Licensed Vocational Nurse II

Job Information Functional Title: Licensed Vocational Nurse II Job Title: Licensed Vocational Nurse II Agency: Health & Human Services Commission (HHSC) Department: PsychSecurity Direct Care Posting Number: 16284 Closing Date: 07/27/2026 Pay Range: $4,594.16 - $5,921.16 per month Shift: Regular Night (additional shifts: Days, Evenings, Nights, Weekends) Type: Full‑time, Regular, Non‑exempt Location: Kerrville State Hospital, 721 Thompson Dr, Kerrville, TX Travel: Up to 5% Brief Job Description Perform highly complex vocational nursing work. Provide care, treatment, and general welfare for individuals residing at the State Hospital who have complex mental health, behavioral, and medical conditions. Perform basic and complex routine and non‑routine nursing tasks; collect specimens for lab work and conduct health screenings. Instruct psychiatric nursing assistants and other staff on service and care that support individual needs. Perform technical nursing procedures in accordance with facility and state regulations. Keep informed of and follow all agency, state hospital, and hospital policies and procedures. Provide direction and assist with on‑the‑job training for newly hired LVNs and direct care staff. Assist Registered Nurses (RNs) in implementing protocols, procedures, and programs to improve overall health and safety of staff and individuals. Work under general supervision of an RN with moderate latitude for initiative and independent judgment. Other duties as assigned may include participation in disaster response, recovery, or Continuity of Operations (COOP) activation, which may require alternate shift patterns or locations. Essential Job Functions (EJFs) Attend work on a regular basis and may be asked to work specific shift schedules, including rotating, extended, or overtime shifts, following agency leave policy. Administer medications and treatments orally, rectally, internally, or by injection. Assist medical staff (RNs, Physicians, Advanced Practice Registered Nurses, Physician Assistants) in examining and caring for patients. Make rounds as needed and work in other locations at the hospital. Demonstrate competency in performing complex technical nursing tasks and procedures per HHSC, hospital, and state regulations. Train and instruct new LVN staff in nursing functions, acclimating them to patients and describing needs and preferences. Perform complex and technical nursing procedures such as wound care and breathing treatments. Collect specimens for laboratory examination and conduct screening tests when requested. Monitor individuals’ weight, diet, meals, vital signs, and health status after medication administration, treatments, and procedures. Instruct psychiatric nursing assistants on post‑treatment or procedure monitoring. Document and report treatments and observations accurately in the individual’s medical record (electronic health record or paper chart). Recognize symptoms of illness and report accurately to RN and/or Primary Care Provider. Foster interdisciplinary collaboration, communicating pertinent information orally and in writing to team members. Serve as a resource and mentor for new LVNs, assisting RN supervisors with on‑the‑job instruction. Assist RNs with protocol implementation and quality assurance programs. Provide information and education to individuals in accordance with recovery plans during procedures and treatments. Ensure supplies are available in advance, taking inventory and ordering supplies as needed. Respond to emergency situations and follow safety and infection control procedures. Perform other duties as assigned, including participation in disaster response, recovery, or COOP activation, which may require alternate shift patterns or locations. Knowledge, Skills, and Abilities (KSAs) Knowledge of nursing care standards, procedures, and techniques for appropriate patient care. Knowledge of emergency procedures and equipment (e.g., CPR) and ability to assess and care for residents in emergency situations. Skills in reasoning to identify problems and consider appropriate resolutions. Skill in using computers and applicable software. Skill in caring for patients with complex medical, mental health, and behavioral health issues. Ability to prepare and maintain records using an electronic health record system. Ability to communicate effectively and instruct others. Ability to interact appropriately with individuals with intellectual or developmental disabilities, families, and staff. Must maintain current CPR certification and possess the strength and flexibility for safe CPR and TIPS performance. Registrations, Licensure, and Certifications Licensed to practice as a licensed vocational nurse in Texas or a state that recognizes reciprocity through the Nurse Licensure Compact. Must possess a valid Texas driver license (or obtain within 90 days of hire) if transporting patients. Initial Screening Criteria Graduation from an LVN program. Minimum six months of employment experience as an LVN (preferred twelve months). Six months of experience working or volunteering directly with persons with mental illness preferred. Background and Eligibility Requirements Applicants must pass fingerprint criminal background check, pre‑employment drug screen, and registry checks (CANRS, Nurse Aid, Medication Aide, Employee Misconduct, LEIE). All applicants must be at least 18 years of age; Waco Center for Youth applicants must be 21. Compliance with the HHSC immunization policy and state hospital procedures related to immunization is required. HHSC uses E‑Verify; I‑9 documentation must be provided on the first day of work. #J-18808-Ljbffr