PRN Nurse (RN)

Texas.gov - State of Texas Official Website; Terrell (TX); On-site; Part time

Job summary

Join a dedicated team at a prominent state agency focused on improving the lives of Texans. As a Nurse II, you'll play a vital role in delivering high-quality patient care and ensuring compliance with nursing standards. This position offers a supportive environment with opportunities for career advancement and a comprehensive benefits package, including paid health insurance. If you're passionate about making a difference in healthcare and thrive in a collaborative setting, this is the perfect opportunity for you to grow your career while positively impacting the community.

Benefits

100% Paid Employee Health Insurance

Defined Benefit Pension Plan

Generous Time Off Benefits

Career Advancement Opportunities

Qualifications

• Must be a licensed RN in Texas or a state with reciprocity.
• At least 1 year of RN experience in a healthcare facility.

Responsibilities

• Provide routine nursing care and maintain standards of practice.
• Collaborate with healthcare professionals for patient recovery.
• Supervise medication administration and ensure compliance.

Skills

Patient Care

Nursing Assessment

Collaboration with Healthcare Professionals

Crisis Management

Patient Education

Therapeutic Communication

Time Management

Record Keeping

Education

Registered Nurse License

1+ Year Experience as RN

Tools

Computer Hardware/Software

Job description

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: PRN Nurse (RN)

Job Title: Nurse II

Agency: Health & Human Services Comm

Department: Residential Care Supervisor H

Posting Number: 3679

Closing Date: 05/27/2025

Posting Audience: Internal and External

Occupational Category: Healthcare Practitioners and Technical

Salary Group: TEXAS-B-22

Salary Range: $37.95-$44.78

Shift: Evening

Telework: Not Eligible for Telework

Travel: Up to 5%

Regular/Temporary: Regular

Full Time/Part Time: Part time

FLSA Exempt/Non-Exempt: Exempt

Facility Location: Terrell State Hospital

Job Location City: TERRELL

Job Location Address: 1200 E BRIN

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

Nurse II (PRN Nurse) performs complex (journey level) nursing work under the direct supervision of the Assistant Chief Nurse Executive (CNE). Provides routine care and treatment through the application of the nursing process and is responsible for maintaining nursing standards of practice in accordance with the Nurse Practice Act, The Joint Commission (TJC) standards, Centers for Medicare and Medicaid (CMS) conditions of participation, Texas Administrative Code (TAC), and the rules and regulations of the Agency and state hospital system. Communicates and collaborates with other shift RNs to ensure 24-hour continuity of care. Ensures adequate staffing according to the program specific staffing plan; determines staff assignments based on appropriate knowledge and skill to meet individual patient needs.

Models and supports a proactive approach to unit management using patient centered trauma informed care. Demonstrates a commitment to a culture that minimizes the use of restrictive interventions. Oversees and assigns work to other staff to include Psychiatric Nursing Assistants and Licensed Vocational Nurses as assigned. The PRN Nurse works under general supervision, with moderate latitude for the use of initiative and independent judgment.

Performs other duties as assigned, which may include actively participating and/or serving in a supporting role to meet the agency's obligations for disaster response and/or recovery or Continuity of Operations (COOP) activation.

This position may be eligible to earn additional pay for work performed on evenings, nights and/or weekends.

Essential Job Functions (EJFs):

1. Attends work on a regular basis and may be asked to work a specific shift schedule or, at times, even a rotating schedule, extended shift and/or overtime in accordance with agency leave policy.
2. Performs extensive initial and ongoing assessment of the patient's nursing care needs to include medical, psychological, and social needs by accurately reporting and documenting the assessment, nursing diagnoses, plan, intervention(s), and ongoing evaluation in the patient's medical record.
3. Collaborates with other health care professionals to contribute nursing assessment data towards the development of a multidisciplinary recovery plan.
4. Evaluates the outcomes of nursing interventions and documents the same in the medical record.
5. Provides comprehensive patient/family education regarding illness process, medications, coping skills, etc.
6. Establishes, monitors, and maintains the therapeutic milieu through clinical oversight and training of other Registered Nurses, Licensed Vocational Nurses, and Psychiatric Nursing Assistants as assigned.
7. Supervises the administration of medications by ensuring physician's orders are carried out according to acceptable nursing care standards and hospital policies and procedures.
8. Acts as team leader in emergency situations including initiating and monitoring the appropriate use of resuscitative equipment or interventions.
9. Serves as the contact RN by ensuring adequate staffing for assigned and on-coming shifts is consistent with established nursing policy and procedures.

Knowledge, Skills and Abilities (KSAs):

1. Knowledge of Texas Nurse Practice Act, and the role of peer review in the provision of professional nursing.
2. Knowledge of HHSC policies and procedures.
3. Knowledge of management theory, organizational planning, plan deployment, and improving organizational performance.
4. Knowledge of the Recovery Model of Care.
5. Knowledge of professional nursing Standards, CPR, Abnormal Involuntary Movement Scale (AIMS), Treatment, Intervention, and Protection Strategies (TIPS).
6. Knowledge of nursing techniques and procedures.
7. Skills in utilizing computer hardware/software.
8. Skills in administering restraint and seclusion.
9. Strong coaching skills.
10. Ability to provide patient care.
11. Ability to prepare and maintain records.
12. Ability to organize and communicate information both orally and in writing.
13. Ability to interpret and explain standards and regulations.
14. Ability to instruct, train, oversee and provide guidance to others.
15. Ability to create and evaluate training objectives, requirements, and effectiveness of delivery.
16. Ability to manage time effectively.
17. Ability to intervene therapeutically with patients experiencing psychiatric disorders.
18. Ability to perform CPR, the Heimlich Maneuver, use the AED, provide First Aid.
19. Ability to provide patient/family education regarding medications, disease processes, and health maintenance/promotion.

Registrations, Licensure Requirements or Certifications:

Must be licensed as a registered nurse by the State of Texas or a state that recognizes reciprocity through the Nurse Licensure Compact.

If transporting patients, must possess a valid Texas driver license or obtain it no later than 90 days after hire date to drive a state vehicle.

Initial Screening Criteria:

At least one (1) year of work experience as an RN in a recognized health agency, hospital, or health care facility.

Additional Information:

Applicants must pass a fingerprint criminal background check, pre-employment drug screen, and registry checks. All applicants must be at least 18 years of age to be considered for employment at a state-operated facility.

Flexibility in work hours may be required for this position. Compliance with HHSC immunization policy and state hospital operating procedures related to immunizations is required.

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 those listed in this posting. All active-duty military, reservists, guardsmen, and veterans are encouraged to apply if qualified for this position.

ADA Accommodations: In compliance with the Americans with Disabilities Act (ADA), HHSC and DSHS agencies will provide reasonable accommodation during the hiring and selection process for qualified individuals with a disability.

Pre-Employment Checks and Work Eligibility: Depending on the program area and position requirements, applicants selected for hire may be required to pass background and other due diligence checks.