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Open Positions

Browse the job descriptions of the positions for which we are currently seeking application below.  Interested in applying? Download our application above, and submit it in the form below this description.

Open Position Details

Hours 8-hour shift varies (including weekends):

1st shift – 6:30am – 3:00pm

2nd shift – 2:30pm – 11:00pm

3rd shift – 10:30pm – 7:00am

Time is allowed during the shift for a 30-minute, unpaid meal break.

Overtime Pay:

HHSC does not allow overtime, unless approved prior and scheduled on an individual basis by Kerrville State Hospital.

Days:

Monday through Sunday

Term:

Begin immediately through (to be determined by the needs at the Facility)

Department:

Forensic Mental Health Units

Location:

Kerrville

Job Description:

The Staff Nurse I performs complex nursing work at the proficient or expert level in a state mental health hospital. Works with limited supervision from the Charge Nurse or Nurse Manager and has considerable latitude for the use of initiative and independent judgment. Acts as Charge Nurse, Nurse Supervisor, or Nurse Manager in his/her absence when necessary. Provides clinical supervision to Licensed Vocational Nurses and Mental Health Workers. Organizes, establishes and maintains unit routines and the therapeutic milieu. Coaches and teaches subordinate staff in the provision of population-specific nursing care and treatment. Supervises the administration of or administers medications in compliance with facility policies and procedures. Conducts extensive assessments of the patients’ nursing care needs including initial and ongoing assessments. Develops, implements, or supervises the implementation of population-specific nursing interventions based on acceptable nursing standard of care and relevant evidence. Acts as a nursing team leader in collecting patient data and contributing appropriate information to the formulation of the patient’s interdisciplinary treatment plan. Must understand that duties, location of work pattern are subject to change as determined by the administration to meet the needs of the hospital. Must understand that duties may include exposure to blood or other potentially infectious material.

Essential Job Functions:

Attends work on a regular basis and may be required to work a specific shift schedule. The workweek is 5 days per week and 40 hours per workweek. Performs other duties as assigned.

1. Performs extensive initial and ongoing assessment of the patient’s nursing care needs to include medical, psychological, and social needs.

2. Develops nursing diagnoses or problem lists based on the assessment of the data and formulates the initial plan of care.

3. Develops and implements population-specific nursing interventions based on accepted nursing standards of care and thorough review of current evidence.

4. Collaborates with other health care professionals by contributing nursing assessment date, diagnoses/problem lists, and interventions to the development of the multidisciplinary treatment plan.

5. Evaluates the outcomes of nursing interventions and document the same in the medical record.

6. Provides comprehensive patient/family education regarding illness process, medications, coping skills, etc. to patients and families.

7. Establishes, monitors, and maintains the therapeutic milieu through clinical supervision and training of other Registered Nurses, Licensed Vocational Nurses, and Psychiatric Nursing Assistants.

8. Administers or supervises the administration of medications and other nursing interventions in accordance with facility policy and procedures.

9. Develops and implements training for subordinate staff regarding principles of population-specific nursing care, unit routines, facility policy and procedures, management directives, and milieu management, etc.

10. Acts as a team leader in emergency situations (i.e. medical or psychiatric emergencies) including initiating and monitoring the appropriate use of resuscitative equipment or restraint/seclusion.

11. As assigned, acts as a charge nurse, nurse supervisor, nurse manager in his/her absence.

12. Monitors Treatment, Intervention, Protection Strategies (TIPS) 1 – 6 and, in the absence of other staff, implements TIPS 1 – 3.2.

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.

Registrations, Licensure Requirements, or Certifications:

Licensed to practice as a registered nurse in the State of Texas or state that recognizes reciprocity through the Nurse Licensure Compact or possess a temporary permit to practice nursing in the State of Texas, or a Graduate Nurse from an accredited RN program with a valid permit to practice in the State of Texas while awaiting licensure.

Knowledge Skills Abilities:

1. Extensive knowledge of nursing procedures and practices.

2. Extensive knowledge of the Texas Nursing Practice Act, Rules and Regulation of the Board of Nurse Examiners for the State of Texas.

3. Ability to provide population-specific, evidence-based nursing care at the proficient or expert level to an assigned patient population.

4. Ability to perform an extensive assessment of the patient’s nursing care needs to include medical, psychological, and social needs.

5. Ability to formulate population-specific nursing diagnoses for the assigned patient population.

6. Knowledge of leadership or management principles as they apply to the unit or hospital setting.

7. Knowledge of teaching principles in order to provide both patient and staff education.

8. Ability to communicate effectively with others in one-to-one or group interactions.

9. Comprehensive knowledge of safe and appropriate use of restraint or seclusion as an intervention in the psychiatric setting.

10. Ability to develop and implement evidence-based nursing interventions appropriate to the assigned population.

11. Ability to provide leadership in the management of both medical and psychiatric emergencies.

12. Ability to obtain certification for basic Cardio-Pulmonary Resuscitation (CPR) and ability to perform and/or supervise the implementation of CPR in the clinical setting.

13. Ability to complete (TIPS) 1 – 6 prior to work on patient care unit.

Initial Screening Criteria:

1. Licensed to practice as a registered nurse in the State of Texas or state that recognizes reciprocity through the Nurse Licensure Compact or possess a temporary permit to practice nursing in the State of Texas, or a Graduate Nurse from an accredited RN program with a valid permit to practice in the State of Texas while awaiting licensure.

Final Selection Criteria:

Experience supervising and/or administering meds and treatment and with performing other duties as a registered nurse, 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 Aid, Medication Aide, and Employee Misconduct, and HHS OIG list of Excluded Individuals/Entities. Males between the ages of 18-25 must be registered with the Selective Service.

All applicants must be at least 18 years of age to be considered for employment at a state-operated facility.

According to the Centers for Disease Control and Prevention, healthcare workers are considered to be at significant risk for acquiring or transmitting hepatitis B, measles, mumps, rubella, varicella (chickenpox), tetanus, diphtheria, pertussis (whooping cough), and influenza. All of these diseases are vaccine-preventable. As a result, state hospital policy requires employees to be vaccinated according to their level of contact with patients. In the event you choose to not be immunized for the influenza virus, you may be required to wear a mask and take other protective measures.

Training is held at the Facility training department Monday through Friday, 8:00 am to 5:00 pm. If there are any concerns with these requirements, please let me know

Functional Job Title:

Direct Care RN

Class Title:

Registered Nurse I

Class Number:

4411

Salary Schedule/Group:

B19

GENERAL JOB DESCRIPTION:

The State Supported Living Center (SSLC), part of the Health and Specialty Care System, is seeking a Registered Nurse – Direct Care to join an interdisciplinary team of professionals to provide clinical care to individuals of the SSLC. As a State Supported Living Nurse, you will work at the SSLC campus with a dynamic group of staff and professionals who are dedicated to providing supports and services for individuals with intellectual and developmental disabilities. This is a team environment where staff clinicians collaborate to provide comprehensive care and services. To learn more about the SSLCs, see https://hhs.texas.gov/about-hhs/jobs-hhs/state-supported-living-center-opportunities.

The most important characteristic about State Supported Living Center employees is that 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. Our vision statement is “Individuals served at State Supported Living Centers will experience the highest quality of life, supported through a comprehensive array of services designed to maximize well-being, dignity, and respect.”

The state of Texas offers many benefits to employees, including competitive salaries, career advancement, health and dental insurance, and paid vacation and sick leave.

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 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:

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.

LICENSURE, CERTIFICATION, OR REGISTRATION REQUIRED:

Licensed to practice as a registered nurse in the State of Texas or a state that recognizes reciprocity through the Nurse Licensure Compact.

KNOWLEDGE, SKILLS, AND ABILITIES REQUIRED:

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

INITIAL CRITERIA:

Graduation from an ACEN or CCNE accredited 4 year or 2 year college or university.

Work experience in nursing preferred.

FINAL CRITERIA:

Educational and work experience relevant to this position.

Knowledge of or experience working with an Electronic Health Record (EHR).

Ability to effectively perform in a work group or team environment.

Ability to articulate nursing protocols.

Knowledge of what to include in an assessment provided to a physician.

Knowledge of emergency procedures.

Ability to work assertively within the interdisciplinary team and the chain of command to best serve individuals.

Ability to discern which tasks can be delegated to non-medical personnel and which cannot.

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, Employee Misconduct, and HHS OIG List of Excluded Individuals / Entities.

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.

All applicants must be at least 18 years of age to be considered for employment at a state-operated facility.

MOS Codes:

Military occupation(s) that relate to the initial selection criteria and registration or licensure requirements for this position may include: 68C, 66N/P/W, 290X, 46FX, 46NX, 46SX. All active duty military, reservists,

guardsmen, and veterans are encouraged to apply if qualified to fill this position. For more information see the Texas State Auditor’s Military Crosswalk at http://www.hr.sao.state.tx.us/Compensation/JobDescriptions.aspx

INTERVIEW QUESTIONS

1. Home staff reports that an individual complains with pain in his leg, above the knee. He has a diagnosis and history of arthritis (among others) and has Motrin ordered PRN for Pain. Describe what you will do.

2. Home staff reports that an individual is not eating well and is lethargic. You are referring the individual to the physician. What will you include in your assessment to provide information to the physician?

3. If you received a request to “Come look at Johnny. He doesn’t look right.” (a) what else do you need to know about Johnny? (b) What will be your source of information? (c) What kind of assessment will you do? (d) What will you do when the physician says he will see Johnny tomorrow, but you think he needs to be seen now?

4. At 10:30 a.m. you receive a telephone report from the lab informing you of an individual’s results. His anticonvulsant blood level is reported to you to be at the “PANIC” level. The next dose of this medication is due at noon. What will you do with the information you have received?

5. The physician’s only response to your information about this panic level is “I’ll see him tomorrow.” Your assessment prior to phoning the physician was that the individual was lethargic, vomiting and had a temperature of 102 degrees. What action will you take now?

6. You are called to a home to assess an individual who has fallen, hitting his head, causing a one-inch laceration above his left eyebrow and a knot about the size of an egg. The cut is bleeding profusely. Describe what actions you will take.

7. During the assessment of the individual in #6 who fell, you notice tenderness, edema, and is reluctance to weight bear on the individual’s left leg. What action would you take – including how you would use the nursing process to plan, communicate, and evaluate this individual’s care?

8. Describe what you would do in the following circumstance: while walking through the dining room, during lunch, you observe an individual fall from his chair to the floor, cyanotic and apparently without respirations.

9. Describe tasks that can be delegated to direct care staff versus medication aides versus licensed vocational nurses.

10. What experience do you have working with people who have developmental disabilities?

11. What experience do you have working with, or knowledge of how to use, an electronic health record system?

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