Psychiatric Nursing Assistant I

Texas Health and Human Services; Kerrville (TX); On-site; USD 31,000 - 40,000; Full time

Benefits offered by this job

100% paid employee health insurance

Defined benefit pension

Generous time off

Career advancement opportunities

Job summary

Texas Health and Human Services Commission (HHSC) is seeking a Psychiatric Nursing Assistant I at Kerrville State Hospital. The role provides entry-level to routine rehabilitative patient care under the supervision of a licensed nurse in an inpatient psychiatric setting.

You will support daily living activities, monitor patient conditions, and participate in recovery program activities. The position requires six months of direct care experience, CPR certification, and a Texas driver's license

Qualifications

• Six months of direct care experience preferred.
• CPR certification or ability to obtain within 60 days of employment.
• Valid Texas driver license or ability to obtain within 90 days of hire.

Responsibilities

• Attend regular shifts and adhere to the schedule, including potential overtime.
• Assist licensed nurses with patient care and daily living activities.
• Monitor patient conditions and report changes promptly to the RN.
• Document patient interactions and care provided in the medical record.
• Support recovery team discussions and participate in care planning.

Skills

Direct care experience

CPR certification

Basic computer skills

English literacy

Teamwork

Job description

Date: Aug 10, 2026

Location: KERRVILLE, 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. Explore more details on the Benefits of Working at HHS webpage.

Functional Title: Psychiatric Nursing Assistant I

Job Title: Psychiatric Nursing Asst I

Agency: Health & Human Services Comm

Department: X-Ray EEG EKG Svs

Posting Number: 19745

Closing Date: 11/08/2026

Posting Audience: Internal and External

Occupational Category: Healthcare Support

Salary Range: $2,769.08 - $3,547.58

Pay Frequency: Monthly

Salary Group: TEXAS-A-10

Shift: Evening

Additional Shift

Telework: Not Eligible for Telework

Travel: Up to 5%

Regular/Temporary: Regular

Full Time/Part Time: Full time

FLSA Exempt/Non-Exempt: Nonexempt

Facility Location: Kerrville State Hospital

Job Location City: KERRVILLE

Job Location Address: 721 THOMPSON DR

Other Locations: Kerrville

MOS Codes: 4C0X1,68X,HM

Would you thrive in an environment where you learn and grow personally and professionally all while helping make a positive impact on people’s lives? Do you appreciate being around others like yourself who are dependable, trustworthy, hard workers who believe in the value of teamwork? HSCS is dedicated to building an atmosphere where employees feel valued and supported while providing specialized care for Texans in need. HSCS is comprised of ten psychiatric hospitals, two youth residential treatment facilities, and thirteen state supported living centers. Psychiatric hospitals are a hub of excellence for forensic mental health and complex psychiatric care, with all facilities accredited by The Joint Commission. They provide state-of-the-art treatment that is recovery-oriented and science-based. If providing hope and healing through compassionate, innovative, and individualized care interests you, we welcome your application for the position below.

The Psychiatric Nursing Assistant I (PNA I) perform entry-level to routine (journey-level) rehabilitative patient services work. The PNA I provide patient care services under the clinical supervision of a licensed nurse to provide quality psychiatric nursing care in an inpatient setting. Work involves providing emergency, health, and personal care services to patients; interacting with patients therapeutically; observing, reporting and documenting, in an electronic record, patient conditions and behaviors; and participating in individualized and unit-based programming. The PNA I have a primary responsibility to maintain direct and on-going therapeutic interactions with patients to promote living and social skills, thus encouraging progress towards a less restrictive environment.

As an integral member of the recovery team or admissions team, provides verbal and supportive documentation concerning individual patient behaviors, progress towards individualized goals of the recovery plan. Participates in shift reports and recovery team meetings. Performs any combination of nursing duties commensurate with competency. Works under moderate supervision, with limited latitude for the use of initiative and independent judgment. Completion of work requires use of simple and/or routine duties, while decision making is based on simple and well-defined guidelines. The PNA I has no financial responsibility but is accountable for assigned property. Must understand that duties, location of work, and shift patterns are subject to change as determined by the administration to meet the needs of the hospital. Must understand that duties may include exposure to blood or other potentially infectious materials. This employee has full access to a limited set of records in accordance with HIPPA regulations.

Performs other duties as assigned. Other duties as assigned include but are not limited to 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. Such participation may require an alternate shift pattern assignment and/or location.

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

This position may also be eligible to earn additional pay for work performed on maximum security locations.

Essential Job Functions (EJFs)

• 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 and performs other duties as assigned.
• Takes an active role in the implementation of the individualized recovery plans and offers consistent, ongoing support in assisting patients with reaching their goals. Uses therapeutic, person-centered communication skills in promptly and effectively engaging patients.
• Assists with activities of daily living, hygiene, and eating to promote independence and self-care.
• Accompanies patient to appointments as required.
• Communicates effectively with other team members to promote a positive workplace.
• Serves as a participant in the recovery team or admissions team. Provides on-going collaborative verbal and written communication concerning patients.
• Uses basic computer skills, documentation skills, and reporting procedures to communicate patient care information clearly and concisely in a timely manner.
• Assists the licensed nurse in monitoring patients for medication administration or treatment. Includes taking and monitoring vital signs and performing other assigned tasks within competency level.
• Proactively promotes safety through continuous environmental awareness and positive engagement of patients to minimize unsafe situations and injuries.
• Promotes classes and programs offered and encourages patient participation. Co-facilitates groups as assigned or requested.
• Responds in crisis or psychiatric emergency situations using the least restrictive intervention necessary by applying Treatment Intervention Protection Strategies (TIPS) including verbal de-escalation under the direct supervision of a RN to ensure the health and safety of all persons.
• Performs CPR/Heimlich techniques and use of an Automatic External Defibrillator (AED) correctly and safely according to the specifications of the American Heart Association.
• Performs other duties as assigned. Other duties as assigned include but are not limited to 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. Such participation may require an alternate shift pattern assignment and/or location.

Knowledge, Skills And Abilities (KSAs)

• Knowledge of patient care techniques and of treatment, therapy, developmental, and patient centered recovery programs
• Knowledge of basic computer skills
• Ability to read, write and understand English to effectively communicate and carry out verbal and written instructions.
• Ability to provide patient care, administer first aid and cardiopulmonary resuscitation, and to conduct TIPS
• Ability to work with others and accept supervision.

Registrations, Licensure Requirements Or Certifications

• 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. Applicants with an out-of-state driver license must provide an original certified driving record from the state of driving licensure. Eligible driving record required based on HHSC Fleet Management policy.
• CPR certification or the ability to obtain certification for CPR within the first 60 days of employment.

Initial Screening Criteria

• Six (6) months’ work experience.

Additional Information

• Six months of direct care experience is preferred.
• Applicants must pass a fingerprint criminal background check, pre-employment drug screen, and registry checks including the Client Abuse/Neglect Reporting System (CANRS), Nurse Aid, Medication Aide and Employee Misconduct, List of Excluded Individuals/Entities (LEIE). Males between the ages of 18-25 must be registered with the Selective Service.
• All applicants must be at least 18 years of age to be considered for employment at a state-operated facility. Waco and Terrell Center for Youth applicants must be 21 years of age.
• Flexibility in work hours may be required for this position. The position may be required to work overtime and/or extended hours.
• Compliance with HHSC immunization policy and state hospital operating procedures related to immunizations is required. According to the Centers for Disease Control and Prevention, healthcare workers are considered to be at significant risk for acquiring or transmitting hepatitis B, measles, mumps, rubella, varicella (chicken pox), tetanus, diphtheria, pertussis (whooping cough), and influenza. All these diseases are vaccine preventable. As a result, state hospital policy requires employees be vaccinated according to their level of contact with individuals. In the event you choose to not be immunized for the influenza virus, you may be required to wear a mask and take other protective measures.
• Review our Tips for Success when applying for jobs at DFPS, DSHS and HHSC.

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 to fill this position. For more information please see the Texas State Auditor’s Job Descriptions, Military Crosswalk and Military Crosswalk Guide at Texas State Auditor's Office - Job Descriptions.

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. 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 in the interview process, please notify the person scheduling the interview.

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.
• HHSC uses E-Verify. You must bring your I-9 documentation with you on your first day of work. Download the I-9 Form

Telework Disclaimer

This position may be eligible for telework. Please note, all HHS positions are subject to state and agency telework policies in addition to the discretion of the direct supervisor and business needs.

Nearest Major Market: San Antonio