Psychiatric Nursing Assistant IV Team Lead

Texas Health and Human Services; Big Spring (TX); On-site; USD 45,694 - 56,850; Full time

Job summary

Texas Health and Human Services is seeking a Psychiatric Nursing Assistant IV in Big Spring, TX. This full-time role involves providing quality psychiatric nursing care under clinical supervision, coordinating patient care, and participating in recovery team meetings.

The ideal candidate will have significant patient care experience, leadership skills, and knowledge of treatment protocols. Those interested in making a positive impact on patients' lives are encouraged to apply.

Qualifications

• Four years of work experience required.
• At least three years of direct psychiatric patient care experience preferred.
• CPR certification or ability to obtain within 60 days.

Responsibilities

• Provide quality psychiatric nursing care in an inpatient setting.
• Assist patients with daily living activities.
• Observe, report, and document patient conditions.

Skills

Knowledge in CAPPS

Knowledge of patient aggression reduction interventions

Leadership skills

Ability to maintain records and files

Communication skills

Ability to administer first aid and CPR

Education

Four years of work experience

Tools

Microsoft Word

Microsoft Excel

Job description

Date: May 21, 2026

Location: Big Spring, TX

Job Title: Psychiatric Nursing Asst IV

Agency: Health & Human Services Comm

Department: Residential Care Admissions

Posting Number: 17221

Closing Date: 07/20/2026

Occupational Category: Healthcare Support

Salary Range: $4,094.50 – $5,094.16 per month

Pay Frequency: Monthly

Salary Group: TEXAS-A-16

Shift: Regular Night and Weekend (Additional Shift: Days (First); Evenings (Second); Nights (Third))

Telework: Not Eligible

Travel: Up to 5%

Regular/Temporary: Regular

Full Time/Part Time: Full time

FLSA Exempt/Non-Exempt: Nonexempt

Facility Location: Big Spring State Hospital

Job Location City: BIG SPRING

Job Location Address: 1901 N HIGHWAY 87

MOS Codes: 4C0X1, 68X, HM

Brief Job Description

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? 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 facility, and thirteen state supported living centers. The 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.

Essential Job Functions (EJFs)

The Psychiatric Nursing Assistant IV (PNA Team Lead) performs advanced (senior level) rehabilitative patient care services work under the clinical supervision of a licensed nurse to provide quality psychiatric nursing care in an inpatient setting. Work involves coordinating assignments and specific duties for all PNAs which include assisting the patients with activities of daily living, instructing staff on hospital and program procedures and policies, and 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. As an integral member of the recovery team or the admissions team provides verbal and supportive communication and documentation concerning individual patient behaviors, progress or lack thereof towards individualized goals of the recovery plan. Actively participates in shift reporting and recovery team meetings or meetings with admissions staff. Works under limited supervision, with considerable latitude for the use of initiative and independent judgment. Performs other duties as assigned, including serving in a supporting role for disaster response or Continuity of Operations (COOP) activation. This position may be eligible to earn additional pay for work performed on evenings, nights and/or weekends.

Knowledge, Skills And Abilities (KSAs)

• Knowledge and experience in CAPPS, CARE, Microsoft Word, and Excel
• Knowledge of patient aggression reduction interventions
• Knowledge of patient care techniques and of treatment, therapy, developmental, and patient centered recovery programs
• Knowledge of effective interpersonal and leadership skills and ability to interact with other team members utilizing effective interpersonal skills
• Skills in the use of computer and office equipment
• Ability to prepare and maintain records, files, and reports
• Ability to serve as a lead worker providing direction to others
• Ability to read, write and understand English to effectively communicate and carry out verbal and written instructions
• Ability to provide patient care, to administer first aid and cardiopulmonary resuscitation, to conduct TIPS, and to communicate effectively
• Ability to work with others and accept supervision
• Ability to train others

Registrations, Licensure Requirements Or Certifications

If transporting patients, will be required to have 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

Four years of work experience required.

At Least Three (3) Years Direct Care Experience Required

At least three (3) years psychiatric patient experience preferred.

Additional Information

At least three (3) years supervisory experience 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.

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 are 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.

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 on‑line 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.