RN Full-time
Texas Health and Human Services

Nurse II

Texas Health and Human Services Wichita Falls, TX
$6,281.33 - $6,579.41 / 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: MaxSecPsych Nursing Posting Number: 15341 Closing Date: 06/28/2026 Posting Audience: Internal and External Occupational Category: Healthcare Practitioners and Technical Salary Range: $6,579.41 - $6,281.33 Pay Frequency: Monthly Salary Group: TEXAS-B-22 Shift: Regular Night and Weekend Additional Shift: Evenings (Second); Days (First) Telework: Not Eligible for Telework Travel: Up to 10% Regular/Temporary: Regular Full Time/Part Time: Full time FLSA Exempt/Non-Exempt: Exempt Facility Location: Wichita Falls State Hospital Job Location City: WICHITA FALLS Job Location Address: 6515 KEMP BLVD Other Locations: MOS Codes: 290X,46AX,46FX,46NX,46PX,46SX,46YX,66B,66C,66E,66F,66G,66H,66N,66P,66R,66S,66T,66W Brief Job Description: Would you thrive in an environment where you learn and grow personally and professionally all while helping make a positive impact on people’s lives? Do you appreciate being around others like yourself who are dependable, trustworthy, hard workers who believe in the value of teamwork? HSCS is dedicated to building an atmosphere where employees feel valued and supported while providing specialized care for Texans in need. HSCS is comprised of nine psychiatric hospitals, one youth residential treatment facility, and thirteen state supported living centers. The psychiatric hospitals are a hub of excellence for forensic mental health and complex psychiatric care, with all facilities accredited by The Joint Commission. They provide state-of-the-art treatment that is recovery-oriented and science-based. If providing hope and healing through compassionate, innovative, and individualized care interests you, we welcome your application for the position below. Under the direct supervision of the Nurse Administrator\Nurse Manager, observes, assesses, plans, intervenes and evaluates outcomes and documents all aspects of patient care. Possesses a unique knowledge regarding the patient population to be served. May coordinate scheduling within assigned areas. Provides primary proactive management for service area during assigned shift with a supportive but clear supervisory manner. Supervises, counsels, and evaluates other nursing staff. Collaborates with Nurse Coordinator, other Nurse Managers, and MH Supervisor/Specialist to ensure 24-hour continuity of care. Assumes duties of the Nurse Coordinator during absence. Is flexible in work schedule. Has broad latitude for initiative and independent judgment. Provides direct nursing care to individual patients as needed. Understands that duties, location of work and shift/pattern are subject to change as determined by the administration to meet the needs of the hospital. Must understand that duties may include exposure to blood or other potentially infectious materials. Performs other duties as assigned. Other duties as assigned include but are not limited to actively participating and/or serving in a supporting role to meet the agency’s obligations for disaster response and/or recovery or Continuity of Operations (COOP) activation. Such participation may require an alternate shift pattern assignment and/or location. This position may be eligible to earn additional pay for work performed on evenings, nights and/or weekends. Essential Job Functions (EJFs): Attends work on a regular basis and may be asked to work a specific shift schedule or, at times, even a rotating schedule, extended shift and/or overtime in accordance with agency leave policy and performs other duties as assigned. Assess the health/mental status of the patient upon admission and/or transfer and on an ongoing basis and documents assessment, planning, intervention, and evaluation in patient record in order to determine priorities and plan therapeutic nursing care. Performs CPR/Heimlich techniques correctly and safely according to the specifications of the American Heart Association. Provides direction and coordination of staffing and patient care activities on assigned units in a consultative manner with nurse administrators and staff nurses by addressing performance problems promptly and keeping accurate documentation of interventions. Facilitates a smooth admission and/or transfer process during working hours in order to achieve the hospital mission by communicating with admissions staff, unit staff reviewing written documentation to ensure appropriate status and triage patients when needed. Carries out medical staff orders and implements nursing interventions according to acceptable nursing care standards and hospital policies and procedures. Meets with unit nursing staff to inform and disseminate information. Provides and documents individual/group teaching to patients regarding medications, illness, special treatment, etc. utilizing appropriate teaching/response methods for various age groups and cognitive levels to facilitate patient learning. Implements special precautions as ordered, explain and document rights restrictions and implements restraint/seclusion procedures according to departmental policy and established nursing standards to maintain patient safety. Protect the patient from causing harm to self and/or others and uphold patient rights. Participates in the client abuse and neglect process, assures patient safety, and meets patient needs, monitors, and implements Treatment Intervention Protection Strategies (TIPS). Follows all established protocols, policies, and procedures. Participates as the nursing representative in Performance improvement teams. Coordinates and administers effective utilization of nursing service personnel on assigned units. Attends mandatory trainings, participates in on-going in-service and other education and training programs appropriate to the population/age group to meet the physical, psychosocial, and cultural needs of patients. Performs other duties as assigned. Other duties as assigned include but are not limited to actively participating and/or serving in a supporting role to meet the agency’s obligations for disaster response and/or recovery or Continuity of Operations (COOP) activation. Such participation may require an alternate shift pattern assignment and/or location. Knowledge, Skills and Abilities (KSAs): Knowledge of recognized American Nurses Association Nursing Standards. Knowledge of departmental policies and procedures. Knowledge of the Nurse Practice Act. Skills in supervisory and management techniques. Skills and ability to perform CPR, agency approved aggression management and restraint techniques, and emergency care in a medical or psychiatric emergency. Skills for positive interaction with patients, staff, families, and the public. Ability to handle crisis situations calmly. Ability to communicate effectively, verbally and in writing. Registrations, Licensure Requirements or Certifications: Licensed to practice as a registered nurse (RN) in the State of Texas (or state that recognizes reciprocity through the Nurse Licensure Compact). Initial Screening Criteria: Graduation from a Nursing Program accredited by the Texas Board of Nurse Examiners required. At least six (6) months of experience as a practicing registered nurse is required. At least six (6) months of experience as a practicing registered nurse in a health agency, hospital, or health-care facility is preferred. Bachelor's Degree is preferred. Additional Information: Applicants must pass a fingerprint criminal background check, pre-employment drug screen, and registry checks including the Client Abuse/Neglect Reporting System (CANRS), Nurse Aid, Medication Aide and Employee Misconduct, List of Excluded Individuals/Entities (LEIE). Males between the ages of 18-25 must be registered with the Selective Service. All applicants must be at least 18 years of age to be considered for employment at a state-operated facility. Waco Center for Youth applicants must be 21 years of age. Flexibility in work hours may be required for this position. The position may be required to work overtime and/or extended hours. Compliance with HHSC immunization policy and state hospital operating procedures related to immunizations is required. According to the Centers for Disease Control and Prevention, healthcare workers are considered to be at significant risk for acquiring or transmitting hepatitis B, measles, mumps, rubella, varicella (chicken pox), tetanus, diphtheria, pertussis (whooping cough), and influenza. All these diseases are vaccine preventable. As a result, state hospital policy requires employees be vaccinated according to their level of contact with individuals. In the event you choose to not be immunized for the influenza virus, you may be required to wear a mask and take other protective measures. Review our Tips for Success when applying for jobs at DFPS, DSHS and HHSC . Active Duty, Military, Reservists, Guardsmen, and Veterans : Military occupation(s) that relate to the initial selection criteria and registration or licensure requirements for this position may include, but not limited to those listed in this posting. All active-duty military, reservists, guardsmen, and veterans are encouraged to apply if qualified to fill this position. For more information please see the Texas State Auditor’s Job Descriptions, Military Crosswalk and Military Crosswalk Guide at Texas State Auditor's Office - Job Descriptions . ADA Accommodations: In compliance with the Americans with Disabilities Act (ADA), HHSC and DSHS agencies will provide reasonable accommodation during the hiring and selection process for qualified individuals with a disability. If you need assistance completing the on-line application, contact the HHS Employee Service Center at 1-888-894-4747. If you are contacted for an interview and need accommodation to participate in the interview process, please notify the person scheduling the interview. Pre-Employment Checks and Work Eligibility: Depending on the program area and position requirements, applicants selected for hire may be required to pass background and other due diligence checks. HHSC uses E-Verify. You must bring your I-9 documentation with you on your first day of work. Download the I-9 Form Telework Disclaimer: This position may be eligible for telework. Please note, all HHS positions are subject to state and agency telework policies in addition to the discretion of the direct supervisor and business needs.
RN Full-time
Texas Health and Human Services

Nurse I

Texas Health and Human Services Hempstead, TX
DSHS is committed to hiring skilled and dedicated individuals who share a passion for public health to pursue our vision of A Healthy Texas . If you are looking to make an impact and tackle new challenges, we encourage you to consider a career with us. Employee Benefits: DSHS offers insurance coverage and other benefits available through the State of Texas Group Benefits Plan administered by the Employee Retirement System of Texas (ERS). To learn more about all the benefits available to you as a DSHS employee and other DSHS opportunities for early career pathways, visit the DSHS Careers Page . Review our Top 10 Tips for Success when Applying to State of Texas Jobs . Functional Title: Nurse I Job Title: Public Health Nurse I Agency: Dept of State Health Services Department: Region 6/5 Posting Number: 12647 Closing Date: 07/10/2026 Posting Audience: Internal and External Occupational Category: Healthcare Practitioners and Technical Salary Group: TEXAS-B-20 Salary Range: $5,521.16 - $6,036.18 Pay Frequency: Monthly Shift: Day Additional Shift: Telework: Not Eligible for Telework Travel: Up to 40% Regular/Temporary: Temporary Full Time/Part Time: Full time FLSA Exempt/Non-Exempt: Exempt Facility Location: Job Location City: HEMPSTEAD Job Location Address: 22581 MACK WASHINGTON LN 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: Functions under the Community Health Services Manager with direct supervision by the 6/5S Nurse Manager III under the general direction of standing delegation orders of the Regional Medical Director. Utilizes the nursing process in assessing, planning, implementing, coordinating, delivering and evaluating population based, specialized public health nursing services. Travel required throughout seven county region as routinely assigned to work in a variety of locations. Position will primarily focus on Waller county. Services are provided to individuals, families, groups and communities with health needs ranging from simple to complex and are focused on the promotion of optimum wellness and disease prevention. Required to collaborate with other regional programs on community health and communicable disease team initiatives. Participates in coordinating day to day operations of clinic services and provides planning/direction for assigned community health services team. Requires extensive individual initiative in instituting, monitoring and evaluating projects. Ability to practice in an autonomous setting, provide guidance to other nurses, technical assistance to local providers and to provide preventive and some limited treatment services. Ability to time manage and prioritize daily assigned duties. Essential Job Function: Population Bases Services-45%: Provides Essential Public Health Nursing Services as part of the family health services team in assigned communities. Establishes and maintains community partnerships with stakeholders including local/county officials, community leaders, other agencies, coalition groups, healthcare providers, schools and the general public. Participates in community assessments in conjunction with community stakeholders/partners, identifies and prioritizes health needs, plans and implements interventions using evidence based strategies and best practices. Monitors progress and evaluates results modifying plans as needed to achieve desired outcomes. Develops, implements and coordinates community health education programs and assists with community preparedness activities. Active participant in public health infrastructure building activities including coalition building. Provides consultation, training and technical assistance to healthcare providers, academia, and the community. Represents DSHS on local coalitions, school health advisory boards and other collaborations. Required to collaborate with other regional programs on community health and communicable disease team initiatives. Applies epidemiological principles and methods to assess, prevent and control disease to promote public health. Required to take Child Passenger Safety training and obtain certification. Direct Clinical Services-30%: Provides specialized and comprehensive public health nursing services in the clinic, home, and community to include, but not limited to, child and adult immunizations, tuberculosis, latent tuberculosis infection and STD testing and treatment. The nurse will utilize components of the nursing process in assessing, planning, implementing, and evaluating the physical, emotional, and psychosocial health status of clients, families, and communities. Provides individualized care according to policies, procedures, program standards, physician orders, and standing delegation orders. Develops individualized plans of care, which may include lab testing/counseling, field visits, providing/administering medications and immunizations, providing education and counseling case management, referrals, and follow-up. Responsible for accurate documentation of services rendered in the client record. Responsible for assuming the proper handling and storage of vaccine, pharmaceutical and medical supplies. Phlebotomy skills required. Coordination & Leadership-20%: Participates in evaluation of nursing services, training/orientation of staff as needed, interpreting program operations and policies and procedures, writing and monitoring annual clinic and/or team goals. May coordinate schedules and assign/delegate work to assure the provision of services. Responsible for management of clinical resources/supplies. Conducts and documents Quality Assurance monitoring activities to include review of medical records and clinic/team operations. Makes recommendations for improvement based on findings. Prepares/maintains program, statistical, and special reports as assigned. Participates in interdisciplinary teams to plan, develop, and assess appropriateness of patient care. May be assigned to function as a Team Leader for coordination and oversight of day-to-day clinic operations and clinic staff. Provides guidance to staff, collects data, and provides input to off-site supervisor regarding staff performance for evaluations, disciplinary or reward actions. Occasionally attend or conduct meetings in representation in place of supervisor/region. Other duties as assigned to include, but not limited to-5%: Actively participating and/or serving in a support 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. Assists with community preparedness activities. Registrations,licensure, or certifications required: Must be licensed as a Registered Nurse by the State of Texas or state that recognizes reciprocity through the Nurse License Compact. Required to maintain current American Heart Association Basic Life Support certification. Knowledge, skills and abilities: Knowledge of professional nursing theory, nursing process, and the legal framework of nursing includes the Texas State Board of Nurse Examiners rules and regulations, the Nurse Practice Act, and medical standing delegation orders. Knowledge of applicable pharmacy and CLIA rules and regulations. Knowledge of public health principles/practices, epidemiology, disease prevention, and health promotion. Knowledge of teaching/learning theories and skills in developing and providing individual and group education/training. Knowledge of cultural, social, and economic forces in families and communities. Knowledge of community resources. Knowledge of principles of quality assurance. Skills in the assessment of client with complex health problems. Skills necessary to provide direct nursing care to individuals, families, and communities. Skills in phlebotomy. Skills in vaccine administration. Skills in basic computer use including, data input, word processing, spreadsheet, e-mail and internet. Ability to problem solve, prioritize, plan and execute work utilizing supervisor and consultative resources as needed. Ability to communicate effectively in written and verbal formats. Ability to function as a team member. Ability to develop and provide educational presentations. Ability to initiate and maintain effective, collaborative working relationships with the public, local officials, various levels of health care professionals and local agency personnel. Ability to travel. Ability to meet employee immunization requirements. Ability to obtain and maintain current American Heart Association Basic Life Support certification. Ability to meet physical demands of job functions. Ability to maintain confidentiality and comply with HIPAA requirements. Ability to work evenings and weekends occasionally. Ability to schedule and manage time within designated work week. Spanish preferred. Will be required to administer immunizations in accordance with standing delegation orders. Safe operation of either a state owned vehicle or personal vehicle is required to conduct state business and an acceptable driving record must be maintained in accordance with agency policy. Compliance with DSHS Immunization Policy required: serologic evidence of immunity to, or documented evidence of vaccination against hepatitis B. Initial Selection Criteria: Must be registered as a Registered Nurse by the State of Texas or in a state covered through the Nurse Licensure Compact. BSN Preferred. Experience performing public health population based and clinical activities for a minimum of 3 years. Additional Information: Must provide own transportation and meet driving policy to include checking driving records. Requires daytime and occasional late afternoon travel to assigned rural counties. Mileage reimbursed in accordance to state policy. Required to serve as essential personnel in disaster response activities within regional jurisdiction, to include alternate work hours. In compliance with the Americans with Disabilities Act (ADA), HHS 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. Safe operation of either a state-owned vehicle or personal vehicle is required to conduct state business and an acceptable driving record must be maintained in accordance with DSHS Policy OS-3901, Fleet Operations and Management & Procedures and standards developed by the Texas Department of Public Safety. 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 for this position. For more information see the Texas State Auditor’s Military Crosswalk at https://hr.sao.texas.gov/CompensationSystem/JobDescriptions/ . ADA Accommodations: In compliance with the Americans with Disabilities Act (ADA), DSHS will provide reasonable accommodation during the hiring process for individuals with a qualifying disability. If reasonable accommodation is needed to participate in the interview process, please notify the person who contacts you to schedule the interview. If you need assistance completing the on-line application, contact the HHS Employee Service Center at 1-888-894-4747 or via email at HHSServiceCenter.Applications@ngahrhosting.com . Salary Information, Pre-employment Checks, and Work Eligibility: The salary offered will follow DSHS starting salary guidelines. Any employment offer is contingent upon available budgeted funds. Depending on the program area and position requirements, applicants selected for hire may be required to pass background and other due diligence checks. DSHS uses E-Verify. You must bring your I-9 documentation with you on your first day of work. Download the I-9 form
RN Full-time
Texas Health and Human Services

Nurse II

Texas Health and Human Services San Antonio, TX
DSHS is committed to hiring skilled and dedicated individuals who share a passion for public health to pursue our vision of A Healthy Texas . If you are looking to make an impact and tackle new challenges, we encourage you to consider a career with us. Employee Benefits: DSHS offers insurance coverage and other benefits available through the State of Texas Group Benefits Plan administered by the Employee Retirement System of Texas (ERS). To learn more about all the benefits available to you as a DSHS employee and other DSHS opportunities for early career pathways, visit the DSHS Careers Page . Review our Top 10 Tips for Success when Applying to State of Texas Jobs . Functional Title: Nurse II Job Title: Nurse II Agency: Dept of State Health Services Department: TX Ctr for Infectious Disease Posting Number: 12104 Closing Date: 06/15/2026 Posting Audience: Internal and External Occupational Category: Healthcare Practitioners and Technical Salary Group: TEXAS-B-22 Salary Range: $6,667.00 - $7,761.50 Pay Frequency: Monthly Shift: Regular Night and Weekend Additional Shift: Evenings (Second); Nights (Third) 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: Texas Center for Infectious Disease Job Location City: SAN ANTONIO Job Location Address: 2303 SE MILITARY DR Other Locations: San Antonio MOS Codes: 290X,46AX,46FX,46NX,46PX,46SX,46YX,66B,66C,66E,66F,66G,66H,66N,66P,66R,66S,66T,66W Brief Job Description: The Registered Nurse II provides complex bedside nursing care under general supervision, with moderate independence. Key responsibilities include coordinating patient care, administering medications, and using the nursing process to assess, plan, implement, and evaluate care. The RN delivers individualized care to pre- and post-surgery patients, including those with infectious diseases, and participates in performance improvement and safety activities. They may also act as a charge nurse or Nurse Supervisor as needed, assist with rehabilitation, and support patient transport. Essential Job Functions (EJFs): 1. Assessment (45%): Provide compassionate, patient-centered care, including personal hygiene assistance, medication administration, and symptom monitoring. Perform patient assessments (physical, developmental, psychosocial), document findings, and develop care plans. Assist with discharge planning, educate patients and families, and maintain confidentiality. Support rehabilitative activities, assist with mobility, and help patients with daily tasks like bathing, feeding, and toileting. Ensure safe and effective delivery of care while adhering to nursing standards and protocols. 2. Coordination and Support of Care Teams (20%): Assist medical providers during exams and procedures, collaborate with multidisciplinary team members, and maintain effective communication for continuity of care. Oversee daily nursing assignments, manage staffing schedules, and provide supervision to support staff based on patient needs and acuity. Ensure adherence to policies and protocols, motivate staff, and address patient and staff needs promptly. Support regulatory compliance through internal audits, quality assurance programs, and preparation for external surveys. 3. Infection Control, Safety, and Equipment Management (15%): Adhere to infection control policies, emphasizing respiratory precautions and proper hand hygiene. Maintain and sanitize medical equipment (e.g., IV pumps, wheelchairs), ensure safe patient transport, and handle equipment maintenance. Follow safety protocols, manage supply inventory, and properly dispose of medical waste. Maintain a safe and clean environment in accordance with regulatory standards. 4. Patient Education and Community Engagement (10%): Educate patients and families on care plans, health management, and discharge instructions. Participate in community outreach, conduct health education presentations, and provide consultation and training to staff and the medical community. Keep certifications up-to-date and engage in professional development activities, such as attending workshops and peer review sessions. 5. Additional Duties and Disaster Response (10%) Participates in disaster response, Continuity of Operations (COOP) activation, and other assigned duties. May require alternate shift patterns or travel to different locations, ensuring agency obligations are met effectively. Knowledge, Skills and Abilities (KSAs): Knowledge of: DSHS and TCID policies and procedures; principles of adult learning; current treatment for tuberculosis; Joint Commission, CMS and state and federal regulations pertaining to health care and accreditation standards; safety, infection control, and emergency preparedness activities; human development. Skill in: teaching state and federal requirements to others; conducting teaching sessions; performing Cardiopulmonary Resuscitation (CPR); performing clinical nursing functions and the ability to teach such functions; assessing learning needs; care and treatment of patients; and operation of computers and applicable computer software. Ability to: participate in performance improvement activities; develop and maintain competency records for clinical staff; communicate positively with patients and staff. Registrations, Licensure Requirements or Certifications: 1. Must a registered nurse in the State of Texas or a state that recognizes reciprocity through the Nurse Licensure Compact. 2. Must possess valid Texas driver’s license (or obtain within 90 days of hire date). Applicants with an out-of-state driver’s license must provide an original certified driving record from the state of driving licensure. Eligible driving record required based on HHSC Fleet Management policy. Initial Screening Criteria: 1. Graduation from a Nursing Program accredited by the Texas Board of Nurse Examiners. 2. Bachelor of Science in Nursing preferred. 3. One (1) year of work experience as a RN in a recognized health agency, hospital, or health care facility preferred. Additional Information: Selected candidates must be able to meet the following: Repeated bending, simple and simultaneous grasping, finger/manual dexterity, vision, hearing, reach above shoulder, twist upper body, move approximately 150 pounds with or without assistance. Perform assigned duties while wearing the required respiratory protective equipment which will be fitted for employees. Comply with a Tobacco Free Campus and all employment checks and testing. 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 for this position. For more information see the Texas State Auditor’s Military Crosswalk at https://hr.sao.texas.gov/CompensationSystem/JobDescriptions/ . ADA Accommodations: In compliance with the Americans with Disabilities Act (ADA), DSHS will provide reasonable accommodation during the hiring process for individuals with a qualifying disability. If reasonable accommodation is needed to participate in the interview process, please notify the person who contacts you to schedule the interview. If you need assistance completing the on-line application, contact the HHS Employee Service Center at 1-888-894-4747 or via email at HHSServiceCenter.Applications@ngahrhosting.com . Salary Information, Pre-employment Checks, and Work Eligibility: The salary offered will follow DSHS starting salary guidelines. Any employment offer is contingent upon available budgeted funds. Depending on the program area and position requirements, applicants selected for hire may be required to pass background and other due diligence checks. DSHS uses E-Verify. You must bring your I-9 documentation with you on your first day of work. Download the I-9 form