PRN Nurse (LVN/RN)

The Annex; Austin (TX); On-site; USD 34,000 - 48,000; Part time

Job summary

The Annex in Austin, TX is seeking a PRN Nurse to provide direct client care and medical support on an as-needed basis under the Medical Director. This role ensures safe medication self-administration, monitors health status, and supports the clinical team to maintain quality care and regulatory compliance.

As a PRN member, you will help maintain continuity of care during staff absences and high census periods, and participate in ongoing program development and staff training as needed.

Qualifications

• Current LVN or RN license in Texas.
• 1 year of nursing experience in behavioral health or related setting.
• CPR/First Aid certification.
• High school diploma or GED; 18+.

Responsibilities

• Provide direct client care under supervision of the Medical Director.
• Take vital signs and document changes in EMR.
• Educate clients on medications and support self-administration.
• Coordinate with Medical Director and care team.
• Maintain HIPAA compliance and regulatory standards.
• Assist in training and supervision of technicians.

Skills

Behavioral health knowledge

De-escalation skills

Documentation proficiency

Interpersonal communication

Team collaboration

Organizational skills

Education

Texas LVN/RN license

CPR/First Aid certification

HS diploma or GED

Tools

EMR documentation

MAR system

Job description

Position Title: Nurse Reports To: Operations Director Supervises: N/A Position Classification: Non-Exempt

Summary

The PRN Nurse provides direct client care and medical support on an as-needed basis under the supervision of the Medical Director. This role supports safe medication self-administration, monitors client health status, and collaborates with the clinical team to ensure quality care and regulatory compliance. The PRN Nurse helps maintain continuity of care during staff absences, high census periods, or other coverage needs.

Essential Responsibilities

Support and Assist the Medical Director

• Coordinate medical scheduling and serve as liaison between the Medical Director and the broader care team
• Assist in carrying out physician’s orders
• Communicate with pharmacies, outside providers, and Clinical Team
• Support administrative tasks as requested

Client Care

• Complete nursing assessments at intake and discharge per protocol
• Monitor and document changes in client symptoms and behavior
• Take and record vital signs (height, weight, temperature, blood pressure, pulse, respiration)
• Meet with clients to review medications and answer questions
• Observe and report withdrawal symptoms in accordance with protocol

Medication and Self-Administration Oversight

• Educate clients on prescribed medications and support medication self-administration
• Accurately document medication administration in the MAR system
• Monitor medication adherence and destruction protocols
• Observe and report adverse medication reactions or events

Collaboration and Communication

• Provide training and support to technicians on medical policies and procedures
• Maintain accurate documentation in the electronic medical record (EMR)
• Ensure HIPAA compliance and adherence to state, federal, and accreditation standards
• Participate in team meetings and ongoing program development

Other Duties

• Perform additional tasks as assigned by leadership
• Participate in staff training, supervision, and continuing education as needed

Required Knowledge, Skills, and Abilities

• Strong understanding of behavioral health and psychological disorders within LVN/RN scope of practice
• Ability to de-escalate agitated clients professionally and calmly
• Proficient in documentation and medical record keeping
• Excellent interpersonal, verbal, and written communication skills
• Ability to work collaboratively within a multidisciplinary team
• Strong organizational skills and attention to detail
• Demonstrated understanding and compliance with agency policies

Education and Experience

• Current Licensed Vocational Nurse (LVN) or Registered Nurse (RN) license in the State of Texas
• Minimum of 1 year of nursing experience in a behavioral health or related setting
• High school diploma or GED required
• Must be at least 18 years of age
• Experience working with individuals with mental health conditions preferred
• CPR/First Aid certification required
• Current TB test and required health screenings
• Must pass criminal background check