Join the Texas Health and Human Services Commission (HHSC) and be part of a team committed to creating a positive impact in the lives of fellow Texans. At HHSC, your contributions matter, and we support you at each stage of your life and work journey. Our comprehensive benefits package includes 100% paid employee health insurance for full-time eligible employees, a defined benefit pension plan, generous time off benefits, numerous opportunities for career advancement and more. Explore more details on the Benefits of Working at HHS webpage.
Job Title and Information
Functional Title: Nurse III-SDCRN with ADN Job Title: Nurse III- SDCRN (ADN) Agency: Health & Human Services Comm Department: Timber Hill Nursing Posting Number: 14456 Closing Date: 03/17/2026 Posting Audience: Internal and External Occupational Category: Healthcare Practitioners and Technical Salary Range: $7,532.75 - $8,886.16 Pay Frequency: Monthly Salary Group: TEXAS-B-24 Shift: Day Additional Shift: Evenings (Second) Telework: Not Eligible for Telework Travel: Up to 5% Regular/Temporary: Regular Full Time/Part Time: Full time
Job Description
Come work in an environment where we truly value and respect those we serve and believe in the mission that all people can achieve a higher level of wellness and independence. The state supported living centers serve people with intellectual and developmental disabilities who are medically fragile or who have behavioral problems. The centers provide campus-based direct services and supports at 13 centers located throughout the state. Learn About Our State Supported Living Centers
If you are looking for a place to work where you can establish a career that is filled with purpose, this is the job for you! The Senior Direct Care Registered Nurse with Associate's Degree in Nursing (ADN) performs highly complex (senior level) nursing work providing for the assessment, care and integrated treatment of individuals residing at the SSLC. Performs highly complex and technical nursing tasks, procedures, and assessments, administers medications, immunizations and treatments in accordance with HHSC, SSLC and state regulations. Interprets and evaluates diagnostic tests, collects specimens, and communicates findings and recommendations.
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. Performs highly complex and technical nursing tasks and procedures in accordance with HHSC, SSLC and state regulations, such as tracheostomy care, gastrostomy/jejunostomy care, wound care, and breathing treatments. Administers medications, immunizations, and treatments and observes patients for unusual symptoms and reactions.
For new admissions, in collaboration with the assigned RN Case Manager, provides a detailed initial assessment and review of data to present key findings to providers and other members of the interdisciplinary team. Interprets and evaluates diagnostic tests to identify and assess individuals' response to planned care, as appropriate to the scope of practice. Collects specimens for laboratory examination and conducts appropriate screening tests when requested by lab personnel.
Responsibilities
Coordinates and organizes the nursing services and activities they provide for individuals on their assigned home/unit to ensure tasks are completed effectively and efficiently. Observes individuals and gathers pertinent information. Monitors individuals' weight, diet, feedings, and vital signs. Monitors for signs and symptoms of illness and uses appropriate nursing judgement to provide adequate care for the individual, including initiating acute care plans.
Makes rounds and/or to other homes/units as needed and works in other locations at the SSLC as needed. Discusses any pressing issues or concerns that are found with the appropriate supervisor. Communicates effectively, and provides consultation, training, and technical assistance to direct support professionals (DSPs) about individuals' unique care needs.
Knowledge, Skills and Abilities
Knowledge of: State and federal laws and Intermediate Care Facility for individuals with intellectual disabilities (ICF-IID) rules, regulations, policy and procedures related to State Supported Living Center or ability to quickly gain that knowledge. Evidence-based practices applicable to treatment of individuals with developmental disabilities Emergency procedures and emergency equipment, i.e., Cardiopulmonary Resuscitation (CPR), and ability to assess and care for residents and/or staff members in emergency situations.
Skill in: The care and treatment of patients. The use of computer/software and an electronic health record system. Working with individuals with complex physical and nutritional management needs, behavioral challenges and varying methods of communication. Excellent verbal and written communication skills and the ability to present ideas clearly and concisely in both written and oral communications.
Requirements
Licensed to practice as a registered nurse in the State of Texas (or a state that recognizes reciprocity through the Nurse Licensure Compact) Initial Screening Criteria: Associate degree in nursing (ADN) is required. At least two (2) year of experience as a practicing registered nurse in a health agency, hospital, or health-care facility is required. Experience in assessment and documentation of health status is required. Specialized training or experience working with individuals with complex medical and behavioral health issues is preferred. Experience working with Individuals with Intellectual and/or Developmental Disabilities (IDD) is preferred.
Additional Information
Applicants must pass a fingerprint criminal background check, pre-employment drug screen, and registry checks including the Client Abuse/Neglect Reporting System (CANRS), Nurse Aide, Medication Aide and Employee Misconduct and HHS List of Excluded Individuals/Entities (LEIE). Males between the ages of 18 - 25 must be registered with the Selective Service. All State Supported Living Center Employees are subject to Random Drug Testing. Flexibility in work hours may be required for this position. The position may be required to work overtime and/or extended hours. Must be willing to work weekends and holidays. All applicants must be at least 18 years of age to be considered for employment at a state-operated facility.