Nurse II - Direct Care RN

Texas Health and Human Services; Lubbock (TX); On-site; USD 73,426 - 86,618; Full time

Benefits offered by this job

Free CEUs and resources through Lippincott access

Supportive work environment

Job summary

Texas Health and Human Services is looking for a full-time Nurse II - Direct Care RN in Lubbock, TX. This role involves providing essential nursing care, monitoring patient conditions, and performing various nursing tasks in a supportive environment for individuals with developmental disabilities.

The ideal candidate will be a licensed registered nurse with strong communication skills and the ability to work flexibly across shifts. Additional responsibilities include collaboration with other healthcare professionals and participation in quality assurance initiatives.

Qualifications

• Licensed to practice as a registered nurse in Texas.
• At least six months of experience in a healthcare facility.

Responsibilities

• Perform routine nursing tasks and procedures.
• Monitor patients' vital signs and medical conditions.
• Assist in evaluating nursing outcomes and recommendations.

Skills

Nursing techniques and procedures

Excellent verbal and written communication skills

Patient care skills

Skills in computer/software use

Education

Bachelor’s Degree in Nursing

Job description

Date: Jun 6, 2026
Location: LUBBOCK, TX

Job Title: Nurse II
Functional Title: Nurse II - Direct Care RN
Agency: Health & Human Services Commission
Department: Unit 1 - Nursing
Posting Number: 14776
Closing Date: 10/14/2026
Posting Audience: Internal and External
Occupational Category: Healthcare Practitioners and Technical
Salary Range: $6,579.41 - $7,761.50
Pay Frequency: Monthly
Salary Group: TEXAS-B-22
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: Exempt

Facility Location: Lubbock State Supported Living Center
Job Location City: LUBBOCK
Job Location Address: 3401 N UNIVERSITY AVE

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

Brief Job Description

Position available for Morning, Evening, and Night shifts across multiple homes. May earn additional pay for evenings, nights, and/or weekends. Work in an environment that values and respects those served, with a mission that all people can achieve higher wellness and independence. State Supported Living Centers serve people with intellectual and developmental disabilities who are medically fragile or have behavioral problems. Centers provide campus-based direct services and supports at 13 locations statewide. Free CEUs and updated resources through Lippincott access for all nurses.

Essential Job Functions (EJFs)

Attends work regularly, may work specific shift schedule or rotating schedule, extended shift, and/or overtime as per agency leave policy. May serve in on‑call status on a rotating schedule. Performs routine nursing tasks and procedures per HHSC, SSLC and state regulations, including tracheostomy care, gastrostomy/jejunostomy care, wound care, breathing treatments, specimen collection, laboratory screening tests, medication administration, immunizations, and treatments. Makes rounds and/or home visits as needed and works in other SSLC locations as needed. Monitors individuals’ weight, diet, feedings, vital signs, and illness signs. Initiates acute care plans as needed. Assists in evaluating nursing intervention outcomes and gives recommendations. Instructs direct support professionals on monitoring procedures. Documents and reports treatments and observations accurately in electronic or paper chart. Prepares required reports. Assists LVNs and Certified Medication Aides, including recommendations for improvement and acclimating them to individuals’ needs. Assists LVNs with implementing protocols and programs to improve health and safety. Supports Nurse Manager’s duties including controlled drug counts, medication counts, emergency logs, refrigerator temperature logs, and glucose controls. Assists Infection Control nurse in disease prevention measures and Quality Assurance Nurse in therapeutic programs. Participates in facility Quality Assurance/Quality Improvement initiatives. Responds to emergency situations, follows safety and infection control procedures, provides educational and safety training when requested. Provides treatment to HHS employees injured in scope of employment. Performs additional duties as assigned, including supporting disaster response or continuity of operations (COOP) activation, potentially requiring alternate shift pattern 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 principles, and nursing care policies. Knowledge of state and federal laws and ICF‑IID rules related to SSLC and ability to quickly gain that knowledge. Knowledge of nursing care standards, Settlement Agreement, and Healthcare Guidelines or ability to quickly gain that knowledge. Skill in the care and treatment of patients. Skills in computer/software use and electronic health record systems. Excellent verbal and written communication skills with ability to present ideas clearly and concisely. Ability to prepare and maintain records, interpret policies and procedures, and recognize patterns of medical necessity. Ability to demonstrate working knowledge of emergency procedures and equipment. Ability to interact appropriately with individuals with intellectual/developmental disabilities, their families, and staff. Ability to work independently and productively with all levels of staff. Ability to support and coach LVNs, CMAs, and DSPs. Ability to make decisions and recommendations to SSLC leadership and on‑call administrators.

Registrations, Licensure Requirements or Certifications

Licensed to practice as a registered nurse in the State of Texas (or a state that recognizes 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 Client Abuse/Neglect Reporting System (CANRS), Nurse Aide, Medication Aide and Employee Misconduct and HHS List of Excluded Individuals/Entities (LEIE). Males between 18–25 must register with Selective Service. All SSLC employees are subject to random drug testing. Flexibility in work hours may be required; position may require overtime, extended hours, weekends, and holidays. All applicants must be at least 18 years of age to be considered for employment at a state‑operated facility.

Military Considerations

Military occupation(s) that relate to the selection criteria and licensure requirements 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. Contact the HHS Employee Service Center at 1‑888‑894‑4747 for assistance completing the online application or to request accommodation for the interview process.

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. Bring your I‑9 documentation on your first day of work.

Telework Disclaimer

This position is not eligible for telework. All HHS positions adhere to state and agency telework policies and the discretion of the direct supervisor and business needs.