Licensed Vocational Nurse III

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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: Licensed Vocational Nurse III
• Job Title: Licensed Vocational Nurse III
• Agency: Health & Human Services Comm
• Department: Adm AcuteCarePsych Nursing
• Posting Number: 21283
• Closing Date: 12/15/2026
• Posting Audience: Internal and External
• Occupational Category: Healthcare Support
• Salary Range: $4,866.58-$6,335.66
• Pay Frequency: Monthly
• Salary Group: TEXAS-A-19
• 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: Nonexempt
• Facility Location: Terrell State Hospital
• Job Location City: TERRELL
• Job Location Address: 1200 E BRIN
• Other Locations:
• MOS Codes: 290X,46AX,46FX,46NX,46PX,46SX,46YX,66B,66C,66E,66F,66G,66H,66N,66P,66R,66S,66T,66W,68C,68Z

Brief Job Description

Would you thrive in an environment where you learn and grow personally and professionally all while helping make a positive impact on people’s lives? Do you appreciate being around others like yourself who are dependable, trustworthy, hard workers who believe in the value of teamwork? HSCS is dedicated to building an atmosphere where employees feel valued and supported while providing specialized care for Texans in need. HSCS is comprised of ten psychiatric hospitals, two youth residential treatment facilities, and thirteen state supported living centers. Psychiatric hospitals are a hub of excellence for forensic mental health and complex psychiatric care, with all facilities accredited by The Joint Commission. They provide state-of-the-art treatment that is recovery‑oriented and science‑based. If providing hope and healing through compassionate, innovative, and individualized care interests you, we welcome your application for the position below.

Essential Job Functions (EJFs)

Attends work on a regular basis and may be requested 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 and treatments. Makes rounds as needed and works in other locations at the SH as needed. Demonstrates competency in performing complex technical nursing tasks and procedures in accordance with HHSC, SH and state regulations.

Performs complex and technical nursing procedures according to facility 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.

Monitors individuals’ weight, diet, mealtimes, and vital signs. Monitors individuals’ health status after treatments and procedures. Monitors for signs and symptoms of illness. 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 SH procedures and protocols. Recognize symptoms of illness and reports accurately to RN and/or Primary Care Provider.

Fosters interdisciplinary collaboration and integration. Communicates pertinent information orally and in writing to other team members, such as the RN Case Manager, in order to ensure the treatment team has the best information possible to make decisions. Collects data for RN/ Primary Care Provider.

Leads, monitors, and oversees others who are monitoring individuals before, during, and after treatments and procedures are completed. Evaluates nursing intervention outcomes and confers with other health care members as necessary.

Trains/instructs new LVN staff to perform nursing functions at the SH, including acclimating them to the individuals, their needs and preferences. Oversees and monitors the work of LVNs as assigned and provides feedback to the supervisor. Assists the new LVN to complete the “on the job training” checklist, observes and gives feedback as the new LVN performs daily assignments, plans daily learning experiences for new LVN, meets with the new LVN’s manager at the end of the orientation to discuss progress made, and is a continued resource for the new LVN.