Licensed Vocational Nurse III

Texas Health and Human Services; San Antonio (TX); On-site; USD 54,311 - 70,705; Full time

Job summary

Texas Health and Human Services in San Antonio is hiring a Licensed Vocational Nurse III to provide advanced vocational nursing care to residents with complex needs. The role includes administering medications, performing complex procedures, and collaborating with a multidisciplinary team.

The ideal candidate has prior LVN experience, is licensed in Texas, and is prepared for flexible shifts including days, evenings, and nights. This full-time role offers competitive pay and opportunities for professional growth.

Qualifications

• Graduation from an LVN program.
• 6 months of prior employment experience as an LVN.
• At least 12 months of preferred experience is a plus.

Responsibilities

• Provide advanced and basic nursing duties including medication administration.
• Train and supervise new LVN staff.
• Monitor patients' vital signs and health status.

Skills

Nursing care standards

Emergencies assessment

Problem identification

Patient care treatment

Effective communication

Education

Graduation from an LVN program

Licensed to practice as a Licensed Vocational Nurse in Texas

Tools

Electronic health record system

Job description

Texas Health and Human Services Commission (HHSC) is hiring a Licensed Vocational Nurse III at the San Antonio State Supported Living Center. This role focuses on providing advanced vocational nursing care to residents with complex medical, mental health, and behavioral health needs.

Position Details

• Functional Title: Licensed Vocational Nurse III
• Job Title: Licensed Vocational Nurse III
• Agency: Health & Human Services Commission
• Department: Unit 1 - Nursing
• Posting Number: 17185
• Closing Date: 11/18/2026
• Salary Range: $4,866.58 – $6,335.66 per month
• Shift: Day (Additional shifts: Days (First), Evenings (Second), Nights (Third))
• Telework: Not Eligible
• Travel: Up to 5%
• Status: Regular Full‑time, Non‑exempt
• Facility Location: San Antonio State Supported Living Center, 6711 S NEW BRAUNFELS AVE, SAN ANTONIO, TX

Brief Job Description

This position is available for morning, evening, and night shifts across multiple homes. The LVN will perform advanced and basic nursing duties, including administration of medications, complex procedures such as tracheostomy and gastrostomy care, specimen collection, health screenings, patient monitoring, electronic health record documentation, training of direct support staff, and collaboration with the RN and interdisciplinary team. The role may qualify for additional pay for evening, night, and weekend work.

Essential Job Functions (EJFs)

Attends work regularly, may be required to work a rotating schedule, extended shifts, or overtime in accordance with agency leave policy, and performs additional duties as assigned.

May serve on call in a rotating schedule to meet operational needs.

Administers medications and treatments via various routes, conducts rounds and home visits, and operates under agency, SSLC, and state regulations.

Performs complex procedures such as tracheostomy care, gastrostomy/jejunostomy care, wound care, and breathing treatments; collects specimens for laboratory examination.

Monitors individuals' weight, diet, vital signs, and overall health status; responds to signs of illness; documents observations in the medical record.

Communicates pertinent information orally and in writing with team members; collects data for RN/primary care provider.

Leads, monitors, and oversees others’ monitoring work; evaluates intervention outcomes.

Trains/instructs new LVN staff, oversees their work, provides feedback, and supports the new LVN’s onboarding and ongoing development.

Assists RNs with implementation of protocols, quality assurance programs, and therapeutic nursing initiatives; participates in facility committees and quality improvement initiatives.

Responds to emergency situations, follows safety and infection control procedures, provides safety training, and performs other duties such as assisting infection control, medication variance, and scheduling.

Participates in disaster response and continuity of operations as required.

Knowledge, Skills and Abilities (KSAs)

• Knowledge of nursing care standards, procedures, and techniques; understanding of principles for patient care.
• Knowledge of emergency procedures, CPR, and ability to assess and care for residents or staff in emergencies.
• Knowledge of state and federal laws, ICF‑IID regulations, policies, and procedures related to SSLC.
• Skills in reasoning, problem identification, and resolution.
• Computer operation skills and familiarity with applicable software.
• Care and treatment skills for patients.
• Ability to organize, coordinate, evaluate nursing activities, interpret policies and regulations, recognize medical necessity patterns, and plan and oversee work of others.
• Ability to interpret regulations and communicate them effectively orally and in writing.
• Ability to provide patient care to individuals with complex medical, mental health, and/or behavioral health issues.
• Ability to prepare and maintain records using an electronic health record system.
• Ability to communicate effectively and instruct others.
• Must maintain current CPR certification; requires strength and flexibility for CPR.

Registrations, Licensure Requirements or Certifications

Licensed to practice as a Licensed Vocational Nurse in the state of Texas or a state that recognizes reciprocity through the Nurse Licensure Compact.

Initial Screening Criteria

• Graduation from an LVN program.
• 6 months of prior employment experience as an LVN.
• At least 12 months of prior experience as an LVN is preferred.
• Experience working or volunteering with persons with intellectual or developmental disabilities is preferred.
• Experience in training/teaching or leading others is preferred.
• Experience using an electronic health record system 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 register with the Selective Service. All State Supported Living Center employees are subject to random drug testing. Flexibility in work hours may be required; the position may require overtime, extended hours, weekdays, weekends, and holidays. All applicants must be at least 18 years of age to be considered for employment at a state‑operated facility.

ADA Accommodations

In compliance with the Americans with Disabilities Act (ADA), HHSC will provide reasonable accommodation during hiring and selection for qualified individuals with a disability. For assistance with the online application, contact the HHS Employee Service Center at 1‑888‑894‑4747. If you require accommodation for an interview, notify the scheduling person.

Pre‑Employment Checks and Work Eligibility

Selected applicants may be required to pass background and other due diligence checks. HHSC uses E‑Verify; bring your I‑9 documentation on the first day of work.

Telework Disclaimer

All positions are subject to state and agency telework policies and business needs; telework may be eligible for this position.

Nearest Major Market

San Antonio