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Texas Department of State Health Services in San Angelo, TX is seeking a Public Health Nurse II to perform complex nursing work in the Congenital Syphilis and HIV/STI programs. Responsibilities include patient care, education, reporting, and disease intervention across assigned region.
The nurse will collaborate with program managers, ensure goals are met, and provide clinical support under supervision. Texas RN licensure, Bilingual Spanish preferred, and strong knowledge of public health are
Date: Aug 6, 2026
Location: SAN ANGELO, TX
DSHS is committed to hiring skilled and dedicated individuals who share a passion for public health to pursue our vision of A Healthy Texas. If you are looking to make an impact and tackle new challenges, we encourage you to consider a career with us.
DSHS offers insurance coverage and other benefits available through the State of Texas Group Benefits Plan administered by the Employee Retirement System of Texas (ERS). To learn more about all the benefits available to you as a DSHS employee and other DSHS opportunities for early career pathways, visit the DSHS Careers Page.
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Under the direct supervision of the Communicable Disease Program manager, the Public Health Nurse II performs complex nursing work that includes the delivery of congenital syphilis and HIV/STI services and for the areas designated; to include the coordination of services, technical consultation and clinical support for Communicable Disease, particularly HIV/STI activities. Responsibilities include, but are not limited to, community education, patient care, reporting/documentation and disease intervention activities. Nurse II is responsible for services in the region, including participation in current and long-range planning for HIV/SII prevention and intervention in assigned areas. In coordination with the applicable program managers and/or supervisors ensure program goals and objectives are met. Works under limited supervision with considerable latitude for use of initiative and independent judgment. May provide additional PHN direct services as needed for Communicable Disease Support.
Evaluates patients for Congenital Syphilis risk factors, clinical presentation, and screening results in various settings (e.g. patient’s home or public health clinic). In collaboration with the authorizing physician develops a treatment plan; establishes mutual goals, monitors the patient’s treatment response. Engages patients in behavior modification to promote treatment adherence. May provide consultation, training, and technical assistance to agency staff, care recipients, provider agencies, and the medical community to ensure treatment is completed.
Serve as a technical consultant and resource to individuals, providers and stakeholders by providing information on CDC/DSHS standards regarding the current testing, diagnoses and treatment of Congenital Syphilis, as well as other STIs and HIV. Facilities involved can be health facilities, county correctional facilities, residential substance abuse facilities, and other community agency facilities. Communicates with private healthcare providers in the community providing specific and detailed clinical guidance according to their commendations given from the CDC. Participates or leads multidisciplinary meetings and trainings to review all aspects of Congenital Syphilis case management and provide guidance and recommendations to promote consistent and optimal patient care. 20%
Independently performs detection, intervention, reporting, notification, and referral activities related to people with CS infections and their contacts, at high risk for CS transmission or other HIV/STI cases as needed. This includes injection drug users, and other hard-to-reach and special populations, including, homeless persons, sex industry workers, transgender and intersexed persons, incarcerated populations, and persons whose primary language is not English.
Consults with the regional medical director and Texas DSHS recognized medical experts on complicated Congenital Syphilis cases or HIV/STI cases as needed. 10%
Emergency response duties as assigned may include planning for a disaster event response, actively participating during a disaster response and/or recovery effort. Serving in a supporting role during a disaster response and/or recovery effort and assisting with agency continuity of operations during disaster response and/or recovery efforts. 5% Performs other duties as assigned. 5%
Nursing theory and processes.
Knowledge of public health.
Health Insurance Portability and Accountability Act (HIPAA).
Infection Control / Standard Precautions.
Basic knowledge of HIV/STDs.
Skill in performing basic/abbreviated adult and pediatric physical assessment and obtaining relevant clinical history.
Skill in case analysis and providing clinical case management services.
Skill in interpreting treatment and bacteriological data.
Skill in communicating effectively with others (internal / external) both orally and in writing.
Skill in performing phlebotomy; obtaining and processing specimens; administering medications and immunizations.
Skill in using a personal computer and applicable software programs (Microsoft Office, Adobe, basic software).
Ability to interpret public health laws and regulations.
Ability to understand and follow written and oral instructions.
Ability to conduct objective, comprehensive nursing assessment plans.
Ability to direct and conduct contact and outbreak investigations.
Ability to function independently.
Ability to apply time management principles to tasks.
Ability to maintain effective working relationships with the public and medical community using tact and diplomacy.
Ability to work independently exercising sound judgment.
Ability to work well and effectively in a multidisciplinary team environment.
Ability to gain knowledge and be familiar with the Outbreak Response Plan, the STI program objectives, the CDC Program Operation Guidelines for STI prevention and adheres to all relevant DSHS policies and guidelines.
Must be registered as a Registered Nurse in the State of Texas with an active, unrestricted license.
Current and valid driver's license for the State of Texas.
Military occupation(s) that relate to the initial selection criteria and registration or licensure requirements for this position may include, but not limited to those listed in this posting. All active-duty military, reservists, guardsmen, and veterans are encouraged to apply if qualified for this position. For more information see the Texas State Auditor’s Military Crosswalk at https://hr.sao.texas.gov/CompensationSystem/JobDescriptions/.
In compliance with the Americans with Disabilities Act (ADA), DSHS will provide reasonable accommodation during the hiring process for individuals with a qualifying disability. If reasonable accommodation is needed to participate in the interview process, please notify the person who contacts you to schedule the interview. If you need assistance completing the on-line application, contact the HHS Employee Service Center at 1-888-894-4747 or via email at HHSServiceCenter.Applications@ngahrhosting.com.