Nursing Jobs in Richmond, TX
$7,532.75 - $8,886.16 / 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: RN III - RN Direct Care Job Title: Nurse III- SDCRN (BSN) Agency: Health & Human Services Comm Department: Campus Nursing Posting Number: 21064 Closing Date: 11/07/2026 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: Regular Weekend 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: Richmond State Supported Living Center Job Location City: RICHMOND Job Location Address: 2100 PRESTON 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 Bachelor of Science in Nursing (BSN) performs highly complex (senior level) nursing work providing for the assessment, care and integrated treatment of individuals residing at the SSLC. This position requires a Bachelor of Science in Nursing (BSN) and provides support to nursing leadership in accordance with the scope of practice of a BSN. 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. [Shift statement (use as needed):] This position may be eligible to earn additional pay for work performed on evenings, nights and/or weekends. [MSP statement (use as needed):] 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: Bachelor of Science in Nursing (BSN) Degree is required. At least one (1) year of experience as a practicing registered nurse in a health agency, hospital, or health-care facility is required; two (2) years is preferred. 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 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. $7,532.75 - $8,886.16 / 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: RN III - RN Direct Care Job Title: Nurse III- SDCRN (BSN) Agency: Health & Human Services Comm Department: Campus Nursing Posting Number: 21064 Closing Date: 11/07/2026 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: Regular Weekend 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: Richmond State Supported Living Center Job Location City: RICHMOND Job Location Address: 2100 PRESTON 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 Bachelor of Science in Nursing (BSN) performs highly complex (senior level) nursing work providing for the assessment, care and integrated treatment of individuals residing at the SSLC. This position requires a Bachelor of Science in Nursing (BSN) and provides support to nursing leadership in accordance with the scope of practice of a BSN. 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. [Shift statement (use as needed):] This position may be eligible to earn additional pay for work performed on evenings, nights and/or weekends. [MSP statement (use as needed):] 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: Bachelor of Science in Nursing (BSN) Degree is required. At least one (1) year of experience as a practicing registered nurse in a health agency, hospital, or health-care facility is required; two (2) years is preferred. 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 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. 
$7,532.75 - $8,886.16 / 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: Registered Nurse Case Manager Job Title: Nurse III RNCM Agency: Health & Human Services Comm Department: Four Rivers - Nursing Posting Number: 19770 Closing Date: 11/03/2026 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: 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: Richmond State Supported Living Center Job Location City: RICHMOND Job Location Address: 2100 PRESTON Other Locations: Richmond MOS Codes: 290X,46AX,46FX,46NX,46PX,46SX,46YX,66B,66C,66E,66F,66G,66H,66N,66P,66R,66S,66T,66W Brief Job Description: Come work in an environment where we truly value and respect those we serve and believe in the mission that all people can achieve a higher level of wellness and independence. The state supported living centers serve people with intellectual and developmental disabilities who are medically fragile or who have behavioral problems. The centers provide campus-based direct services and supports at 13 centers located throughout the state. Learn About Our State Supported Living Centers If you are looking for a place to work where you can establish a career that is filled with purpose, this is the job for you! Free CEUs and updated resources through Lippincott access for all nurses. The RN Case Manager performs highly complex professional nursing work for individuals at the SSLC, including individuals with highly specialized medical and behavioral health needs. Provides, evaluates, and coordinates nursing care across assigned caseload. Conducts rounds in homes and infirmary areas to assess health status, review clinical information, identify trends or emerging concerns, and determine compliance with treatment plans, policies, procedures, nursing standards, and quality-of-care expectations. Completes comprehensive assessments, develops and evaluates nursing interventions and care plans, monitors and reviews case management plans and health indicators, and initiates follow-up for changes in condition, abnormal findings, medication or treatment concerns, and other clinical needs. Coordinates care with the IDT, LARs, direct care staff, nursing staff, and health care providers to support continuity of care, treatment decisions, and person-centered services. Supports admissions, transfers, medical appointments, specialized clinics, training, quality assurance reviews, policy and procedure improvement, and specialized nursing activities. Provides leadership, training, coaching, and technical assistance to nursing and direct care staff. Provides hands-on nursing care and performs highly complex and technical nursing tasks as needed. Performs related work as assigned. Works under limited supervision with considerable latitude for initiative and independent judgment. Starting salary for this position: $ 7,532.75 This position may be eligible to earn additional pay for work performed on evenings, nights and/or weekends. Essential Job Functions (EJFs): Attends work on a regular basis and may be required to work a specific shift schedule or, at times, even a rotating schedule, extended shift and/or overtime in accordance with agency leave policy and performs other duties as assigned. May serve in an on-call status on a rotating schedule as required to meet operational needs of the facility. Performs highly complex nursing case management for assigned individuals, including those with highly specialized medical and behavioral health needs. Develops, evaluates, and monitors nursing interventions to ensure treatment plans, policies, procedures, nursing standards, and quality-of-care expectations are followed. Conducts rounds in assigned homes and infirmary areas to assess health status, gather information from staff, identify trends or emerging concerns, and determine needed follow-up. Reviews and monitors health indicators, care plans, and clinical records, including vital signs, weight, nutrition, symptoms, medication refusals, injuries, seizures, bowel movements, labs, consults, hospital or infirmary status, IHCPs, acute care plans, DSP instructions, physician orders, MARs, treatment records, incident reports, preventive screenings, immunizations, EKGs, psychotropic medication monitoring, and other recurring health requirements. Uses nursing judgment to identify desired effects, side effects, contraindications, adverse reactions, and clinical trends. Evaluates outcome, communicates concerns to the PCP and IDT and initiates appropriate follow-up. Monitors meal and medication administration at least quarterly and documents observations in the electronic health record. For individuals at medium or high risk for choking or aspiration, conducts meal monitoring at least monthly and documents observations related to condition, signs of illness, pain, coughing, swallowing difficulty, positioning, dining plan use, medication administration technique, and pill texture when applicable. Responds to chronic and acute health care concerns, facilitates treatment and follow-up, communicates with the PCP, LAR, health care team, and IDT, participates in specialized clinics and consultations, provides assessment and feedback related to medical or leisure trips, completes post-hospitalization ISPA and follow-up care, maintains required training, and reports concerns to the CNE/NOO. Performs comprehensive and highly complex physical assessments on a quarterly, annual, and as-needed basis in accordance with training and facility protocols. Completes head-to-toe assessments, nursing reviews, annual assessments, SAMs, fall risk assessments, risk ratings, health care plan recommendations, DSP instructions, and related documentation within required timeframes. Reviews current medical assessments, labs, consults, immunizations, diagnostic testing, meal monitoring records, medication administration observations, suction tooth brushing monitoring, and other required assessments. Conducts appropriate screenings, recognizes signs and symptoms of illness or injury, identifies abnormal findings, determines when referrals or plan changes are needed, develops acute care plans and integrated health care plans, communicates findings to the IDT, and evaluates diagnostic information within the RN scope of practice. Monitors assessment completed by others to ensures care provide is in compliance with policies, procedures, standards of care and quality of service. Actively participates as the nursing expert on the individual’s interdisciplinary team (IDT), supporting proactive problem solving related to quality of care, nursing processes, and health-related concerns. Consults with and educates IDT members, the Legally Authorized Representative (LAR), the individual, and other medical care providers about the individual’s health care plan and status. Works to achieve consensus, coordinates with providers and staff to support continuity of care, and advocates for the individual’s needs and preferences. Analyzes data, evaluates nursing intervention outcomes, and provides input to the IDT to support assessment of the treatment plan. Participates in other required and assigned meetings related to individuals on the caseload, including unit, morning, IDT, ISPA, ISP, psychiatric, CLDP, admissions, critical incident, RCA, transition, committee, daily morning medical, and Incident Management Review Team (IMRT) meetings, or provides information to a designee when assigned. Attends prepared to discuss assessments, documentation, consults, labs, clinic issues, medications, weights, diet, screenings, IHCP goals and interventions, change-of-status needs, tracking and trending information, follow-up needs, risk ratings, care plans, and recommendations. Follows local SSLC policies and protocols to ensure pertinent information, including diagnoses and treatment plans, is clearly communicated to SSLC staff and, when instructed, to guardians or LARs. Coordinates, organizes and leads the nursing team for the individuals on the assigned caseload. Leads and instructs assigning nursing staff on how to best care for the individual. Develops inservice training and health education strategies related to the assigned individuals. Attends daily medical and other meetings to keep abreast of individuals’ health status. Actively participates in, and prepares for in advance, essential meetings related to the individuals on the assigned caseload to manage and coordinate health care. During morning meetings, reports relevant information from 24-hour reports, home shift logs, health concerns, clinic logs, hospital or infirmary status, medical appointments, laboratory appointments, restraints, medication or treatment refusals, injuries, falls, missed or cancelled appointments, and significant medical issues. Updates necessary items in the automated system(s) and other tracking documents and takes the necessary action to communicate information to other disciplines. Conducts quality assurance reviews and specialized activities related to the development, evaluation, enhancement, and refinement of nursing policy, procedure, and operations. Reviews nursing practices to determine compliance with state and federal laws, regulations, standards, and campus requirements and to improve the quality of nursing care. Develops, evaluates, revises, and explains policies, procedures and protocols related to nursing case management. Assists in developing guidelines for the RNCM position. Makes recommendations to the CNE/NOO on how to improve case management processes to ensure quality services for individuals. Makes recommendations to nursing leadership and participates in nursing program planning, evaluation, workgroups, and committees as assigned. Attends on-campus medical appointments, treatments, or clinics with individuals as assigned and off-campus appointments when needed to coordinate continuity of care. Prepares and communicates relevant nursing and medical information, follows up on recommendations, orders, and plan changes, completes required nursing notes or provider communication, supports emergency room, hospital, transfer, and placement communication, and coordinates family or guardian notification and required consents for consults, procedures, vaccinations, psychotropic medications, pre-treatment sedation, and other care needs. Determines when pre-treatment sedation may be needed for diagnostic tests or appointments and communicates with the clinic nurse or appropriate clinical staff regarding the pre-treatment care plan. Obtains verbal consent with a nurse witness when permitted, ensures written consent is routed for original signature when required, and provides signed or verbal consent documentation to records staff for filing. Ensures admission and transfer planning occurs in accordance with policies, procedures, and nursing best practices. Coordinates admission activities by reviewing medical information, preparing physician order and vaccination consent information, completing baseline assessments and documentation, and participating in 30-day ISP preparation. Coordinates transfers to another unit, RNCM, SSLC, or group home by completing nurse-to-nurse reports, communicating pending labs, diagnostics, consults, IHCP/DSP instructions, immunizations, allergies, medications, recent assessments, and other health information needed for a safe transition. Participates in competency-based training, continuing education, and meetings to maintain competence in specialized nursing best practices, including safety, emergency procedures, CPR, infection control, confidentiality, information security, nursing case management, nursing care standards, state and federal laws, ICF/IID rules and regulations, and evidence-based practices. Provides or supports individual-specific training for DSPs, LVNs, home staff, and receiving providers related to allergies, medications, diagnoses, chronic or acute care plans, IHCP/DSP instructions, transfers, and other health supports. Develops, updates, reviews, and trains staff on DSP instructions. Serves as a nursing resource for case management and, as assigned, collaborates with others to create and deliver specialized training or in-service materials. Provides oversight, coaching, on-the-job training, and mentoring for junior or less experienced Registered Nurse Case Managers (RNCMs), Registered Nurses (RNs), and Licensed Vocational Nurses (LVNs) assigned to the care of individuals on the caseload to ensure individual health plans meet or exceed program compliance measures. Trains RNCMs, as assigned, and serves as a resource in performing their essential job functions. Reviews performance, supports skill development, identifies best practices in case management, and coaches staff on implementing those practices, including collaboration with other disciplines. Provides input to the supervisor regarding nursing practices, procedures, and staff development needs. Assists the Nurse Manager by providing leadership and oversight within the assigned home, unit, or department, including coaching and monitoring services provided by LVNs. Acts as a preceptor for registered nurses, as assigned, and instructs new nurses on SSLC nursing functions, including acclimating them to individuals’ needs and preferences. Serves as RNCM Supervisor in their absence, as appointed. Completes, reviews, and maintains required nursing documentation according to daily, weekly, monthly, quarterly, annual, and event-driven schedules. Documentation includes plans of care, assessments, nursing notes, health summaries, referrals, acute care plans, change-of-status reviews, post-hospital assessments, medication refusal follow-up, post-injury reviews, treatment/SAM records, professional oversight logs, seizure and bowel movement records, transfer reports, ISP preparation, IHCP initiation, DSP instruction updates, training records, and tracking documents for weights, vitals, labs, consults, food intake, and follow-ups. Ensures documentation supports continuity of care, treatment decisions, regulatory compliance, and IDT planning and meets required deadlines. Trains and coaches others to effectively use the electronic health record. 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. As needed due to staffing, complex cases, or on-the-job training, provides direct care nursing services and performs highly complex and technical nursing tasks in accordance with HHSC, SSLC, and state requirements, including tracheostomy care, gastrostomy/jejunostomy care, wound care, breathing treatments, and treatment for HHS employees injured in the course and scope of employment. Establishes and maintains professional working relationships with persons served, co-workers, supervisors, ancillary staff, and visitors. 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): Considerable knowledge of professional nursing theory, standards, procedures, and practices, including assessment, planning, implementation, coordination, documentation, and evaluation of nursing care. Knowledge of evidence-based nursing practices, medical diagnoses and procedures, accepted treatment practices, health care laws and regulations, ICF-IID requirements, SSLC policies and procedures, and program requirements for individuals with intellectual and developmental disabilities. Knowledge of emergency procedures and equipment, including CPR, infection control, Safe Use of Restraint, Ukeru, and related safety practices. Skill in providing nursing care and treatment for individuals with complex medical and behavioral health needs, monitoring health status, recognizing changes in condition, responding to emergencies, and documenting outcomes. Skill in using computers, software, and electronic health record or care documentation systems. Skill in organizing work, managing time, prioritizing competing duties, tracking follow-up, and meeting daily, weekly, monthly, quarterly, annual, and event-driven deadlines. Skill in training, coaching, mentoring, and providing technical assistance to nursing and direct care staff. Skill in communicating clinical information clearly and concisely, verbally and in writing, with individuals, families, guardians, LARs, the IDT, staff, and providers. Ability to prepare and maintain accurate nursing records, assessments, health summaries, care plans, referrals, tracking documents, and other documentation that supports continuity of care, treatment decisions, and compliance. Ability to monitor and review case management plans, IHCPs, DSP instructions, acute care plans, physician orders, treatment records, labs, consults, weights, nutrition, medication or meal observations, seizure records, bowel movement logs, and other recurring health indicators. Ability to complete and track recurring RNCM responsibilities, including assessments, chart reviews, care plan reviews, change-of-status documentation, consult follow-up, lab monitoring, immunization and consent follow-up, medication refusal follow-up, required screenings, and meeting preparation. Ability to identify clinical trends, abnormal findings, signs and symptoms of illness or injury, changes in condition, and needed nursing follow-up. Ability to coordinate care and communicate follow-up needs related to appointments, diagnostic testing, consents, hospital or infirmary status, consult recommendations, and changes in health status. Ability to work independently and productively with all levels of staff. Ability to interpret policies, procedures, standards, and health care regulations and communicate them effectively. Ability to perform comprehensive nursing assessments and evaluate diagnostic information within the RN scope of practice. Ability to analyze information, exercise nursing judgment, develop plans of care, evaluate outcomes, and make recommendations to the team. Ability to maintain current CPR certification and safely perform CPR, Safe Use of Restraint, and Ukeru techniques after training. Registrations, Licensure Requirements or Certifications: Licensed to practice as a registered nurse in the State of Texas or a state that recognizes reciprocity through the Nurse Licensure Compact. Initial Screening Criteria: At least one (1) year experience as a practicing registered nurse is required. Experience in assessment and documentation of health status required. At least two (2) years of experience as a practicing registered nurse in a health agency, hospital, or health-care facility is preferred. Bachelor's Degree is preferred. Previous experience working with Individuals with Intellectual and/or Developmental Disabilities (IDD) is preferred. Additional Information: Applicants must pass a fingerprint criminal background check, pre-employment drug screen, and registry checks including the Client Abuse/Neglect Reporting System (CANRS), Nurse Aide, Medication Aide and Employee Misconduct and HHS List of Excluded Individuals/Entities (LEIE). Males between the ages of 18 – 25 must be registered with the Selective Service. All State Supported Living Center Employees are subject to Random Drug Testing. Flexibility in work hours may be required for this position. The position may be required to work overtime and/or extended hours. Must be willing to work weekends and holidays. All applicants must be at least 18 years of age to be considered for employment at a state-operated facility.Review our Tips for Success when applying for jobs at DFPS, DSHS and HHSC. Active Duty, Military, Reservists, Guardsmen, and Veterans: Military occupation(s) that relate to the initial selection criteria and registration or licensure requirements for this position may include, but not limited to those listed in this posting. All active-duty military, reservists, guardsmen, and veterans are encouraged to apply if qualified to fill this position. For more information please see the Texas State Auditor’s Job Descriptions, Military Crosswalk and Military Crosswalk Guide at Texas State Auditor's Office - Job Descriptions. ADA Accommodations: In compliance with the Americans with Disabilities Act (ADA), HHSC and DSHS agencies will provide reasonable accommodation during the hiring and selection process for qualified individuals with a disability. If you need assistance completing the on-line application, contact the HHS Employee Service Center at 1-888-894-4747. If you are contacted for an interview and need accommodation to participate in the interview process, please notify the person scheduling the interview. Pre-Employment Checks and Work Eligibility: Depending on the program area and position requirements, applicants selected for hire may be required to pass background and other due diligence checks. HHSC uses E-Verify. You must bring your I-9 documentation with you on your first day of work. Download the I-9 Form Telework Disclaimer: This position may be eligible for telework. Please note, all HHS positions are subject to state and agency telework policies in addition to the discretion of the direct supervisor and business needs. $7,532.75 - $8,886.16 / 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: Registered Nurse Case Manager Job Title: Nurse III RNCM Agency: Health & Human Services Comm Department: Four Rivers - Nursing Posting Number: 19770 Closing Date: 11/03/2026 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: 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: Richmond State Supported Living Center Job Location City: RICHMOND Job Location Address: 2100 PRESTON Other Locations: Richmond MOS Codes: 290X,46AX,46FX,46NX,46PX,46SX,46YX,66B,66C,66E,66F,66G,66H,66N,66P,66R,66S,66T,66W Brief Job Description: Come work in an environment where we truly value and respect those we serve and believe in the mission that all people can achieve a higher level of wellness and independence. The state supported living centers serve people with intellectual and developmental disabilities who are medically fragile or who have behavioral problems. The centers provide campus-based direct services and supports at 13 centers located throughout the state. Learn About Our State Supported Living Centers If you are looking for a place to work where you can establish a career that is filled with purpose, this is the job for you! Free CEUs and updated resources through Lippincott access for all nurses. The RN Case Manager performs highly complex professional nursing work for individuals at the SSLC, including individuals with highly specialized medical and behavioral health needs. Provides, evaluates, and coordinates nursing care across assigned caseload. Conducts rounds in homes and infirmary areas to assess health status, review clinical information, identify trends or emerging concerns, and determine compliance with treatment plans, policies, procedures, nursing standards, and quality-of-care expectations. Completes comprehensive assessments, develops and evaluates nursing interventions and care plans, monitors and reviews case management plans and health indicators, and initiates follow-up for changes in condition, abnormal findings, medication or treatment concerns, and other clinical needs. Coordinates care with the IDT, LARs, direct care staff, nursing staff, and health care providers to support continuity of care, treatment decisions, and person-centered services. Supports admissions, transfers, medical appointments, specialized clinics, training, quality assurance reviews, policy and procedure improvement, and specialized nursing activities. Provides leadership, training, coaching, and technical assistance to nursing and direct care staff. Provides hands-on nursing care and performs highly complex and technical nursing tasks as needed. Performs related work as assigned. Works under limited supervision with considerable latitude for initiative and independent judgment. Starting salary for this position: $ 7,532.75 This position may be eligible to earn additional pay for work performed on evenings, nights and/or weekends. Essential Job Functions (EJFs): Attends work on a regular basis and may be required to work a specific shift schedule or, at times, even a rotating schedule, extended shift and/or overtime in accordance with agency leave policy and performs other duties as assigned. May serve in an on-call status on a rotating schedule as required to meet operational needs of the facility. Performs highly complex nursing case management for assigned individuals, including those with highly specialized medical and behavioral health needs. Develops, evaluates, and monitors nursing interventions to ensure treatment plans, policies, procedures, nursing standards, and quality-of-care expectations are followed. Conducts rounds in assigned homes and infirmary areas to assess health status, gather information from staff, identify trends or emerging concerns, and determine needed follow-up. Reviews and monitors health indicators, care plans, and clinical records, including vital signs, weight, nutrition, symptoms, medication refusals, injuries, seizures, bowel movements, labs, consults, hospital or infirmary status, IHCPs, acute care plans, DSP instructions, physician orders, MARs, treatment records, incident reports, preventive screenings, immunizations, EKGs, psychotropic medication monitoring, and other recurring health requirements. Uses nursing judgment to identify desired effects, side effects, contraindications, adverse reactions, and clinical trends. Evaluates outcome, communicates concerns to the PCP and IDT and initiates appropriate follow-up. Monitors meal and medication administration at least quarterly and documents observations in the electronic health record. For individuals at medium or high risk for choking or aspiration, conducts meal monitoring at least monthly and documents observations related to condition, signs of illness, pain, coughing, swallowing difficulty, positioning, dining plan use, medication administration technique, and pill texture when applicable. Responds to chronic and acute health care concerns, facilitates treatment and follow-up, communicates with the PCP, LAR, health care team, and IDT, participates in specialized clinics and consultations, provides assessment and feedback related to medical or leisure trips, completes post-hospitalization ISPA and follow-up care, maintains required training, and reports concerns to the CNE/NOO. Performs comprehensive and highly complex physical assessments on a quarterly, annual, and as-needed basis in accordance with training and facility protocols. Completes head-to-toe assessments, nursing reviews, annual assessments, SAMs, fall risk assessments, risk ratings, health care plan recommendations, DSP instructions, and related documentation within required timeframes. Reviews current medical assessments, labs, consults, immunizations, diagnostic testing, meal monitoring records, medication administration observations, suction tooth brushing monitoring, and other required assessments. Conducts appropriate screenings, recognizes signs and symptoms of illness or injury, identifies abnormal findings, determines when referrals or plan changes are needed, develops acute care plans and integrated health care plans, communicates findings to the IDT, and evaluates diagnostic information within the RN scope of practice. Monitors assessment completed by others to ensures care provide is in compliance with policies, procedures, standards of care and quality of service. Actively participates as the nursing expert on the individual’s interdisciplinary team (IDT), supporting proactive problem solving related to quality of care, nursing processes, and health-related concerns. Consults with and educates IDT members, the Legally Authorized Representative (LAR), the individual, and other medical care providers about the individual’s health care plan and status. Works to achieve consensus, coordinates with providers and staff to support continuity of care, and advocates for the individual’s needs and preferences. Analyzes data, evaluates nursing intervention outcomes, and provides input to the IDT to support assessment of the treatment plan. Participates in other required and assigned meetings related to individuals on the caseload, including unit, morning, IDT, ISPA, ISP, psychiatric, CLDP, admissions, critical incident, RCA, transition, committee, daily morning medical, and Incident Management Review Team (IMRT) meetings, or provides information to a designee when assigned. Attends prepared to discuss assessments, documentation, consults, labs, clinic issues, medications, weights, diet, screenings, IHCP goals and interventions, change-of-status needs, tracking and trending information, follow-up needs, risk ratings, care plans, and recommendations. Follows local SSLC policies and protocols to ensure pertinent information, including diagnoses and treatment plans, is clearly communicated to SSLC staff and, when instructed, to guardians or LARs. Coordinates, organizes and leads the nursing team for the individuals on the assigned caseload. Leads and instructs assigning nursing staff on how to best care for the individual. Develops inservice training and health education strategies related to the assigned individuals. Attends daily medical and other meetings to keep abreast of individuals’ health status. Actively participates in, and prepares for in advance, essential meetings related to the individuals on the assigned caseload to manage and coordinate health care. During morning meetings, reports relevant information from 24-hour reports, home shift logs, health concerns, clinic logs, hospital or infirmary status, medical appointments, laboratory appointments, restraints, medication or treatment refusals, injuries, falls, missed or cancelled appointments, and significant medical issues. Updates necessary items in the automated system(s) and other tracking documents and takes the necessary action to communicate information to other disciplines. Conducts quality assurance reviews and specialized activities related to the development, evaluation, enhancement, and refinement of nursing policy, procedure, and operations. Reviews nursing practices to determine compliance with state and federal laws, regulations, standards, and campus requirements and to improve the quality of nursing care. Develops, evaluates, revises, and explains policies, procedures and protocols related to nursing case management. Assists in developing guidelines for the RNCM position. Makes recommendations to the CNE/NOO on how to improve case management processes to ensure quality services for individuals. Makes recommendations to nursing leadership and participates in nursing program planning, evaluation, workgroups, and committees as assigned. Attends on-campus medical appointments, treatments, or clinics with individuals as assigned and off-campus appointments when needed to coordinate continuity of care. Prepares and communicates relevant nursing and medical information, follows up on recommendations, orders, and plan changes, completes required nursing notes or provider communication, supports emergency room, hospital, transfer, and placement communication, and coordinates family or guardian notification and required consents for consults, procedures, vaccinations, psychotropic medications, pre-treatment sedation, and other care needs. Determines when pre-treatment sedation may be needed for diagnostic tests or appointments and communicates with the clinic nurse or appropriate clinical staff regarding the pre-treatment care plan. Obtains verbal consent with a nurse witness when permitted, ensures written consent is routed for original signature when required, and provides signed or verbal consent documentation to records staff for filing. Ensures admission and transfer planning occurs in accordance with policies, procedures, and nursing best practices. Coordinates admission activities by reviewing medical information, preparing physician order and vaccination consent information, completing baseline assessments and documentation, and participating in 30-day ISP preparation. Coordinates transfers to another unit, RNCM, SSLC, or group home by completing nurse-to-nurse reports, communicating pending labs, diagnostics, consults, IHCP/DSP instructions, immunizations, allergies, medications, recent assessments, and other health information needed for a safe transition. Participates in competency-based training, continuing education, and meetings to maintain competence in specialized nursing best practices, including safety, emergency procedures, CPR, infection control, confidentiality, information security, nursing case management, nursing care standards, state and federal laws, ICF/IID rules and regulations, and evidence-based practices. Provides or supports individual-specific training for DSPs, LVNs, home staff, and receiving providers related to allergies, medications, diagnoses, chronic or acute care plans, IHCP/DSP instructions, transfers, and other health supports. Develops, updates, reviews, and trains staff on DSP instructions. Serves as a nursing resource for case management and, as assigned, collaborates with others to create and deliver specialized training or in-service materials. Provides oversight, coaching, on-the-job training, and mentoring for junior or less experienced Registered Nurse Case Managers (RNCMs), Registered Nurses (RNs), and Licensed Vocational Nurses (LVNs) assigned to the care of individuals on the caseload to ensure individual health plans meet or exceed program compliance measures. Trains RNCMs, as assigned, and serves as a resource in performing their essential job functions. Reviews performance, supports skill development, identifies best practices in case management, and coaches staff on implementing those practices, including collaboration with other disciplines. Provides input to the supervisor regarding nursing practices, procedures, and staff development needs. Assists the Nurse Manager by providing leadership and oversight within the assigned home, unit, or department, including coaching and monitoring services provided by LVNs. Acts as a preceptor for registered nurses, as assigned, and instructs new nurses on SSLC nursing functions, including acclimating them to individuals’ needs and preferences. Serves as RNCM Supervisor in their absence, as appointed. Completes, reviews, and maintains required nursing documentation according to daily, weekly, monthly, quarterly, annual, and event-driven schedules. Documentation includes plans of care, assessments, nursing notes, health summaries, referrals, acute care plans, change-of-status reviews, post-hospital assessments, medication refusal follow-up, post-injury reviews, treatment/SAM records, professional oversight logs, seizure and bowel movement records, transfer reports, ISP preparation, IHCP initiation, DSP instruction updates, training records, and tracking documents for weights, vitals, labs, consults, food intake, and follow-ups. Ensures documentation supports continuity of care, treatment decisions, regulatory compliance, and IDT planning and meets required deadlines. Trains and coaches others to effectively use the electronic health record. 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. As needed due to staffing, complex cases, or on-the-job training, provides direct care nursing services and performs highly complex and technical nursing tasks in accordance with HHSC, SSLC, and state requirements, including tracheostomy care, gastrostomy/jejunostomy care, wound care, breathing treatments, and treatment for HHS employees injured in the course and scope of employment. Establishes and maintains professional working relationships with persons served, co-workers, supervisors, ancillary staff, and visitors. 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): Considerable knowledge of professional nursing theory, standards, procedures, and practices, including assessment, planning, implementation, coordination, documentation, and evaluation of nursing care. Knowledge of evidence-based nursing practices, medical diagnoses and procedures, accepted treatment practices, health care laws and regulations, ICF-IID requirements, SSLC policies and procedures, and program requirements for individuals with intellectual and developmental disabilities. Knowledge of emergency procedures and equipment, including CPR, infection control, Safe Use of Restraint, Ukeru, and related safety practices. Skill in providing nursing care and treatment for individuals with complex medical and behavioral health needs, monitoring health status, recognizing changes in condition, responding to emergencies, and documenting outcomes. Skill in using computers, software, and electronic health record or care documentation systems. Skill in organizing work, managing time, prioritizing competing duties, tracking follow-up, and meeting daily, weekly, monthly, quarterly, annual, and event-driven deadlines. Skill in training, coaching, mentoring, and providing technical assistance to nursing and direct care staff. Skill in communicating clinical information clearly and concisely, verbally and in writing, with individuals, families, guardians, LARs, the IDT, staff, and providers. Ability to prepare and maintain accurate nursing records, assessments, health summaries, care plans, referrals, tracking documents, and other documentation that supports continuity of care, treatment decisions, and compliance. Ability to monitor and review case management plans, IHCPs, DSP instructions, acute care plans, physician orders, treatment records, labs, consults, weights, nutrition, medication or meal observations, seizure records, bowel movement logs, and other recurring health indicators. Ability to complete and track recurring RNCM responsibilities, including assessments, chart reviews, care plan reviews, change-of-status documentation, consult follow-up, lab monitoring, immunization and consent follow-up, medication refusal follow-up, required screenings, and meeting preparation. Ability to identify clinical trends, abnormal findings, signs and symptoms of illness or injury, changes in condition, and needed nursing follow-up. Ability to coordinate care and communicate follow-up needs related to appointments, diagnostic testing, consents, hospital or infirmary status, consult recommendations, and changes in health status. Ability to work independently and productively with all levels of staff. Ability to interpret policies, procedures, standards, and health care regulations and communicate them effectively. Ability to perform comprehensive nursing assessments and evaluate diagnostic information within the RN scope of practice. Ability to analyze information, exercise nursing judgment, develop plans of care, evaluate outcomes, and make recommendations to the team. Ability to maintain current CPR certification and safely perform CPR, Safe Use of Restraint, and Ukeru techniques after training. Registrations, Licensure Requirements or Certifications: Licensed to practice as a registered nurse in the State of Texas or a state that recognizes reciprocity through the Nurse Licensure Compact. Initial Screening Criteria: At least one (1) year experience as a practicing registered nurse is required. Experience in assessment and documentation of health status required. At least two (2) years of experience as a practicing registered nurse in a health agency, hospital, or health-care facility is preferred. Bachelor's Degree is preferred. Previous experience working with Individuals with Intellectual and/or Developmental Disabilities (IDD) is preferred. Additional Information: Applicants must pass a fingerprint criminal background check, pre-employment drug screen, and registry checks including the Client Abuse/Neglect Reporting System (CANRS), Nurse Aide, Medication Aide and Employee Misconduct and HHS List of Excluded Individuals/Entities (LEIE). Males between the ages of 18 – 25 must be registered with the Selective Service. All State Supported Living Center Employees are subject to Random Drug Testing. Flexibility in work hours may be required for this position. The position may be required to work overtime and/or extended hours. Must be willing to work weekends and holidays. All applicants must be at least 18 years of age to be considered for employment at a state-operated facility.Review our Tips for Success when applying for jobs at DFPS, DSHS and HHSC. Active Duty, Military, Reservists, Guardsmen, and Veterans: Military occupation(s) that relate to the initial selection criteria and registration or licensure requirements for this position may include, but not limited to those listed in this posting. All active-duty military, reservists, guardsmen, and veterans are encouraged to apply if qualified to fill this position. For more information please see the Texas State Auditor’s Job Descriptions, Military Crosswalk and Military Crosswalk Guide at Texas State Auditor's Office - Job Descriptions. ADA Accommodations: In compliance with the Americans with Disabilities Act (ADA), HHSC and DSHS agencies will provide reasonable accommodation during the hiring and selection process for qualified individuals with a disability. If you need assistance completing the on-line application, contact the HHS Employee Service Center at 1-888-894-4747. If you are contacted for an interview and need accommodation to participate in the interview process, please notify the person scheduling the interview. Pre-Employment Checks and Work Eligibility: Depending on the program area and position requirements, applicants selected for hire may be required to pass background and other due diligence checks. HHSC uses E-Verify. You must bring your I-9 documentation with you on your first day of work. Download the I-9 Form Telework Disclaimer: This position may be eligible for telework. Please note, all HHS positions are subject to state and agency telework policies in addition to the discretion of the direct supervisor and business needs. Responsibilities • Provide attention to clients’ non-medical needs, including companionship and social engagement • Assist client with light housekeeping, meal preparation, and medication reminders • Establish communication and a professional relationship with clients, family members, and co-workers • Provide reliable care by being punctual and consistently covering shifts between the hours of 9am - 5pm. Must have reliable transportation. Benefits • Competitive pay $10-12/hr • Direct deposit • Paid orientation and ongoing training • Time-and-a-half pay for overtime and holidays • Flexible schedules and matching caregivers with nearby clients • Employee recognition programs 
