Registered Nurse II

Career Opportunities: Registered Nurse II (14264) Posting ID 14264 -Posted - Health & Human Services Comm - Childress - Nursing - Healthcare Support - Brenham State Supported Living Center - Not Eligible for Telework - c. $5000 - $6999 per month Join the Texas Health and Human Services Commission (HHSC) and be part of a team committed to creating a positive impact in the lives of fellow Texans. At HHSC, your contributions matter, and we support you at each stage of your life and work journey. Our comprehensive benefits package includes 100% paid employee health insurance for full‑time eligible employees, a defined benefit pension plan, generous time‑off benefits, numerous opportunities for career advancement and more. Explore more details on the Benefits of Working at HHS webpage. Job Details Functional Title: Registered Nurse II Job Title: Nurse II Agency: Health & Human Services Comm Department: Childress - Nursing Posting Number: 14264 Closing Date: 08/28/2026 Posting Audience: Internal and External Occupational Category: Healthcare Support Salary Range: $6,579.41-$7,761.50 monthly Salary Group: TEXAS-B-22 Shift: Day Telework: Not Eligible for Telework Travel: Up to 5% Employment Type: 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 Brief Job Description This position is available for Morning, Evening and Night shifts on multiple homes. It may be eligible to earn additional pay for work performed on evenings, nights and/or weekends, and on maximum‑security locations. The Direct Care RN performs routine level nursing work providing assessment, care and treatment for individuals residing in a State Supported Living Center setting. The role includes evaluating, treating, documenting healthcare needs, communicating with care staff, physicians, administration, and nursing staff, notifying supervisors and PCPs of trends, completing required documentation, and maintaining records. Assists with services provided by LVNs and Certified Medication Aides (CMA), participates in facility QA/QI initiatives, provides treatment to HHS employees injured in the course and scope of employment, responds to emergency situations, and works under moderate supervision of the Nurse Manager or Nursing Operations Officer. Essential Job Functions (EJFs) Attends work on a regular basis and may be required to work a specific shift schedule or, at times, an on‑call rotating schedule, extended shift and/or overtime. 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, 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 monitoring individuals after a treatment or procedure using instruction sheets. Timely and accurately documents and reports pertinent treatments and observations in the individual’s medical record in accordance with SSLC procedures and protocols. Assists with services provided by LVNs and/or Certified Medication Aides, including acclimating them to individuals’ needs and preferences. Assists LVNs with implementation of protocols, procedures and programs to improve overall health and safety. Provides assistance with completing follow‑up assessments, guidelines, acute care plan interventions, injury reports, restraints, and medication variances. Provides support to Nurse Manager’s including reviews and follow‑up on controlled drug counts, medication counts, emergency checklist logs, refrigerator temperature logs, and glucose controls. Assists the Infection Control nurse by implementing measures that prevent the spread of disease and assists the Quality Assurance Nurse in implementation of therapeutic nursing programs. Responds to emergency situations to ensure safety of individuals, follows safety and infection control procedures, provides educational and safety training to SSLC staff, and provides treatment to HHS employees injured in the course and scope of employment. Other duties as assigned, including participation in disaster response and/or recovery or Continuity of Operations (COOP) activation. 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. Knowledge of state and federal laws and ICF‑IID rules, regulations, policy and procedures related to State Supported Living Center. Knowledge of nursing care standards, the Settlement Agreement and the Healthcare Guidelines. 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. Ability to interpret policies and procedures, health care regulations, and recognize patterns of medical necessity treatment. Ability to demonstrate working knowledge of emergency procedures and equipment. Ability to interact appropriately with individuals with intellectual/developmental disabilities, their families, and staff. 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; the position may require overtime and/or extended hours, willingness 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. 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 are not limited to those listed in this posting. All active‑duty military, reservists, guardsmen, and veterans are encouraged to apply if qualified to fill this position. For more information please see the Texas State Auditor’s Job Descriptions, Military Crosswalk and Military Crosswalk Guide at Texas State Auditor's Office - Job Descriptions. ADA Accommodations In compliance with the Americans with Disabilities Act (ADA), HHSC and DSHS agencies will provide reasonable accommodation during the hiring and selection process for qualified individuals with a disability. If you need assistance completing the online application, contact the HHS Employee Service Center at View phone number on click.appcast.io. 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. Telework Disclaimer This position is not eligible for telework. All HHS positions are subject to state and agency telework policies in addition to the discretion of the direct supervisor and business needs. #J-18808-Ljbffr