School Nurse

Salary: $63,771.50 - $80,352.22 Annually
Location : 5230 EISENHAUER ROAD, SAN ANTONIO, TX 78218, TX
Job Type: 4C Full-Time
Job Number: 2026-01331
Department: Pre-K 4 SA
Opening Date: 09/03/2026
Closing Date: 9/27/2026 11:59 PM Central
Grant Funded: No
FLSA Status: Exempt


Job Summary
Under direction, implements and manages the Education Center's health program designed to serve each student through the delivery of direct services, preventative care, provision of health education and the promotion of a healthy school environment as part of the City's Pre-K 4 SA program. Work involves assisting students with medical issues, evaluating student needs, and developing and implementing care plans to meet those needs. Exercises no supervision.
This position is funded by sales tax that has been approved by the citizens of San Antonio for a limited time period. This position, therefore, is subject to at-will employment status, and is unclassified and has no disciplinary appeal rights to the Municipal Civil Service Commission.
Work Location Pre-K 4 SA East Education Center - 5230 Eisenhauer Rd. San Antonio, TX 78218

Work Schedule 7:00 a.m. - 3:30 p.m., Monday - Friday

Essential Job Functions

Nursing Services:

• Assesses student health status by identifying acute, chronic, and emergency needs; makes referrals to physicians or community agencies, as appropriate.
• Serves as health advocate for students and conducts student health appraisals, including: nursing, vision, hearing, weighing, and measuring screenings; records screening results according to the Texas Education Code.
• Administers medications and first aid to provide care.
• Monitors and provides direct services and care to students, maintaining accountability for all care and services provided. Coordinates the management system to track administered medications.
• Thoroughly documents all nursing assessments and care provided, and maintains complete and confidential Student Health Records.
• Provides consultation to school administrators in crisis/emergency situations.
• Notifies parents of accident or illness; may secure medical care for students in emergency cases if unable to reach parents or emergency contact.
• Collaborates with administration and staff regarding communicable diseases, infection control, health and safety matters, and implementation of health-related plans on Individualized Health Plans (in IEPs).
• Assumes responsibility for the care and well-being of students, staff, and others with blood-borne pathogens, and for the establishment of universal precautions and confidentiality guidelines.
• Establishes and implements effective procedures for mandatory screening programs and makes referrals as necessary.
• Makes home visits to assist with student health issues with the
  permission of the Center Director.
• In the case of an emergency situation, may be required to lift and carry students weighing up to 50 pounds to move students during dangerous situations.
• Develops and implements Center health programs and recommends changes based on findings.

Instruction :

• Assists with the development of health education curriculum and provides health education to individuals and groups.
• Educates faculty and staff on health-related topics.
• Interacts with early childhood students at eye-level to provide health counseling and instruction.
• Develops a health management plan and provides case management for students who have specialized health care needs.

Consultation :

• Serves as health liaison between Education Centers, physicians, parents, and the community.
• Participates in Admission, Review, and Dismissal Committee, crisis team, and school committees and develops Individual Health Plan.
• Collaborates with other professionals regarding implementation of health-related Individual Education Plan (IEP) items.
• Provides health counseling and safety education for students, parents and staff.
• Participates in assessment and reporting of suspected child abuse.
• Communicates regularly with parents, Head of School, Extended Day Manager, and campus and corporate staff regarding health issues.

Administration :

• Reviews and evaluates immunization records to promote a healthy and safe environment.
• Compiles and maintains reports, records, and other required documents.
• Monitors and maintains inventory of supplies and equipment, and orders as needed.
• Complies with regulations and policies established by federal and state laws, Texas Department of Health, State Board of Education, and board policy.
• Reports potential health and safety hazards to Center Director.
• Performs related duties and fulfills responsibilities as required.

Job Requirements

• Bachelor's Degree in Nursing from an accredited college or university.
• Five (5) or more years' experience as a Registered Nurse.
• Valid License to Practice Professional Nursing in Texas as a Registered Nurse from the Texas State Board of Nurse Examiners.
• Certification by the Texas Department of State Health Services to administer Hearing and Vision Screenings required within the first six (6) months of employment.
• Current Cardiopulmonary Resuscitation (CPR/AED) Certification by the American Heart Association.

Preferred Qualifications:

• Valid Texas Driver's License
• Ability to travel between Education Centers as needed.

Applicant Information:

• If selected for this position, official transcripts, diplomas, certifications and licenses must be submitted at the time of processing. Unofficial transcripts and copies of other relevant documents may be attached to the application for consideration in advance.
• Please be advised that if selected for this position, information regarding employment history as it relates to the qualifications of the position will be needed for employment verification. Applicants claiming military service to meet the experience requirement for this position may attach a DD214 to the application.
• Unless otherwise stated, applicants are permitted to substitute two years of related full-time experience for one year of higher education or one year of related higher education for two years of experience in order to meet the minimum requirements of the job. One year of full-time experience is defined as 30 or more hours worked per week for 12 months. One year of higher education is defined as 30 credit hours completed at an accredited college or university.
• Applicants selected for employment with the City of San Antonio in this position must receive satisfactory results from pre-employment drug testing and background checks. If required for the position, a physical, motor vehicle record evaluation, and additional background checks may be conducted.

Knowledge, Skills, and Abilities

• Knowledge of professional nursing principles, practices, methods, and techniques.
• Knowledge of modern medical office procedures and practices.
• Skill in utilizing a personal computer and associated software programs.
• Ability to apply professional nursing principles and techniques.
• Ability to implement policies and procedures.
• Ability to communicate clearly and effectively.
• Ability to compile data and prepare routine reports.
• Ability to exercise judgment in application of nursing care.
• Ability to interact effectively and professionally with a wide variety of people on a daily basis.
• Ability to grasp and apply the principles of administration and operation of a health program.
• Ability to perform all the essential functions of the position, with or without accommodations.
• Working conditions are primarily inside a clinic environment with exposure to bacteria and communicable diseases.

Benefits Information
The City of San Antonio (CoSA) strives to provide a competitive compensation and benefit package to attract and retain a highly skilled workforce. To accomplish this, CoSA offers subsidized health care benefits for active and retired employees, paid disability benefits, paid life insurance, as well as automatic participation in a pension program which is currently matched two to one.

For more detailed information, please click on the following link to view Benefits offered by the City of San Antonio:

Note:

• Part-Time, Temporary, and non-City positions are not eligible for CoSA Benefits.
• Holiday and Leave benefits for Pre-K 4 SA positions may be different than what is listed at the above link.

Additional Information
The City Of San Antonio is an Equal Opportunity/Reasonable Accommodation Employer. This means that the City does not discriminate on the basis of race, religion, sex (gender), age, disability, national origin, genetic information, or sexual orientation. All individuals are encouraged to apply and compete for jobs with the City of San Antonio.

If you require assistance at any stage of the application process due to a disability, please contact the so that accommodations may be made to meet your needs. Our telephone number is View phone number on click.appcast.io and our fax number is View phone number on click.appcast.io.
01


Are you a current regular full time or part time CoSA employee?

• Yes - I am a Full Time City Employee.
• Yes - I am a Part Time City Employee.
• No - I am not a Full Time or Part Time City Employee.

02


Are you a veteran or active member of the armed forces?

• Yes
• No

03


Are you a San Antonio Ready to Work Program (SAR2W) or Train for Jobs San Antonio Program (TfJSA) participant?

• Yes - SA Ready to Work Program
• Yes - Train for Jobs SA Program
• Yes - Both Programs
• No

04


What best describes your highest level of education at the end of the current semester?

• Some High School
• High School Diploma or GED recognized by the Texas Education Agency or a regional accrediting agency
• 30+ completed semester hours (credits) from an accredited college or university
• 60+ completed semester hours (credits) from an accredited college or university
• Associate's Degree from an accredited college or university
• 90+ completed semester hours (credits) from an accredited college or university
• 120+ completed semester hours (credits) from an accredited college or university
• Bachelor's Degree from an accredited college or university
• Master's Degree from an accredited college or university
• PhD, JD, or other Post Graduate Degree from an accredited college or university
• None of the above

05


Do you have a Bachelor's or Master's Degree in Nursing from an accredited college or university?

• Yes
• No

06


How many years of experience do you have as a Registered Nurse?

• I do not have experience as a Registered Nurse.
• Less than one year
• 1 year
• 2 years
• 3 years
• 4 years
• 5 years
• 6 years
• 7 years
• 8 years
• 9 years
• 10 years
• 11 years
• 12 years
• 13 years
• 14 years
• 15 years or more

07


Do you have a valid license to practice Professional Nursing in Texas as a Registered Nurse from the Texas State Board of Nurse Examiners? *Be sure to list the license number and its expiration date in the certifications section in your application*

• Yes
• No

08


Do you have a certification by the Texas Department of State Health Services to administer Hearing and Vision Screenings, OR the ability to obtain the certification within the first six (6) months of employment?

• Yes, I am currently certified
• No, I am not certified, but I have the ability to obtain the certification within 6 months of employment
• No, I am not certified or capable of obtaining the certification within 6 months of employment

09


Do you have a current Cardiopulmonary Resuscitation (CPR/AED) Certification by the American Heart Association? * Be sure to list the certification, and its expiration date in the certifications section in your application *

• Yes
• No

10


Do you have a valid Driver's License?

• Yes
• No

11


How would you best describe your proficiency in speaking and writing in Spanish?

• I am not able to communicate
• Beginner (Know some words)
• Intermediate (Communicate with minimal assistance)
• Advanced (Can communicate)
• Fluent (Able to effectively communicate and teach others)

12


How many years of experience do you have as a school nurse in a charter, private, or child development center?

• I do not have experience as a school nurse in a charter, public or child development center
• Less than one year
• 1 year
• 2 years
• 3 years
• 4 years
• 5 years or more

13


Please describe your previous experience working with young children and/or working with families to connect them with heath and medical services within the community. If you do not have related experience, enter "N/A".
14


Please describe your experience using technology to update and store medical records associated with school nursing. If you do not have related experience, enter "N/A"
15


Why did you decide to become a School Nurse? Please limit your response to 1 - 2 paragraphs. If you do not have related experience, enter "N/A"
16


I UNDERSTAND this position is funded by sales tax that has been approved by the citizens of San Antonio for a limited time period. This position, therefore, is subject to at-will employment status, and is unclassified and has no disciplinary appeal rights to the Municipal Civil Service Commission.

• Agree
• Disagree

17


I understand that if I have a need for a reasonable accommodation to participate in the recruitment and interview process, I can contact the Human Resources Department at View email address on click.appcast.io or View phone number on click.appcast.io. I further understand that if an accommodation is necessary to perform the position for which I have applied, I can contact HR after an offer has been extended.

• I acknowledge.

Required Question