Nurse II

Texas Department of State Health Services; San Antonio (TX); On-site; USD 80,000 - 93,000; Full time

Benefits offered by this job

Insurance coverage

Benefits through the State of Texas Group Benefits Plan

Job summary

A public health agency is seeking a Nurse II in San Antonio, TX. In this role, you will provide complex bedside nursing care under supervision, coordinate patient care, and administer medications. Candidates should be registered nurses in Texas and preferably have experience in a healthcare setting. The position offers a salary range of $6,667 to $7,761.50 monthly, working full-time with specific responsibilities tied to patient-centered care.

Qualifications

• Must be a registered nurse in Texas or recognize reciprocity.
• Preferably have one year of work experience in a health agency.
• Must possess a valid Texas driver’s license.

Responsibilities

• Provide complex bedside nursing care under supervision.
• Administer medications and assess patient care plans.
• Coordinate patient care with medical teams.

Skills

Patient-centered care

Medication administration

Patient assessment

Collaboration with medical teams

Infection control

Education

Graduation from a Nursing Program accredited by the Texas Board of Nurse Examiners

Bachelor of Science in Nursing preferred

Job description

Job Details

Date: Feb 24, 2026

Location: SAN ANTONIO, TX

DSHS is committed to hiring skilled and dedicated individuals who share a passion for public health to pursue our vision of A Healthy Texas. If you are looking to make an impact and tackle new challenges, we encourage you to consider a career with us.

Employee Benefits

DSHS offers insurance coverage and other benefits available through the State of Texas Group Benefits Plan administered by the Employee Retirement System of Texas (ERS). To learn more about all the benefits available to you as a DSHS employee and other DSHS opportunities for early career pathways, visit the DSHS Careers Page. Review our Top 10 Tips for Success when Applying to State of Texas Jobs.

Job Specifications

Functional Title: Nurse II

Job Title: Nurse II

Agency: Dept of State Health Services

Department: TX Ctr for Infectious Disease

Posting Number: 14187

Closing Date: 08/25/2026

Posting Audience: Internal and External

Occupational Category: Healthcare Support

Salary Range: $6,667.00 - $7,761.50

Pay Frequency: Monthly

Salary Group: TEXAS-B-22

Shift: Regular Night and Weekend

Additional Shift: Nights (Third); Evenings (Second)

Telework: Not Eligible for Telework

Travel: Up to 5%

Regular/Temporary: Regular

Full Time/Part Time: Full time

FLSA Exempt/Non-Exempt: Exempt

Facility Location: Texas Center for Infectious Disease

Job Location City: SAN ANTONIO

Job Location Address: 2303 SE MILITARY DR

Other Locations: San Antonio

MOS Codes: 290X,46AX,46FX,46NX,46PX,46SX,46YX,66B,66C,66E,66F,66G,66H,66N,66P,66R,66S,66T,66W

Brief Job Description

The Registered Nurse II provides complex bedside nursing care under general supervision, with moderate independence. Key responsibilities include coordinating patient care, administering medications, and using the nursing process to assess, plan, implement, and evaluate care. The RN delivers individualized care to pre- and post-surgery patients, including those with infectious diseases, and participates in performance improvement and safety activities. They may also act as a charge nurse or Nurse Supervisor as needed, assist with rehabilitation, and support patient transport.

Essential Job Functions (EJFs)

• Assessment (45%): Provide compassionate, patient-centered care, including personal hygiene assistance, medication administration, and symptom monitoring. Perform patient assessments (physical, developmental, psychosocial), document findings, and develop care plans. Assist with discharge planning, educate patients and families, and maintain confidentiality. Support rehabilitative activities, assist with mobility, and help patients with daily tasks like bathing, feeding, and toileting. Ensure safe and effective delivery of care while adhering to nursing standards and protocols.
• Coordination and Support of Care Teams (20%): Assist medical providers during exams and procedures, collaborate with multidisciplinary team members, and maintain effective communication for continuity of care. Oversee daily nursing assignments, manage staffing schedules, and provide supervision to support staff based on patient needs and acuity. Ensure adherence to policies and protocols, motivate staff, and address patient and staff needs promptly. Support regulatory compliance through internal audits, quality assurance programs, and preparation for external surveys.
• Infection Control, Safety, and Equipment Management (15%): Adhere to infection control policies, emphasizing respiratory precautions and proper hand hygiene. Maintain and sanitize medical equipment (e.g., IV pumps, wheelchairs), ensure safe patient transport, and handle equipment maintenance. Follow safety protocols, manage supply inventory, and properly dispose of medical waste. Maintain a safe and clean environment in accordance with regulatory standards.
• Patient Education and Community Engagement (10%): Educate patients and families on care plans, health management, and discharge instructions. Participate in community outreach, conduct health education presentations, and provide consultation and training to staff and the medical community. Keep certifications up-to-date and engage in professional development activities, such as attending workshops and peer review sessions.
• Additional Duties and Disaster Response (10%): Participates in disaster response, Continuity of Operations (COOP) activation, and other assigned duties. May require alternate shift patterns or travel to different locations, ensuring agency obligations are met effectively.

Knowledge, Skills And Abilities (KSAs)

Knowledge of: DSHS and TCID policies and procedures; principles of adult learning; current treatment for tuberculosis; Joint Commission, CMS and state and federal regulations pertaining to health care and accreditation standards; safety, infection control, and emergency preparedness activities; human development.

Skill in: teaching state and federal requirements to others; conducting teaching sessions; performing Cardiopulmonary Resuscitation (CPR); performing clinical nursing functions and the ability to teach such functions; assessing learning needs; care and treatment of patients; and operation of computers and applicable computer software.

Ability to: participate in performance improvement activities; develop and maintain competency records for clinical staff; communicate positively with patients and staff.

Registrations, Licensure Requirements Or Certifications

• Must a registered nurse in the State of Texas or a state that recognizes reciprocity through the Nurse Licensure Compact.
• Must possess valid Texas driver’s license (or obtain within 90 days of hire date). Applicants with an out-of-state driver’s license must provide an original certified driving record from the state of driving licensure. Eligible driving record required based on HHSC Fleet Management policy.

Initial Screening Criteria

• Graduation from a Nursing Program accredited by the Texas Board of Nurse Examiners.
• Bachelor of Science in Nursing preferred.
• One (1) year of work experience as a RN in a recognized health agency, hospital, or health care facility preferred.

Additional Information

• Repeated bending, simple and simultaneous grasping, finger/manual dexterity, vision, hearing, reach above shoulder, twist upper body, move approximately 150 pounds with or without assistance.
• Perform assigned duties while wearing the required respiratory protective equipment which will be fitted for employees.
• Comply with a Tobacco Free Campus and all employment checks and testing.

Active Duty, Military, Reservists, Guardsmen, And Veterans

Military occupation(s) that relate to the initial selection criteria and registration or licensure requirements for this position may include, but not limited to those listed in this posting. All active‑duty military, reservists, guardsmen, and veterans are encouraged to apply if qualified for this position. For more information see the Texas State Auditor’s Military Crosswalk at https://hr.sao.texas.gov/CompensationSystem/JobDescriptions/.

ADA Accommodations

In compliance with the Americans with Disabilities Act (ADA), DSHS will provide reasonable accommodation during the hiring process for individuals with a qualifying disability. If reasonable accommodation is needed to participate in the interview process, please notify the person who contacts you to schedule the interview. If you need assistance completing the on‑line application, contact the HHS Employee Service Center at 1-888-894-4747 or via email at [e-mail].

Salary Information, Pre‑employment Checks, And Work Eligibility

• The salary offered will follow DSHS starting salary guidelines. Any employment offer is contingent upon available budgeted funds.
• Depending on the program area and position requirements, applicants selected for hire may be required to pass background and other due diligence checks.
• DSHS uses E‑Verify. You must bring your I-9 documentation with you on your first day of work. Download the I-9 form

Nearest Major Market

San Antonio