Registered Health Nurse jobs at Texas - 39 jobs

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: Public Health Nurse I Job Title: Public Health Nurse I Agency: Dept of State Health Services Department: Region 4/5 Posting Number: 11738 Closing Date: 02/07/2026 Posting Audience: Internal and External Occupational Category: Healthcare Practitioners and Technical Salary Group: TEXAS-B-20 Salary Range: $4,263.16 - $6,779.25 Pay Frequency: Monthly Shift: Day Additional Shift: Days (First) Telework: Travel: Up to 40% Regular/Temporary: Regular Full Time/Part Time: Full time FLSA Exempt/Non-Exempt: Exempt Facility Location: Job Location City: MOUNT PLEASANT Job Location Address: 1014 N JEFFERSON Other Locations: MOS Codes: 290X,46AX,46FX,46NX,46PX,46SX,46YX,66B,66C,66E,66F,66G,66H,66N,66P,66R,66S,66T,66W Job Description: Public Health Nurse I: Under the supervision of a PHN III Nursing Supervisor, the PHN I is responsible for the delivery of public health nursing services and day to day direction of a public health nursing clinic and the support staff. Responsibilities include, but are not limited to, coordinating public health nursing services with Program requirements to assure achievement of the Region's goals and objectives, implementing nursing and program standards to assure quality public health nursing care is provided to consumers, and coordinating services with other disciplines. PHN I is responsible for direct public health nursing services in an assigned geographic area, including participation in current and long-range planning for the assigned area. The PHN I is also responsible for delivering population-based services to assigned communities using the essential public health services model. In coordination with the PHN II, the PHN I indirectly supervises clinic support staff, including scheduling and assignments, assessing staff skills and requesting staff development. Works under limited supervision with considerable latitude for use of initiative and independent judgment. Essential Job Functions: 45%) DIRECT PUBLIC HEALTH NURSING SERVICES 1. Deliver PH nursing services to eligible clients, using the nursing process, adhering to Program standards and guidelines; perform technical Nursing procedures. To include Tuberculosis testing, treatment, and monitoring. May give immunizations and education to eligible clients. Will travel to geographical areas where our patients reside. 2. Serve as role model for support staff in professional/ethical behavior. 3. Assure appropriate patient referral/follow-up. 4. Coordinate services with other disciplines. Maximize use of available resources for patient benefit. 5. Implement nursing program purpose/goals/objectives, nursing standards, and program changes into the office. 6. Support/interpret lines of authority and interpret/follow lines of communication. 7. Assist with staffing/scheduling of clinics. 8. Responsible for administrative/patient encounter reports. 9. Provide indirect supervision/daily direction of clinic support staff and LVN's. (45%) ESSENTIAL PUBLIC HEALTH SERVICES 1. Monitor health status to identify community health problems. Assist in disease investigation/reporting. Maintain immunization tracking systems. Is a community resource for infectious diseases/immunizations. 2. Diagnose/investigate health hazards in the community. Is a member of multi-disciplinary rapid response team in outbreaks. Assist in contact/environmental/epidemiological investigations, follow-up; obtain lab samples; provide vaccine. 3. Inform, educate, and empower people about health issues. Provide community education/training. Identify need/plan/participate in community activities. Provide outreach for services provided, targeting hard to reach groups. 4. Mobilize partnerships to identify/solve health problems. Participate in coalitions/community/worksite/school health meetings. Conduct or gather needs assessment data for planning services. Work with partners to develop plans for low/no cost immunizations and to improve immunization rates. 5. Develop policies/plans that support individual/community health efforts. Advocate for populations that are unable/unwilling to communicate with policy makers. Contact/educate local officials/community leaders about health status indicators/problems. Collect/utilize data to identify trends/needs in groups and recommend new/improved services. Provide input for policies and initiatives; implement into local area. 6. Enforce laws and regulations that protect health/ensure safety. Link/refer individuals/groups to agencies/specialists on health/safety laws; report potential violations. Assure compliance with all laws/regulations affecting public health nursing practice. 7. Link people to personal health services and assure provision of health care if unavailable. Coordinate provision of health-related services to target populations. Link public/providers to necessary resources. Identify health/human services resources. 8. Assure a competent public health/personal health care workforce. Assist in evaluating staff performance, in orienting employees and determining readiness to independently perform job tasks. Assess in-service needs of other personnel. Participate in planning in-service and recommending program content. Assess training needs of PH professionals/other providers. Recommend/plan/prepare/provide training and technical assistance. Provide classroom &/or clinical education opportunities for health care professions students. Collaborate with educational institutions to address health care needs. Participation/attendance to meet individual continuing education needs. 9. Evaluate effectiveness/accessibility/quality of personal/population-based health services. Participate in regional quality assurance activities. Conduct recruitment activities for potential providers of services. Evaluate and report on effectiveness/accessibility/outcomes of community initiatives/local health services. 10. Research for insights and innovative solutions to health problems. Participate in regional workgroups/CQI teams. Participate in pilot or nursing research projects.(10%) Other duties, as assigned include but are not limited to actively participating and/or serving in a role to meet the agency's obligations for disaster response and/or recovery or Continuity of Operations. Such participation may require an alternate shift pattern assignment and/or location. Knowledge, Skills, and Abilities (KSAs): Knowledge of professional nursing theory, nursing process, nursing sciences, and clinical skills. Thorough knowledge of the principles and practices of public health nursing, including related cultural, social, and economic forces in family and group relationships and principles of public health organizations. Knowledge of Tuberculosis testing, treatment and monitoring helpful. Knowledge of childhood and adult immunizations helpful. Knowledge of teaching and learning theories, leadership methods, and interviewing principles and techniques. Knowledge of community resources. Knowledge of principles of supervision and evaluation. Knowledge of the Nurse Practice Act, Pharmacy Act, CLIA Act, and Medical Practice Standing Orders. Knowledge of Standards of nursing practice. Knowledge of physical, developmental, and family assessment. Skills to perform problem solving and decision making; management and supervision; interviewing; negotiating; communicating (both oral and written). Skill in providing group education. Skill in using the computer. Ability to work productively with individuals and with professional and other groups within the community; to gain satisfaction through the growth and development of others; to plan and execute work; to seek and utilize supervision and consultation; to exercise good judgment; to function as a team member; and to communicate effectively. Ability to provide own transportation and willingness to travel to geographical areas where our patients reside. Ability to perform technical nursing procedures. Registration or Licensure Requirements: Licensed as a Registered Nurse in good standing in the State of Texas or one of the license Compact states. Initial Selection Criteria: Current RN License in good standing; at least one year nursing experience, may include prior LVN experience. Additional Information: NA 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 ************************************************************* 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 ************** or via email at **********************************************. 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

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: Public Health Nurse I Job Title: Public Health Nurse I Agency: Dept of State Health Services Department: Region 1 Posting Number: 12268 Closing Date: 02/02/2026 Posting Audience: Internal and External Occupational Category: Healthcare Practitioners and Technical Salary Group: TEXAS-B-20 Salary Range: $4,552.17 - $4,771.17 Pay Frequency: Monthly Shift: Day Additional Shift: Days (First) Telework: Not Eligible for Telework Travel: Up to 40% Regular/Temporary: Regular Full Time/Part Time: Full time FLSA Exempt/Non-Exempt: Exempt Facility Location: Job Location City: PAMPA Job Location Address: 121 S GILLESPIE ST Other Locations: MOS Codes: 290X,46AX,46FX,46NX,46PX,46SX,46YX,66B,66C,66E,66F,66G,66H,66N,66P,66R,66S,66T,66W Brief Job Description Under the direct supervision of the Nurse IV, Director of Nursing and the medical supervision of the Regional Medical Director, provides routine (journey-level) public health nursing work in clinical and non-clinical settings for the assessment, care, and treatment of individuals, families and communities according to standing delegation orders. Utilizes the nursing process in assessing, planning, implementing, coordinating, delivering and evaluating public health services in assigned counties. Services include, but are not limited to, providing public health, educational, and investigative support for Covid-19 operations and are focused on the promotion of optimum wellness and disease prevention such as immunizations against vaccine preventable diseases, and comprehensive case management for clients utilizing community resources and referrals to needed services. This position works with moderate supervision with limited latitude for the use of initiative and independent judgment. Assists with preparedness activities as needed. Employee actively participates and/or serves in a supporting role to meet the agency's obligations for disaster response and/or recovery or Continuity of Operations (COOP) activation. This position requires travel. Essential Job Functions (EJF) Attends work on a regular and predictable schedule in accordance with agency leave policy and performs other duties as assigned. (50%) DIRECT SERVICES: Provides specialized and comprehensive public health nursing services in the clinic, home, and community. 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 which may include lab testing/counseling, independent home visits, providing/administering medications, education and counseling, case management, referrals, and follow-up. Provides vaccinations, screenings, educational, investigative, and comprehensive public health nursing support for Covid-19 operations. Performs disease intervention, surveillance, and prevention functions around Tuberculosis, HIV/STD, Perinatal Hepatitis B and Immunizations and other identified diseases. Prepares and maintains appropriate confidential client records per agency standards and HIPAA. (25%) COORDINATION AND LEADERSHIP: May participate in assessing client and clinic needs, developing materials, and/or conducting education, orientation, and training for staff and contractors. May participate in quality assurance reviews and provide input for corrective action. Assesses and plans the delivery of direct public health services based on program guidance, and standing delegation orders. Coordinates vaccine management to include inventory, vaccine ordering, reporting, receiving, and returning, and day to day cold chain management. May coordinate schedules and assign/delegate work to assure the provision of services. Responsible for management of clinical resources/supplies. Prepares/maintains monthly activity reports. (10%) POPULATION-BASED SERVICES: Provides Essential Public Health Services to assigned communities. Participates in community assessments, identifies health needs, plans and implements strategies, and evaluates outcomes in conjunction with community stakeholders/partners and Regional work plans. Develops and implements community health education programs, establishes and maintains communication and partnerships with stakeholders including local/county officials, community leaders, other agencies, groups, healthcare providers, schools, and the general public. Provides consultation, training, and technical assistance to healthcare providers, academia, and the community. Represents DSHS on local coalitions/collaborations as needed or assigned. (10%) COMMUNITY PREPAREDNESS: Assists with preparedness activities as needed. Actively participates and/or serves 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. (5%) OTHER DUTIES AS ASSIGNED: Performs other duties as assigned including maintaining CPR certification. Knowledge Skills Abilities (KSAs) Knowledge of nursing techniques and procedures; of public health laws and regulations; of community health and nursing care principles, practices, and procedures including culturally appropriate care; and of quality assurance principles and procedures. Skill in using reasoning to identify problems, in considering appropriate resolution of situations, and in the operation of computers and applicable computer software. Ability to plan, coordinate, and evaluate the delivery of direct public health services; to conduct community assessments; to provide patient care; to prepare and maintain records; to communicate effectively via written and verbal communication. Initial Selection Summary: Experience in working in a clinical settings - 1 year (Required) Experience in Public Health Nursing and health care management (preferred) Experience conducting communicable disease investigations (preferred) Experience preparing written reports (preferred) Experience maintaining confidential records (preferred) LICENSURE, CERTIFICATION, OR REGISTRATION REQUIRED Current license to practice as a Registered Nurse by the State of Texas or state that recognizes reciprocity through the Nurse Licensure Compact. Employee must have a valid Class C Texas driver's license, or equivalent license from another state. Additional Information: N/A 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 ************************************************************* 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 ************** or via email at **********************************************. 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

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: Public Health Nurse Job Title: Public Health Nurse I Agency: Dept of State Health Services Department: Region 9/10 Posting Number: 12470 Closing Date: 07/23/2026 Posting Audience: Internal and External Occupational Category: Healthcare Practitioners and Technical Salary Group: TEXAS-B-20 Salary Range: $4,263.16 - $6,779.24 Pay Frequency: Monthly Shift: Day Additional Shift: Days (First) Telework: Not Eligible for Telework Travel: Up to 35% Regular/Temporary: Regular Full Time/Part Time: Full time FLSA Exempt/Non-Exempt: Exempt Facility Location: Job Location City: BIG SPRING Job Location Address: 501 BIRDWELL LN STE 28 Other Locations: MOS Codes: 290X,46AX,46FX,46NX,46PX,46SX,46YX,66B,66C,66E,66F,66G,66H,66N,66P,66R,66S,66T,66W : JOB DESCRIPTION: Under the general direction of the Family & Community Health (FCHS) Services Nurse Supervisor II, the Program Manager and medical direction of the Regional Medical Director, this position performs routine public health nursing work in clinical and/or non-clinical settings based out of Big Spring, Texas. It will require regular and frequent travel to the field offices located in Brady, Sonora, Fort Stockton and other satellite sites. This position coordinates the delivery of public health nursing services and essential public health services through the application of education, assessments, quality assurance and direct client services. Will work under moderate supervision with limited latitude for the use of initiative and independent judgment. Essential Job Functions: (35%) DIRECT CLIENT SERVICES: Administers medications, immunizations, testing and treatments according to regional and DSHS Standing Delegation Orders and procedures. Assesses and plans the delivery of direct public health services and essential public health services to individuals, families, and communities. Conducts physical assessments of patient health needs and implements appropriate actions. Prepares and maintains patient records, program reports and patient assessments. Instructs, counsels and assists patients in meeting their health care needs. Responsible for using independent clinical judgement when making referrals for medical and social services with follow-up as necessary. Responsible for the management of pharmaceuticals, vaccine inventory and storage. (35%) POPULATION BASED COMMUNITY OUTREACH ACTIVITIES: Provides and explains information regarding Child Health, Maternal Health, and Perinatal Infant Health and Tobacco free information to the public through one:one education sessions, presentations and community events. Must plan events, attend trainings, and network with community stakeholders and community members. Assists with public health need assessments and verification of reports data. Assists other public health staff in communicating with agencies/individuals on the treatment, control, or prevention of diseases or injury. (20%) DISEASE PREVENTION/CONTROL Identifies community resources and makes referrals to health care and related services. Support the implementation and monitoring of a comprehensive case management service plan for clients and families. Makes home visits independently. Supports the implementation of the surveillance of communicable diseases and other health conditions, and plans interventions at the community or regional level. Assures compliance with Immunizations; Tuberculosis Control; HIV/STD, vector-Bourne diseases and prevention of vector-Bourne diseases. (10%) OTHER RELATED DUTIES AS ASSIGNED Other related 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 activation. Such participating may require an alternate shift pattern assignment and/or location. 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. Complete all trainings related to job duties on a timely manner. Knowledge, Skills and Abilities Assessments * Knowledge of professional Nursing theory and process, including cultural, social, and economic forces in family, community and group dynamics. * Knowledge of Texas State Board of Nursing Practice Rules and Regulations * Knowledge of Public Health Principles, practices, epidemiology, disease prevention and health promotion * Knowledge of clinic/office operations. * Skill in assessment of clients with complex health problems. * Skill in basic computer data input through database programs, word processing and internet. * Ability to maintain current CPR certification * Ability to perform basic nursing skills * Ability to interact and maintain effective working relationships and collaboration with public, local officials, physicians, and local agency personnel. * Ability to effectively communicate in verbal and written format to individuals, groups and communities. * Ability to demonstrate independent judgment in appraising clinical situations and correctly interpret findings. * Ability to comprehend and implement program goals, policies, and procedures. * Ability to prioritize and demonstrate leadership. * Ability to maintain confidentiality. * Ability to travel in state/personal vehicle. Registrations, Licensure Requirements or Certifications (Required) * Current license to practice as a Registered Nurse in the State of Texas or eligible for Texas license. If eligible for Texas license, must obtain prior to employment date. * Current Texas Class C Driver's license required. * Currently be certified in CPR. Initial Screening Criteria (Required) * Registered Nurse by the State of Texas or a state that recognizes Reciprocity through the Nurse Licensure Compact. * Work experience in Nursing, Public Health, Case management or infectious disease experience (2) years. * Experience in a medical clinical setting (2 years). * Ability to travel up to 35% of the time. Additional Information (Optional) * Phone or TEAMS Video interview may be utilized. * Valid Texas Driver's license. * Travel requirements and possible working hours other than 8-5 are applicable and must be able to accommodate. HHS agencies use E-Verify. You must bring your I-9 documentation with you on your first day of work. I-9 Form - Click here to download the I-9 form. 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 ************************************************************* 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 ************** or via email at **********************************************. 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

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: Public Health Nurse Job Title: Public Health Nurse I Agency: Dept of State Health Services Department: Region 8 Posting Number: 13044 Closing Date: 02/22/2026 Posting Audience: Internal and External Occupational Category: Healthcare Practitioners and Technical Salary Group: TEXAS-B-20 Salary Range: $4,263.16 - $6,779.25 Pay Frequency: Monthly Shift: Day Additional Shift: Telework: Not Eligible for Telework Travel: Up to 35% Regular/Temporary: Regular Full Time/Part Time: Full time FLSA Exempt/Non-Exempt: Exempt Facility Location: Job Location City: PEARSALL Job Location Address: 1009 N OAK ST STE 200 Other Locations: MOS Codes: 290X,46AX,46FX,46NX,46PX,46SX,46YX,66B,66C,66E,66F,66G,66H,66N,66P,66R,66S,66T,66W Job Title: Public Health Nurse : Public Health Nurse I: Under the supervision of the Community Health Improvement Manager or Supervisor (PHN III), uses the nursing process to assess, plan, implement, coordinate, deliver and evaluate public health nursing services in the assigned geographic area. Provides services to individuals, families, groups and communities with health needs ranging from simple to complex but focused on the promotion of optimum wellness and disease prevention. Serves as the team leader for the DSHS staff in the community. Coordinates the day-to-day operations of population-based services and direct clinic services to include meeting program directives and Title V Maternal Child Health performance measures. Responds to a variety of state or regional emergencies, including disease outbreaks and pandemics, hurricanes, tornados and other natural or man-made disasters. Works with general supervision with moderate latitude for the use of initiative and independent judgment. During public health emergencies, including pandemic responses such as COVID-19, all PHR 8 employees are expected to provide related public health or emergency response services. This may include response, recovery or Continuity of Operations (COOP) activities. This participation may require a change in shift, location and/or supervisor. Essential Job Functions: Attends work on a regular and predictable schedule in accordance with agency leave policy and performs other duties as assigned. Flexibility in work hours may be required for this position. POPULATION BASED SERVICES (45%): Provides essential public health services to assigned communities. Participates in community assessments. Identifies health needs. Plans and implements strategies. Evaluates outcomes in conjunction with community stakeholders/partners and regional work plans. Develops, implements, and evaluates community health education programs and materials as well as action plans to meet selected Title V Maternal Child Health (MCH) performance measures. Establishes and maintains communication and partnerships with stakeholders including local/county officials, community leaders, other agencies, groups, health care providers, schools and the general public. Provides consultation, training and technical assistance to health care providers, academia, and the community. Represents DSHS on local coalitions/collaboratives. Participates in local planning for community preparedness. DIRECT CARE SERVICES (30%): Provides specialized and comprehensive public health nursing services in the field office, home or community. Uses components of the nursing process to assess, plan, implement and evaluate the physical, emotional and psychosocial health status of clients, families and communities. Provides individualized care according to policy, procedure, program standards, physician orders and standing delegation orders. Participates in the development and revision of policies, procedures, and standing delegation orders. Develops and monitors individualized plans of care, which may include lab testing, counseling, home visits, administering medications and vaccines, education, case management, referrals and follow-up. Performs disease intervention, surveillance and prevention functions for TB, HIV, STDs, perinatal hepatitis B and immunizations, including administering vaccines. Applies epidemiological principles and methods to assess, prevent, and control disease and promote health. COORDINATION AND TEAM LEADERSHIP (15%): Participates in the evaluation of nursing services; training/orientation of staff; interpreting program operations, policies and procedures; and writing and monitoring annual clinic and MCH goals. Coordinates schedules. Assigns and delegates work to assure that services are provided. Manages clinical resources and supplies. Conducts and documents quality assurance monitoring activities to include review of medical records and clinic operations. Makes recommendations for improvement based on findings. Prepares and maintains program, statistical and special reports as assigned. Participates in interdisciplinary teams to plan, develop and assess patient care and population-based services. Serves as the team leader for the Community Health Improvement staff in the field office. Provides significant input to the Manager in the development, review and updating of job descriptions and participates in the screening and selection process. Orients, trains and monitors the performance of the field office staff. Makes recommendations regarding discipline and reward. Provides guidance to staff, collects data, and provides input to the manager/supervisor regarding staff performance for evaluations. OTHER DUTIES (10%): During public health emergencies, including pandemic responses such as COVID-19, all PHR 8 employees are expected to provide related public health or emergency response services, which may include response, recovery, or Continiuity of Operations (COOP) activities. Participation may require an alternate schedule, location, and/or supervisor. Safe operation of a state-owned, personal or rental vehicle is required to conduct state business and an acceptable driving record must be maintained. Complies with the Department of State Health Services Immunization Policy. Registrations, Licensure Requirements or Certifications: Licensed to practice nursing as a Registered Nurse in Texas or a state that recognizes reciprocity through the Nurse Licensure Compact. Texas Class C Driver License or equivalent from another state CPR (cardiopulmonary resuscitation certification) If an employee operates a personal or state motor vehicle in performance of their official duties, employee must possess a current valid driver's license for the appropriate type of vehicle. Employees/applicants are responsible for providing a copy of their driver's license and proof of insurance prior to beginning employment Knowledge Skills Abilities: Knowledge of professional nursing theory, nursing process and the legal framework of nursing including the Texas State Board of Nurse Examiners' rules and regulations, the Nurse Practice Act and medical standing delegation orders. Knowledge of pharmacy and CLIA rules and regulations. Knowledge of public health principles and practice, epidemiology, disease prevention and health promotion.Knowledge of teaching and learning theories.Knowledge of cultural, social and economic forces in families and communities. Knowledge of principles of quality assurance. Knowledge of community resources. Knowledge of the use of health assessment tools. Skill in developing and providing individual and group education or training. Skill in the assessment of clients, including communities, with complex health problems. Skill in providing direct nursing care to individuals, families and communities. Skill in basic computer use including data input, word processing, spreadsheet, e-mail and internet. Ability to problem solve, prioritize, plan and execute work using supervisory and consultation resources as needed. Ability to identify and interpret laws, regulations and policies related to specific programs that protect health and inform communities about these policies. Ability to communicate effectively in written and verbal formats. Ability to function as a team member. Ability to initiate and maintain effective and collaborative working relationships with the public, local officials, various levels of health care professionals and local agency personnel. Ability to travel. Ability to meet agency employee immunization requirements. Ability to meet physical demands of the job functions. Ability to maintain confidentiality and comply with the Health Insurance Portability and Accountability Act (HIPAA) requirements. Initial Screening Criteria: Have at least one year of nursing experience (may include LVN experience). Licensed to practice as a Registered Nurse in Texas or a state that recognizes reciprocity through the Nurse Licensure Compact. Experience working in a health setting, or a public or community health clinic. Experience providing group or individual education, especially in a public health setting. Experience administering injections, drawing blood and screening clients. Experience with computer software applications including Microsoft Word, Excel, Outlook and the internet. 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 ************************************************************* 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 ************** or via email at **********************************************. 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

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: Direct Care Public Health Nurse I Job Title: Public Health Nurse I Agency: Dept of State Health Services Department: Region 4/5 Posting Number: 9360 Closing Date: 01/30/2026 Posting Audience: Internal and External Occupational Category: Healthcare Practitioners and Technical Salary Group: TEXAS-B-20 Salary Range: $4,263.16 - $6,779.25 Pay Frequency: Monthly Shift: Day Additional Shift: Telework: Not Eligible for Telework Travel: Up to 40% Regular/Temporary: Regular Full Time/Part Time: Full time FLSA Exempt/Non-Exempt: Exempt Facility Location: Job Location City: NACOGDOCHES Job Location Address: 2614 NW STALLINGS DR 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: Public Health Nurse I, under the supervision of a PHN III Nursing Supervisor, the PHN I is responsible for the delivery of public health nursing services and day to day direction of a public health nursing clinic and the support staff. Responsibilities include, but are not limited to, coordinating public health nursing services with Program requirements to assure achievement of the Region's goals and objectives, implementing nursing and program standards to assure quality public health nursing care is provided to consumers, and coordinating services with other disciplines. PHN I is responsible for direct public health nursing services in an assigned geographic area, including participation in current and long-range planning for the assigned area. The PHN I is also responsible for delivering population-based services to assigned communities using the essential public health services model. In coordination with the PHN III, the PHN I indirectly supervises clinic support staff, including scheduling and assignments, assessing staff skills and requesting staff development. Works under limited supervision with considerable latitude for use of initiative and independent judgment. Essential Job Functions: 45%) DIRECT PUBLIC HEALTH NURSING SERVICES 1. Deliver PH nursing services to eligible clients, using the nursing process, adhering to Program standards and guidelines; perform technical Nursing procedures. To include Tuberculosis testing, treatment and monitoring. May give immunizations and education to eligible clients. Will travel to geographical areas where our patients reside. 2. Serve as role model for support staff in professional/ethical behavior. 3. Assure appropriate patient referral/follow-up. 4. Coordinate services with other disciplines. Maximize use of available resources for patient benefit. 5. Implement nursing program purpose/goals/objectives, nursing standards, and program changes into the office. 6. Support/interpret lines of authority and interpret/follow lines of communication. 7. Assist with staffing/scheduling of clinics. 8. Responsible for administrative/patient encounter reports. 9. Provide indirect supervision/daily direction of clinic support staff and LVN's. (45%) ESSENTIAL PUBLIC HEALTH SERVICES 1. Monitor health status to identify community health problems. Assist in disease investigation/reporting. Maintain immunization tracking systems. Is a community resource for infectious diseases/immunizations. 2. Diagnose/investigate health hazards in the community. Is a member of multi disciplinary rapid response team in outbreaks. Assist in contact/environmental/epidemiological investigations, follow-up; obtain lab samples; provide vaccine. 3. Inform, educate, and empower people about health issues. Provide community education/training. Identify need/plan/participate in community activities. Provide outreach for services provided, targeting hard to reach groups. 4. Mobilize partnerships to identify/solve health problems. Participate in coalitions/community/worksite/school health meetings. Conduct or gather needs assessment data for planning services. Work with partners to develop plans for low/no cost immunizations and to improve immunization rates. 5. Develop policies/plans that support individual/community health efforts. Advocate for populations that are unable/unwilling to communicate with policy makers. Contact/educate local officials/community leaders about health status indicators/problems. Collect/utilize data to identify trends/needs in groups and recommend new/improved services. Provide input for policies and initiatives; implement into local area. 6. Enforce laws and regulations that protect health/ensure safety. Link/refer individuals/groups to agencies/specialists on health/safety laws; report potential violations. Assure compliance with all laws/regulations affecting public health nursing practice. 7. Link people to personal health services and assure provision of health care if unavailable. Coordinate provision of health related services to target populations. Link public/providers to necessary resources. Identify health/human services resources. 8. Assure a competent public health/personal health care workforce. Assist in evaluating staff performance, in orienting employees and determining readiness to independently perform job tasks. Assess in-service needs of other personnel. Participate in planning in-service and recommending program content. Assess training needs of PH professionals/other providers. Recommend/plan/prepare/provide training and technical assistance. Provide classroom &/or clinical education opportunities for health care professions students. Collaborate with educational institutions to address health care needs. Participation/attendance to meet individual continuing education needs. 9. Evaluate effectiveness/accessibility/quality of personal/population-based health services. Participate in regional quality assurance activities. Conduct recruitment activities for potential providers of services. Evaluate and report on effectiveness/accessibility/outcomes of community initiatives/local health services. 10. Research for insights and innovative solutions to health problems. Participate in regional workgroups/CQI teams. Participate in pilot or nursing research projects.(10%) Other duties, as assigned include but are not limited to actively participating and/or serving in a role to meet the agency's obligations for disaster response and/or recovery or Continuity of Operations. Such participation may require an alternate shift pattern assignment and/or location. Knowledge Skills Abilities: Knowledge of professional nursing theory, nursing process, nursing sciences, and clinical skills. Thorough knowledge of the principles and practices of public health nursing, including related cultural, social, and economic forces in family and group relationships and principles of public health organizations. Knowledge of Tuberculosis testing, treatment and monitoring helpful. Knowledge of childhood and adult immunizations helpful. Knowledge of teaching and learning theories, leadership methods, and interviewing principles and techniques. Knowledge of community resources. Knowledge of principles of supervision and evaluation. Knowledge of the Nurse Practice Act, Pharmacy Act, CLIA Act, and Medical Practice Standing Orders. Knowledge of Standards of nursing practice. Knowledge of physical, developmental, and family assessment. Skills to perform problem solving and decision making; management and supervision; interviewing; negotiating; communicating (both oral and written). Skill in providing group education. Skill in using the computer. Ability to work productively with individuals and with professional and other groups within the community; to gain satisfaction through the growth and development of others; to plan and execute work; to seek and utilize supervision and consultation; to exercise good judgment; to function as a team member; and to communicate effectively. Ability to provide own transportation and willingness to travel to geographical areas where our patients reside. Ability to perform technical nursing procedures. Registration or Licensure Requirements: Licensed as a Registered Nurse in good standing in the State of Texas or one of the license Compact states. Initial Screening Criteria: Current RN License in good standing; at least one year nursing experience, may include prior LVN experience. Additional Information: N/A 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 ************************************************************* 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 ************** or via email at **********************************************. 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

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: Public Health Nurse Job Title: Public Health Nurse I Agency: Dept of State Health Services Department: Region 8 Posting Number: 13042 Closing Date: 02/21/2026 Posting Audience: Internal and External Occupational Category: Healthcare Practitioners and Technical Salary Group: TEXAS-B-20 Salary Range: $4,263.16 - $6,779.25 Pay Frequency: Monthly Shift: Day Additional Shift: Telework: Not Eligible for Telework Travel: Up to 35% Regular/Temporary: Regular Full Time/Part Time: Full time FLSA Exempt/Non-Exempt: Exempt Facility Location: Job Location City: KERRVILLE Job Location Address: 819 WATER ST STE 230 Other Locations: MOS Codes: 290X,46AX,46FX,46NX,46PX,46SX,46YX,66B,66C,66E,66F,66G,66H,66N,66P,66R,66S,66T,66W Job Title: Public Health Nurse : Public Health Nurse I: Under the supervision of the Community Health Improvement Manager or Supervisor (PHN III), uses the nursing process to assess, plan, implement, coordinate, deliver and evaluate public health nursing services in the assigned geographic area. Provides services to individuals, families, groups and communities with health needs ranging from simple to complex but focused on the promotion of optimum wellness and disease prevention. Serves as the team leader for the DSHS staff in the community. Coordinates the day-to-day operations of population-based services and direct clinic services to include meeting program directives and Title V Maternal Child Health performance measures. Responds to a variety of state or regional emergencies, including disease outbreaks and pandemics, hurricanes, tornados and other natural or man-made disasters. Works with general supervision with moderate latitude for the use of initiative and independent judgment. During public health emergencies, including pandemic responses such as COVID-19, all PHR 8 employees are expected to provide related public health or emergency response services. This may include response, recovery or Continuity of Operations (COOP) activities. This participation may require a change in shift, location and/or supervisor. Essential Job Functions: Attends work on a regular and predictable schedule in accordance with agency leave policy and performs other duties as assigned. Flexibility in work hours may be required for this position. POPULATION BASED SERVICES (45%): Provides essential public health services to assigned communities. Participates in community assessments. Identifies health needs. Plans and implements strategies. Evaluates outcomes in conjunction with community stakeholders/partners and regional work plans. Develops, implements, and evaluates community health education programs and materials as well as action plans to meet selected Title V Maternal Child Health (MCH) performance measures. Establishes and maintains communication and partnerships with stakeholders including local/county officials, community leaders, other agencies, groups, health care providers, schools and the general public. Provides consultation, training and technical assistance to health care providers, academia, and the community. Represents DSHS on local coalitions/collaboratives. Participates in local planning for community preparedness. DIRECT CARE SERVICES (30%): Provides specialized and comprehensive public health nursing services in the field office, home or community. Uses components of the nursing process to assess, plan, implement and evaluate the physical, emotional and psychosocial health status of clients, families and communities. Provides individualized care according to policy, procedure, program standards, physician orders and standing delegation orders. Participates in the development and revision of policies, procedures, and standing delegation orders. Develops and monitors individualized plans of care, which may include lab testing, counseling, home visits, administering medications and vaccines, education, case management, referrals and follow-up. Performs disease intervention, surveillance and prevention functions for TB, HIV, STDs, perinatal hepatitis B and immunizations, including administering vaccines. Applies epidemiological principles and methods to assess, prevent, and control disease and promote health. COORDINATION AND TEAM LEADERSHIP (15%): Participates in the evaluation of nursing services; training/orientation of staff; interpreting program operations, policies and procedures; and writing and monitoring annual clinic and MCH goals. Coordinates schedules. Assigns and delegates work to assure that services are provided. Manages clinical resources and supplies. Conducts and documents quality assurance monitoring activities to include review of medical records and clinic operations. Makes recommendations for improvement based on findings. Prepares and maintains program, statistical and special reports as assigned. Participates in interdisciplinary teams to plan, develop and assess patient care and population-based services. Serves as the team leader for the Community Health Improvement staff in the field office. Provides significant input to the Manager in the development, review and updating of job descriptions and participates in the screening and selection process. Orients, trains and monitors the performance of the field office staff. Makes recommendations regarding discipline and reward. Provides guidance to staff, collects data, and provides input to the manager/supervisor regarding staff performance for evaluations. OTHER DUTIES (10%): During public health emergencies, including pandemic responses such as COVID-19, all PHR 8 employees are expected to provide related public health or emergency response services, which may include response, recovery, or Continiuity of Operations (COOP) activities. Participation may require an alternate schedule, location, and/or supervisor. Safe operation of a state-owned, personal or rental vehicle is required to conduct state business and an acceptable driving record must be maintained. Complies with the Department of State Health Services Immunization Policy. Registrations, Licensure Requirements or Certifications: Licensed to practice nursing as a Registered Nurse in Texas or a state that recognizes reciprocity through the Nurse Licensure Compact. Texas Class C Driver License or equivalent from another state CPR (cardiopulmonary resuscitation certification) If an employee operates a personal or state motor vehicle in performance of their official duties, employee must possess a current valid driver's license for the appropriate type of vehicle. Employees/applicants are responsible for providing a copy of their driver's license and proof of insurance prior to beginning employment Knowledge Skills Abilities: Knowledge of professional nursing theory, nursing process and the legal framework of nursing including the Texas State Board of Nurse Examiners' rules and regulations, the Nurse Practice Act and medical standing delegation orders. Knowledge of pharmacy and CLIA rules and regulations. Knowledge of public health principles and practice, epidemiology, disease prevention and health promotion.Knowledge of teaching and learning theories.Knowledge of cultural, social and economic forces in families and communities. Knowledge of principles of quality assurance. Knowledge of community resources. Knowledge of the use of health assessment tools. Skill in developing and providing individual and group education or training. Skill in the assessment of clients, including communities, with complex health problems. Skill in providing direct nursing care to individuals, families and communities. Skill in basic computer use including data input, word processing, spreadsheet, e-mail and internet. Ability to problem solve, prioritize, plan and execute work using supervisory and consultation resources as needed. Ability to identify and interpret laws, regulations and policies related to specific programs that protect health and inform communities about these policies. Ability to communicate effectively in written and verbal formats. Ability to function as a team member. Ability to initiate and maintain effective and collaborative working relationships with the public, local officials, various levels of health care professionals and local agency personnel. Ability to travel. Ability to meet agency employee immunization requirements. Ability to meet physical demands of the job functions. Ability to maintain confidentiality and comply with the Health Insurance Portability and Accountability Act (HIPAA) requirements. Initial Screening Criteria: Have at least one year of nursing experience (may include LVN experience). Licensed to practice as a Registered Nurse in Texas or a state that recognizes reciprocity through the Nurse Licensure Compact. Experience working in a health setting, or a public or community health clinic. Experience providing group or individual education, especially in a public health setting. Experience administering injections, drawing blood and screening clients. Experience with computer software applications including Microsoft Word, Excel, Outlook and the internet. 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 ************************************************************* 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 ************** or via email at **********************************************. 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

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: Public Health Nurse Job Title: Public Health Nurse I Agency: Dept of State Health Services Department: Region 8 Posting Number: 13166 Closing Date: 02/06/2026 Posting Audience: Internal and External Occupational Category: Healthcare Practitioners and Technical Salary Group: TEXAS-B-20 Salary Range: $4,263.16 - $6,779.25 Pay Frequency: Monthly Shift: Day Additional Shift: Telework: Not Eligible for Telework Travel: Up to 35% Regular/Temporary: Regular Full Time/Part Time: Full time FLSA Exempt/Non-Exempt: Exempt Facility Location: Job Location City: KERRVILLE Job Location Address: 819 WATER ST STE 230 Other Locations: MOS Codes: 290X,46AX,46FX,46NX,46PX,46SX,46YX,66B,66C,66E,66F,66G,66H,66N,66P,66R,66S,66T,66W Job Title: Public Health Nurse : Public Health Nurse I: Under the supervision of the Community Health Improvement Manager or Supervisor (PHN III), uses the nursing process to assess, plan, implement, coordinate, deliver and evaluate public health nursing services in the assigned geographic area. Provides services to individuals, families, groups and communities with health needs ranging from simple to complex but focused on the promotion of optimum wellness and disease prevention. Serves as the team leader for the DSHS staff in the community. Coordinates the day-to-day operations of population-based services and direct clinic services to include meeting program directives and Title V Maternal Child Health performance measures. Responds to a variety of state or regional emergencies, including disease outbreaks and pandemics, hurricanes, tornados and other natural or man-made disasters. Works with general supervision with moderate latitude for the use of initiative and independent judgment. During public health emergencies, including pandemic responses such as COVID-19, all PHR 8 employees are expected to provide related public health or emergency response services. This may include response, recovery or Continuity of Operations (COOP) activities. This participation may require a change in shift, location and/or supervisor. Essential Job Functions: Attends work on a regular and predictable schedule in accordance with agency leave policy and performs other duties as assigned. Flexibility in work hours may be required for this position. POPULATION BASED SERVICES (45%): Provides essential public health services to assigned communities. Participates in community assessments. Identifies health needs. Plans and implements strategies. Evaluates outcomes in conjunction with community stakeholders/partners and regional work plans. Develops, implements, and evaluates community health education programs and materials as well as action plans to meet selected Title V Maternal Child Health (MCH) performance measures. Establishes and maintains communication and partnerships with stakeholders including local/county officials, community leaders, other agencies, groups, health care providers, schools and the general public. Provides consultation, training and technical assistance to health care providers, academia, and the community. Represents DSHS on local coalitions/collaboratives. Participates in local planning for community preparedness. DIRECT CARE SERVICES (30%): Provides specialized and comprehensive public health nursing services in the field office, home or community. Uses components of the nursing process to assess, plan, implement and evaluate the physical, emotional and psychosocial health status of clients, families and communities. Provides individualized care according to policy, procedure, program standards, physician orders and standing delegation orders. Participates in the development and revision of policies, procedures, and standing delegation orders. Develops and monitors individualized plans of care, which may include lab testing, counseling, home visits, administering medications and vaccines, education, case management, referrals and follow-up. Performs disease intervention, surveillance and prevention functions for TB, HIV, STDs, perinatal hepatitis B and immunizations, including administering vaccines. Applies epidemiological principles and methods to assess, prevent, and control disease and promote health.COORDINATION AND TEAM LEADERSHIP (15%): Participates in the evaluation of nursing services; training/orientation of staff; interpreting program operations, policies and procedures; and writing and monitoring annual clinic and MCH goals. Coordinates schedules. Assigns and delegates work to assure that services are provided. Manages clinical resources and supplies. Conducts and documents quality assurance monitoring activities to include review of medical records and clinic operations. Makes recommendations for improvement based on findings. Prepares and maintains program, statistical and special reports as assigned. Participates in interdisciplinary teams to plan, develop and assess patient care and population-based services. Serves as the team leader for the Community Health Improvement staff in the field office. Provides significant input to the Manager in the development, review and updating of job descriptions and participates in the screening and selection process. Orients, trains and monitors the performance of the field office staff. Makes recommendations regarding discipline and reward. Provides guidance to staff, collects data, and provides input to the manager/supervisor regarding staff performance for evaluations. OTHER DUTIES (10%): During public health emergencies, including pandemic responses such as COVID-19, all PHR 8 employees are expected to provide related public health or emergency response services, which may include response, recovery, or Continiuity of Operations (COOP) activities. Participation may require an alternate schedule, location, and/or supervisor. Safe operation of a state-owned, personal or rental vehicle is required to conduct state business and an acceptable driving record must be maintained. Complies with the Department of State Health Services Immunization Policy. Registrations, Licensure Requirements or Certifications: Licensed to practice nursing as a Registered Nurse in Texas or a state that recognizes reciprocity through the Nurse Licensure Compact. Texas Class C Driver License or equivalent from another state CPR (cardiopulmonary resuscitation certification) If an employee operates a personal or state motor vehicle in performance of their official duties, employee must possess a current valid driver's license for the appropriate type of vehicle. Employees/applicants are responsible for providing a copy of their driver's license and proof of insurance prior to beginning employment Knowledge Skills Abilities: Knowledge of professional nursing theory, nursing process and the legal framework of nursing including the Texas State Board of Nurse Examiners' rules and regulations, the Nurse Practice Act and medical standing delegation orders. Knowledge of pharmacy and CLIA rules and regulations. Knowledge of public health principles and practice, epidemiology, disease prevention and health promotion.Knowledge of teaching and learning theories.Knowledge of cultural, social and economic forces in families and communities.Knowledge of principles of quality assurance. Knowledge of community resources. Knowledge of the use of health assessment tools. Skill in developing and providing individual and group education or training. Skill in the assessment of clients, including communities, with complex health problems. Skill in providing direct nursing care to individuals, families and communities. Skill in basic computer use including data input, word processing, spreadsheet, e-mail and internet. Ability to problem solve, prioritize, plan and execute work using supervisory and consultation resources as needed. Ability to identify and interpret laws, regulations and policies related to specific programs that protect health and inform communities about these policies. Ability to communicate effectively in written and verbal formats. Ability to function as a team member. Ability to initiate and maintain effective and collaborative working relationships with the public, local officials, various levels of health care professionals and local agency personnel. Ability to travel. Ability to meet agency employee immunization requirements. Ability to meet physical demands of the job functions. Ability to maintain confidentiality and comply with the Health Insurance Portability and Accountability Act (HIPAA) requirements. Initial Screening Criteria: Have at least one year of nursing experience (may include LVN experience). Licensed to practice as a Registered Nurse in Texas or a state that recognizes reciprocity through the Nurse Licensure Compact. Experience working in a health setting, or a public or community health clinic. Experience providing group or individual education, especially in a public health setting. Experience administering injections, drawing blood and screening clients. Experience with computer software applications including Microsoft Word, Excel, Outlook and the internet. 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 ************************************************************* 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 ************** or via email at **********************************************. 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

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: Public Health Nurse I Job Title: Public Health Nurse I Agency: Dept of State Health Services Department: Region 6/5 Posting Number: 9520 Closing Date: 03/24/2026 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: Regular Full Time/Part Time: Full time FLSA Exempt/Non-Exempt: Exempt Facility Location: Job Location City: BAY CITY Job Location Address: 1700 MERLIN ST Other Locations: Bay City MOS Codes: 290X,46AX,46FX,46NX,46PX,46SX,46YX,66B,66C,66E,66F,66G,66H,66N,66P,66R,66S,66T,66W Job Description: Functions under the Community Health Services Manager with direct supervision by the 6/5S Nurse 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 Matagorda and Wharton counties. 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. 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-5% as assigned include, but not limited to 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. Licensure, certifications, or registrations required: Must be licensed as a Registered Nurse by the State of Texas or state that recognizes reciprocity through the Nurse License Compact. BSN Preferred. 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 Screening 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 **************. 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 ************************************************************* 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 ************** or via email at **********************************************. 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

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: Public Health Nurse I Job Title: Public Health Nurse I Agency: Dept of State Health Services Department: Region 2/3 Posting Number: 10278 Closing Date: 02/01/2026 Posting Audience: Internal and External Occupational Category: Healthcare Practitioners and Technical Salary Group: TEXAS-B-20 Salary Range: $4,263.16 - $4,884.00 Pay Frequency: Monthly Shift: Day Additional Shift: Days (First) Telework: Not Eligible for Telework Travel: Up to 40% Regular/Temporary: Regular Full Time/Part Time: Full time FLSA Exempt/Non-Exempt: Exempt Facility Location: Job Location City: KAUFMAN Job Location Address: 2525 E HWY 175 STE E 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: Under the direction of the nursing supervisor, Regional Nurse Manager, and the Regional Medical Director, provides routine (journey-level) public health nursing work in clinical and non-clinical settings for the assessment, care, and treatment of individuals, families, and communities according to standing delegation orders. Utilizes the nursing process in assessing, planning, implementing, coordinating, delivering, and evaluating public health services in assigned counties. Services are focused on the promotion of optimum wellness and disease prevention such as immunizations against vaccine preventable diseases, and comprehensive case management for clients utilizing community resources and referrals to needed services. This position works with moderate supervision with limited latitude for the use of initiative and independent judgment. Must be able to independently travel throughout the State of Texas and out-of-state to complete essential job functions. Member of the Incident Command Structure in response to public health emergencies. Must comply with HHS, DSHS, Texas Department of Public Safety applicable policies/procedures/standards. This position is office-based, Monday-Friday, 8:00 am - 5:00 pm. Essential Job Functions: DIRECT SERVICES: Provides specialized and comprehensive public health nursing services in the clinic, home, and community. 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 which may include lab testing/counseling, independent home visits, providing/administering medications, education and counseling, case management, referrals, and follow-up. Performs disease intervention, surveillance, and prevention functions around Tuberculosis, HIV/STD, Perinatal Hepatitis B and Immunizations and other identified diseases. Prepares and maintains appropriate confidential client records per agency and HIPAA standards. (50%) COORDINATION AND LEADERSHIP: May participate in assessing client and clinical needs, developing materials, and/or conducting education, orientation, and training for staff and contractors. May participate in quality assurance reviews and provide input for corrective action. Assesses and plans the delivery of direct public health services based on program guidance and standing delegation orders. Coordinates vaccine management to include inventory, vaccine ordering, reporting, receiving, and returning, and day to day cold chain management. May coordinate schedules and assign/delegate work to assure the provision of services. Responsible for management of clinical resources/supplies. Prepares/maintains monthly activity reports. (25%) POPULATION-BASED SERVICES: Provides Essential Public Health Services to assigned communities. Participates in community assessments, identifies health needs, plans and implements strategies, and evaluates outcomes in conjunction with community stakeholders/partners and regional work plans. Develops and implements community health education programs, establishes and maintains communication and partnerships with stakeholders including local/county officials, community leaders, other agencies, groups, healthcare providers, schools, and the general public. Provides consultation, training, and technical assistance to healthcare providers, academia, and the community. Represents DSHS on local coalitions/collaborations as needed or assigned. (10%) REGIONAL SUPPORT AND DISASTER RESPONSE/RECOVERY: Participates in regional assignments/duties/special initiatives. May be required to work other than normal business hours in order to respond to public health emergencies; actively participate and/or serve in a supporting role to meet the agency's obligations for disaster response/recovery/Continuity of Operations (COOP) activation-requires completion of at least ICS 100, 200, 700, and 800 and may require an alternative shift pattern assignment and/or location. Maintain compliance with DSHS Policy, Fleet Operations and Management & Procedures and Standards, and a current valid Texas Driver's License. (10%) OTHER DUTIES AS ASSIGNED: Performs other duties as assigned including maintaining CPR certification. (5%) Knowledge, Skills, and Abilities (KSA's): Knowledge of: nursing techniques and procedures; of public health laws and regulations; of community health and nursing care principles, practices, and procedures including culturally appropriate care; and of quality assurance principles and procedures. Skill in: using reasoning to identify problems, considering appropriate resolution of situations, and the operation of computers and applicable computer software. Ability to: plan, coordinate, and evaluate the delivery of direct public health services; to conduct community assessments; to provide patient care; to prepare and maintain records; to communicate effectively via written and verbal communication. Must be able to independently travel throughout the State of Texas and out-of-state to complete essential job functions. To work in an office-based setting Monday-Friday, 8:00 am - 5:00 pm. Registrations, Licensure Requirements or Certifications: Must be currently licensed to practice as a Registered Nurse in the State of Texas or a state that recognizes reciprocity through the Enhanced Nurse Licensure Compact. Must possess a valid Class C Texas Driver's license or equivalent from another state. Driving record will be verified with law enforcement to ensure compliance with TDSHS driving policy. Initial Screening Criteria: Graduation from an accredited school of nursing. A minimum of one-year experience in nursing, preferred. Additional Information: Resumes will not be accepted in lieu of an application but may be provided as supplemental materials. All fields on the application must be filled-in completely. Applicants must provide information relevant to the required experience for this position in the job history sections of the application and must clearly state how applicant meets initial selection criteria in the summary of experience section of the application. Prior to beginning employment, employees/applicants who indicate they hold a degree from an institution of higher education must provide an original college transcript indicating they earned a degree from an accredited U.S. college or university, or foreign degree determined to be equivalent by an acceptable education evaluator. Employee must provide transportation. If an employee operates a personal or state motor vehicle in performance of their official duties, the employee must possess a current valid Texas Driver License for the appropriate type vehicle. 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 ************************************************************* 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 ************** or via email at **********************************************. 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

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 - Direct Care Registered Nurse Job Title: Nurse II Agency: Health & Human Services Comm Department: Unit 2 - Nursing Posting Number: 9137 Closing Date: 02/09/2026 Posting Audience: Internal and External Occupational Category: Healthcare Practitioners and Technical Salary Group: TEXAS-B-22 Salary Range: $6,579.41 - $7,761.50 Pay Frequency: Monthly Shift: Evening Additional Shift: Evenings (Second) 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: Lubbock State Supported Living Center Job Location City: LUBBOCK Job Location Address: 3401 N UNIVERSITY AVE Other Locations: MOS Codes: 290X,46AX,46FX,46NX,46PX,46SX,46YX,66B,66C,66E,66F,66G,66H,66N,66P,66R,66S,66T,66W Brief : This position is available for Morning, Evening and Night shifts on multiple homes. This position may be eligible to earn additional pay for work performed on evenings, nights and/or weekends. 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 Direct Care RN performs routine level nursing work providing for the assessment, care and treatment of individuals who reside in a State Supported Living Center (SSLC) setting. Evaluates, treats and documents healthcare needs and/or issues and reports needs and/or issues to the appropriate person(s). Communicates with others, such as direct care staff, physicians/PCP, administration, and other nursing staff to ensure optimal care as part of the interdisciplinary team. Notifies the supervisor and PCP of trends and concerns to ensure that communication is in place to provide consistent, high quality care for all persons served. Completes data entry, required documentation and reports and maintains records. Assists with services provided by LVNs and Certified Medication Aides (CMA), as needed, and makes recommendations for improvements. Participates in facility quality assurance/quality improvement (QA/QI) initiatives, as required. Provides treatment to HHS employees injured in course and scope of employment. Responds to emergency situations to ensure safety and care of individuals and staff. Works under moderate supervision of the Nurse Manager or Nursing Operations Officer, with limited latitude for the use of initiative and independent judgment. 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 routine nursing tasks and procedures in accordance with HHSC, SSLC and state regulations, such as tracheostomy care, gastrostomy/jejunostomy care, wound care, breathing treatments. Collects specimens for laboratory examination and conducts appropriate screening tests when requested by lab personnel. Administers medications, immunizations, and treatments and observes patients for unusual symptoms and reactions. Makes rounds and/or home visits as needed and works in other locations at the SSLC as needed. 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. Assists in evaluating nursing intervention outcomes and provides input to other members of the healthcare team including recommendations for improvements. Instructs direct support professionals 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. Timely and accurately documents and reports pertinent treatments and observations in the individual's medical record (electronic health record or paper chart) in accordance with SSLC procedures and protocols. Prepares reports as required. Assists with services provided by LVNs and/or Certified Medication Aides (CMA), as needed, and makes recommendations for improvements, including acclimating them to the individuals, their needs and preferences. Assists LVNs with implementation of protocols, procedures and programs to improve overall health and safety of staff and individuals. Provides assistance with completing follow up assessments, guidelines, acute care plan (ACP) interventions, injury reports, restraints, and med variances. Provides support to Nurse Manager's including reviews and follow up on controlled drug counts, medication counts, emergency checklist logs, refrigerator temp logs, and glucose controls. Assists the Infection Control nurse by implementing measures that prevent the spread of disease, assists the Quality Assurance Nurse in the implementation of therapeutic nursing programs. Participates in facility Quality Assurance/Quality Improvement initiatives. 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 nursing techniques and procedures; of health care laws and regulations; of medical diagnoses and procedures; of accepted medical treatment programs; and of community health and nursing care principles, practices, and procedures. 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. Knowledge of nursing care standards, the Settlement Agreement and the Healthcare Guidelines or ability to quickly gain the knowledge. Skill in the care and treatment of patients. Skills in the use of computer/software and an electronic health record system. 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 interpret policies and procedures; to interpret health care regulations; and to recognize patterns of medical necessity treatment. Ability to demonstrate a working knowledge of emergency procedures and emergency equipment. Ability to appropriately interact with individuals with intellectual/developmental disabilities, with their family members, and with staff members. Ability to work independently and productively with all levels of staff. Ability to provide support and coaching to LVNs, CMAs and DSPs. Ability to make decisions and recommendations to SSLC leadership including on-call administrators 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: Work 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 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 s, 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 **************. 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.

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 I - Direct Care Registered Nurse Job Title: Nurse I Agency: Health & Human Services Comm Department: Unit 1 - Nursing Posting Number: 11964 Closing Date: 03/09/2026 Posting Audience: Internal and External Occupational Category: Healthcare Practitioners and Technical Salary Group: TEXAS-B-20 Salary Range: $5,746.66 - $6,779.25 Pay Frequency: Monthly Shift: Evening Additional Shift: Days (First); Evenings (Second) 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: Lubbock State Supported Living Center Job Location City: LUBBOCK Job Location Address: 3401 N UNIVERSITY AVE Other Locations: MOS Codes: 290X,46AX,46FX,46NX,46PX,46SX,46YX,66B,66C,66E,66F,66G,66H,66N,66P,66R,66S,66T,66W Brief : This position is available for Morning, Evening and Night shifts on multiple homes. This position may be eligible to earn additional pay for work performed on evenings, nights and/or weekends. 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. Performs routine nursing duties. Work involves providing for the assessment, care and treatment of individuals. May train others. Works under moderate supervision, with limited latitude for the use of initiative and independent judgment. Works under the supervision of the Nurse Manager. The Direct Care RN I may assign nursing responsibilities to the Direct Care LVN in accordance with the Nurse Practice Act. The responsibility of the Direct Care RN is to provide for and supervise the professional nursing care of the individuals who reside in a State Supported Living Center. The Direct Care RN is available to unit personnel to make nursing decisions on a 24-hour basis. She/he is a member of the professional team and shares responsibility with other team members for the development of the individual's program. Work involves communication skills, i.e. relaying information to other team members, Primary Care Provider (PCP), nurses; data entry, documentation, completing reports, maintaining personnel records, supervisory duties, and following all facility rules/policies. Provides treatment to HHS employees injured in course and scope of employment. 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. Administers medications, immunizations, and treatment and observes individuals for unusual symptoms and reactions. Conducts physical assessments of individual health needs and implements appropriate action. Implements and monitors case management service plans. Instructs and assists individuals in meeting their health care needs. Prepares, maintains, and reviews individual records and individual assessments. May participate in quality assurance reviews. Complies with all State/Federal/Local standards; Facility Policy, ICF Standards, and Texas Nurse Practice Act. Manages individual's medical record (paper chart/EHR). 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 nursing techniques and procedures; of health care laws and regulations; of medical diagnoses and procedures; of accepted medical treatment programs; and of community health and nursing care principles, practices, and procedures. * Ability to provide individual care, to prepare and maintain records, to explain public health law, and to communicate effectively. * Must maintain current CPR certification. * Must have strength and flexibility to safely perform Cardiopulmonary Resuscitation (CPR). * Must be able to demonstrate a working knowledge of emergency procedures and emergency equipment 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). Or Issued a temporary permit to perform duties under supervision awaiting license issue. Initial Screening Criteria: Graduation from an Accreditation Commission for Education in Nursing (ACEN) or Commission on Collegiate Nursing Education (CCNE) accredited 4 year or 2 year college or university is required. Prior employment experience as an LVN or a Registered Nurse 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 s, 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 **************. 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.

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: Quality Monitoring Registered Nurse Job Title: Nurse III Agency: Health & Human Services Comm Department: QMP Nurses and Pharm RMS FTE Posting Number: 11865 Closing Date: 03/11/2026 Posting Audience: Internal and External Occupational Category: Healthcare Practitioners and Technical Salary Group: TEXAS-B-24 Salary Range: $5,425.33 - $8,886.16 Pay Frequency: Monthly Shift: Day Additional Shift: Days (First) Telework: Travel: Up to 80% Regular/Temporary: Regular Full Time/Part Time: Full time FLSA Exempt/Non-Exempt: Exempt Facility Location: Job Location City: BRENHAM Job Location Address: 2248 S MARKET ST Other Locations: Abilene; Alamo; Alice; Alpine; Alvin; Amarillo; Anahuac; Andrews; Angleton; Anson; Aransas Pass; Archer City; Arlington; Athens; Atlanta; Austin; Bacliff; Ballinger; Bandera; Bastrop; Bay City; Baytown; Beaumont; Bedford; Beeville; Bellville; Big Spring; Boerne; Bonham; Borger; Bowie; Brady; Breckenridge; Brenham; Brownfield; Brownsville; Brownwood; Bryan; Burnet; Caldwell; Cameron; Canton; Canutillo; Carlsbad; Carrizo Springs; Carrollton; Carthage; Center; Centerville; Childress; Clarksville; Cleburne; Cleveland; Coldspring; Columbus; Conroe; Copperas Cove; Corpus Christi; Corsicana; Crockett; Crosby; Crystal City; Cuero; Cypress; Daingerfield; Dallas; Decatur; Del Rio; Denton; Dickinson; Dumas; Duncanville; Eagle Pass; Eastland; Edinburg; El Paso; Elgin; Elsa; Ennis; Fabens; Falfurrias; Floresville; Fort Stockton; Fort Worth; Fredericksburg; Gainesville; Galveston; Garland; Gatesville; Georgetown; Giddings; Gilmer; Goliad; Gonzales; Graham; Granbury; Grand Prairie; Grapevine; Greenville; Hallettsville; Hamilton; Harlingen; Haskell; Hearne; Hemphill; Hempstead; Henderson; Hereford; Hillsboro; Hondo; Houston; Humble; Huntsville; Hurst; Irving; Jacksonville; Jasper; Johnson City; Jourdanton; Karnes City; Katy; Kaufman; Kerrville; Killeen; Kingsville; Kingwood; Kirbyville; La Grange; Lake Jackson; Lake Worth; Lamesa; Lampasas; Lancaster; Laredo; Levelland; Lewisville; Liberty; Linden; Littlefield; Livingston; Llano; Lockhart; Longview; Lubbock; Lufkin; Lumberton; Madisonville; Marble Falls; Marfa; Marlin; Marshall; Mcallen; Mckinney; Mercedes; Meridian; Mesquite; Mexia; Midland; Mineola; Mineral Wells; Mission; Monahans; Mount Pleasant; Mount Vernon; Nacogdoches; Navasota; New Boston; New Braunfels; Odessa; Orange; Palestine; Pampa; Paris; Pasadena; Pearland; Pearsall; Pecos; Perryton; Pharr; Pittsburg; Plainview; Plano; Pollok; Port Arthur; Port Lavaca; Presidio; Quitman; Raymondville; Refugio; Richardson; Richmond; Rio Grande City; Robstown; Rockwall; Rosenberg; Round Rock; Rowlett; Rusk; San Angelo; San Antonio; San Benito; San Juan; San Marcos; San Saba; Schertz; Seguin; Seminole; Seymour; Sherman; Silsbee; Sinton; Snyder; Socorro; Sonora; South Houston; Stephenville; Sugar Land; Sulphur Springs; Sweetwater; Taylor; Temple; Terrell; Texarkana; Texas City; The Woodlands; Tomball; Trinity; Tyler; Uvalde; Van Horn; Vernon; Victoria; Waco; Washington; Watauga; Waxahachie; Weatherford; Webster; Weslaco; Wharton; Wichita Falls; Woodville; Zapata MOS Codes: 290X,46AX,46FX,46NX,46PX,46SX,46YX,66B,66C,66E,66F,66G,66H,66N,66P,66R,66S,66T,66W The Nurse Quality Monitor III reports to the Quality Monitoring Nurse Manager. This position makes a significant contribution to MCS's mission by conducting monitoring visits in Texas nursing facilities. The Nurse Quality Monitor III utilizes expertise in the area of nursing to assess conditions that could place facility residents' health, safety, and welfare at risk and assists providers in improving systems. This position must be able to apply the complex knowledge of nursing practice as well as the rules outlined in the Texas Nursing Practice Act. The Nurse III will be familiar with local, state, and federal laws and regulations relevant to long-term care. The Quality Monitor Nurse (QMN) III works under limited supervision, with considerable latitude for the use of initiative and independent judgment. Performs highly complex (senior-level) nursing work. The Quality Monitor Nurse utilizes expertise in the area of nursing to assess conditions that could place facility residents' health, safety, and welfare at risk and assist providers in improving systems. Work may include serving as a resource on nursing practices and education programs by performing consultative and administrative work. May serve as a mentor providing direction to others. Essential Job Functions * Attends work on a regular and predictable schedule in accordance with agency leave policy and performs other duties as assigned. * Works collaboratively across MCS to identify innovative and effective solutions. Maintains cooperative and collaborative relationships with colleagues and facility staff. Performs other work as assigned by Nurse Manager III or Nurse Program Manager V. * Coordinates and/or conducts various types of visits to nursing facilities; including quality monitoring visits, rapid response team visits, mentoring visits and in-service visits. Acts as a team coordinator on Rapid Response Team visits offering leadership and direction to team members. Monitors and evaluates facility systems through observations, interviews, and record reviews identifying facility strengths and weakness making recommendations on opportunities for improvement. Instructs, counsels, and assists nursing facilities to achieve best practice. Reviews facilities policy/procedures and performance reports to determine if the facility's systems are consistent with evidence-based best practice. (50%) * Documents accurate and complete reports of monitoring visits. Communicates accurate information, findings, recommendations, and technical assistance to the facility administrator and staff as well as quality monitoring leadership. Disseminates and teaches from appropriate education tools and materials. (20%) * Communicates with various audiences (internally or externally) to provide clinical information, answer inquiries, address issues, and/or resolve problems. Maintains current knowledge in assigned areas by attending unit meetings, seminars, or other training and by continually reviewing program policies, procedures, and any changes. May conduct literature reviews and analyze complex information to update nursing-related evidence-based best practices technical assistance material. (10%) * Develops and provides in-service education and other training to facility-licensed and non-licensed staff regarding evidence-based best practices. (10%) * May train and mentor others in the context of a quality monitoring team visit, and orientation to peers as needed. May assists with the development and updating of program policy/procedures, evidence-based best practice standards, and educational programs. (10%) Registration, Certification, or Licensure * Must be licensed as a Registered Nurse in the State of Texas or a state that recognizes reciprocity through the Nurse Licensure Compact and a current Texas driver's license. Knowledge, Skills, and Abilities * Knowledge of nursing principles and acceptable professional standard of patient care. * Knowledge of local, state, and federal laws and regulations relevant to long-term care as well as an understating of long-term care facility operations. * Knowledge of modern office management practices and procedures and technology tools such as Microsoft Office, SharePoint, and Teams productivity tools. * Skill in researching, creating, analyzing, monitoring, and evaluating complex clinical issues. * Skills in communication and public speaking. * Skill in managing multiple and competing priorities. * Skill in promoting data-driven decision-making. By identifying trends, concerns, evaluating alternatives, and negotiating and implementing solutions. * Skills in working with diverse groups and interests, resolving conflicts, building consensus and problem solving. * Ability to gather, evaluate, analyze facts by observation, interviews, and record reviews. * Ability to interpret policies, procedures, and regulations as they relate to long term care facility. * Ability to organize and present information effectively, both orally and in writing. * Ability to serve as a mentor to others. * Ability to work collaboratively across HHS/MCS/QMP to accomplish objectives. * Ability to balance team and individual responsibilities. * Ability to exercise judgment and work independently with moderate direction. * Ability to lift twenty-five pounds. * Must be able to travel up to 80% including overnight travel and hours other than 8am-5pm and days other than Monday-Friday. Initial Screening Criteria * Graduation with a bachelor's degree from an accredited four-year college or university with major coursework in nursing preferred. An associate in nursing with a four-year degree in an applicable healthcare-related field will be considered. Experience may be substituted for education on a year-for-year basis with a maximum of four years. * A minimum of 3 years of nursing experience is required. * Experience in mentoring peers is required. * Experience with or knowledge of Long-Term Care Nursing Facilities with knowledge of CMS requirements or a SMQT (surveyor minimum qualifications test) is preferred. * Must be able to travel up to 80% including overnight travel and hours other than 8am-5pm and days other than Monday-Friday. * Must have reliable transportation 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 s, 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 **************. 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.

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 Nurse Surveyor Job Title: Nurse III - Health Fac Agency: Health & Human Services Comm Department: Rgn 09-Regulatory Services Posting Number: 12355 Closing Date: 02/28/2026 Posting Audience: Internal and External Occupational Category: Protective Services Salary Group: TEXAS-B-24 Salary Range: $5,425.33 - $8,886.16 Pay Frequency: Monthly Shift: Day Additional Shift: Telework: Travel: Up to 80% Regular/Temporary: Regular Full Time/Part Time: Full time FLSA Exempt/Non-Exempt: Exempt Facility Location: Job Location City: SAN ANGELO Job Location Address: 622 S OAKES ST Other Locations: San Angelo; Midland; Odessa MOS Codes: 290X,46AX,46FX,46NX,46PX,46SX,46YX,66B,66C,66E,66F,66G,66H,66N,66P,66R,66S,66T,66W Brief : 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! Nursing Facilities Nurse Surveyor - Starting Market Rate Salary $89,690.71 As part of a collaborative team of public servants, a nurse III protects residents' health and safety by conducting on-site inspections and investigations in Texas long-term care settings (nursing homes, assisted living facilities, and day activities health services) to assess their compliance with state and federal laws and rules. This position offers a competitive starting salary; excellent state benefits, including health insurance and retirement; and the opportunity to regularly travel to different facilities within a region and across the state - Please see the Additional Information section below for more detail on travel. In this front-line field position, a surveyor is mobile and flexible and performs minimal work at an office, though the role does require writing reports detailing any deficiencies/violations against a facility and narrative to support regulatory determinations. See below for details. The state of Texas offers many benefits to employees. HHSC is a qualifying organization for the Federal Public Service Loan Forgiveness Program, which forgives the remaining balance on college student Direct Loans after making 120 qualifying monthly payments. We also offer excellent health benefits, a lifetime monthly retirement annuity as well as 401(k) and 457 Programs under the Employees Retirement System of Texas. Essential Job Functions (EJFs): Under the direction of a program manager, a nurse III conducts on-site licensure inspections, complaint and incident investigations, and annual comprehensive surveys in facilities to determine compliance with federal and state health and safety regulations in the following areas: admissions, transfers, and discharges; resident rights; staffing and census; quality of care assessment; quality of life assessment; resident care plans; social, psychological and rehabilitative services; provision of medical services; and therapeutic activity programming. Communicates clearly and accurately with others (internally and externally) to provide, exchange, or verify information, answer inquiries, or resolve issues or complaints in Texas long-term care facilities. Conducts exit conferences with facility staff regarding findings. Completes inspection or survey reports detailing deficiencies. Revisits long-term care facilities to verify correction of previously cited regulatory violations. Performs quality assurance reviews of documents prepared by others, for example, publications, assessments, and reports. Might supervise the work of team members during inspections, provide technical assistance to facilities, and lend expertise to a survey team in the areas identified above. Occasionally might need to testify at hearings or in court proceedings to provide information regarding policy/procedures, history, findings, or activities. In the event of emergency licensure action, be available to assist with non-skilled care, oversight to residents in a facility and there is a potential that skilled care will be necessary. Be available for on-call duties for emergencies such as weather events or high-priority situations in facilities or at providers. Knowledge, Skills, and Abilities (KSAs): Knowledge of issues, concerns, and needs of populations at risk in various health care and/or institutional environments (elderly, mentally ill, developmentally disabled, functionally dependent, medically frail, etc.). Knowledge of nursing principles and acceptable professional standards of patient care. Skill in interpersonal relations. Skill in performing quality assurance monitoring, program review, certification, survey, or investigations. Skill in providing guidance, policy clarifications, and information to others. Skill in preparing detailed written reports. Skill in oral, written, and electronic communications, including computer word processing software. Ability to multi-task and track multiple activities with competing priorities. Ability to collect and analyze data Ability to integrate complex concepts, difficult procedures, or complicated processes. Ability to analyze and solve work problems. Ability to interpret regulatory policies, procedures, and regulations. Ability to work independently. Ability to use the computer for writing reports. Ability to exercise professional judgment and reach sound decisions. Ability to be task organized and punctual. 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. Applicant must complete all training (federal/state) for Nursing Facilities, including completing Surveyor Minimum Qualification Training (SMQT) within one year of hire date. Initial Screening Criteria: Experience in a Long-term Care Regulatory program is preferred. Experience in assessment and documentation of health status. Prefer two years of experience providing services in a health care setting as a registered nurse. Additional Information: Flexibility in work hours is required for this position. The job requires 80% travel, including statewide travel, overnight, and weekend travel. On-call duties for emergencies or high-priority situations in facilities or at providers may be required. Must have reliable transportation. All applicants must pass a fingerprint criminal background check. If you are an active or former licensed nursing facility administrator, certified nurse aide, or medication aide, hiring will be pending until professional licensing and Employee Misconduct Registry checks are completed. If you are offered and accept the position, you will not be permitted to continue employment at any HHSC regulated facilities or providers. You will be required to disclose any potential conflicts of interest, secondary employment, volunteer activities, and friends/family who own, operate, or work at regulated providers. 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 s, 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 **************. 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.

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 II Job Title: Nurse II Agency: Health & Human Services Comm Department: Driscoll - Nursing Posting Number: 8546 Closing Date: 02/24/2026 Posting Audience: Internal and External Occupational Category: Healthcare Support Salary Group: TEXAS-B-22 Salary Range: $6,579.41 - $7,761.50 Pay Frequency: Monthly Shift: Day 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: Brenham State Supported Living Center Job Location City: BRENHAM Job Location Address: 4001 S HWY 36 Other Locations: MOS Codes: 290X,46AX,46FX,46NX,46PX,46SX,46YX,66B,66C,66E,66F,66G,66H,66P,66R,66S,66T,66W Brief : This position is available for Morning, Evening and Night shifts on multiple homes. This position may be eligible to earn additional pay for work performed on evenings, nights and/or weekends. This position may also be eligible to earn additional pay for work performed on maximum security locations. 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 Direct Care RN performs routine level nursing work providing for the assessment, care and treatment of individuals who reside in a State Supported Living Center (SSLC) setting. Evaluates, treats and documents healthcare needs and/or issues and reports needs and/or issues to the appropriate person(s). Communicates with others, such as direct care staff, physicians/PCP, administration, and other nursing staff to ensure optimal care as part of the interdisciplinary team. Notifies the supervisor and PCP of trends and concerns to ensure that communication is in place to provide consistent, high quality care for all persons served. Completes data entry, required documentation and reports and maintains records. Assists with services provided by LVNs and Certified Medication Aides (CMA), as needed, and makes recommendations for improvements. Participates in facility quality assurance/quality improvement (QA/QI) initiatives, as required. Provides treatment to HHS employees injured in course and scope of employment. Responds to emergency situations to ensure safety and care of individuals and staff. Works under moderate supervision of the Nurse Manager or Nursing Operations Officer, with limited latitude for the use of initiative and independent judgment. This position may be eligible to earn additional pay for work performed on evenings, nights and/or weekends. 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 routine nursing tasks and procedures in accordance with HHSC, SSLC and state regulations, such as tracheostomy care, gastrostomy/jejunostomy care, wound care, breathing treatments. Collects specimens for laboratory examination and conducts appropriate screening tests when requested by lab personnel. Administers medications, immunizations, and treatments and observes patients for unusual symptoms and reactions. Makes rounds and/or home visits as needed and works in other locations at the SSLC as needed. 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. Assists in evaluating nursing intervention outcomes and provides input to other members of the healthcare team including recommendations for improvements. Instructs direct support professionals 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. Timely and accurately documents and reports pertinent treatments and observations in the individual's medical record (electronic health record or paper chart) in accordance with SSLC procedures and protocols. Prepares reports as required. Assists with services provided by LVNs and/or Certified Medication Aides (CMA), as needed, and makes recommendations for improvements, including acclimating them to the individuals, their needs and preferences. Assists LVNs with implementation of protocols, procedures and programs to improve overall health and safety of staff and individuals. Provides assistance with completing follow up assessments, guidelines, acute care plan (ACP) interventions, injury reports, restraints, and med variances. Provides support to Nurse Manager's including reviews and follow up on controlled drug counts, medication counts, emergency checklist logs, refrigerator temp logs, and glucose controls. Assists the Infection Control nurse by implementing measures that prevent the spread of disease, assists the Quality Assurance Nurse in the implementation of therapeutic nursing programs. Participates in facility Quality Assurance/Quality Improvement initiatives. 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 nursing techniques and procedures; of health care laws and regulations; of medical diagnoses and procedures; of accepted medical treatment programs; and of community health and nursing care principles, practices, and procedures. 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. Knowledge of nursing care standards, the Settlement Agreement and the Healthcare Guidelines or ability to quickly gain the knowledge. Skill in the care and treatment of patients. Skills in the use of computer/software and an electronic health record system. 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 interpret policies and procedures; to interpret health care regulations; and to recognize patterns of medical necessity treatment. Ability to demonstrate a working knowledge of emergency procedures and emergency equipment. Ability to appropriately interact with individuals with intellectual/developmental disabilities, with their family members, and with staff members. Ability to work independently and productively with all levels of staff. Ability to provide support and coaching to LVNs, CMAs and DSPs. Ability to make decisions and recommendations to SSLC leadership including on-call administrators 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: Work 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 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 s, 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 **************. 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.

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 II Job Title: Nurse II Agency: Health & Human Services Comm Department: Campus Nursing Posting Number: 11696 Closing Date: 03/05/2026 Posting Audience: Internal and External Occupational Category: Healthcare Practitioners and Technical Salary Group: TEXAS-B-22 Salary Range: $6,579.41 - $7,761.50 Pay Frequency: Monthly Shift: Day Additional Shift: Telework: Not Eligible for Telework Travel: Up to 5% Regular/Temporary: Regular Full Time/Part Time: Full time FLSA Exempt/Non-Exempt: Exempt Facility Location: Abilene State Supported Living Center Job Location City: ABILENE Job Location Address: 2501 MAPLE ST Other Locations: Abilene MOS Codes: 290X,46AX,46FX,46NX,46PX,46SX,46YX,66B,66C,66E,66F,66G,66H,66N,66P,66R,66S,66T,66W Brief : This position is available for Morning, Evening and Night shifts on multiple homes. This position may be eligible to earn additional pay for work performed on evenings, nights and/or weekends. This position may also be eligible to earn additional pay for work performed on maximum security locations. 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 Direct Care RN performs routine level nursing work providing for the assessment, care and treatment of individuals who reside in a State Supported Living Center (SSLC) setting. Evaluates, treats and documents healthcare needs and/or issues and reports needs and/or issues to the appropriate person(s). Communicates with others, such as direct care staff, physicians/PCP, administration, and other nursing staff to ensure optimal care as part of the interdisciplinary team. Notifies the supervisor and PCP of trends and concerns to ensure that communication is in place to provide consistent, high quality care for all persons served. Completes data entry, required documentation and reports and maintains records. Assists with services provided by LVNs and Certified Medication Aides (CMA), as needed, and makes recommendations for improvements. Participates in facility quality assurance/quality improvement (QA/QI) initiatives, as required. Provides treatment to HHS employees injured in course and scope of employment. Responds to emergency situations to ensure safety and care of individuals and staff. Works under moderate supervision of the Nurse Manager or Nursing Operations Officer, with limited latitude for the use of initiative and independent judgment. 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 routine nursing tasks and procedures in accordance with HHSC, SSLC and state regulations, such as tracheostomy care, gastrostomy/jejunostomy care, wound care, breathing treatments. Collects specimens for laboratory examination and conducts appropriate screening tests when requested by lab personnel. Administers medications, immunizations, and treatments and observes patients for unusual symptoms and reactions. Makes rounds and/or home visits as needed and works in other locations at the SSLC as needed. 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. Assists in evaluating nursing intervention outcomes and provides input to other members of the healthcare team including recommendations for improvements. Instructs direct support professionals 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. Timely and accurately documents and reports pertinent treatments and observations in the individual's medical record (electronic health record or paper chart) in accordance with SSLC procedures and protocols. Prepares reports as required. Assists with services provided by LVNs and/or Certified Medication Aides (CMA), as needed, and makes recommendations for improvements, including acclimating them to the individuals, their needs and preferences. Assists LVNs with implementation of protocols, procedures and programs to improve overall health and safety of staff and individuals. Provides assistance with completing follow up assessments, guidelines, acute care plan (ACP) interventions, injury reports, restraints, and med variances. Provides support to Nurse Manager's including reviews and follow up on controlled drug counts, medication counts, emergency checklist logs, refrigerator temp logs, and glucose controls. Assists the Infection Control nurse by implementing measures that prevent the spread of disease, assists the Quality Assurance Nurse in the implementation of therapeutic nursing programs. Participates in facility Quality Assurance/Quality Improvement initiatives. 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 nursing techniques and procedures; of health care laws and regulations; of medical diagnoses and procedures; of accepted medical treatment programs; and of community health and nursing care principles, practices, and procedures. 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. Knowledge of nursing care standards, the Settlement Agreement and the Healthcare Guidelines or ability to quickly gain the knowledge. Skill in the care and treatment of patients. Skills in the use of computer/software and an electronic health record system. 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 interpret policies and procedures; to interpret health care regulations; and to recognize patterns of medical necessity treatment. Ability to demonstrate a working knowledge of emergency procedures and emergency equipment. Ability to appropriately interact with individuals with intellectual/developmental disabilities, with their family members, and with staff members. Ability to work independently and productively with all levels of staff. Ability to provide support and coaching to LVNs, CMAs and DSPs. Ability to make decisions and recommendations to SSLC leadership including on-call administrators 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: Work 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 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 s, 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 **************. 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.

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 II - Direct Care Job Title: Nurse II Agency: Health & Human Services Comm Department: Pacific - Nursing Posting Number: 12091 Closing Date: 02/10/2026 Posting Audience: Internal and External Occupational Category: Healthcare Practitioners and Technical Salary Group: TEXAS-B-22 Salary Range: $6,579.41 - $7,761.50 Pay Frequency: Monthly Shift: Regular Evening and Weekend Additional Shift: Days (First); Evenings (Second); Nights (Third); Weekends 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: Corpus Christi State Supported Living Center Job Location City: CORPUS CHRISTI Job Location Address: 902 AIRPORT RD Other Locations: MOS Codes: 290X,46AX,46FX,46NX,46PX,46SX,46YX,66B,66C,66E,66F,66G,66H,66N,66P,66R,66S,66T,66W Brief : This position is available for Morning, Evening and Night shifts on multiple homes. This position may be eligible to earn additional pay for work performed on evenings, nights and/or weekends. 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 Direct Care RN performs routine level nursing work providing for the assessment, care and treatment of individuals who reside in a State Supported Living Center (SSLC) setting. Evaluates, treats and documents healthcare needs and/or issues and reports needs and/or issues to the appropriate person(s). Communicates with others, such as direct care staff, physicians/PCP, administration, and other nursing staff to ensure optimal care as part of the interdisciplinary team. Notifies the supervisor and PCP of trends and concerns to ensure that communication is in place to provide consistent, high quality care for all persons served. Completes data entry, required documentation and reports and maintains records. Assists with services provided by LVNs and Certified Medication Aides (CMA), as needed, and makes recommendations for improvements. Participates in facility quality assurance/quality improvement (QA/QI) initiatives, as required. Provides treatment to HHS employees injured in course and scope of employment. Responds to emergency situations to ensure safety and care of individuals and staff. Works under moderate supervision of the Nurse Manager or Nursing Operations Officer, with limited latitude for the use of initiative and independent judgment. 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 routine nursing tasks and procedures in accordance with HHSC, SSLC and state regulations, such as tracheostomy care, gastrostomy/jejunostomy care, wound care, breathing treatments. Collects specimens for laboratory examination and conducts appropriate screening tests when requested by lab personnel. Administers medications, immunizations, and treatments and observes patients for unusual symptoms and reactions. Makes rounds and/or home visits as needed and works in other locations at the SSLC as needed. 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. Assists in evaluating nursing intervention outcomes and provides input to other members of the healthcare team including recommendations for improvements. Instructs direct support professionals 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. Timely and accurately documents and reports pertinent treatments and observations in the individual's medical record (electronic health record or paper chart) in accordance with SSLC procedures and protocols. Prepares reports as required. Assists with services provided by LVNs and/or Certified Medication Aides (CMA), as needed, and makes recommendations for improvements, including acclimating them to the individuals, their needs and preferences. Assists LVNs with implementation of protocols, procedures and programs to improve overall health and safety of staff and individuals. Provides assistance with completing follow up assessments, guidelines, acute care plan (ACP) interventions, injury reports, restraints, and med variances. Provides support to Nurse Manager's including reviews and follow up on controlled drug counts, medication counts, emergency checklist logs, refrigerator temp logs, and glucose controls. Assists the Infection Control nurse by implementing measures that prevent the spread of disease, assists the Quality Assurance Nurse in the implementation of therapeutic nursing programs. Participates in facility Quality Assurance/Quality Improvement initiatives. 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 nursing techniques and procedures; of health care laws and regulations; of medical diagnoses and procedures; of accepted medical treatment programs; and of community health and nursing care principles, practices, and procedures. 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. Knowledge of nursing care standards, the Settlement Agreement and the Healthcare Guidelines or ability to quickly gain the knowledge. Skill in the care and treatment of patients. Skills in the use of computer/software and an electronic health record system. 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 interpret policies and procedures; to interpret health care regulations; and to recognize patterns of medical necessity treatment. Ability to demonstrate a working knowledge of emergency procedures and emergency equipment. Ability to appropriately interact with individuals with intellectual/developmental disabilities, with their family members, and with staff members. Ability to work independently and productively with all levels of staff. Ability to provide support and coaching to LVNs, CMAs and DSPs. Ability to make decisions and recommendations to SSLC leadership including on-call administrators 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: Work 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 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 s, 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 **************. 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.

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: Acute Care RN Job Title: Nurse II - Acute Care RN Agency: Health & Human Services Comm Department: Sunrise - Nursing Posting Number: 12625 Closing Date: 03/14/2026 Posting Audience: Internal and External Occupational Category: Healthcare Practitioners and Technical Salary Group: TEXAS-B-22 Salary Range: $6,579.41 - $7,761.50 Pay Frequency: Monthly Shift: Day Additional Shift: Telework: Not Eligible for Telework Travel: Up to 5% Regular/Temporary: Regular Full Time/Part Time: Full time FLSA Exempt/Non-Exempt: Exempt Facility Location: Austin State Supported Living Center Job Location City: AUSTIN Job Location Address: 2203 W 35TH ST Other Locations: MOS Codes: 290X,46AX,46FX,46NX,46PX,46SX,46YX,66B,66C,66E,66F,66G,66H,66N,66P,66R,66S,66T,66W Brief : 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 Acute Care RN performs complex nursing work providing for the assessment, care and treatment of individuals who reside in a State Supported Living Center (SSLC) setting. This position is a member of the professional team and shares responsibility with other team members for the development of the individuals' programs. Evaluates, treats and documents healthcare needs and/or issues and reports needs and/or issues to the appropriate person(s). Communicates with others, such as direct care staff, physicians/PCP, administration, and other nursing staff to ensure optimal care as part of the interdisciplinary team. Notifies the supervisor and PCP of trends and concerns to ensure that communication is in place to provide consistent, high quality care for all persons served. Work involves data entry, documentation, completing reports and maintaining records. Serves as a nurse preceptor for other nurses, as needed, and may assign nursing responsibilities to the unit LVN and RN I, in accordance with the Nurse Practice Act. Participates in facility quality assurance/quality improvement (QA/QI) initiatives, as required. Provides treatment to HHS employees injured in course and scope of employment. Responds to emergency situations to ensure safety and care of individuals and staff. Works under general supervision of the Nurse Manager or Nursing Operations Officer, with moderate latitude for the use of initiative and independent judgment. This position may be eligible to earn additional pay for work performed on evenings, nights and/or weekends. This position may also be eligible to earn additional pay for work performed on maximum security locations. Essential Job Functions (EJFs): Attends work on a regular basis and may be required to work a specific shift schedule or, at times, even a rotating schedule, extended shift and/or overtime in accordance with agency leave policy and performs other duties as assigned. [May serve in an on-call status on a rotating schedule as required to meet operational needs of the facility.] Performs complex and technical nursing tasks and procedures in accordance with HHSC, SSLC and state regulations, such as tracheostomy care, gastrostomy/jejunostomy care, wound care, breathing treatments. Collects specimens for laboratory examination and conducts appropriate screening tests when requested by lab personnel. Provides support to Nurse Manager's providing day to day supervision including reviews and follow up on controlled drug counts, medication counts, emergency checklist logs, refrigerator temp logs, and glucose controls. Administers medications, immunizations, and treatments and observes patients for unusual symptoms and reactions. Makes rounds and/or home visits as needed and works in other locations at the SSLC as needed. 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. Evaluates nursing intervention outcomes and provides input to other members of the healthcare team. Instructs direct support professionals 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. Timely and accurately documents and reports pertinent treatments and observations in the individual's medical record (electronic health record or paper chart) in accordance with SSLC procedures and protocols. Acts as a preceptor for other nurses, as assigned. Trains/instructs new nurses to perform nursing functions at the SSLC, including acclimating them to the individuals, their needs and preferences. Assists LVNs and RN Is with implementation of protocols, procedures and programs to improve overall health and safety of staff and individuals. Provides assistance with completing follow up assessments, guidelines, advance care plan (ACP) interventions, injury reports, restraints, and med variances. 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. 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 nursing techniques and procedures; of health care laws and regulations; of medical diagnoses and procedures; of accepted medical treatment programs; and of community health and nursing care principles, practices, and procedures. * 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. * Knowledge of nursing care standards, the Settlement Agreement and the Healthcare Guidelines or ability to quickly gain the knowledge. * Skill in the care and treatment of patients. * Skills in the use of computer/software and an electronic health record system. * 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 interpret policies and procedures; to interpret health care regulations; and to recognize patterns of medical necessity treatment. * Ability to demonstrate a working knowledge of emergency procedures and emergency equipment. * Ability to appropriately interact with individuals with intellectual/developmental disabilities, with their family members, and with staff members. * Ability to work independently and productively with all levels of staff. * Ability to train all levels of staff. * Ability to make decisions and recommendations to SSLC leadership including on-call administrators. 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: Experience working as a practicing registered nurse is required. Two years is preferred. At least one (1) year 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 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 s, 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 **************. 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.

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 I - Direct Care Job Title: Nurse I Agency: Health & Human Services Comm Department: Coral Sea - Nursing Posting Number: 13123 Closing Date: 03/24/2026 Posting Audience: Internal and External Occupational Category: Healthcare Practitioners and Technical Salary Group: TEXAS-B-20 Salary Range: $5,746.66 - $6,779.25 Pay Frequency: Monthly Shift: Regular Night and Weekend Additional Shift: Days (First); Evenings (Second); Nights (Third); Weekends 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: Corpus Christi State Supported Living Center Job Location City: CORPUS CHRISTI Job Location Address: 902 AIRPORT RD Other Locations: MOS Codes: 290X,46AX,46FX,46NX,46PX,46SX,46YX,66B,66C,66E,66F,66G,66H,66N,66P,66R,66S,66T,66W Brief : This position is available for Morning, Evening and Night shifts. This position may be eligible to earn additional pay for work performed on evenings, nights and/or weekends. 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. Performs routine nursing duties. Work involves providing for the assessment, care and treatment of individuals. May train others. Works under moderate supervision, with limited latitude for the use of initiative and independent judgment. Works under the supervision of the Nurse Manager. The Direct Care RN I may assign nursing responsibilities to the Direct Care LVN in accordance with the Nurse Practice Act. The responsibility of the Direct Care RN is to provide for and supervise the professional nursing care of the individuals who reside in a State Supported Living Center. The Direct Care RN is available to unit personnel to make nursing decisions on a 24-hour basis. She/he is a member of the professional team and shares responsibility with other team members for the development of the individual's program. Work involves communication skills, i.e. relaying information to other team members, Primary Care Provider (PCP), nurses; data entry, documentation, completing reports, maintaining personnel records, supervisory duties, and following all facility rules/policies. Provides treatment to HHS employees injured in course and scope of employment. 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. Administers medications, immunizations, and treatment and observes individuals for unusual symptoms and reactions. Conducts physical assessments of individual health needs and implements appropriate action. Implements and monitors case management service plans. Instructs and assists individuals in meeting their health care needs. Prepares, maintains, and reviews individual records and individual assessments. May participate in quality assurance reviews. Complies with all State/Federal/Local standards; Facility Policy, ICF Standards, and Texas Nurse Practice Act. Manages individual's medical record (paper chart/EHR). 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 nursing techniques and procedures; of health care laws and regulations; of medical diagnoses and procedures; of accepted medical treatment programs; and of community health and nursing care principles, practices, and procedures. * Ability to provide individual care, to prepare and maintain records, to explain public health law, and to communicate effectively. * Must maintain current CPR certification. * Must have strength and flexibility to safely perform Cardiopulmonary Resuscitation (CPR). * Must be able to demonstrate a working knowledge of emergency procedures and emergency equipment 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). Or Issued a temporary permit to perform duties under supervision awaiting license issue. Initial Screening Criteria: Graduation from an Accreditation Commission for Education in Nursing (ACEN) or Commission on Collegiate Nursing Education (CCNE) accredited 4 year or 2 year college or university is required. Prior employment experience as an LVN or a Registered Nurse 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 s, 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 **************. 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.

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 I - Direct Care Job Title: Nurse I Agency: Health & Human Services Comm Department: Pine Ridge-Nursing Department Posting Number: 13113 Closing Date: 03/24/2026 Posting Audience: Internal and External Occupational Category: Healthcare Practitioners and Technical Salary Group: TEXAS-B-20 Salary Range: $5,746.66 - $6,779.25 Pay Frequency: Monthly Shift: Day Additional Shift: Days (First); Evenings (Second); Nights (Third); Weekends 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: Denton State Supported Living Center Job Location City: DENTON Job Location Address: 3980 STATE SCHOOL RD Other Locations: Denton MOS Codes: 290X,46AX,46FX,46NX,46PX,46SX,46YX,66B,66C,66E,66F,66G,66H,66N,66P,66R,66S,66T,66W Brief : This position is available for Morning, Evening and Night shifts on multiple homes. This position may be eligible to earn additional pay for work performed on evenings, nights and/or weekends. 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. Performs routine nursing duties. Work involves providing for the assessment, care and treatment of individuals. May train others. Works under moderate supervision, with limited latitude for the use of initiative and independent judgment. Works under the supervision of the Nurse Manager. The Direct Care RN I may assign nursing responsibilities to the Direct Care LVN in accordance with the Nurse Practice Act. The responsibility of the Direct Care RN is to provide for and supervise the professional nursing care of the individuals who reside in a State Supported Living Center. The Direct Care RN is available to unit personnel to make nursing decisions on a 24-hour basis. She/he is a member of the professional team and shares responsibility with other team members for the development of the individual's program. Work involves communication skills, i.e. relaying information to other team members, Primary Care Provider (PCP), nurses; data entry, documentation, completing reports, maintaining personnel records, supervisory duties, and following all facility rules/policies. Provides treatment to HHS employees injured in course and scope of employment. 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. Administers medications, immunizations, and treatment and observes individuals for unusual symptoms and reactions. Conducts physical assessments of individual health needs and implements appropriate action. Implements and monitors case management service plans. Instructs and assists individuals in meeting their health care needs. Prepares, maintains, and reviews individual records and individual assessments. May participate in quality assurance reviews. Complies with all State/Federal/Local standards; Facility Policy, ICF Standards, and Texas Nurse Practice Act. Manages individual's medical record (paper chart/EHR). 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 nursing techniques and procedures; of health care laws and regulations; of medical diagnoses and procedures; of accepted medical treatment programs; and of community health and nursing care principles, practices, and procedures. * Ability to provide individual care, to prepare and maintain records, to explain public health law, and to communicate effectively. * Must maintain current CPR certification. * Must have strength and flexibility to safely perform Cardiopulmonary Resuscitation (CPR). * Must be able to demonstrate a working knowledge of emergency procedures and emergency equipment 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). Or Issued a temporary permit to perform duties under supervision awaiting license issue. Initial Screening Criteria: Graduation from an Accreditation Commission for Education in Nursing (ACEN) or Commission on Collegiate Nursing Education (CCNE) accredited 4 year or 2 year college or university is required. Prior employment experience as an LVN or a Registered Nurse 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 s, 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 **************. 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.