Licensed Vocational Nurse IV

Texas Health and Human Services; Denton (TX); On-site; USD 58,000 - 76,000; Full time

Benefits offered by this job

Health insurance

Pension plan

Paid time off

Job summary

Texas Health and Human Services in Denton is seeking a Licensed Vocational Nurse IV to provide highly advanced nursing care for residents with complex medical and behavioral health needs. You will train and supervise LVNs and direct care staff while ensuring compliance with state regulations.

The role requires thorough nursing knowledge, teamwork, and strong patient advocacy, with a Day shift plus evenings. HHSC offers robust benefits and opportunities for career advancement.

Qualifications

• High level nursing care for residents with complex medical, mental health or behavioral health needs.
• Ability to train and coach other LVNs and direct care staff.
• Compliance with HHSC, SSLC and state regulations.

Responsibilities

• Provide advanced nursing care to residents at the Denton SSLC.
• Administer medications and treatments as prescribed.
• Supervise and mentor LVNs and direct care staff on shift.
• Assist with protocol implementation to improve health and safety.

Skills

Patient care

Teamwork

Communication

Education

Licensed Vocational Nurse (LVN) license

Job description

Date: Oct 13, 2026
Location:
DENTON, 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 IVJob Title: Licensed Vocational Nurse IVAgency: Health & Human Services CommDepartment: Pine Ridge-Nursing DepartmentPosting Number: 22357Closing Date: 01/11/2027Posting Audience: Internal and ExternalOccupational Category: Healthcare Practitioners and TechnicalSalary Range: $5,207.24 - $6,779.16Pay Frequency: Monthly
Salary Group: TEXAS-A-20Shift: DayAdditional Shift: Evenings (Second)Telework: Not Eligible for TeleworkTravel: Up to 5%Regular/Temporary: RegularFull Time/Part Time: Full timeFLSA Exempt/Non-Exempt: Nonexempt
Facility Location: Denton State Supported Living Center
Job Location City: DENTON
Job Location Address: 3980 STATE SCHOOL RD
Other Locations:
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
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!
Performs highly 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. Trains, models, coaches and oversees the work of other LVNs during the course of performing their own work duties. 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.
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.
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. Trains, models and coaches other LVNs on these procedures.
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.
Monitors individuals’ weight, diet, feedings, and vital signs. Monitors individuals’ health status after treatments and procedures. Monitors for signs and symptoms of illness. Trains, models and coaches and oversees this monitoring as performed by other LVNs. Assigns work to other