Licensed Vocational Nurse III

Texas Health and Human Services; Carlsbad (TX); On-site; USD 54,000 - 71,000; Full time

Benefits offered by this job

Health insurance

Pension plan

Generous time off

Job summary

Texas Health and Human Services Commission (HHSC) seeks a Licensed Vocational Nurse III for the Woodruff Heights - Nursing unit in Carlsbad, TX. The role involves advanced vocational nursing duties across multiple homes, with morning and evening shifts and opportunities for additional pay on evenings, nights, or weekends.

You will work under an RN and lead on-the-job training for LVNs. Benefits include 100% paid employee health insurance for full-time eligible employees, a defined benefit

Responsibilities

• Administers medications and treatments; performs nursing tasks per state regulations.
• Trains/directs LVNs and direct care staff; uses nursing interventions and health screenings.
• Maintains medical records and communicates with the healthcare team.

Job description

Date: Oct 12, 2026

Location: CARLSBAD, TX

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 III

Job Title: Licensed Vocational Nurse III

Agency: Health & Human Services Comm

Department: Woodruff Heights - Nursing

Posting Number: 22248

Closing Date: 01/10/2027

Posting Audience: Internal and External

Occupational Category: Healthcare Practitioners and Technical

Salary Range: $4,866.58 - $6,335.66

Pay Frequency: Monthly

Salary Group: TEXAS-A-19

Shift: Evening

Additional Shift: Days (First); Evenings (Second)

Telework: Not Eligible for Telework

Travel: Up to 5%

Regular/Temporary: Regular

Full Time/Part Time: Full time

FLSA Exempt/Non-Exempt: Nonexempt

Facility Location: San Angelo State Supported Living Center

Job Location City: CARLSBAD

Job Location Address: 11640 US HWY 87 N

Other Locations: San Angelo

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 and Evening 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 advanced vocational nursing work. Provides for the care, treatment, and general welfare of individuals residing at the State Supported Living Center who have complex medical, mental health and/or behavioral health issues. Performs basic and advanced 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. Provides on-the-job nursing instruction and training for new LVNs, within their scope of practice, as requested by RN Supervisor. Monitors, oversees the work of, and assigns work to, LVNs as needed. Evaluates nursing intervention outcomes and provides input to other members of the healthcare team. Assists RNs with implementation of protocols, procedures and programs to improve overall health and safety of staff and individuals. Works under the limited supervision of a Registered Nurse (RN), with considerable latitude for the use of initiative and independent judgment.

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

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. 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.
• 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. Monitors for signs and symptoms of illness. Evaluates nursing intervention outcomes and provides input to other members of the healthcare team. 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. Collects data for RN/ Primary Care Provider.
• Leads, monitors, and oversees others who are monitoring individuals before, during, and after treatments and procedures are completed. Evaluates nursing intervention outcomes and confers with other health care members as necessary.
• Trains/instructs new LVN staff to perform nursing functions at the SSLC, including acclimating them to the individuals, their needs and preferences. Oversees and monitors the work of LVNs as assigned and provides feedback to the supervisor. Assists the new LVN to complete the “on the job training” checklist, observes and gives feedback as the new LVN performs daily assignments, plans daily learning experiences for new LVN, meets with the new LVN’s manager at the end of the orientation to discuss progress made, and is a continued resource for the new LVN.
• 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. Participates in facility Quality Assurance/Quality Improvement initiatives. Participates in facility committees as requested on a regular basis.
• Responds to emergency situations to ensure safety of individuals. Follows safety and infection control procedures of the SSLC. Provides educational and safety training to SSLC staff upon request. Performs other duties as assigned such as assisting the infection control nurse, medication variance, scheduling.
• Other duties as assigned include but are not limited to actively participating and/or serving in a supporting role