-of-state driver's license must provide an original certified driving record from the state of driving licensure. Eligible driving record required based on HHSC Fleet Management policy. Must be able to drive state vehicles and golf carts. • Licensed to practice as a registered nurse (RN) in the State of Texas (or state that recognizes reciprocity through the Nurse Licensure Compact) prior to hire. Initial Screening Criteria: • Bachelor’s degree or higher is preferred. • Four (4) years’ experience working in a setting with other professional disciplines is required. • Four (4) years’ experience with a psychiatric population and/or with severe and persistent mental illness is required. • Five (5) years' experience in direct nursing practice as a practicing registered nurse in a hospital setting, to include planning and directing daily clinical activities of a nursing care unit is required. • Three (3) years’ experience as an administrative nurse with supervisory authority over other nurses is preferred. • Three (3) years’ experience working as a team leader or nursing manager 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 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 and Terrell 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 of 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. Waco Center for Youth is a psychiatric residential treatment facility that serves teenagers ages 13 through 17 with emotional difficulties and/or behavioral problems. Waco Center for Youth bases its treatment philosophy on the belief that both behavior change and an understanding of self and others are equally important in achieving significant long term success in treatment. The mission of Waco Center for Youth is “to give each youth a chance for change” by providing comprehensive psychiatric residential treatment services to emotionally disturbed adolescents of the state of Texas. The facility is operated by the Health and Human Services Commission and is accredited by the Joint Commission on Accreditation of Health Care Facilities.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. 
$3,289.71 - $3,880.75 / month
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 / Part Time Job Title: Nurse II Agency: Health & Human Services Comm Department: Chld /orAdolPsych Nursing Posting Number: 20228 Closing Date: 09/20/2026 Posting Audience: Internal and External Occupational Category: Healthcare Practitioners and Technical Salary Range: $3,289.71 - $3,880.75 Pay Frequency: MonthlySalary Group: TEXAS-B-22 Shift: Evening Additional Shift: Days (First); Evenings (Second); Nights (Third); Weekends Telework: Not Eligible for Telework Travel: Up to 15% Regular/Temporary: Regular Full Time/Part Time: Part time FLSA Exempt/Non-Exempt: Exempt Facility Location: Waco Center for Youth Job Location City: WACO Job Location Address: 3501 N 19TH ST 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 ten psychiatric hospitals, two youth residential treatment facilities, 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. The Nurse II observes, assesses, plans, intervenes, evaluates outcomes, and documents all aspects of patient care under the direct supervision of the Nurse Administrator/Nurse Manager. The Nurse II 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 their absence; is flexible in work schedule; has broad latitude for initiative and independent judgment; and 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. • Assesses the health/mental status of the patient upon admission and/or transfer and on an ongoing basis; documents the assessment, planning, intervention, and evaluation in patient records 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 in 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, explains and documents rights restrictions, and implements restraint/seclusion procedures according to departmental policy and established nursing standards to maintain patient safety; protects the patient from causing harm to self and/or others and upholds patient rights. • Participates in the client abuse and neglect process, ensures patient safety, and meets patient needs. Monitors and implements Treatment Intervention Protection Strategies (TIPS) and 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 and participates in ongoing 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 by the supervisor to ensure efficient operation of the patient care unit. 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. • Skill in supervisory and management techniques. • Skill and ability to perform CPR, agency approved aggression management and restraint techniques, and emergency care in a medical or psychiatric emergency. • Skill in positive interaction with patients, staff, families, and the public. • Ability to handle crisis situations calmly. • Ability to communicate effectively, both verbally and in writing. Registrations, Licensure Requirements, or Certifications: • 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. Must be able to drive state vehicles and golf carts. • 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 is required. • At least six (6) months' experience as a practicing registered nurse is required. • At least six (6) months' 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, and 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 and Terrell Center for Youth applicants must be at least 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. Waco Center for Youth is a psychiatric residential treatment facility that serves teenagers ages 13 through 17 with emotional difficulties and/or behavioral problems. Waco Center for Youth bases its treatment philosophy on the belief that both behavior change and an understanding of self and others are equally important in achieving significant long term success in treatment. The mission of Waco Center for Youth is “to give each youth a chance for change” by providing comprehensive psychiatric residential treatment services to emotionally disturbed adolescents of the state of Texas. The facility is operated by the Health and Human Services Commission and is accredited by the Joint Commission on Accreditation of Health Care Facilities.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. 
