Nursing Jobs in Royse City, TX
$5,263.52 - $6,209.20 / 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 Job Title: Nurse II Agency: Health & Human Services Comm Department: Residential Care Supervisor H Posting Number: 15120 Closing Date: 04/19/2026 Posting Audience: Internal and External Occupational Category: Healthcare Support Salary Range: $5,263.52 - $6,209.20 Pay Frequency: Monthly Salary Group: TEXAS-B-22 Shift: Regular Night Additional Shift: Nights (Third) Telework: Not Eligible for Telework Travel: Up to 5% Regular/Temporary: Regular Full Time/Part Time: Part time FLSA Exempt/Non-Exempt: Exempt Facility Location: Terrell State Hospital Job Location City: TERRELL Job Location Address: 1200 E BRIN Other Locations: Terrell MOS Codes: 290X,46AX,46FX,46NX,46PX,46SX,46YX,66B,66C,66E,66F,66G,66H,66N,66P,66R,66S,66T,66W Brief Job Description: Would you thrive in an environment where you learn and grow personally and professionally all while helping make a positive impact on people’s lives? Do you appreciate being around others like yourself who are dependable, trustworthy, hard workers who believe in the value of teamwork? HSCS is dedicated to building an atmosphere where employees feel valued and supported while providing specialized care for Texans in need. HSCS is comprised of nine psychiatric hospitals, one youth residential treatment facility, and thirteen state supported living centers. The psychiatric hospitals are a hub of excellence for forensic mental health and complex psychiatric care, with all facilities accredited by The Joint Commission. They provide state-of-the-art treatment that is recovery-oriented and science-based. If providing hope and healing through compassionate, innovative, and individualized care interests you, we welcome your application for the position below. Nurse II (PRN Nurse) performs complex (journey level) nursing work. They work works under the direct supervision of the Assistant Chief Nurse Executive (CNE). Provides routine care and treatment through the application of the nursing process and are responsible for maintaining nursing standards of practice in accordance with the Nurse Practice Act, The Joint Commission (TJC) standards, Centers for Medicare and Medicaid (CMS) conditions of participation, Texas Administrative Code (TAC), and the rules and regulations of the Agency and state hospital system. Communicates and collaborates with other shift RNs to ensure 24-hour continuity of care. Ensures adequate staffing according to the program specific staffing plan; determines staff assignments based on appropriate knowledge and skill to meet individual patient needs. Models and supports a proactive approach to unit management using patient centered trauma informed care. Demonstrates a commitment to a culture that minimizes the use of restrictive interventions. Oversees and assigns work to other staff to include Psychiatric Nursing Assistants and Licensed Vocational Nurses as assigned. The PRN Nurse works under general supervision, with moderate latitude for the use of initiative and independent judgment. Performs other duties as assigned. Other duties as assigned include but are not limited to actively participating and/or serving in a supporting role to meet the agency’s obligations for disaster response and/or recovery or Continuity of Operations (COOP) activation. Such participation may require an alternate shift pattern assignment and/or location. This position may be eligible to earn additional pay for work performed on evenings, nights and/or weekends. Essential Job Functions (EJFs): Attends work on a regular basis and may be asked to work a specific shift schedule or, at times, even a rotating schedule, extended shift and/or overtime in accordance with agency leave policy and performs other duties as assigned. Performs extensive initial and on-going assessment of the patient’s nursing care needs to include medical, psychological, and social needs by accurately reporting and documenting the assessment, nursing diagnoses, plan, intervention(s), and on-going evaluation in the patient’s medical record to provide a clear reflection of care provided, and the patient’s response to that care. Collaborates with other health care professionals by contributing nursing assessment data, diagnoses/problems, towards the development of a multidisciplinary recovery plan. Helps to facilitate a multidisciplinary approach to promote a patient centered individualized plan of care. Presents nursing care needs to the team to be considered for active treatment. Provides relevant data regarding patient’s progress, or lack thereof. Evaluates the outcomes of nursing interventions and documents the same in the medical record. Assures the documentation is thorough, complete, and consistent with overall plan of care and provides a clear understanding and application of the nursing process, and the patient’s response to care provided. Provides comprehensive patient/family education regarding illness process, medications, coping skills, etc., to patients and families. Establishes, monitors, and maintains the therapeutic milieu through clinical oversight and training of other Registered Nurses, Licensed Vocational Nurses, and Psychiatric Nursing Assistants as assigned. Evaluates staffing on a shift per shift basis to ensure an appropriate number and mix of nursing personnel is available to provide a safe, secure environment, which allows for maximum program participation, as well as the fluctuation in patient acuity. Supervises the administration of medications by ensuring physician’s orders are carried out according to acceptable nursing care standards and hospital policies and procedures. Knows the rationale for and the anticipated effects of medications and treatments and supervises the same. Clarifies any order or treatment regimen that believed to be inaccurate, non-efficacious, or contraindicated. Acts as team leader in emergency situations (i.e., medical or psychiatric emergencies) including initiating and monitoring the appropriate use of resuscitative equipment or interventions such as restraint/seclusion. Serves as the contact RN by ensuring adequate staffing for assigned and on-coming shifts is consistent with established nursing policy and procedures and the programmatic staffing plan, as needed. Addresses administrative and clinical issues in a professional manner consistent with the standards of nursing practice, and nursing and program specific policies, and The Joint Commission (TJC) standards, Centers for Medicare and Medicaid (CMS) conditions of participation, Texas Administrative Code (TAC), and the rules and regulations of the Agency and state hospital system. Consistently communicates significant events in patient care, and management of the unit to the Nurse Manager and the Assistant CNE. Performs other duties as assigned. Other duties as assigned include but are not limited to actively participating and/or serving in a supporting role to meet the agency’s obligations for disaster response and/or recovery or Continuity of Operations (COOP) activation. Such participation may require an alternate shift pattern assignment and/or location. Knowledge, Skills and Abilities (KSAs): Knowledge of Texas Nurse Practice Act, and the role of peer review in the provision of professional nursing Knowledge of HHSC policies and procedures Knowledge of management theory, organizational planning, plan deployment, and improving organizational performance Knowledge of the Recovery Model of Care Knowledge of professional nursing Standards, CPR, Abnormal Involuntary Movement Scale (AIMS), Treatment, Intervention, and Protection Strategies (TIPS) Knowledge of nursing techniques and procedures Skills in utilizing computer hardware/software. Skills in administering restraint and seclusion. Strong coaching skills Ability to provide patient care. Ability to prepare and maintain records. Ability to organize and communicate information both orally and in writing. Ability to interpret and explain standards and regulations. Ability to instruct, train, oversee and provide guidance to others. Ability to create and evaluate training objectives, requirements, and effectiveness of delivery. Ability to manage time effectively. Ability to intervene therapeutically with patients experiencing psychiatric disorders (delusions, hallucinations, suicidal/homicidal ideation) Ability to perform CPR, the Heimlich Maneuver, use the AED, provide First Aid Ability to provide patient/family education regarding medications, disease processes, and health maintenance/promotion. Registrations, Licensure Requirements or Certifications: Must be licensed as a registered nurse by the State of Texas or a state that recognizes reciprocity through the Nurse Licensure Compact. If transporting patients, must possess a valid Texas driver license or obtain it no later than 90 days after hire date to drive a state vehicle. Applicants with an out-of-state driver license must provide an original certified driving record from the state of driving licensure. Eligible driving record required based on HHSC Fleet Management policy. Initial Screening Criteria: Graduation from an accredited nursing program or accredited four-year college or university with major coursework in nursing. At least one (1) year of work experience as a RN in a recognized health agency, hospital, or health care facility. At least one (1) year experience working with psychiatric patients preferred. Additional Information: Applicants must pass a fingerprint criminal background check, pre-employment drug screen, and registry checks including the Client Abuse/Neglect Reporting System (CANRS), Nurse Aid, Medication Aide and Employee Misconduct, List of Excluded Individuals/Entities (LEIE). Males between the ages of 18-25 must be registered with the Selective Service. All applicants must be at least 18 years of age to be considered for employment at a state-operated facility. Waco Center for Youth applicants must be 21 years of age. Flexibility in work hours may be required for this position. The position may be required to work overtime and/or extended hours. Compliance with HHSC immunization policy and state hospital operating procedures related to immunizations is required. According to the Centers for Disease Control and Prevention, healthcare workers are considered to be at significant risk for acquiring or transmitting hepatitis B, measles, mumps, rubella, varicella (chicken pox), tetanus, diphtheria, pertussis (whooping cough), and influenza. All these diseases are vaccine preventable. As a result, state hospital policy requires employees be vaccinated according to their level of contact with individuals. In the event you choose to not be immunized for the influenza virus, you may be required to wear a mask and take other protective measures. Review our Tips for Success when applying for jobs at DFPS, DSHS and HHSC . Active Duty, Military, Reservists, Guardsmen, and Veterans : Military occupation(s) that relate to the initial selection criteria and registration or licensure requirements for this position may include, but not limited to those listed in this posting. All active-duty military, reservists, guardsmen, and veterans are encouraged to apply if qualified to fill this position. For more information please see the Texas State Auditor’s Job Descriptions, Military Crosswalk and Military Crosswalk Guide at Texas State Auditor's Office - Job Descriptions . ADA Accommodations: In compliance with the Americans with Disabilities Act (ADA), HHSC and DSHS agencies will provide reasonable accommodation during the hiring and selection process for qualified individuals with a disability. If you need assistance completing the on-line application, contact the HHS Employee Service Center at 1-888-894-4747. If you are contacted for an interview and need accommodation to participate in the interview process, please notify the person scheduling the interview. Pre-Employment Checks and Work Eligibility: Depending on the program area and position requirements, applicants selected for hire may be required to pass background and other due diligence checks. HHSC uses E-Verify. You must bring your I-9 documentation with you on your first day of work. Download the I-9 Form Telework Disclaimer: This position may be eligible for telework. Please note, all HHS positions are subject to state and agency telework policies in addition to the discretion of the direct supervisor and business needs. 
$60,522 - $129,615 / year
We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Position Summary This is a Field/Work at Home Case Manager opportunity with up to 75% field travel in Balch Springs, Sunnyvale, Mesquite, South Garland and Rowlett Texas. The working schedule is Monday - Friday 8am-5pm CST The Case Manager is responsible for conducting face to face visits in the members home utilizing comprehensive assessment tools for members enrolled in Texas Star Kids to evaluate the medical needs of the member to facilitate the member’s overall wellness. Member assignment demographic is pediatric population (0-21). The case manager schedules and attends interdisciplinary meetings and advocates on the members behalf to ensure proper and safe discharge with appropriate services in place. The case manager works with the member and care team to develop a care plan and authorizes services in a cost-effective manner. The care manager is responsible for documenting accurately and timely in the member’s electronic health record. The case manager is responsible for coordinating and collaborating care with the member/authorized representative, PCP, and any other care team participants. This position requires the case manager to use critical thinking skills and the ability to problem solve. The Case Manager will also be expected to mentor new hires, once, a level of proficiency has been attained in their role. Required Qualifications Must reside in one of the following locations in Texas, Balch Springs, Sunnyvale, Mesquite, South Garland and Rowlett 3+ years clinical practice experience, e.g., hospital setting, alternative care setting such as home health or ambulatory care Active and Unrestricted RN license in TX Must possess reliable transportation and be willing and able to travel 50-75% of the time in Texas. Mileage is reimbursed per our company expense reimbursement policy 1 or more years of Case Management Experience Preferred Qualifications Managed Care Organization Experience Star Kids experience Bilingual preferred (Spanish) Education Bachelor's Degree in Nursing Anticipated Weekly Hours 40 Time Type Full time Pay Range The typical pay range for this role is: $60,522.00 - $129,615.00 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. Great benefits for great people We take pride in our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include: Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan . No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching. Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility. For more information, visit https://jobs.cvshealth.com/us/en/benefits We anticipate the application window for this opening will close on: 04/30/2026 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws. 
