Nurse II

Texas Health and Human Services; El Paso (TX); On-site; USD 79,000 - 93,000; Full time

Benefits offered by this job

100% paid employee health insurance

Defined benefit pension plan

Generous time-off benefits

Job summary

Texas Health and Human Services is hiring for the position of Nurse II in El Paso, TX. This role involves routine nursing work, caring for individuals with intellectual disabilities, and requires a Texas RN license. Candidates should have at least six months of nursing experience and strong communication skills. Benefits include 100% paid health insurance and opportunities for career advancement. Flexible shifts available including evenings and weekends.

Qualifications

• At least six months of experience as a practicing registered nurse in a health agency or hospital.
• Work experience as a practicing registered nurse is required.

Responsibilities

• Perform routine nursing work providing assessment, care, and treatment of individuals.
• Evaluate, treat, document healthcare needs, and report to appropriate person(s).
• Administer medications, immunizations, and treatments.

Skills

Knowledge of nursing techniques and procedures

Excellent verbal and written communication skills

Computer and electronic health record system proficiency

Ability to provide patient care

Education

Bachelor’s Degree

Licensed to practice as a registered nurse in Texas

Job description

Date: Apr 20, 2026

Location: EL PASO, 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.

Functional Title

Nurse II

Job Information

• Posting Number: 16064
• Closing Date: 07/19/2026
• Agency: Health & Human Services Comm
• Department: Unit 1 - Nursing
• Occupational Category: Healthcare Practitioners and Technical
• Salary Range: $6,579.41 - $7,761.50 per month
• Salary Group: TEXAS-B-22
• Shift: Evening (First), Days (Second), Nights (Third), Weekends (Third)
• Telework: Not Eligible
• Travel: Up to 5%
• Employment Type: Regular Full‑time Exempt
• Facility Location: El Paso State Supported Living Center, 6700 DELTA DR, EL PASO

Brief Job Description

This position is available for Morning, Evening, and Night shifts on multiple homes. Nurses may earn additional pay for evenings, nights, weekends, and maximum security locations. The role serves people with intellectual and developmental disabilities who are medically fragile or who have behavioral problems at 13 State Supported Living Centers across the state.

The Direct Care RN performs routine nursing work providing assessment, care, and treatment of individuals residing in a State Supported Living Center (SSLC). Responsibilities include evaluating, treating, documenting healthcare needs, and reporting to the appropriate person(s). The RN communicates with direct care staff, physicians/PCP, administration, and other nursing staff to ensure optimal care as part of the interdisciplinary team. The RN also notifies the supervisor and PCP of trends and concerns, completes required documentation, and maintains records.

Other duties involve assisting LVNs and Certified Medication Aides (CMA), participating in facility quality assurance/quality improvement (QA/QI) initiatives, providing treatment to HHS employees injured in the course of employment, responding to emergency situations to ensure safety and care of individuals and staff, and working under moderate supervision of the Nurse Manager or Nursing Operations Officer.

Essential Job Functions (EJFs)

• Attend work on a regular basis; work a specific or rotating shift schedule, extended shift, and/or overtime as required.
• Serve in an on‑call status on a rotating schedule to meet operational needs.
• Perform routine nursing tasks and procedures per HHSC, SSLC, and state regulations (e.g., tracheostomy care, gastrostomy/jejunostomy care, wound care, breathing treatments).
• Collect specimens for laboratory examination and conduct appropriate screening tests.
• Administer medications, immunizations, and treatments; observe patients for unusual symptoms and reactions.
• Make rounds and/or home visits as needed; work in other SSLC locations as required.
• Monitor individuals’ weight, diet, feedings, and vital signs; use nursing judgement to provide adequate care and initiate acute care plans when necessary.
• Assist in evaluating nursing intervention outcomes and provide input to the healthcare team with recommendations for improvements.
• Instruct direct support professionals on monitoring individuals after treatment or procedure using instruction sheets.
• Document and report treatments and observations accurately in the electronic health record or paper chart.
• Assist LVNs and/or CMAs, and recommend improvements, including acclimating them to individuals’ needs and preferences.
• Assist LVNs with implementation of protocols, procedures, and programs to improve overall health and safety of staff and individuals.
• Support Nurse Manager with controlled drug counts, medication counts, emergency checklist logs, refrigerator temperature logs, and glucose controls.
• Assist the Infection Control nurse and Quality Assurance Nurse in implementing disease prevention measures, therapeutic nursing programs, and facility QA/QI initiatives.
• Respond to emergency situations to ensure safety of individuals and follow all SSLC safety and infection control procedures.
• Provide educational and safety training to SSLC staff upon request.
• Provide treatment to HHS employees injured in the course and scope of employment.
• Perform other duties as assigned, including disaster response, recovery, or COOP activation, which may require alternate shift patterns or location.

Knowledge, Skills and Abilities (KSAs)

• Knowledge of nursing techniques and procedures; health‑care laws and regulations; medical diagnoses and procedures; accepted medical treatment programs; community health and nursing care principles, practices, and procedures.
• Knowledge of state and federal laws, Intermediate Care Facility for individuals with intellectual disabilities (ICF‑IID) regulations, and SSLC policies and procedures.
• Knowledge of nursing care standards, the Settlement Agreement, and Healthcare Guidelines.
• Skill in the care and treatment of patients.
• Computer and electronic health record system proficiency.
• Excellent verbal and written communication skills; ability to present ideas clearly and concisely.
• Ability to provide patient care; prepare and maintain records; interpret policies, procedures, and health‑care regulations; recognize patterns of medical necessity treatment.
• Ability to demonstrate working knowledge of emergency procedures and equipment.
• Ability to interact appropriately with individuals with intellectual/developmental disabilities, their families, and staff members.
• Ability to work independently and productively with all levels of staff.
• Ability to provide support and coaching to LVNs, CMAs, and DSPs.
• Ability to make decisions and recommendations to SSLC leadership, including on‑call administrators.

Registrations, Licensure Requirements or Certifications

• Licensed to practice as a registered nurse in the State of Texas (or a state recognizing reciprocity through the Nurse Licensure Compact).

Initial Screening Criteria

• Work experience as a practicing registered nurse is required.
• At least six (6) months of experience as a practicing registered nurse in a health agency, hospital, or health‑care facility is preferred.
• Bachelor’s Degree is preferred.

Additional Information

Applicants must pass a fingerprint criminal background check, pre‑employment drug screen, and registry checks including the CANRS, Nurse Aide, Medication Aide, and HHS List of Excluded Individuals/Entities (LEIE). Males aged 18–25 must register with the Selective Service. All SSLC employees are subject to random drug testing. Flexibility in work hours may be required; overtime, extended hours, weekends, and holidays are possible. All applicants must be at least 18 years of age to be considered.

Active Duty, Military, Reservists, Guardsmen, and Veterans

Military occupations that relate to the initial selection criteria and registration or licensure requirements for this position may include, but are not limited to, those listed in this posting. All active‑duty military, reservists, guardsmen, and veterans are encouraged to apply if qualified.

ADA Accommodations

In compliance with the Americans with Disabilities Act (ADA), HHSC and DSHS agencies will provide reasonable accommodations during the hiring and selection process for qualified individuals with a disability. If you need assistance completing the online application, contact the HHS Employee Service Center at 1‑888‑894‑4747. If you are contacted for an interview and need accommodation to participate, please notify the person scheduling the interview.

Pre‑Employment Checks and Work Eligibility

Applicants selected for hire may be required to pass background and other due diligence checks. HHSC uses E‑Verify. You must bring your I‑9 documentation on your first day of work.

Telework Disclaimer

This position may be eligible for telework. All HHS positions are subject to state and agency telework policies and the discretion of the direct supervisor and business needs.

Nearest Major Market: El Paso