State Hospital Step Down RN

North Texas Behavioral Health Authority; Dallas (TX); On-site; USD 75,000 - 85,000; Full time

Benefits offered by this job

457(b) plan

Paid time off

Health, dental and vision insurance

Health savings account

Flexible spending account

Tuition reimbursement

Job summary

North Texas Behavioral Health Authority is seeking a State Hospital Step Down RN located in Scurry, TX. This full-time position involves providing direct nursing care while collaborating with a behavioral health team. Candidates must hold a current Texas RN license and preferably have experience in crisis or residential settings.

The role includes comprehensive assessments, medication management, and crisis response. Comprehensive benefits such as health insurance and paid time off are offered.

Qualifications

• Licensed RN in Texas with good standing.
• Preferred experience in behavioral health or crisis settings.
• Ability to adhere to policies and procedures.

Responsibilities

• Complete comprehensive assessments for program admissions.
• Document individual’s status and care accurately.
• Provide after-hours support for non-emergencies.
• Administer medication injections as prescribed.
• Collaborate with the care team for medication evaluations.

Skills

Assessment skills

Critical thinking

Communication

Crisis response

Knowledge of medications

Education

Current Texas RN license

Tools

Microsoft Office Suite

Job description

Job Title

State Hospital Step Down RN

Location

Scurry, TX 75158

Position Type

Full Time

Salary

$75,000.00 - $85,000.00 per year

Travel Requirements

Road Warrior: 20% to 100% per day; all counties within NTBHA Catchment area (Dallas, Ellis, Hunt, Kaufman, Navarro, Rockwall)

Role Summary

The Registered Nurse (RN) provides direct and indirect nursing care to individuals served in NTBHA’s State Hospital Step-Down Program, ensuring alignment with the Texas Nursing Practice Act and board standards. The RN works collaboratively with behavioral health staff, case managers, and medical providers, and may have on‑call responsibilities and occasional evening or weekend support.

Responsibilities

• Complete comprehensive assessments to determine if admission to the program is appropriate.
• Accurately and completely report and document the individual’s status, including signs and symptoms, nursing care rendered, physician or prescriber orders, administration of medications and treatments, and individual’s response(s) and contacts with other care team members concerning significant events.
• Provide on‑call support for after‑hours, non‑emergency medical events to determine whether on‑site intervention is necessary and to transport individuals for triage or treatment, following appropriate procedures for visits to emergency departments, clinics, or hospital admissions.
• Immediately contact or assist in contacting 9-1-1 for possible life‑threatening emergencies, and follow up until the event is resolved and complete all required documentation.
• Collaborate with the care team to evaluate all active medications and treatments.
• Understand the rationale for and effects of medications and treatments and provide medication education to each individual when medications are prescribed or changed.
• Administer medication injections.
• Work with insurance companies, pharmacies, and/or Patient Assistance Programs to ensure that individuals receive their medications as prescribed and in a timely manner.
• Maintain cooperative working relationships with all agency staff and community partners.
• Maintain client confidentiality.
• Participate as an integral member of the interdisciplinary team to support stabilization, recovery, and safe transition planning.
• Use a personal computer and possess advanced Microsoft Office Suite skills (Outlook, Word, Excel, PowerPoint) and the ability to become familiar with company‑specific programs and software.
• Duties and projects may be assigned or changed to meet business needs.

Qualifications

• Current Texas RN license in good standing.
• Experience working in behavioral health, crisis, or residential settings preferred.
• Strong assessment, critical thinking, and communication skills.
• Ability to respond effectively in crisis situations.
• Expert knowledge of medications used in the treatment of mental illness.
• Ability to adhere to established policy and procedures.

Benefits

• 457(b) plan
• Paid time off
• Health, dental and vision insurance
• Health savings account
• Flexible spending account
• Tuition reimbursement