Licensed Vocational Nurse II

FALL CREEK FARM & NURSERY; San Antonio (TX); On-site; USD 51,000 - 66,000; Full time

Benefits offered by this job

Health insurance

Pension plan

Generous time off

Job summary

Health & Human Services Commission (HHSC) in Texas seeks a Licensed Vocational Nurse II to support residents at the San Antonio State Supported Living Center. This full-time role offers morning, evening and night shifts with opportunities for additional shifts and weekend work.

You will administer medications, perform complex nursing tasks, mentor staff, and ensure care plans comply with HHSC policies. The position emphasizes safety, documentation and collaborative care with RNs and other

Qualifications

• Knowledge of nursing care standards and procedures.
• Ability to follow emergency procedures (CPR) and respond to health events.
• Strong communication with residents, families and team members.
• Proficiency with electronic health records and documentation.
• Ability to provide patient care to individuals with complex medical needs.

Responsibilities

• Administers medications and treatments as prescribed.
• Performs advanced nursing tasks and health assessments.
• Trains and mentors LVN staff and directs care on assigned units.
• Maintains accurate health records and reports to RNs/physicians.
• Collaborates with nurses and other professionals to improve resident health.

Skills

Nursing care standards

Emergency procedures

Communication skills

Electronic health records

Patient care abilities

Education

Licensed Vocational Nurse (LVN) license

Tools

EHR software

Job description

Career Opportunities: Licensed Vocational Nurse II (21313)

Posting ID21313-Posted09/10/2026-Health & Human Services Comm-Campus Nursing-Healthcare Practitioners and Technical-San Antonio State Supported Living Center-Not Eligible for Telework- Additional Shifts available (4) -b. $3000 - $4999 per month

Join the Texas Health and Human Services Commission (HHSC) and be part of a team committed to creating a positive impact in the lives of fellow Texans. At HHSC, your contributions matter, and we support you at each stage of your life and work journey. Our comprehensive benefits package includes 100% paid employee health insurance for full-time eligible employees, a defined benefit pension plan, generous time off benefits, numerous opportunities for career advancement and more. Explore more details on the Benefits of Working at HHS webpage .

Functional Title:Licensed Vocational Nurse II
Job Title:Licensed Vocational Nurse II
Agency:Health & Human Services Comm
Department:Campus Nursing
Posting Number:21313
Closing Date:03/11/2027
Posting Audience:Internal and External
Occupational Category:Healthcare Practitioners and Technical
Salary Range:$4,548.00-$5,921.16
Pay Frequency: Monthly
Salary Group:TEXAS-A-18
Shift:Regular Night
Additional Shift:Days (First); Evenings (Second); Nights (Third); Weekends
Telework:Not Eligible for Telework
Travel:Up to 10%
Regular/Temporary:Regular
Full Time/Part Time:Full time
FLSA Exempt/Non-Exempt:Nonexempt
Facility Location:San Antonio State Supported Living Center
Job Location City:SAN ANTONIO
Job Location Address:6711 S NEW BRAUNFELS AVE
Other Locations:None
MOS Codes:
290X,46AX,46FX,46NX,46PX,46SX,46YX,66B,66C,66E,66F,66G,66H,66N,66P,66R,66S,66T,66W,68C,68Z

Brief Job Description

This position is available for Morning, Evening and Night shifts on multiple homes.
This position may be eligible to earn additional pay for work performed on evenings, nights and/or weekends.

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!

Free CEUs and updated resources through Lippincott access for all nurses.

Performs highly complex vocational nursing work. Provides for the care, treatment, and general welfare of individuals residing at the SSLC who have complex medical, mental health and/or behavioral health issues. Performs basic and complex routine and non-routine nursing tasks to promote the health of the individuals within the assigned areas and assigned shift. Collects specimens for lab work and performs health screenings. Instructs direct support professionals and other staff on how to provide service and care that support the individual's medical needs. Performs technical nursing procedures according to facility and state regulations. Keeps informed of and follows all agency, SSLC, and unit/home policies and procedures. Provides direction and assists with on-the-job training to others such as newly hired LVNs and direct care staff. Assists Registered Nurses (RNs) with implementation of protocols, procedures and programs to improve overall health and safety of staff and individuals. Works under general supervision of an RN with moderate latitude for the use of initiative and independent judgment.

Essential Job Functions (EJFs)

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.

May serve in an on-call status on a rotating schedule as required to meet operational needs of the facility.

Administers medications and treatments orally, rectally, internally, or by injection. Assists other medical staff, such as Registered Nurses (RNs), Physicians, Advanced Practice Registered Nurses and Physician Assistants, in examining and caring for patients. Makes rounds and/or home visits as needed and works in other locations at the SSLC as needed. Demonstrates competency in performing complex technical nursing tasks and procedures in accordance with HHSC, SSLC and state regulations. Trains/instructs new LVN staff to perform nursing functions at the SSLC, including acclimating them to the individuals, and describing their needs and preferences.

Performs complex and technical nursing procedures according to facility and state regulations such as tracheostomy care, gastrostomy/jejunostomy care, wound care, breathing treatments. Collects specimens for laboratory examination and conducts appropriate screening tests when requested by lab personnel.

Monitors individuals' weight, diet, feedings, and vital signs. Monitors individuals' health status after treatments and procedures. Instructs direct support professionals on how to monitor individuals after a treatment or procedure using instruction sheets such as that used for post-sedation monitoring of signs and symptoms.

Timely and accurately documents and reports pertinent treatments and observations in the individual’s medical record (electronic health record or paper chart) in accordance with SSLC procedures and protocols. Recognize symptoms of illness and reports accurately to RN and/or Primary Care Provider.

Fosters interdisciplinary collaboration and integration. Communicates pertinent information orally and in writing to other team members, such as the RN Case Manager, in order to ensure the treatment team has the best information possible to make decisions.

Serves as a resource/mentor for new LVNs. Assists the RN Supervisor with on-the-job nursing instruction and training of other new LVNs.

Assists RNs with implementation of protocols, procedures, and programs to improve overall health and safety of staff and individuals. Assists the Infection Control Nurse by implementing measures that prevent the spread of disease, assists the QA Nurse in developing and implementing quality assurance programs, and assists in the implementation of therapeutic nursing programs. Collects data for RN/Primary Care Provider.

Provides information and education to individuals, in accordance with their care plan, when performing procedures and treatments such as explaining the name and purpose of a particular medication and explaining why the individuals is taking the medication.

Ensures the individual is positioned correctly prior to providing a treatment and, when necessary, assists or instructs other staff in turning/repositioning individuals to administer treatments.

Ensures that supplies are available, in advance, to provide the required procedure or treatment. Takes inventory and ensures the home/unit is properly stocked. Orders supplies through appropriate channels when they are needed.

Responds to emergency situations to ensure safety of individuals. Follows safety and infection control procedures of the SSLC.

Performs other duties as assigned such as working in the clinic or lab, assisting with patient scheduling, and/or accompanying individuals off site for activities or appointments that need nursing attendance.

Provide treatment to HHS employees injured in courses and scope of employment.

Other duties as assigned include but are not limited to actively participating and/or serving in a supporting role to meet the agency’s obligations for disaster response and/or recovery or Continuity of Operations (COOP) activation. Such participation may require an alternate shift pattern assignment and/or location.

Knowledge, Skills and Abilities (KSAs)

• Knowledge of nursing care standards, nursing procedures and techniques, and of the principles and processes used in providing appropriate patient care.
• Knowledge of emergency procedures and emergency equipment, i.e., CPR, and ability to assess and care for residents and/or staff members in emergency situations.
• Skills in using reasoning to identify problems and in considering appropriate resolution of situations.
• Skill in the operation of computers and applicable computer software.
• Skill in the care and treatment of patients.
• Ability to provide patient care to a wide variety of individuals with complex medical, mental health, and/or behavioral health issues.
• Ability to prepare and maintain records and to use an electronic health record system once trained.
• Ability to communicate effectively and to instruct others.
• Ability to appropriately interact with individuals with intellectual/developmental disabilities, with their family members, and with staff members.
• Must