RN II- Direct Care

Health & Human Services Comm; Carlsbad (TX); On-site; USD 79,000 - 93,000; Full time

Benefits offered by this job

100% paid employee health insurance

Defined benefit pension plan

Generous time off benefits

Job summary

Health & Human Services Commission (HHSC) seeks a Direct Care RN II at the San Angelo State Supported Living Center in Carlsbad, TX. The role involves direct nursing care for individuals in SSLC settings, with morning and evening shifts and potential extra pay for evenings, nights, weekends, or maximum-security locations.

The RN will perform routine tasks, assess and treat residents, document in electronic records, and coordinate with the healthcare team to ensure high-quality care.

Qualifications

• Direct Care RN performs routine nursing tasks and documents healthcare needs.
• Communicates with direct care staff, physicians/ PCP, administration and other nursing staff.
• Assists with LVNs and CMA services as needed and supports QA/QI initiatives.

Responsibilities

• Attend regular shifts (Morning/Evening) and participate in required scheduling.
• Administer medications, immunizations and treatments and monitor patient responses.
• Document and report pertinent treatments and observations in medical records.

Skills

Patient care

Medication administration

Wound care

Emergency response

Interdisciplinary communication

Education

RN license

Tools

Electronic health records

Job description

Career Opportunities: RN II- Direct Care (22287)

Posting ID22287-Posted10/12/2026-Health & Human Services Comm-Hinojos Creek - Nursing-Healthcare Practitioners and Technical-San Angelo State Supported Living Center-Not Eligible for Telework- Other Locations (1) - Additional Shifts available (2) -c. $5000 - $6999 per month

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:RN II- Direct Care
Job Title:Nurse II
Agency:Health & Human Services Comm
Department:Hinojos Creek - Nursing
Posting Number:22287
Closing Date:11/11/2026
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:San Angelo State Supported Living Center
Job Location City:CARLSBAD
Job Location Address:11640 US HWY 87 N
Other Locations:San Angelo
MOS Codes: 290X,46AX,46FX,46NX,46PX,46SX,46YX,66B,66C,66E,66F,66G,66H,66N,66P,66R,66S,66T,66W

Brief Job Description:

This position is available for Morning or Evening shifts on multiple homes.
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.

Come work in an environment where we truly value and respect those we serve and believe in the mission that all people can achieve a higher level of wellness and independence.

The state supported living centers serve people with intellectual and developmental disabilities who are medically fragile or who have behavioral problems. The centers provide campus-based direct services and supports at 13 centers located throughout the state. Learn About Our State Supported Living Centers

If you are looking for a place to work where you can establish a career that is filled with purpose, this is the job for you!

Free CEUs and updated resources through Lippincott access for all nurses.

The Direct Care RN performs routine level nursing work providing for the assessment, care and treatment of individuals who reside in a State Supported Living Center (SSLC) setting. Evaluates, treats and documents healthcare needs and/or issues and reports needs and/or issues to the appropriate person(s). Communicates with others, such as direct care staff, physicians/PCP, administration, and other nursing staff to ensure optimal care as part of the interdisciplinary team. Notifies the supervisor and PCP of trends and concerns to ensure that communication is in place to provide consistent, high quality care for all persons served. Completes data entry, required documentation and reports and maintains records.

Assists with services provided by LVNs and Certified Medication Aides (CMA), as needed, and makes recommendations for improvements. Participates in facility quality assurance/quality improvement (QA/QI) initiatives, as required. Provides treatment to HHS employees injured in course and scope of employment. Responds to emergency situations to ensure safety and care of individuals and staff. Works under moderate supervision of the Nurse Manager or Nursing Operations Officer, with limited latitude for the use of initiative and independent judgment.

Essential Job Functions (EJFs):

Attends work on a regular basis and may be required 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.

May serve in an on-call status on a rotating schedule as required to meet operational needs of the facility.

Performs routine nursing tasks and procedures in accordance with HHSC, SSLC and state regulations, such as tracheostomy care, gastrostomy/jejunostomy care, wound care, breathing treatments. Collects specimens for laboratory examination and conducts appropriate screening tests when requested by lab personnel.

Administers medications, immunizations, and treatments and observes patients for unusual symptoms and reactions. Makes rounds and/or home visits as needed and works in other locations at the SSLC as needed. Monitors individuals’ weight, diet, feedings, and vital signs. Monitors for signs and symptoms of illness and uses appropriate nursing judgement to provide adequate care for the individual, including initiating acute care plans.

Assists in evaluating nursing intervention outcomes and provides input to other members of the healthcare team including recommendations for improvements. Instructs direct support professionals on how to monitor individuals after a treatment or procedure using instruction sheets such as that used for post-sedation monitoring of signs and symptoms.

Timely and accurately documents and reports pertinent treatments and observations in the individual’s medical record (electronic health record or paper chart) in accordance with SSLC procedures and protocols. Prepares reports as required.

Assists with services provided by LVNs and/or Certified Medication Aides (CMA), as needed, and makes recommendations for improvements, including acclimating them to the individuals, their needs and preferences.

Assists LVNs with implementation of protocols, procedures and programs to improve overall health and safety of staff and individuals. Provides assistance with completing follow up assessments, guidelines, acute care plan (ACP) interventions, injury reports, restraints, and med variances.

Provides support to Nurse Manager’s including reviews and follow up on controlled drug counts, medication counts, emergency checklist logs, refrigerator temp logs, and glucose controls.

Assists the Infection Control nurse by implementing measures that prevent the spread of disease, assists the Quality Assurance Nurse in the implementation of therapeutic nursing programs. Participates in facility Quality Assurance/Quality Improvement initiatives.

Responds to emergency situations to ensure safety of individuals. Follows safety and infection control procedures of the SSLC. Provides educational and safety training to SSLC staff upon request. Provides treatment to HHS employees injured in course and scope of employment.

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