Texas Department of State Health Services

North Texas State Hospital - Vernon Campus

Work Environment

Culture

Compensation

Long Term Care

Telemetry

North Texas State Hospital — part of the HHS Health and Specialty Care System — consists of three campuses in Wichita Falls and Vernon. These campuses provide inpatient, psychiatric services to adults, children and adolescents. The hospital also provides psychiatric services to people with intellectual and developmental disabilities.

The Vernon campus has 284 adult beds and 78 adolescent beds. It is a maximum-security facility that services both adults with criminal (forensic) issues and adolescents with dually-diagnosed substance abuse and mental health problems most of whom are there as a condition of their probation, having had significant involvement with the juvenile justice system. 

North Texas State Hospital - Vernon Campus
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The Vernon campus has 284 adult beds and 78 adolescent beds. It is a maximum-security facility that services both adults with criminal (forensic) issues and adolescents with dually-diagnosed substance abuse and mental health problems most of whom are there as a condition of their probation, having had significant involvement with the juvenile justice system. The Vernon campus was mandated by the 70th Texas Legislature to provide services to six populations:

Persons with felony charges who have been found incompetent to stand trial;
Persons admitted for pre-trial evaluations for competency and issues of insanity;
Persons found not guilty by reason of insanity;
Persons from other state hospitals who have been found to be manifestly dangerous;
Mentally retarded persons who have been found incompetent to stand trial on misdemeanor or felony charges;
Persons from the Texas Department of Criminal Justice (TDCJ) and other jails who need inpatient psychiatric hospitalization.

North Texas State Hospital — part of the HHS Health and Specialty Care System — consists of three campuses in Wichita Falls and Vernon. These campuses provide inpatient, psychiatric services to adults, children and adolescents. The hospital also provides psychiatric services to people with intellectual and developmental disabilities.

North Texas State Hospital in Vernon, TX is not nationally ranked in any specialty.

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Search for your next nursing or healthcare job with North Texas State Hospital - Vernon Campus. Explore jobs with all the information you need to make an informed career decision.

North Texas State Hospital - Vernon Campus jobs

<body><h3>Advanced Practice RN II</h3><br/><p>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 each other, teamwork, and inclusivity? HSCS is dedicated to building a diverse community atmosphere where employees feel valued, supported, and accepted while providing specialized care for Texans in need. If providing hope and healing through compassionate, innovative, and individualized care interest you, we welcome your application for the position below.

The Advanced Practice RN is hired by the Medical Director subject to the approval of the Superintendent. Oversees and performs advanced clinical medical care under the supervision of a physician. Assesses, plans, and provides comprehensive patient care independently or in collaboration with other health care professionals. Directs medical activities/treatment, monitors trends and activities, and makes recommendations for improvement. Utilizes advanced nursing skills in the treatment and care of patients to include medical assessments, limited prescriptive authority, and the evaluation of the efficacy and progress of a patient's individualized care plan. Provides treatment to HHS employees injured in course and scope of employment. Performs all other duties as assigned by the Medical Director/Superintendent, including planning, assigning, and/or supervising the work of others. Works under the clinical and administrative supervision of the Medical Director and/or other supervising physician. Works under minimal supervision, with extensive latitude for the use of initiative and independent judgment.

Performs other duties as assigned. 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.

This position may also be eligible to earn additional pay for work performed on maximum security locations. 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.

Operates within the scope of their licensure to promote and maintain a therapeutic and safe medical environment. Oversees and provides acute care to individuals, including daily assessment for acute health problems or injury in the clinic and/or infirmary within scope of privileges. The assessment includes diagnosis, treatment, and a plan of care with documentation of the acute issue, assessing injuries, including possible sutures and/or referrals to hospital or emergency room. Prescribes medication, within the scope of their licensure and training. Refers all care decisions that fall outside the scope of licensure and expertise to the treatment team or a physician.

Provides chronic care to individuals, which includes a quarterly assessment for individuals with identified chronic health care diagnosis, a review of appropriate treatment specific to the disease process and update or change of medical treatment as warranted and monitoring of the chronic condition. Writes prescriptions and performs medication reviews, within the scope of his/her licensing credentials, training expertise, medical staff privileges, and collaborative agreement. Reports any significant trends or issues which occur to the supervisor and provides suggestions for action based upon their expertise.

Provides comprehensive medical care, which includes conducting rounds, review of infirmary and hospitalized patient and on-call cases for status of condition(s) for which individuals are under treatment. Orders and interprets laboratory tests according to procedures and practices with the consultation of a supervising physician, if necessary.

Provides medical diagnosis and the review of the treatment plan. Includes review of all the identified risks of the individual, (choking, pneumonia, etc.) as well as their health status, and ensures necessary supports (OT, PT, Nursing, etc.) have been identified and appropriate areas of need are being addressed. Evaluates the efficacy and progress of a patient's treatment plan.

Develops accurate and timely documentation, which includes dictation of annual summaries and pre-procedural histories and physicals, documentation of specialty medical consultation, physical and chemical restrains and all acute and chronic patient care.

Provides training and/or coaching, within the limits of their scope of practice and expertise, to nurses and APRN Is. Assigns and prioritizes work for assigned staff such as nurses, APRN Is and direct care staff working in the medical department.

Provide treatment to HHS employees injured in course and scope of employment as needed.

Performs other duties as assigned. 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. Knowledge Skills Abilities:

Knowledge of methods and procedures in the field of general medicine/nursing including laws and ordinances governing public health and hospital operations.

Knowledge of principles, methods, and procedures for the delivery of medical evaluations, diagnosis, and treatment.

Knowledge of the principles of the development, implementation, and documentation of case histories and individualized care and treatment plans.

Skill in interpretation of interpret laboratory analyses and x-rays.

Skill in the care and treatment of patients and in the use of medical diagnostic and treatment tools and equipment.

Ability to supervise the work of others who provide medical care to patients.

Ability to appropriately interact with individuals with developmental disabilities.

Ability to present ideas clearly and concisely in both written and oral communications.

Ability to prepare and maintain medical records.

Ability to work productively with professionals and paraprofessionals as an effective member of an interdisciplinary team.

Ability to work independently and be flexible in carrying out assigned responsibilities. Registration or Licensure Requirements:

Registered nurse in the State of Texas or in another state that recognizes reciprocity through the Nurse Licensure Compact.

Certified as an advanced practice registered nurse by the Texas Board of Nursing.

Must have, or can obtain, a current registration certificate from the Drug Enforcement Agency (DEA). Must obtain a National Provider Identifier (NPI#) as defined by Medicare Part B and enroll as a Medicaid and Medicare Part B provider within six months of hire to this position. Initial Selection Criteria:

Graduation from an advanced practice registered nurse educational program accredited by a national nursing education accrediting body that is recognized by the U.S. Department of Education and the Texas Board of Nursing with a master's degree or higher level.

At least 2 years of clinical nursing experience.

One (1) year of work as an Advanced Practice Registered Nurse (APRN) is preferred.

Experience in supervising or leading the work of others 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. Waco Center for Youth applicants must be 21 years of age.

Flexibility in work hours may be required for this position. The position may be required to work overtime and/or extended hours.

Compliance with HHSC immunization policy and state hospital operating procedures related to immunizations is required. According to the Centers for Disease Control and Prevention, healthcare workers are at significant risk for acquiring or transmitting hepatitis B, measles, mumps, rubella, varicella (chicken pox), tetanus, diphtheria, pertussis (whooping cough), and influenza. All these diseases are vaccine preventable. Vaccines may be provided. As a result, state hospital policy requires employees be vaccinated according to their level of contact with individuals. 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.

If you need assistance completing the online application, contact the HHS Employee Service Center at 1-888-894-4747.

HHS agencies use E-Verify. You must bring your I-9 documentation with you on your first day of work.

In compliance with the Americans with Disabilities Act (ADA), HHS agencies will provide reasonable accommodation during the hiring and selection process for qualified individuals with a disability. If you need assistance completing the on-line application, contact the HHS Employee Service Center at 1-888-894-4747. If you are contacted for an interview and need accommodation to participate in the interview process, please notify the person scheduling the interview. MOS Code:

There may be no military occupation(s) that relate to the initial selection criteria and registration or licensure requirements for this position. 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.

HHS agencies use E-Verify. You must bring your I-9 documentation with you on your first day of work.

I-9 Form - Click here to download the I-9 form.

In compliance with the Americans with Disabilities Act (ADA), HHS agencies will provide reasonable accommodation during the hiring and selection process for qualified individuals with a disability. If you need assistance completing the on-line application, contact the HHS Employee Service Center at 1-888-894-4747. If you are contacted for an interview and need accommodation to participate in the interview process, please notify the person scheduling the interview.

Top 10 Tips for Success when Applying to Jobs at HHSC and DSHS

</p></body>

Advanced Practice RN IIWould 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 each other, teamwork, and inclusivity? HSCS is dedicated to building a diverse community atmosphere where employees feel valued, supported, and accepted while providing specialized care for Texans in need. If providing hope and healing through compassionate, innovative, and individualized care interest you, we welcome your application for the position below. The Advanced Practice RN is hired by the Medical Director subject to the approval of the Superintendent. Oversees and performs advanced clinical medical care under the supervision of a physician. Assesses, plans, and provides comprehensive patient care independently or in collaboration with other health care professionals. Directs medical activities/treatment, monitors trends and activities, and makes recommendations for improvement. Utilizes advanced nursing skills in the treatment and care of patients to include medical assessments, limited prescriptive authority, and the evaluation of the efficacy and progress of a patient's individualized care plan. Provides treatment to HHS employees injured in course and scope of employment. Performs all other duties as assigned by the Medical Director/Superintendent, including planning, assigning, and/or supervising the work of others. Works under the clinical and administrative supervision of the Medical Director and/or other supervising physician. Works under minimal supervision, with extensive latitude for the use of initiative and independent judgment. Performs other duties as assigned. 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. This position may also be eligible to earn additional pay for work performed on maximum security locations. 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. Operates within the scope of their licensure to promote and maintain a therapeutic and safe medical environment. Oversees and provides acute care to individuals, including daily assessment for acute health problems or injury in the clinic and/or infirmary within scope of privileges. The assessment includes diagnosis, treatment, and a plan of care with documentation of the acute issue, assessing injuries, including possible sutures and/or referrals to hospital or emergency room. Prescribes medication, within the scope of their licensure and training. Refers all care decisions that fall outside the scope of licensure and expertise to the treatment team or a physician. Provides chronic care to individuals, which includes a quarterly assessment for individuals with identified chronic health care diagnosis, a review of appropriate treatment specific to the disease process and update or change of medical treatment as warranted and monitoring of the chronic condition. Writes prescriptions and performs medication reviews, within the scope of his/her licensing credentials, training expertise, medical staff privileges, and collaborative agreement. Reports any significant trends or issues which occur to the supervisor and provides suggestions for action based upon their expertise. Provides comprehensive medical care, which includes conducting rounds, review of infirmary and hospitalized patient and on-call cases for status of condition(s) for which individuals are under treatment. Orders and interprets laboratory tests according to procedures and practices with the consultation of a supervising physician, if necessary. Provides medical diagnosis and the review of the treatment plan. Includes review of all the identified risks of the individual, (choking, pneumonia, etc.) as well as their health status, and ensures necessary supports (OT, PT, Nursing, etc.) have been identified and appropriate areas of need are being addressed. Evaluates the efficacy and progress of a patient's treatment plan. Develops accurate and timely documentation, which includes dictation of annual summaries and pre-procedural histories and physicals, documentation of specialty medical consultation, physical and chemical restrains and all acute and chronic patient care. Provides training and/or coaching, within the limits of their scope of practice and expertise, to nurses and APRN Is. Assigns and prioritizes work for assigned staff such as nurses, APRN Is and direct care staff working in the medical department. Provide treatment to HHS employees injured in course and scope of employment as needed. Performs other duties as assigned. 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. Knowledge Skills Abilities: Knowledge of methods and procedures in the field of general medicine/nursing including laws and ordinances governing public health and hospital operations. Knowledge of principles, methods, and procedures for the delivery of medical evaluations, diagnosis, and treatment. Knowledge of the principles of the development, implementation, and documentation of case histories and individualized care and treatment plans. Skill in interpretation of interpret laboratory analyses and x-rays. Skill in the care and treatment of patients and in the use of medical diagnostic and treatment tools and equipment. Ability to supervise the work of others who provide medical care to patients. Ability to appropriately interact with individuals with developmental disabilities. Ability to present ideas clearly and concisely in both written and oral communications. Ability to prepare and maintain medical records. Ability to work productively with professionals and paraprofessionals as an effective member of an interdisciplinary team. Ability to work independently and be flexible in carrying out assigned responsibilities. Registration or Licensure Requirements: Registered nurse in the State of Texas or in another state that recognizes reciprocity through the Nurse Licensure Compact. Certified as an advanced practice registered nurse by the Texas Board of Nursing. Must have, or can obtain, a current registration certificate from the Drug Enforcement Agency (DEA). Must obtain a National Provider Identifier (NPI#) as defined by Medicare Part B and enroll as a Medicaid and Medicare Part B provider within six months of hire to this position. Initial Selection Criteria: Graduation from an advanced practice registered nurse educational program accredited by a national nursing education accrediting body that is recognized by the U.S. Department of Education and the Texas Board of Nursing with a master's degree or higher level. At least 2 years of clinical nursing experience. One (1) year of work as an Advanced Practice Registered Nurse (APRN) is preferred. Experience in supervising or leading the work of others 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. Waco Center for Youth applicants must be 21 years of age. Flexibility in work hours may be required for this position. The position may be required to work overtime and/or extended hours. Compliance with HHSC immunization policy and state hospital operating procedures related to immunizations is required. According to the Centers for Disease Control and Prevention, healthcare workers are at significant risk for acquiring or transmitting hepatitis B, measles, mumps, rubella, varicella (chicken pox), tetanus, diphtheria, pertussis (whooping cough), and influenza. All these diseases are vaccine preventable. Vaccines may be provided. As a result, state hospital policy requires employees be vaccinated according to their level of contact with individuals. 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. If you need assistance completing the online application, contact the HHS Employee Service Center at 1-888-894-4747. HHS agencies use E-Verify. You must bring your I-9 documentation with you on your first day of work. In compliance with the Americans with Disabilities Act (ADA), HHS agencies will provide reasonable accommodation during the hiring and selection process for qualified individuals with a disability. If you need assistance completing the on-line application, contact the HHS Employee Service Center at 1-888-894-4747. If you are contacted for an interview and need accommodation to participate in the interview process, please notify the person scheduling the interview. MOS Code: There may be no military occupation(s) that relate to the initial selection criteria and registration or licensure requirements for this position. 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. HHS agencies use E-Verify. You must bring your I-9 documentation with you on your first day of work. I-9 Form - Click here to download the I-9 form. In compliance with the Americans with Disabilities Act (ADA), HHS agencies will provide reasonable accommodation during the hiring and selection process for qualified individuals with a disability. If you need assistance completing the on-line application, contact the HHS Employee Service Center at 1-888-894-4747. If you are contacted for an interview and need accommodation to participate in the interview process, please notify the person scheduling the interview. Top 10 Tips for Success when Applying to Jobs at HHSC and DSHS 

<body><h3>Nurse I</h3><br/><p>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 each other, teamwork, and inclusivity? HSCS is dedicated to building a diverse community atmosphere where employees feel valued, supported, and accepted while providing specialized care for Texans in need. If providing hope and healing through compassionate, innovative, and individualized care interest you, we welcome your application for the position below.

The Nurse I (Staff Nurse) performs entry-level to routine (journey-level) nursing work at a competent level in the state hospital under the supervision of the Charge Nurse or Nurse Manager (Nurse II/III). Conducts comprehensive assessments of patients nursing care needs using specialized skills in an inpatient psychiatric setting. Identifies nursing diagnoses or problem lists and formulates an initial plan of care based on assessment data. Establishes unit routines and develops and maintains the therapeutic milieu. Makes observations of patient behavior and status and reports to the psychiatrist, other recovery team members, and supervising nurse, as appropriate. Carries out nursing interventions as identified in the multidisciplinary recovery plan. Administers medications as ordered and maintains medication administration and controlled drug records according to facility policy. Trains other staff members as necessary, or as requested. Works under moderate supervision, with limited latitude for the use of initiative and independent judgment.

Performs other duties as assigned. 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.

This position may be eligible to earn additional pay for work performed on evenings, nights and/or weekends.

This position may also be eligible to earn additional pay for work performed on maximum security locations. Essential Job Functions:

Attends work on a regular basis and may be asked 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.

Performs comprehensive assessment of patients' nursing care needs including physical, behavioral, psychiatric, and social needs.

Observes and analyzes patient behavior and status, and documents in the medical record or reports, as needed, to other team members, including the attending psychiatrist.

Develops or contributes to the development of the individualized recovery plan in collaboration with other recovery team members, based on data obtained from the assessment.

Provides comprehensive individual or group health teaching and coping strategies to patients and/or families in order to meet patient/family needs.

Utilizes one-to-one counseling skills in therapeutic interactions with patients to assist them in identifying anxiety and developing coping strategies.

Initiates and implements population-specific nursing interventions based on appropriate standards of care for the assigned patient population.

Administers medications and treatments as ordered by the physician and maintains medication administration (MAR) and controlled drug records according to facility policy.

Establishes and monitors the therapeutic milieu assuring a safe and therapeutic environment for the patients.

Provides training to other staff in psychiatric nursing principles, unit routines, and milieu management.

Initiates and monitors the appropriate use of restraint or seclusion to ensure the safety of the patient and staff members.

Performs other duties as assigned. 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.

Knowledge Skills Abilities:

Knowledge of nursing techniques and procedures

Knowledge of medical diagnoses and procedures

Knowledge of accepted medical treatment programs

Knowledge community health and nursing care principles, practices, and procedures

Skills in the care and treatment of patients

Skills in the use of a computer and applicable software

Ability to provide patient care

Ability to prepare and maintain records

Ability to communicate effectively both orally and in writing

Registration or Licensure Requirements:

Licensed to practice as a Registered Nurse (RN) in the state of Texas, or in a party state, that recognizes reciprocity through the Nurse Licensure Compact.

Or

Issued a temporary permit to perform duties under supervision awaiting license issue.

If transporting patients, must possess a valid Texas driver license or obtain it no later than 90 days after hire date to drive a state vehicle. Applicants with an out-of-state driver license must provide an original certified driving record from the state of driving licensure. Eligible driving record required based on HHSC Fleet Management policy. Initial Selection Criteria:

Graduation from an accredited nursing program or four-year college or university with major coursework in nursing. Additional Information:

Requisition Number 612461

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. Waco Center for Youth applicants must be 21 years of age.

Flexibility in work hours may be required for this position. The position may be required to work overtime and/or extended hours.

Compliance with HHSC immunization policy and state hospital operating procedures related to immunizations is required. According to the Centers for Disease Control and Prevention, healthcare workers are at significant risk for acquiring or transmitting hepatitis B, measles, mumps, rubella, varicella (chicken pox), tetanus, diphtheria, pertussis (whooping cough), and influenza. All these diseases are vaccine preventable. Vaccines may be provided. As a result, state hospital policy requires employees be vaccinated according to their level of contact with individuals. 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.

If you need assistance completing the online application, contact the HHS Employee Service Center at 1-888-894-4747.

HHS agencies use E-Verify. You must bring your I-9 documentation with you on your first day of work.

In compliance with the Americans with Disabilities Act (ADA), HHS agencies will provide reasonable accommodation during the hiring and selection process for qualified individuals with a disability. If you need assistance completing the on-line application, contact the HHS Employee Service Center at 1-888-894-4747. If you are contacted for an interview and need accommodation to participate in the interview process, please notify the person scheduling the interview.

MOS Code:

68C, 66N/P/W, 290X, 46FX, 46NX, 46SX

Note: 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. For more information see the Texas State Auditor's Military Crosswalk at

http://www.hr.sao.state.tx.us/Compensation/JobDescriptions.aspx.

HHS agencies use E-Verify. You must bring your I-9 documentation with you on your first day of work.

I-9 Form - Click here to download the I-9 form.

In compliance with the Americans with Disabilities Act (ADA), HHS agencies will provide reasonable accommodation during the hiring and selection process for qualified individuals with a disability. If you need assistance completing the on-line application, contact the HHS Employee Service Center at 1-888-894-4747. If you are contacted for an interview and need accommodation to participate in the interview process, please notify the person scheduling the interview.

Top 10 Tips for Success when Applying to Jobs at HHSC and DSHS

</p></body>

Nurse IWould 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 each other, teamwork, and inclusivity? HSCS is dedicated to building a diverse community atmosphere where employees feel valued, supported, and accepted while providing specialized care for Texans in need. If providing hope and healing through compassionate, innovative, and individualized care interest you, we welcome your application for the position below. The Nurse I (Staff Nurse) performs entry-level to routine (journey-level) nursing work at a competent level in the state hospital under the supervision of the Charge Nurse or Nurse Manager (Nurse II/III). Conducts comprehensive assessments of patients nursing care needs using specialized skills in an inpatient psychiatric setting. Identifies nursing diagnoses or problem lists and formulates an initial plan of care based on assessment data. Establishes unit routines and develops and maintains the therapeutic milieu. Makes observations of patient behavior and status and reports to the psychiatrist, other recovery team members, and supervising nurse, as appropriate. Carries out nursing interventions as identified in the multidisciplinary recovery plan. Administers medications as ordered and maintains medication administration and controlled drug records according to facility policy. Trains other staff members as necessary, or as requested. Works under moderate supervision, with limited latitude for the use of initiative and independent judgment. Performs other duties as assigned. 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. This position may be eligible to earn additional pay for work performed on evenings, nights and/or weekends. This position may also be eligible to earn additional pay for work performed on maximum security locations. Essential Job Functions: Attends work on a regular basis and may be asked 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. Performs comprehensive assessment of patients' nursing care needs including physical, behavioral, psychiatric, and social needs. Observes and analyzes patient behavior and status, and documents in the medical record or reports, as needed, to other team members, including the attending psychiatrist. Develops or contributes to the development of the individualized recovery plan in collaboration with other recovery team members, based on data obtained from the assessment. Provides comprehensive individual or group health teaching and coping strategies to patients and/or families in order to meet patient/family needs. Utilizes one-to-one counseling skills in therapeutic interactions with patients to assist them in identifying anxiety and developing coping strategies. Initiates and implements population-specific nursing interventions based on appropriate standards of care for the assigned patient population. Administers medications and treatments as ordered by the physician and maintains medication administration (MAR) and controlled drug records according to facility policy. Establishes and monitors the therapeutic milieu assuring a safe and therapeutic environment for the patients. Provides training to other staff in psychiatric nursing principles, unit routines, and milieu management. Initiates and monitors the appropriate use of restraint or seclusion to ensure the safety of the patient and staff members. Performs other duties as assigned. 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. Knowledge Skills Abilities: Knowledge of nursing techniques and procedures Knowledge of medical diagnoses and procedures Knowledge of accepted medical treatment programs Knowledge community health and nursing care principles, practices, and procedures Skills in the care and treatment of patients Skills in the use of a computer and applicable software Ability to provide patient care Ability to prepare and maintain records Ability to communicate effectively both orally and in writing Registration or Licensure Requirements: Licensed to practice as a Registered Nurse (RN) in the state of Texas, or in a party state, that recognizes reciprocity through the Nurse Licensure Compact. Or Issued a temporary permit to perform duties under supervision awaiting license issue. If transporting patients, must possess a valid Texas driver license or obtain it no later than 90 days after hire date to drive a state vehicle. Applicants with an out-of-state driver license must provide an original certified driving record from the state of driving licensure. Eligible driving record required based on HHSC Fleet Management policy. Initial Selection Criteria: Graduation from an accredited nursing program or four-year college or university with major coursework in nursing. Additional Information: Requisition Number 612461 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. Waco Center for Youth applicants must be 21 years of age. Flexibility in work hours may be required for this position. The position may be required to work overtime and/or extended hours. Compliance with HHSC immunization policy and state hospital operating procedures related to immunizations is required. According to the Centers for Disease Control and Prevention, healthcare workers are at significant risk for acquiring or transmitting hepatitis B, measles, mumps, rubella, varicella (chicken pox), tetanus, diphtheria, pertussis (whooping cough), and influenza. All these diseases are vaccine preventable. Vaccines may be provided. As a result, state hospital policy requires employees be vaccinated according to their level of contact with individuals. 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. If you need assistance completing the online application, contact the HHS Employee Service Center at 1-888-894-4747. HHS agencies use E-Verify. You must bring your I-9 documentation with you on your first day of work. In compliance with the Americans with Disabilities Act (ADA), HHS agencies will provide reasonable accommodation during the hiring and selection process for qualified individuals with a disability. If you need assistance completing the on-line application, contact the HHS Employee Service Center at 1-888-894-4747. If you are contacted for an interview and need accommodation to participate in the interview process, please notify the person scheduling the interview. MOS Code: 68C, 66N/P/W, 290X, 46FX, 46NX, 46SX Note: 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. For more information see the Texas State Auditor's Military Crosswalk at http://www.hr.sao.state.tx.us/Compensation/JobDescriptions.aspx. HHS agencies use E-Verify. You must bring your I-9 documentation with you on your first day of work. I-9 Form - Click here to download the I-9 form. In compliance with the Americans with Disabilities Act (ADA), HHS agencies will provide reasonable accommodation during the hiring and selection process for qualified individuals with a disability. If you need assistance completing the on-line application, contact the HHS Employee Service Center at 1-888-894-4747. If you are contacted for an interview and need accommodation to participate in the interview process, please notify the person scheduling the interview. Top 10 Tips for Success when Applying to Jobs at HHSC and DSHS 

<body><h3>Psychiatric Advanced Nurse Pra</h3><br/><p>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 each other, teamwork, and inclusivity? HSCS is dedicated to building a diverse community atmosphere where employees feel valued, supported, and accepted while providing specialized care for Texans in need. If providing hope and healing through compassionate, innovative, and individualized care interest you, we welcome your application for the position below.

The Psychiatric Advanced Practice RN is appointed by the Medical Director subject to the approval of the State Hospital Superintendent. Performs highly advanced (senior-level) psychiatric care under the supervision as delegated by a psychiatrist. Work involves assessing, planning, and providing comprehensive psychiatric patient care independently or in collaboration with other health care professionals. Plans, assigns, and/or supervises the work of others, including other APRNs as well as performs assigned administrative duties. Meets face to face with individuals served as needed. Directs psychiatric activities/treatment, monitors trends and activities, and makes recommendations for improvement. Prescribes medications to include antipsychotics, orders and interprets laboratory and diagnostic testing, consults, and referrals. Performs all other duties as assigned by the Medical Director, including planning, assigning, and/or supervising the work of others; and representing the Medical Director in their absence. Participates in the quality assessment and performance improvement program. Serves as a leader of the patient's recovery team. Works under minimal supervision with extensive latitude for the use of initiative and independent judgment. Works under the clinical and administrative supervision of the Medical Director and/or other delegating physician. May also work collaboratively with physicians via telemedicine.

Performs other duties as assigned. 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.

This position may also be eligible to earn additional pay for work performed on maximum security locations.

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.

Operates within the scope of their licensure to promote and maintain a therapeutic and safe psychiatric milieu. Oversees and provides acute and long-term psychiatric care to individuals, including daily assessment in the patient's mental health status. Evaluates and makes appropriate referrals for patient's injury or change in physical status. The assessment also includes diagnosis, treatment, and development of a plan of care with documentation of the acute issue as it pertains to psychiatric treatment.

Prescribes medications, including antipsychotics, orders laboratory and diagnostic testing, consults, makes referrals and interprets the results.

Provides psychiatric care meeting face to face with individuals, which includes an initial and ongoing assessment for individuals with identified acute and long-term psychiatric diagnosis; conducts a review of appropriate treatment specific to the disease process and updates or changes in psychiatric treatment are made as warranted.

Provides comprehensive psychiatric care, which includes conducting rounds, leading Recovery Team Meetings, participating in court hearings and serving as a liaison to the courts.

Conducts periodic reviews of hospitalized patients when on-call for evaluation the reported change in status or condition of individuals under treatment.

Oversees and provides psychiatric diagnosis and the review of the recovery plan, including review of all the identified risks of the individual, (choking, falls, seizures, aggression, etc.) as well as their health status, and ensures necessary supports (OT, PT, Nursing, etc.) have been identified and appropriate areas of need are being addressed.

Oversees and develops accurate and timely documentation, which includes annual summaries, use of physical restraints and evaluating the correctness of assessments, compliance with policies and procedures, and revenue enhancement.

Participates in the hospital wide quality assessment and performance improvement program by performing audits of medical records, monitoring compliance with standards, developing plans of correction, monitoring implementation of performance improvement activities, and evaluating the outcome of those activities. They also participate in the Ongoing Professional Practice Evaluation (OPPE) by monitoring the practice of other APRNs and providing feedback to improve performance.

Performs other duties as assigned by the Medical Director, including overseeing, planning, assigning, and/or supervising the work of others as well as participating in meetings both internal and external to the hospital; and representing the Medical Director in their absence. 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.

Knowledge Skills Abilities:

Knowledge of methods and procedures in the field of psychiatric/nursing including laws and ordinances governing mental health and hospital operations

Knowledge of principles, methods, and procedures for the delivery of medical/psychiatric evaluations, diagnosis, and treatment

Knowledge of the principles of the development, implementation, and documentation of case histories and individualized care and recovery plans.

Skills in interpretation of laboratory results

Skills in the care and treatment of patients and in the use of medical diagnostic and treatment tools and equipment.

Ability to examine, diagnose, and treat psychiatric disorders.

Ability to supervise the work of others who provide psychiatric care and medical as needed.

Ability to appropriately interact with individuals with developmental disabilities.

Ability to present ideas clearly and concisely in both written and oral communications.

Ability to prepare and maintain medical records.

Ability to work productively with professionals and paraprofessionals as an effective member of an interdisciplinary team.

Ability to work independently and be flexible in carrying out assigned responsibilities. Registration or Licensure Requirements:

Must be a registered nurse in the State of Texas or in another state that recognizes reciprocity through the Nurse Licensure Compact.

Must be certified as an Advanced Practice Registered Nurse by the Texas Board of Nursing.

The APRN specialization must be certified by the American Nurses Credentialing Center or other recognized certifying agencies.

Must have, or ability to obtain, a current registration certificate from the Drug Enforcement Agency (DEA).

Must possess a National Provider Identifier (NPI#) as defined by Medicare Part B

Initial Selection Criteria:

Graduation from an advanced practice registered nurse educational program accredited by a national nursing education accrediting body that is recognized by the U.S. Department of Education and the Texas Board of Nursing with a master's degree or higher level.

At least 2 years of clinical nursing experience.

One (1) year of work as an Advanced Practice Registered Nurse (APRN) is preferred.

Experience in supervising or leading the work of others.

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. Waco Center for Youth applicants must be 21 years of age.

Flexibility in work hours may be required for this position. The position may be required to work overtime and/or extended hours.

Compliance with HHSC immunization policy and state hospital operating procedures related to immunizations is required. According to the Centers for Disease Control and Prevention, healthcare workers are at significant risk for acquiring or transmitting hepatitis B, measles, mumps, rubella, varicella (chicken pox), tetanus, diphtheria, pertussis (whooping cough), and influenza. All these diseases are vaccine preventable. Vaccines may be provided. As a result, state hospital policy requires employees be vaccinated according to their level of contact with individuals. 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.

If you need assistance completing the online application, contact the HHS Employee Service Center at 1-888-894-4747.

HHS agencies use E-Verify. You must bring your I-9 documentation with you on your first day of work.

In compliance with the Americans with Disabilities Act (ADA), HHS agencies will provide reasonable accommodation during the hiring and selection process for qualified individuals with a disability. If you need assistance completing the on-line application, contact the HHS Employee Service Center at 1-888-894-4747. If you are contacted for an interview and need accommodation to participate in the interview process, please notify the person scheduling the interview.

MOS Code:

66P/R/C, 290X, 46YX

Note: Military occupation(s) that relate to the initial selection criteria and registration or licensure requirements for this position may include, but not limited to: 66P/R/C, 290X, 46YX. 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.

HHS agencies use E-Verify. You must bring your I-9 documentation with you on your first day of work.

I-9 Form - Click here to download the I-9 form.

In compliance with the Americans with Disabilities Act (ADA), HHS agencies will provide reasonable accommodation during the hiring and selection process for qualified individuals with a disability. If you need assistance completing the on-line application, contact the HHS Employee Service Center at 1-888-894-4747. If you are contacted for an interview and need accommodation to participate in the interview process, please notify the person scheduling the interview.

Top 10 Tips for Success when Applying to Jobs at HHSC and DSHS

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Psychiatric Advanced Nurse PraWould 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 each other, teamwork, and inclusivity? HSCS is dedicated to building a diverse community atmosphere where employees feel valued, supported, and accepted while providing specialized care for Texans in need. If providing hope and healing through compassionate, innovative, and individualized care interest you, we welcome your application for the position below. The Psychiatric Advanced Practice RN is appointed by the Medical Director subject to the approval of the State Hospital Superintendent. Performs highly advanced (senior-level) psychiatric care under the supervision as delegated by a psychiatrist. Work involves assessing, planning, and providing comprehensive psychiatric patient care independently or in collaboration with other health care professionals. Plans, assigns, and/or supervises the work of others, including other APRNs as well as performs assigned administrative duties. Meets face to face with individuals served as needed. Directs psychiatric activities/treatment, monitors trends and activities, and makes recommendations for improvement. Prescribes medications to include antipsychotics, orders and interprets laboratory and diagnostic testing, consults, and referrals. Performs all other duties as assigned by the Medical Director, including planning, assigning, and/or supervising the work of others; and representing the Medical Director in their absence. Participates in the quality assessment and performance improvement program. Serves as a leader of the patient's recovery team. Works under minimal supervision with extensive latitude for the use of initiative and independent judgment. Works under the clinical and administrative supervision of the Medical Director and/or other delegating physician. May also work collaboratively with physicians via telemedicine. Performs other duties as assigned. 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. This position may also be eligible to earn additional pay for work performed on maximum security locations. 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. Operates within the scope of their licensure to promote and maintain a therapeutic and safe psychiatric milieu. Oversees and provides acute and long-term psychiatric care to individuals, including daily assessment in the patient's mental health status. Evaluates and makes appropriate referrals for patient's injury or change in physical status. The assessment also includes diagnosis, treatment, and development of a plan of care with documentation of the acute issue as it pertains to psychiatric treatment. Prescribes medications, including antipsychotics, orders laboratory and diagnostic testing, consults, makes referrals and interprets the results. Provides psychiatric care meeting face to face with individuals, which includes an initial and ongoing assessment for individuals with identified acute and long-term psychiatric diagnosis; conducts a review of appropriate treatment specific to the disease process and updates or changes in psychiatric treatment are made as warranted. Provides comprehensive psychiatric care, which includes conducting rounds, leading Recovery Team Meetings, participating in court hearings and serving as a liaison to the courts. Conducts periodic reviews of hospitalized patients when on-call for evaluation the reported change in status or condition of individuals under treatment. Oversees and provides psychiatric diagnosis and the review of the recovery plan, including review of all the identified risks of the individual, (choking, falls, seizures, aggression, etc.) as well as their health status, and ensures necessary supports (OT, PT, Nursing, etc.) have been identified and appropriate areas of need are being addressed. Oversees and develops accurate and timely documentation, which includes annual summaries, use of physical restraints and evaluating the correctness of assessments, compliance with policies and procedures, and revenue enhancement. Participates in the hospital wide quality assessment and performance improvement program by performing audits of medical records, monitoring compliance with standards, developing plans of correction, monitoring implementation of performance improvement activities, and evaluating the outcome of those activities. They also participate in the Ongoing Professional Practice Evaluation (OPPE) by monitoring the practice of other APRNs and providing feedback to improve performance. Performs other duties as assigned by the Medical Director, including overseeing, planning, assigning, and/or supervising the work of others as well as participating in meetings both internal and external to the hospital; and representing the Medical Director in their absence. 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. Knowledge Skills Abilities: Knowledge of methods and procedures in the field of psychiatric/nursing including laws and ordinances governing mental health and hospital operations Knowledge of principles, methods, and procedures for the delivery of medical/psychiatric evaluations, diagnosis, and treatment Knowledge of the principles of the development, implementation, and documentation of case histories and individualized care and recovery plans. Skills in interpretation of laboratory results Skills in the care and treatment of patients and in the use of medical diagnostic and treatment tools and equipment. Ability to examine, diagnose, and treat psychiatric disorders. Ability to supervise the work of others who provide psychiatric care and medical as needed. Ability to appropriately interact with individuals with developmental disabilities. Ability to present ideas clearly and concisely in both written and oral communications. Ability to prepare and maintain medical records. Ability to work productively with professionals and paraprofessionals as an effective member of an interdisciplinary team. Ability to work independently and be flexible in carrying out assigned responsibilities. Registration or Licensure Requirements: Must be a registered nurse in the State of Texas or in another state that recognizes reciprocity through the Nurse Licensure Compact. Must be certified as an Advanced Practice Registered Nurse by the Texas Board of Nursing. The APRN specialization must be certified by the American Nurses Credentialing Center or other recognized certifying agencies. Must have, or ability to obtain, a current registration certificate from the Drug Enforcement Agency (DEA). Must possess a National Provider Identifier (NPI#) as defined by Medicare Part B Initial Selection Criteria: Graduation from an advanced practice registered nurse educational program accredited by a national nursing education accrediting body that is recognized by the U.S. Department of Education and the Texas Board of Nursing with a master's degree or higher level. At least 2 years of clinical nursing experience. One (1) year of work as an Advanced Practice Registered Nurse (APRN) is preferred. Experience in supervising or leading the work of others. 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. Waco Center for Youth applicants must be 21 years of age. Flexibility in work hours may be required for this position. The position may be required to work overtime and/or extended hours. Compliance with HHSC immunization policy and state hospital operating procedures related to immunizations is required. According to the Centers for Disease Control and Prevention, healthcare workers are at significant risk for acquiring or transmitting hepatitis B, measles, mumps, rubella, varicella (chicken pox), tetanus, diphtheria, pertussis (whooping cough), and influenza. All these diseases are vaccine preventable. Vaccines may be provided. As a result, state hospital policy requires employees be vaccinated according to their level of contact with individuals. 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. If you need assistance completing the online application, contact the HHS Employee Service Center at 1-888-894-4747. HHS agencies use E-Verify. You must bring your I-9 documentation with you on your first day of work. In compliance with the Americans with Disabilities Act (ADA), HHS agencies will provide reasonable accommodation during the hiring and selection process for qualified individuals with a disability. If you need assistance completing the on-line application, contact the HHS Employee Service Center at 1-888-894-4747. If you are contacted for an interview and need accommodation to participate in the interview process, please notify the person scheduling the interview. MOS Code: 66P/R/C, 290X, 46YX Note: Military occupation(s) that relate to the initial selection criteria and registration or licensure requirements for this position may include, but not limited to: 66P/R/C, 290X, 46YX. 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. HHS agencies use E-Verify. You must bring your I-9 documentation with you on your first day of work. I-9 Form - Click here to download the I-9 form. In compliance with the Americans with Disabilities Act (ADA), HHS agencies will provide reasonable accommodation during the hiring and selection process for qualified individuals with a disability. If you need assistance completing the on-line application, contact the HHS Employee Service Center at 1-888-894-4747. If you are contacted for an interview and need accommodation to participate in the interview process, please notify the person scheduling the interview. Top 10 Tips for Success when Applying to Jobs at HHSC and DSHS 

<body><h3>Nurse III/Nurse Manager</h3><br/><p>Nurse III/Nurse Manager

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 each other, teamwork, and inclusivity? HSCS is dedicated to building a diverse community atmosphere where employees feel valued, supported, and accepted while providing specialized care for Texans in need. If providing hope and healing through compassionate, innovative, and individualized care interest you, we welcome your application for the position below.

The Nurse Manager performs advanced (senior-level) nursing functions such as; planning, developing, coordinating, and evaluating the provision of nursing care on a 24-hour basis. The Nurse Manager is responsible for directing the day to day operations in all assigned areas. The Nurse Manager facilitates the identification and implementation of Standards of Practice that are consistent with the HHSC and State Hospital rules and regulations, The Texas Administrative Code (TAC), and the Texas State Board of Nursing. The Nurse Manager is responsible for ensuring a competent workforce. They provide clinical direction and expertise and ensure care is provided based on individual patient characteristics such as age, developmental level, diagnoses, and/or specialized patient needs. They participate in the development and support of partnerships within the hospital; other divisions and departments, recovery teams, patients and their families; and external organizations such as professional groups, advocacy groups, and the general public to facilitate community involvement and awareness. The Nurse Manager participates in the performance improvement activities. Supervises the work of others. Works under limited supervision, with considerable latitude for the use of initiative and independent judgement.

Performs other duties as assigned. 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.

This position may be eligible to earn additional pay for work performed on evenings, nights and/or weekends.

This position may also be eligible to earn additional pay for work performed on maximum security locations.

Essential Job Functions:

Attends work on a regular basis and may be asked 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.

Serves as the spokesperson and catalyst for the professional practice of program-based nursing services through active and productive participation in performance improvement activities which include monitoring nursing performance indicators, conducting medical record audits, conducting nursing peer reviews, and participating in patient death reviews. Performance will reflect a high level of involvement, professionalism, and productivity.

Promotes an environment that empowers nurses to provide effective, compassionate, and efficient nursing care by fostering a climate that enhances job satisfaction through productivity and quality improvement. Develops nursing policies and procedures that promote a professional environment. Develops program specific policies and procedures that promote the mission of the program and assures congruence with professional and organizational expectations. Facilitates, coaches, and supervises others in the development and deployment of strategies to ensure optimal levels of nursing services are available to patients 24 hours a day, seven days a week. Ensures awards and recognition activities that promote staff morale. Assures the reporting of general patterns and trends of nursing care are provided (e.g., 24-hour nursing report, restraint and seclusion nursing documentation, staff call-ins, etc.). Provides clinical direction and expertise and ensures that care provided is based on an appropriate developmental level to meet specific and specialized patient needs. Works with recovery teams to implement patient-centered trauma informed care. Facilitates the identification and implementation of hospital-based Standards of Practice that are consistent with the Board of Nursing, The Joint Commission (TJC) standards, Centers for Medicare and Medicaid (CMS) conditions of participation, Texas Administrative Code (TAC), and the rules and regulations of the Agency and state hospital.

Serves as a resource on nursing practices and education programs by performing consultative and administrative work. Ensures a competent workforce by participating in the design, development, and oversight of the implementation of systems that evaluate and contribute to the quality of patient care by participating in Quality Assessment and Performance Improvement (QAPI) initiatives that address important aspects of nursing care. Incorporates program specific monitoring into on-going performance improvement activities and assures timely reporting. Utilizes data as a basis to identify and address patterns and trends as they relate to the delivery of nursing care. Assures review/revision of program nursing service manuals according to standards. Ensures that patient's rights are protected by addressing issues found in patient care reports, client abuse and neglect reports, 24-hour reports, patient satisfaction surveys, and other hospital reporting mechanisms. Assures systematic capture, review and analysis, communication, and follow-up in relation to significant events on the program (e.g., Medication Errors, Adverse Drug Reactions, Unauthorized Departures, Emergency Transfers, Deaths, Unusual Occurrences, etc.). Oversees and conducts clinical reviews to ensure adequate clinical care is provided to patients. Alerts leadership of safety/risk management issues and actively facilitates problem-solving strategies.

Works with leadership to meet the nurse staffing plan to support the hospitals mission. Ensures the continuous (24-hours/day, 7 days/week) timely availability of nursing staff to meet patient care needs. Establishes and evaluates annually a staffing plan for nursing service that identifies minimum staffing for all levels of nursing personnel to promote a safe environment that complies all regulatory and professional standards. Seeks and utilizes suggestions to effectively streamline work efforts and minimize redundancy. Works with leadership keeping nursing management apprised of nursing services resource allocation and reallocation needs. Tracks and aggregates information for the purpose of analysis and feedback to program staff as well as leadership. Proactively identifies and seeks opportunities for improved recruitment and retention of qualified personnel. The Nurse Manager actively participates in the budget process that reflects patient activity needs, census variance, and staff vacancy rates, within the context of budget allocations and restrictions. Participates in the development and support of partnerships within the hospital and key stakeholders including patients and their families. Works with external organizations such as professional groups, advocacy groups, courts, law enforcement, and the general public to facilitate community involvement.

Partners with leadership to help design and deliver a high-quality system of care to patients using a multi-disciplinary approach. Assists the Nurse Educator in providing clinical rotations for academic linkages with colleges, universities, and training programs. Participates in assigned committees, workgroups, and task forces as requested. Promotes positive working relationships with outside agencies (e.g., Provider Investigations (PI), Office of Inspector General (OIG)), other hospital departments, programs and divisions including ancillary/support services, (e.g. Pharmacy, Medical Staff, Information Management, Clinical Laboratories, Dietary, etc.). On an annual basis, uses a customer feedback questionnaire to help identify opportunities for improvement.

Performs other duties as assigned. 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. Knowledge Skills Abilities:

Knowledge of Texas Nurse Practice Act, and the role of peer review in the provision of professional nursing

Knowledge of management theory, organizational planning, plan deployment, and improving organizational performance

Knowledge of the Recovery Model of Care

Knowledge of training principles, practices, and techniques

Knowledge of group process, group dynamics, and interpersonal relations

Knowledge of nursing competencies, standards and psychiatric rehabilitation practices and techniques

Knowledge of professional nursing Standards, CPR, Abnormal Involuntary Movement Scale (AIMS), Treatment, Intervention, and Protection Strategies (TIPS), and Psychiatric Nursing Assistant (PNA) Curricula

Skills in the care and treatment of patients

Strong interpersonal skills which promote teamwork

Skills in utilizing computer hardware/software

Skills in administering restraint and seclusion

Strong coaching skills

Ability to organize, coordinate, and evaluate nursing activities

Ability to instruct, train, and supervise the work of others

Ability to develop a budget

Ability to provide patient care

Ability to prepare and maintain records

Ability to organize and communicate information both orally and in writing

Ability to interpret and explain standards and regulations

Ability to instruct, train, oversee and provide guidance to others

Ability to create and evaluate training objectives, requirements, and effectiveness of delivery

Ability to communicate effectively both orally and in writing

Ability to formulate learning objectives

Ability to manage time effectively

Ability to intervene therapeutically with patients experiencing psychiatric disorders (delusions, hallucinations, suicidal/homicidal ideation)

Ability to perform CPR, the Heimlich Maneuver, use the AED, provide First Aid

Ability to provide patient/family education regarding medications, disease processes, and health Registration or Licensure Requirements:

Licensed as a Registered Nurse (RN) in the state of Texas, or in a party state, that recognizes reciprocity through the Nurse Licensure Compact Initial Selection Criteria:

Graduation from an accredited four-year college or university with major coursework in nursing or from an accredited nursing program; may substitute three (3) years of work experience as a RN in a recognized health agency, hospital, or health care facility for a four-year education

At least one (1) year of work experience as an RN in a recognized health agency,

hospital, or health care facility Additional Information:

SALARY NOTE: The posted salary range reflects the minimum and maximum allowable by state law. Any employment offer is contingent upon available budgeted funds. The offered salary will be determined in accordance with budgetary limits and the requirements of HHSC Human Resources Manual Chapter 7.

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. Waco Center for Youth applicants must be 21 years of age.

Flexibility in work hours may be required for this position. The position may be required to work overtime and/or extended hours.

Compliance with HHSC immunization policy and state hospital operating procedures related to immunizations is required. 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 (chicken pox), tetanus, diphtheria, pertussis (whooping cough), and influenza. All these diseases are vaccine preventable. As a result, state hospital policy requires employees be vaccinated according to their level of contact with individuals. 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.

If you need assistance completing the online application, contact the HHS Employee Service Center at 1-888-894-4747.

HHS agencies use E-Verify. You must bring your I-9 documentation with you on your first day of work.

In compliance with the Americans with Disabilities Act (ADA), HHS agencies will provide reasonable accommodation during the hiring and selection process for qualified individuals with a disability. If you need assistance completing the on-line application, contact the HHS Employee Service Center at 1-888-894-4747. If you are contacted for an interview and need accommodation to participate in the interview process, please notify the person scheduling the interview. MOS Code:

68C, 66N/P/W, 290X, 46FX, 46NX, 46SX

Note: Military occupation(s) that relate to the initial selection criteria and registration or licensure requirements for this position may include, but not limited to: 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.

HHS agencies use E-Verify. You must bring your I-9 documentation with you on your first day of work.

I-9 Form - Click here to download the I-9 form.

In compliance with the Americans with Disabilities Act (ADA), HHS agencies will provide reasonable accommodation during the hiring and selection process for qualified individuals with a disability. If you need assistance completing the on-line application, contact the HHS Employee Service Center at 1-888-894-4747. If you are contacted for an interview and need accommodation to participate in the interview process, please notify the person scheduling the interview.

Top 10 Tips for Success when Applying to Jobs at HHSC and DSHS

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Nurse III/Nurse ManagerNurse III/Nurse Manager 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 each other, teamwork, and inclusivity? HSCS is dedicated to building a diverse community atmosphere where employees feel valued, supported, and accepted while providing specialized care for Texans in need. If providing hope and healing through compassionate, innovative, and individualized care interest you, we welcome your application for the position below. The Nurse Manager performs advanced (senior-level) nursing functions such as; planning, developing, coordinating, and evaluating the provision of nursing care on a 24-hour basis. The Nurse Manager is responsible for directing the day to day operations in all assigned areas. The Nurse Manager facilitates the identification and implementation of Standards of Practice that are consistent with the HHSC and State Hospital rules and regulations, The Texas Administrative Code (TAC), and the Texas State Board of Nursing. The Nurse Manager is responsible for ensuring a competent workforce. They provide clinical direction and expertise and ensure care is provided based on individual patient characteristics such as age, developmental level, diagnoses, and/or specialized patient needs. They participate in the development and support of partnerships within the hospital; other divisions and departments, recovery teams, patients and their families; and external organizations such as professional groups, advocacy groups, and the general public to facilitate community involvement and awareness. The Nurse Manager participates in the performance improvement activities. Supervises the work of others. Works under limited supervision, with considerable latitude for the use of initiative and independent judgement. Performs other duties as assigned. 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. This position may be eligible to earn additional pay for work performed on evenings, nights and/or weekends. This position may also be eligible to earn additional pay for work performed on maximum security locations. Essential Job Functions: Attends work on a regular basis and may be asked 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. Serves as the spokesperson and catalyst for the professional practice of program-based nursing services through active and productive participation in performance improvement activities which include monitoring nursing performance indicators, conducting medical record audits, conducting nursing peer reviews, and participating in patient death reviews. Performance will reflect a high level of involvement, professionalism, and productivity. Promotes an environment that empowers nurses to provide effective, compassionate, and efficient nursing care by fostering a climate that enhances job satisfaction through productivity and quality improvement. Develops nursing policies and procedures that promote a professional environment. Develops program specific policies and procedures that promote the mission of the program and assures congruence with professional and organizational expectations. Facilitates, coaches, and supervises others in the development and deployment of strategies to ensure optimal levels of nursing services are available to patients 24 hours a day, seven days a week. Ensures awards and recognition activities that promote staff morale. Assures the reporting of general patterns and trends of nursing care are provided (e.g., 24-hour nursing report, restraint and seclusion nursing documentation, staff call-ins, etc.). Provides clinical direction and expertise and ensures that care provided is based on an appropriate developmental level to meet specific and specialized patient needs. Works with recovery teams to implement patient-centered trauma informed care. Facilitates the identification and implementation of hospital-based Standards of Practice that are consistent with the Board of Nursing, The Joint Commission (TJC) standards, Centers for Medicare and Medicaid (CMS) conditions of participation, Texas Administrative Code (TAC), and the rules and regulations of the Agency and state hospital. Serves as a resource on nursing practices and education programs by performing consultative and administrative work. Ensures a competent workforce by participating in the design, development, and oversight of the implementation of systems that evaluate and contribute to the quality of patient care by participating in Quality Assessment and Performance Improvement (QAPI) initiatives that address important aspects of nursing care. Incorporates program specific monitoring into on-going performance improvement activities and assures timely reporting. Utilizes data as a basis to identify and address patterns and trends as they relate to the delivery of nursing care. Assures review/revision of program nursing service manuals according to standards. Ensures that patient's rights are protected by addressing issues found in patient care reports, client abuse and neglect reports, 24-hour reports, patient satisfaction surveys, and other hospital reporting mechanisms. Assures systematic capture, review and analysis, communication, and follow-up in relation to significant events on the program (e.g., Medication Errors, Adverse Drug Reactions, Unauthorized Departures, Emergency Transfers, Deaths, Unusual Occurrences, etc.). Oversees and conducts clinical reviews to ensure adequate clinical care is provided to patients. Alerts leadership of safety/risk management issues and actively facilitates problem-solving strategies. Works with leadership to meet the nurse staffing plan to support the hospitals mission. Ensures the continuous (24-hours/day, 7 days/week) timely availability of nursing staff to meet patient care needs. Establishes and evaluates annually a staffing plan for nursing service that identifies minimum staffing for all levels of nursing personnel to promote a safe environment that complies all regulatory and professional standards. Seeks and utilizes suggestions to effectively streamline work efforts and minimize redundancy. Works with leadership keeping nursing management apprised of nursing services resource allocation and reallocation needs. Tracks and aggregates information for the purpose of analysis and feedback to program staff as well as leadership. Proactively identifies and seeks opportunities for improved recruitment and retention of qualified personnel. The Nurse Manager actively participates in the budget process that reflects patient activity needs, census variance, and staff vacancy rates, within the context of budget allocations and restrictions. Participates in the development and support of partnerships within the hospital and key stakeholders including patients and their families. Works with external organizations such as professional groups, advocacy groups, courts, law enforcement, and the general public to facilitate community involvement. Partners with leadership to help design and deliver a high-quality system of care to patients using a multi-disciplinary approach. Assists the Nurse Educator in providing clinical rotations for academic linkages with colleges, universities, and training programs. Participates in assigned committees, workgroups, and task forces as requested. Promotes positive working relationships with outside agencies (e.g., Provider Investigations (PI), Office of Inspector General (OIG)), other hospital departments, programs and divisions including ancillary/support services, (e.g. Pharmacy, Medical Staff, Information Management, Clinical Laboratories, Dietary, etc.). On an annual basis, uses a customer feedback questionnaire to help identify opportunities for improvement. Performs other duties as assigned. 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. Knowledge Skills Abilities: Knowledge of Texas Nurse Practice Act, and the role of peer review in the provision of professional nursing Knowledge of management theory, organizational planning, plan deployment, and improving organizational performance Knowledge of the Recovery Model of Care Knowledge of training principles, practices, and techniques Knowledge of group process, group dynamics, and interpersonal relations Knowledge of nursing competencies, standards and psychiatric rehabilitation practices and techniques Knowledge of professional nursing Standards, CPR, Abnormal Involuntary Movement Scale (AIMS), Treatment, Intervention, and Protection Strategies (TIPS), and Psychiatric Nursing Assistant (PNA) Curricula Skills in the care and treatment of patients Strong interpersonal skills which promote teamwork Skills in utilizing computer hardware/software Skills in administering restraint and seclusion Strong coaching skills Ability to organize, coordinate, and evaluate nursing activities Ability to instruct, train, and supervise the work of others Ability to develop a budget Ability to provide patient care Ability to prepare and maintain records Ability to organize and communicate information both orally and in writing Ability to interpret and explain standards and regulations Ability to instruct, train, oversee and provide guidance to others Ability to create and evaluate training objectives, requirements, and effectiveness of delivery Ability to communicate effectively both orally and in writing Ability to formulate learning objectives Ability to manage time effectively Ability to intervene therapeutically with patients experiencing psychiatric disorders (delusions, hallucinations, suicidal/homicidal ideation) Ability to perform CPR, the Heimlich Maneuver, use the AED, provide First Aid Ability to provide patient/family education regarding medications, disease processes, and health Registration or Licensure Requirements: Licensed as a Registered Nurse (RN) in the state of Texas, or in a party state, that recognizes reciprocity through the Nurse Licensure Compact Initial Selection Criteria: Graduation from an accredited four-year college or university with major coursework in nursing or from an accredited nursing program; may substitute three (3) years of work experience as a RN in a recognized health agency, hospital, or health care facility for a four-year education At least one (1) year of work experience as an RN in a recognized health agency, hospital, or health care facility Additional Information: SALARY NOTE: The posted salary range reflects the minimum and maximum allowable by state law. Any employment offer is contingent upon available budgeted funds. The offered salary will be determined in accordance with budgetary limits and the requirements of HHSC Human Resources Manual Chapter 7. 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. Waco Center for Youth applicants must be 21 years of age. Flexibility in work hours may be required for this position. The position may be required to work overtime and/or extended hours. Compliance with HHSC immunization policy and state hospital operating procedures related to immunizations is required. 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 (chicken pox), tetanus, diphtheria, pertussis (whooping cough), and influenza. All these diseases are vaccine preventable. As a result, state hospital policy requires employees be vaccinated according to their level of contact with individuals. 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. If you need assistance completing the online application, contact the HHS Employee Service Center at 1-888-894-4747. HHS agencies use E-Verify. You must bring your I-9 documentation with you on your first day of work. In compliance with the Americans with Disabilities Act (ADA), HHS agencies will provide reasonable accommodation during the hiring and selection process for qualified individuals with a disability. If you need assistance completing the on-line application, contact the HHS Employee Service Center at 1-888-894-4747. If you are contacted for an interview and need accommodation to participate in the interview process, please notify the person scheduling the interview. MOS Code: 68C, 66N/P/W, 290X, 46FX, 46NX, 46SX Note: Military occupation(s) that relate to the initial selection criteria and registration or licensure requirements for this position may include, but not limited to: 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. HHS agencies use E-Verify. You must bring your I-9 documentation with you on your first day of work. I-9 Form - Click here to download the I-9 form. In compliance with the Americans with Disabilities Act (ADA), HHS agencies will provide reasonable accommodation during the hiring and selection process for qualified individuals with a disability. If you need assistance completing the on-line application, contact the HHS Employee Service Center at 1-888-894-4747. If you are contacted for an interview and need accommodation to participate in the interview process, please notify the person scheduling the interview. Top 10 Tips for Success when Applying to Jobs at HHSC and DSHS 

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