licensed vocational nurse

Richard clhf

<p><b>&lt;Job Summary&gt;</b><br/>Join our dynamic healthcare team as a Licensed Vocational Nurse (LVN) for IN HOME SHIFT CARE for a 9 year old kid, where your expertise will directly impact patient care and well-being. In this vital role, you will provide compassionate nursing services across various settings, including long-term care facilities, hospitals, outpatient clinics, and community health environments. Your responsibilities will include performing patient assessments, administering medications and treatments, and collaborating with multidisciplinary teams to ensure optimal health outcomes. This position offers an exciting opportunity to utilize your diverse skill set in a fast-paced, rewarding environment dedicated to delivering exceptional care.</p><p><b>&lt;Responsibilities&gt;</b></p><ul><li>Conduct comprehensive patient assessments, including vital signs, physical examinations, and health histories to inform care plans.</li><li>Administer medications, injections, IV infusions, and other treatments following established protocols and safety standards.</li><li>Manage complex cases involving acute pain management, dementia care, Alzheimer's care, and memory care.</li><li>Operate electronic health record (EHR) systems such as Epic, Cerner, or Athenahealth to document patient information accurately and efficiently.</li><li>Assist with specialized procedures including catheterization, tube feeding, venipuncture, phlebotomy, sterile processing, and wound suturing.</li><li>Provide triage services by evaluating patient symptoms to determine urgency levels for emergency room or urgent care settings.</li><li>Collaborate with physicians and other healthcare professionals in discharge planning, case management, and post-acute care coordination.</li><li>Support patients with developmental disabilities or those requiring behavioral health interventions in both inpatient and community settings.</li><li>Ensure compliance with HIPAA regulations and maintain the highest standards of infection control and patient safety.</li></ul><p><b>&lt;Skills&gt;</b></p><ul><li>Proven experience working with EMR/EHR systems such as Epic, Cerner, or Athenahealth for medical documentation.</li><li>Knowledge of ICD-9/ICD-10 coding for accurate medical records billing and documentation.</li><li>Skilled in IV insertion, medication administration&mdash;including injections&mdash;and venipuncture techniques.</li><li>Familiarity with diverse clinical environments such as long-term care facilities, assisted living communities, hospice care, outpatient clinics, and pediatric or neonatal units.</li><li>Expertise in managing complex cases involving dementia/dementia-related conditions like Alzheimer&rsquo;s disease or memory impairments.</li><li>Ability to perform physical examinations and diagnostic evaluations confidently while demonstrating physiology knowledge and anatomy expertise.</li><li>Experience in pain management strategies for acute or chronic conditions across various patient populations.</li><li>Competence in handling specialized procedures such as spinal taps, gastric lavage, dialysis support, or cardiac catheterization when applicable.</li><li>Excellent communication skills for effective patient assessment and health coaching across diverse age groups including children and seniors. Join us to make a meaningful difference through dedicated nursing practice! We are committed to supporting your professional growth while fostering a compassionate environment where your skills can truly shine. All roles are paid positions&mdash;your expertise is valued every step of the way!</li></ul><p>Pay: $35.00 - $37.00 per hour</p><p>Work Location: In person</p>

Licensed Vocational Nurse

Aliviane, Inc.

<div><p>Company name: Aliviane Inc</p><p>
Title of position: Licensed Vocational Nurse
</p><p>Position type: Full Time</p><p>
Pay range: $22/hr</p><p>
Location: 3801 Mattoz</p><p>
El Paso, Texas 79902</p><p>
Benefits:
</p><p>We offer our team &ndash;
</p><ul><li>Medical, dental, and vision insurance and 401(k)</li><li>
Generous paid time off, extended illness leave, and paid holidays</li><li>
Mental Health Hours</li><li>
Excellent growth and development opportunities</li><li>
Satisfying and rewarding work helping clients overcome substance abuse</li><li>
Flexible Schedule</li><li>
Half day Friday</li></ul><p><b>
About Us</b></p><p>
Aliviane Inc. is committed to providing treatment to members of our community who struggle with substance abuse. Through substance use and mental health services, education, and awareness we help people recover from addiction as they embrace their voice, discover their journey, and engage their community. The success of our mission is made possible by the skills and contributions of our diverse team. Become a part of a unique organization that is spearheading substance use treatment in Texas. Become a part of Aliviane!</p><p><b>
Job Summary
</b></p><p>In this role you will deliver compassionate, professional, and ethical supplemental services to program clients. With a basic concern for quality of care and a belief in human potential for growth, the LVN collaborates and coordinates effectively with others. The primary goal is to contribute to the provision of quality nursing care and achieve positive client outcomes through skilled techniques and expertise in client care.</p><p>
</p><p><b>Essential Duties and Responsibilities
</b></p><ul><li>Assist the Program Physician with physical admission assessments and medical and physical evaluations of Aliviane Inc. clients.</li><li>
Apply considerable knowledge of client care, treatment, and special procedures related to practical nursing.</li><li>
Maintain thorough knowledge of medications, including reactions and dosage requirements.</li><li>
Communicate with all staff and clients with excellent written and verbal skills.
</li><li>Administer client medications and evaluate pharmacotherapy effectiveness during Residential Treatment stay or at the Opioid Treatment Clinic.</li><li>
Maintain compliance with State and Federal policies in the medication room, conducting inventories and disposing of medications as needed and as per state and federal guidelines.</li><li>
Maintain program specific databases containing client medication data.</li><li>
Provide initial and annual Intradermal tuberculosis (TB) tests on clients at the Opioid Treatment Clinic and annual TB tests of all Opioid Treatment Clinic staff. The Residential Nurse will provide TB tests to all required residential staff.</li><li>
Report all reportable communicable diseases to the El Paso County Health Department following state and federal guidelines.</li><li>
Manage and maintain knowledge of all medical equipment used in client care.</li></ul><p><b>
Required/Preferred Education and Experience
</b></p><ul><li>Graduate from a regionally accredited nursing school with LVN licensure in the State of Texas.</li><li>
One year experience collaborating with individuals who are diagnosed with opioid use disorder (OUD) and substance use disorder (SUD).</li><li>
Pursue continuous education and in-service training to expand knowledge of various age groups, diseases, and best practices.</li><li>
Any combination of education and experience that can be demonstrated to be applicable to the duties listed in the job description.</li></ul></div><p></p>

U.S. Renal Care

<p></p><div><div><p><b>Essential Duties and Responsibilities</b> include the following. Other duties and tasks may be assigned.</p>
</div>
<ul><li>Demonstrate effective use of supplies and staff labor hours.</li>
<li>May assist with billing log preparation and updates.</li>
<li>Perform duties as assigned to meet the patient care or operational needs of the clinic</li>
<li>Obtain blood samples for laboratory analysis as required to complete physician orders.</li>
<li>Complete and document monthly review of patient medication profiles.</li>
<li>Knowledge of and comply with applicable health care professionals practice act requirements.</li>
<li>Perform duties at all times under the supervision of a Charge Nurse and within limitations established by and in accordance with company policy and procedures, applicable state and federal laws and regulations</li>
<li>Maintain thorough, accurate, and appropriate documentation in the patient record of all treatments, activities, and communication with the patient, physician and other healthcare professionals to include progress reports.</li>
<li>Report any significant information or change in patient condition to the Charge Nurse.</li>
<li>Report machine problems to Biomedical Technician and Administrator.</li>
<li>Participate in staff meetings as required. Attend in-service and continuing education offerings in compliance with company policy and procedure.</li>
<li>Assist with staff training as requested.</li>
</ul><p></p><div>
<p>To perform this job successfully, an individual must be able to perform each essential duty satisfactorily.
</p><p>Requirements include:</p>
<ul>
<li>Current LVN/LPN license in applicable state. License must be maintained as current and in good standing.
</li><li>CPR certification required within 90 days of hire.</li>
<li>Confirmation of ability to distinguish all primary colors.</li>
<li>Previous dialysis experience preferred.</li>
<li>Successful completion of USRC training program approved by the Medical Director, including demonstrated competency, within 8 weeks of hire.</li>
<li>Demonstrated working knowledge of the English language and ability to communicate verbally and in writing.</li>
<li>Must be able to organize time and tasks well.</li>
<li>Must have basic computer skills; proficiency in all USRC clinical applications required within 90 days of hire.</li>
<li>Must meet any practice requirement(s) for the applicable state.
</li></ul></div><p></p><p>All Full Time employees are eligible for the following benefits: * Medical / Pharmacy * Dental * Vision * Voluntary benefits * 401k with employer match * Virtual Care * Life Insurance * Voluntary Benefits * PTO All Part Time employees are eligible for the following benefits: * 401k with employer match * PTO</p></div>

Texas Health and Human Services Commission

<div></div><div><div><div><div><div>Date: Feb 23, 2026
</div></div></div></div><div><div><div><div>Location:
RUSK, TX
</div></div></div></div><div><div><div><div><p>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.</p><br>
<p></p>
<p><b>
Functional Title: </b>Licensed Vocational Nurse III<br>
<b>Job Title: </b>Licensed Vocational Nurse III<br>
<b>Agency: </b>Health &amp; Human Services Comm<br>
<b>Department: </b>Adm AcuteCarePsych Nursing<br>
<b>Posting Number: </b>14113<br>
<b>Closing Date: </b>03/09/2026<br>
<b>Posting Audience: </b>Internal and External<br>
<b>Occupational Category: </b>Healthcare Practitioners and Technical<br>
<b>Salary Range: </b>$4,866.58<b> </b>- $6,335.66<br>
<b>Pay Frequency: </b>Monthly<br>
<b>Salary Group: </b>TEXAS-A-19<br>
<b>Shift: </b>Regular Night<br>
<b>Additional Shift: </b>Nights (Third); Days (First); Evenings (Second)<br>
<b>Telework: </b>Not Eligible for Telework<br>
<b>Travel: </b>Up to 10%<br>
<b>Regular/Temporary: </b>Regular<br>
<b>Full Time/Part Time: </b>Full time<br>
<b>FLSA Exempt/Non-Exempt:</b> Nonexempt<br>
<b>Facility Location:</b> Rusk State Hospital<br>
<b>Job Location City:</b> RUSK<br>
<b>Job Location Address:</b> 805 N DICKINSON DR<br>
<b>Other Locations:</b>
<br>
<b>MOS Codes:</b> 290X,46AX,46FX,46NX,46PX,46SX,46YX,66B,66C,66E,66F,66G,66H,66N,66P,66R,66S,66T,66W,68C,68Z</p><div><b><br>
Brief Job Description:</b></div><br>
<div></div>
<div>
Would you thrive in an environment where you learn and grow personally and professionally all while helping make a positive impact on people&rsquo;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 nine psychiatric hospitals, one 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.</div><br>
<div></div>
<div>
Performs advanced vocational nursing work. Provides for the care, treatment, and general welfare of individuals residing at the State Hospital (SH) who have complex medical, mental health and/or behavioral health issues. Performs basic and advanced routine and non-routine nursing tasks to promote the health of the individuals within the assigned areas and assigned shift. Collects specimens for lab work and performs health screenings. Instructs direct support professionals and other staff on how to provide service and care that support the individual&rsquo;s medical needs. Performs technical nursing procedures according to facility and state regulations. Keeps informed of and follows all agency, SH and unit policies and procedures. Provides direction and assists with on-the-job training to others such as newly hired LVNs and direct care staff. Provides on-the-job nursing instruction and training for new LVNs, within their scope of practice, as requested by RN Supervisor. Monitors, oversees the work of, and assigns work to, LVNs as needed. Evaluates nursing intervention outcomes and provides input to other members of the healthcare team. Assists RNs with implementation of protocols, procedures and programs to improve overall health and safety of staff and individuals. Works under the limited supervision of a Registered Nurse (RN), with considerable latitude for the use of initiative and independent judgment.</div><br>
<div></div>
<div>
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&rsquo;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.</div><br>
<div></div>
<div>
This position may be eligible to earn additional pay for work performed on evenings, nights and/or weekends.</div><br>
<div></div>
<div>
This position may also be eligible to earn additional pay for work performed on maximum security locations.</div><br>
<div></div>
<div><b>
Essential Job Functions (EJFs):</b></div><br>
<div></div>
<div>
Attends work on a regular basis and may be requested 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.</div><br>
<div></div>
<div>
Administers medications and treatments. Makes rounds as needed and works in other locations at the SH as needed. Demonstrates competency in performing complex technical nursing tasks and procedures in accordance with HHSC, SH and state regulations.</div><br>
<div></div>
<div>
Performs complex and technical nursing procedures according to facility 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.</div><br>
<div></div>
<div>
Monitors individuals&rsquo; weight, diet, mealtimes, and vital signs. Monitors individuals&rsquo; health status after treatments and procedures. Monitors for signs and symptoms of illness. Evaluates nursing intervention outcomes and provides input to other members of the healthcare team. 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.</div><br>
<div></div>
<div>
Timely and accurately documents and reports pertinent treatments and observations in the individual&rsquo;s medical record (electronic health record or paper chart) in accordance with SH procedures and protocols. Recognize symptoms of illness and reports accurately to RN and/or Primary Care Provider.</div><br>
<div></div>
<div>
Fosters interdisciplinary collaboration and integration. Communicates pertinent information orally and in writing to other team members, such as the RN Case Manager, in order to ensure the treatment team has the best information possible to make decisions. Collects data for RN/ Primary Care Provider.</div><br>
<div></div>
<div>
Leads, monitors, and oversees others who are monitoring individuals before, during, and after treatments and procedures are completed. Evaluates nursing intervention outcomes and confers with other health care members as necessary.</div><br>
<div></div>
<div>
Trains/instructs new LVN staff to perform nursing functions at the SH, including acclimating them to the individuals, their needs and preferences. Oversees and monitors the work of LVNs as assigned and provides feedback to the supervisor. Assists the new LVN to complete the &ldquo;on the job training&rdquo; checklist, observes and gives feedback as the new LVN performs daily assignments, plans daily learning experiences for new LVN, meets with the new LVN&rsquo;s manager at the end of the orientation to discuss progress made, and is a continued resource for the new LVN.</div><br>
<div></div>
<div>
Assists RNs with implementation of protocols, procedures, and programs to improve overall health and safety of staff and individuals. Assists the Infection Control nurse by implementing measures that prevent the spread of disease, assists the QA Nurse in developing and implementing quality assurance programs, and assists in the implementation of therapeutic nursing programs. Participates in facility Quality Assurance/Quality Improvement initiatives. Participates in facility committees as requested on a regular basis.</div><br>
<div></div>
<div>
Responds to emergency situations to ensure safety of individuals including de-escalation procedures. Follows safety and infection control procedures of the SH. Provides educational and safety training to SH staff upon request. Performs other duties as assigned such as assisting the infection control nurse, medication variance, scheduling.</div><br>
<div></div>
<div>
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&rsquo;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.</div><br>
<div></div>
<div><b>
Knowledge, Skills and Abilities (KSAs):</b></div><br>
<div></div>
<div>
Knowledge of nursing care standards, nursing procedures and techniques and of the principles and processes used in providing appropriate patient care.</div>
<div>
Knowledge of emergency procedures and emergency equipment, i.e., CPR and TIPS, and ability to assess and care for patients and/or staff members in emergency situations.</div>
<div>
Knowledge of state and federal laws and Intermediate Care Facility for individuals with mental health issues rules, regulations, policy and procedures related to State hospitals or ability to quickly gain that knowledge.</div><br>
<div></div>
<div>
Skills in using reasoning to identify problems and in considering appropriate resolution of situations.</div>
<div>
Skill in the operation of computers and applicable computer software.</div>
<div>
Skill in the care and treatment of patients.</div><br>
<div></div>
<div>
Ability to organize, coordinate, and evaluate nursing activities and delivery of health services; to interpret policies and procedures; to interpret health care regulations; to recognize patterns of medical necessity treatment; and to plan, assign, and/or oversee the work of others.</div>
<div>
Ability to interpret regulations and communicate them effectively both orally and in writing.</div>
<div>
Ability to provide patient care to a wide variety of individuals with complex medical, mental health and/or behavioral health issues.</div>
<div>
Ability to prepare and maintain records and to use an electronic health record system.</div>
<div>
Ability to communicate effectively and to instruct others.</div>
<div>
Must maintain current CPR certification. Must have strength and flexibility to safely perform Cardiopulmonary Resuscitation (CPR).</div><br>
<div></div>
<div><b>
Registrations, Licensure Requirements or Certifications:</b></div><br>
<div></div>
<div>
Licensed to practice as a licensed vocation nurse in the state of Texas or a state that recognizes reciprocity through the Nurse Licensure Compact.</div><br>
<div></div>
<div><b>
Initial Screening Criteria:</b></div><br>
<div></div>
<div>
Graduation from a LVN program.</div><br>
<div></div>
<div>
Minimum twelve months employment experience as an LVN is required; eighteen months is preferred.</div><br>
<div>
</div><div>Six months of experience working or volunteering directly with persons with mental illness preferred.</div><br>
<div></div>
<div>
Six months year of experience training/teaching or leading others is preferred.</div><br>
<div></div>
<div><b>
Additional Information:</b></div><br>
<div></div>
<div>
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.</div><br>
<div></div>
<div>
All applicants must be at least 18 years of age to be considered for employment at a state-operated facility. Waco Center for Youth applicants must be 21 years of age.</div><br>
<div></div>
<div>
Flexibility in work hours may be required for this position. The position may be required to work overtime and/or extended hours.</div><br>
<div></div>
<div>
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.</div><p>
Review our Tips for Success when applying for jobs at DFPS, DSHS and HHSC.</p><br>
<p></p>
<p><b>
Active Duty, Military, Reservists, Guardsmen, and Veterans</b>:</p>
<p>
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&rsquo;s Job Descriptions, Military Crosswalk and Military Crosswalk Guide at Texas State Auditor's Office - Job Descriptions.</p><br>
<p></p>
<p><b>
ADA Accommodations:</b></p>
<p>
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.</p><br>
<p></p>
<p><b>
Pre-Employment Checks and Work Eligibility:</b></p>
<p>
Depending on the program area and position requirements, applicants selected for hire may be required to pass background and other due diligence checks.</p><br>
<p></p>
<p>
HHSC uses E-Verify. You must bring your I-9 documentation with you on your first day of work. Download the I-9 Form</p>
<p><b>
Telework Disclaimer:</b></p>
<p>
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.</p><br>
</div></div></div></div><p><br>
<b>Nearest Major Market: </b>Tyler</p></div>

Licensed Vocational Nurse III

<div></div><div><div><div><div><div>Date: Feb 23, 2026
</div></div></div></div><div><div><div><div>Location:
BIG SPRING, TX
</div></div></div></div><div><div><div><div><p>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.</p><br>
<p></p>
<p><b>
Functional Title: </b>Licensed Vocational Nurse III<br>
<b>Job Title: </b>Licensed Vocational Nurse III<br>
<b>Agency: </b>Health &amp; Human Services Comm<br>
<b>Department: </b>Utilization Mgmt<br>
<b>Posting Number: </b>14123<br>
<b>Closing Date: </b>04/24/2026<br>
<b>Posting Audience: </b>Internal and External<br>
<b>Occupational Category: </b>Healthcare Support<br>
<b>Salary Range: </b>$4,866.58<b> </b>- $6,335.66<br>
<b>Pay Frequency: </b>Monthly<br>
<b>Salary Group: </b>TEXAS-A-19<br>
<b>Shift: </b>Day<br>
<b>Additional Shift: </b>Days (First); Evenings (Second); Nights (Third)<br>
<b>Telework: </b>Not Eligible for Telework<br>
<b>Travel: </b>Up to 5%<br>
<b>Regular/Temporary: </b>Regular<br>
<b>Full Time/Part Time: </b>Full time<br>
<b>FLSA Exempt/Non-Exempt:</b> Nonexempt<br>
<b>Facility Location:</b> Big Spring State Hospital<br>
<b>Job Location City:</b> BIG SPRING<br>
<b>Job Location Address:</b> 1901 N HIGHWAY 87<br>
<b>Other Locations:</b> Big Spring<br>
<b>MOS Codes:</b> 290X,46AX,46FX,46NX,46PX,46SX,46YX,66B,66C,66E,66F,66G,66H,66N,66P,66R,66S,66T,66W,68C,68Z</p><div><b><br>
Brief Job Description:</b></div><br>
<div></div>
<div>
Would you thrive in an environment where you learn and grow personally and professionally all while helping make a positive impact on people&rsquo;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 nine psychiatric hospitals, one 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.</div><br>
<div></div>
<div>
Performs advanced vocational nursing work. Provides for the care, treatment, and general welfare of individuals residing at the State Hospital (SH) who have complex medical, mental health and/or behavioral health issues. Performs basic and advanced routine and non-routine nursing tasks to promote the health of the individuals within the assigned areas and assigned shift. Collects specimens for lab work and performs health screenings. Instructs direct support professionals and other staff on how to provide service and care that support the individual&rsquo;s medical needs. Performs technical nursing procedures according to facility and state regulations. Keeps informed of and follows all agency, SH and unit policies and procedures. Provides direction and assists with on-the-job training to others such as newly hired LVNs and direct care staff. Provides on-the-job nursing instruction and training for new LVNs, within their scope of practice, as requested by RN Supervisor. Monitors, oversees the work of, and assigns work to, LVNs as needed. Evaluates nursing intervention outcomes and provides input to other members of the healthcare team. Assists RNs with implementation of protocols, procedures and programs to improve overall health and safety of staff and individuals. Works under the limited supervision of a Registered Nurse (RN), with considerable latitude for the use of initiative and independent judgment.</div><br>
<div></div>
<div>
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&rsquo;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.</div><br>
<div></div>
<div>
This position may be eligible to earn additional pay for work performed on evenings, nights and/or weekends.</div><br>
<div></div>
<div><b>
Essential Job Functions (EJFs):</b></div><br>
<div></div>
<div>
Attends work on a regular basis and may be requested 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.</div><br>
<div></div>
<div>
Administers medications and treatments. Makes rounds as needed and works in other locations at the SH as needed. Demonstrates competency in performing complex technical nursing tasks and procedures in accordance with HHSC, SH and state regulations.</div><br>
<div></div>
<div>
Performs complex and technical nursing procedures according to facility 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.</div><br>
<div></div>
<div>
Monitors individuals&rsquo; weight, diet, mealtimes, and vital signs. Monitors individuals&rsquo; health status after treatments and procedures. Monitors for signs and symptoms of illness. Evaluates nursing intervention outcomes and provides input to other members of the healthcare team. 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.</div><br>
<div></div>
<div>
Timely and accurately documents and reports pertinent treatments and observations in the individual&rsquo;s medical record (electronic health record or paper chart) in accordance with SH procedures and protocols. Recognize symptoms of illness and reports accurately to RN and/or Primary Care Provider.</div><br>
<div></div>
<div>
Fosters interdisciplinary collaboration and integration. Communicates pertinent information orally and in writing to other team members, such as the RN Case Manager, in order to ensure the treatment team has the best information possible to make decisions. Collects data for RN/ Primary Care Provider.</div><br>
<div></div>
<div>
Leads, monitors, and oversees others who are monitoring individuals before, during, and after treatments and procedures are completed. Evaluates nursing intervention outcomes and confers with other health care members as necessary.</div><br>
<div></div>
<div>
Trains/instructs new LVN staff to perform nursing functions at the SH, including acclimating them to the individuals, their needs and preferences. Oversees and monitors the work of LVNs as assigned and provides feedback to the supervisor. Assists the new LVN to complete the &ldquo;on the job training&rdquo; checklist, observes and gives feedback as the new LVN performs daily assignments, plans daily learning experiences for new LVN, meets with the new LVN&rsquo;s manager at the end of the orientation to discuss progress made, and is a continued resource for the new LVN.</div><br>
<div></div>
<div>
Assists RNs with implementation of protocols, procedures, and programs to improve overall health and safety of staff and individuals. Assists the Infection Control nurse by implementing measures that prevent the spread of disease, assists the QA Nurse in developing and implementing quality assurance programs, and assists in the implementation of therapeutic nursing programs. Participates in facility Quality Assurance/Quality Improvement initiatives. Participates in facility committees as requested on a regular basis.</div><br>
<div></div>
<div>
Responds to emergency situations to ensure safety of individuals including de-escalation procedures. Follows safety and infection control procedures of the SH. Provides educational and safety training to SH staff upon request. Performs other duties as assigned such as assisting the infection control nurse, medication variance, scheduling.</div><br>
<div></div>
<div>
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&rsquo;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.</div><br>
<div></div>
<div><b>
Knowledge, Skills and Abilities (KSAs):</b></div><br>
<div></div>
<div>
Knowledge of nursing care standards, nursing procedures and techniques and of the principles and processes used in providing appropriate patient care.</div>
<div>
Knowledge of emergency procedures and emergency equipment, i.e., CPR and TIPS, and ability to assess and care for patients and/or staff members in emergency situations.</div>
<div>
Knowledge of state and federal laws and Intermediate Care Facility for individuals with mental health issues rules, regulations, policy and procedures related to State hospitals or ability to quickly gain that knowledge.</div><br>
<div></div>
<div>
Skills in using reasoning to identify problems and in considering appropriate resolution of situations.</div>
<div>
Skill in the operation of computers and applicable computer software.</div>
<div>
Skill in the care and treatment of patients.</div><br>
<div></div>
<div>
Ability to organize, coordinate, and evaluate nursing activities and delivery of health services; to interpret policies and procedures; to interpret health care regulations; to recognize patterns of medical necessity treatment; and to plan, assign, and/or oversee the work of others.</div>
<div>
Ability to interpret regulations and communicate them effectively both orally and in writing.</div>
<div>
Ability to provide patient care to a wide variety of individuals with complex medical, mental health and/or behavioral health issues.</div>
<div>
Ability to prepare and maintain records and to use an electronic health record system.</div>
<div>
Ability to communicate effectively and to instruct others.</div>
<div>
Must maintain current CPR certification. Must have strength and flexibility to safely perform Cardiopulmonary Resuscitation (CPR).</div><br>
<div></div>
<div><b>
Registrations, Licensure Requirements or Certifications:</b></div><br>
<div></div>
<div>
Licensed to practice as a licensed vocation nurse in the state of Texas or a state that recognizes reciprocity through the Nurse Licensure Compact.</div><br>
<div></div>
<div><b>
Initial Screening Criteria:</b></div><br>
<div></div>
<div>
Graduation from a LVN program.</div><br>
<div></div>
<div>
Minimum twelve months employment experience as an LVN is required; eighteen months is preferred.</div><br>
<div>
</div><div>Six months of experience working or volunteering directly with persons with mental illness preferred.</div><br>
<div></div>
<div>
Six months year of experience training/teaching or leading others is preferred.</div><br>
<div></div>
<div><b>
Additional Information:</b></div><br>
<div></div>
<div>
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.</div><br>
<div></div>
<div>
All applicants must be at least 18 years of age to be considered for employment at a state-operated facility. Waco Center for Youth applicants must be 21 years of age.</div><br>
<div></div>
<div>
Flexibility in work hours may be required for this position. The position may be required to work overtime and/or extended hours.</div><br>
<div></div>
<div>
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.</div><p>
Review our Tips for Success when applying for jobs at DFPS, DSHS and HHSC.</p><br>
<p></p>
<p><b>
Active Duty, Military, Reservists, Guardsmen, and Veterans</b>:</p>
<p>
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&rsquo;s Job Descriptions, Military Crosswalk and Military Crosswalk Guide at Texas State Auditor's Office - Job Descriptions.</p><br>
<p></p>
<p><b>
ADA Accommodations:</b></p>
<p>
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.</p><br>
<p></p>
<p><b>
Pre-Employment Checks and Work Eligibility:</b></p>
<p>
Depending on the program area and position requirements, applicants selected for hire may be required to pass background and other due diligence checks.</p><br>
<p></p>
<p>
HHSC uses E-Verify. You must bring your I-9 documentation with you on your first day of work. Download the I-9 Form</p>
<p><b>
Telework Disclaimer:</b></p>
<p>
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.</p></div></div></div></div></div><p></p>

WILLIS NURSING & REHABILITATION

<div>Description:
<p>
Under the supervision of the Director of Nursing, the Licensed Vocational Nurse (LVN) provides nursing care to residents as prescribed by the physician and in accordance with applicable nursing standards and regulatory requirements and supervises Certified Nursing Assistants (CNAs) in the delivery of direct resident care.</p><p><b>
Essential Duties and Responsibilities:</b></p><ul><li>
Review and maintain medical records and nursing notes; assess residents&rsquo; physical and emotional status.</li><li>
Monitor resident activity and provide nursing care in accordance with physician orders, care plans, nursing standards, and facility policies.</li><li>
Coordinate and assist with resident admissions, transfers, and discharges.</li><li>
Transcribe and carry out physician telephone orders accurately.</li><li>
Communicate effectively with residents, family members, interdisciplinary team members, and management regarding resident status.</li><li>
Prepare and administer medications as ordered and in compliance with nursing standards and facility policies.</li><li>
Complete all charting and documentation accurately, timely, and in accordance with established policies and procedures.</li><li>
Understand, comply with, and promote resident rights.</li><li>
Participate in the development, implementation, and revision of individualized care plans.</li><li>
Participate in in-service education, orientation programs, and job skills training to maintain professional competence.</li><li>
Monitor the care environment and nursing practices to ensure compliance with safety, fire, disaster preparedness, infection control, and departmental policies.</li><li>
Supervise Certified Nursing Assistants (CNAs), including assigning duties, monitoring performance, and providing coaching or corrective feedback as needed.</li><li>
Performs other duties as assigned</li></ul>
Requirements:
<ul><li>Must be a Licensed Vocational Nurse (LVN) in good standing and currently licensed by the state.</li><li>
Must be able to supervise other employees and work cooperatively to obtain resident care objectives.</li><li>
Must be able to interact positively with residents, families, and regulatory agencies, and work collaboratively with employees at all levels.</li><li>
Must be able to maintain consistent attendance and be willing to work long or irregular hours, often under pressure.</li></ul><p><b>
Physical Requirements:</b></p><ul><li>
Must comply with all local health regulations and successfully complete a post-offer health assessment.</li><li>
Must be able to perform the essential functions of the position with or without reasonable accommodation.</li><li>
Physical and Sensory Requirements (with or without the use of mechanical devices):</li><li>
Ability to read, write, and speak fluent English to communicate effectively with residents, families, staff, and community agencies.</li><li>
Ability to perform physical activities such as walking, reaching, bending, stretching, pulling, and lifting.</li><li>
Adequate fine and gross motor coordination to carry out required tasks.</li></ul><p><b>
Work Environment:</b></p><ul><li>
Long-term care facility setting.</li><li>
Exposure to residents with varying levels of care needs.</li><li>
May include evenings, weekends, holidays, and on-call shifts.</li></ul><p><b>
Core Competencies:</b></p><ul><li>
Resident-centered care</li><li>
Professionalism and ethical conduct</li><li>
Team collaboration</li><li>
Problem-solving</li><li>
Cultural sensitivity and respect</li></ul><p><b>
Employer Statement:</b></p><p>
The facility is an equal opportunity employer. Duties and responsibilities may change based on business needs.</p></div>

Licensed Vocational Nurse (LVN)

Centre for Neuro Skills

<div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><div><p><b>Hours for the position are Monday through Friday 7:30AM to 4:30PM</b></p><p>
With traumatic brain injury, life changes in an instant. For us, there is no greater reward than easing human suffering and helping people put their lives back together. As an Licensed Vocational Nurse, you will play a critical role in transforming lives and helping individuals regain their independence and quality of life.</p><p>
At CNS, we are a community of &quot;PATHfinders&quot; who work together to find every path possible for our patients to reach their maximum independence and quality of life. We create a supportive work environment through selflessness, innovation, and hard work. We take work very seriously, but we also enjoy a great atmosphere of fun and professional development, and we are committed to promoting a rich environment for each other to thrive through collaboration and empowerment.</p><p><b>
Responsibilities</b></p><p>
 The Staff Nurse - Residential renders professional nursing care at the residential site pursuant to the objectives and policies of the facility. Must possess excellent assessment skills, self-confidence and be assertive in advocating for good patient care in working independently as a nurse. Must be highly organized and prioritize all nursing tasks and procedures in a shift. Education of patients and staff is a vital component of this position. Some on-call work is required.</p><p>
This position is full time and is performed at the residential site Monday-Friday from 12 pm to 9 pm (PM Shift) Your key responsibilities will include:</p><ul><li>
Performs nursing techniques for the comfort and well-being of the patient.</li><li>
Supervises, administers, assists with, and delegates the distribution of medications.</li><li>
Takes vital signs and monitors the medical progress of patients. Completes documentation and reporting.</li><li>
Follows physician's orders and individual nursing care plans, including assisting patients with daily routines, catheter irrigating and assisting with respiratory treatments.</li><li>
Provides emergency first-aid for patients and staff if needed. Administers TB tests and Hepatitis B vaccines for staff.</li><li>
Teaches, monitors, administers and documents individual patient programs including ADL's (as outlined on the Needs and Services Plans) and therapeutic home programs in English.
</li><li>Performs toilet and chair transfers with assistance for patients up to 150 pounds utilizing approved transfer techniques.</li><li>
Provides for the safety of patients, visitors, staff and self when interacting with patients who may have behavioral outbursts.
</li><li>May transport patients in company-owned or personal vehicle when company transportation vehicles are unavailable requiring transferring and driving abilities.</li></ul><p><b>
Qualifications</b></p><p>
Successful candidates will have:</p><ul><li><b>
Passion for Care</b>: A deep understanding of the requirements for providing the type of care and supervision needed, including the ability to communicate effectively with them.</li><li><b>
Leadership Skills</b>: The ability to recruit, employ, train, and evaluate qualified staff, and to make tough decisions when necessary.</li></ul><p><b>
Experience and Education</b></p><ul><li><b>
Educational Background</b>: Current/clear California LVN licensure required. Blood Draw and IV certifications preferred. Valid driver's license required.</li><li><b>
Specialized Knowledge</b>: Successful completion of a pre-employment, post-offer drug screen, health screen, including TB clearance, and fingerprint clearance.</li></ul><p><b>
Benefits Package Includes:</b></p><p>
At CNS, we value our employees and offer a comprehensive benefits package to support your well-being and professional growth. Here are some of the benefits you can enjoy as a full-time staff member:</p><ul><li><b>
Paid Time Off</b>: Enjoy generous paid time off to relax and recharge.</li><li><b>
Extended Sick Leave</b>: Take the time you need to recover with extended sick leave.</li><li><b>
Insurance</b>: Access to PPO medical, dental, life, and vision insurance starting the 1st of the month after hire. Employment includes annual enrollment in One Medical (https://www.onemedical.com/) with telehealth also available through the company health plan.</li><li><b>
Paid Holidays</b>: Celebrate with 9-10 paid holidays per year, including a floating personal observance day.</li><li><b>
401(k) Plan</b>: Plan for your future with our company matching 401(k) retirement savings plan.</li><li><b>
Professional License Reimbursement</b>: Get reimbursed for your professional license fees.</li><li><b>
Continuing Education Assistance</b>: Pursue further education with our continuing education assistance program.</li><li><b>
Daily Pay:</b> access your earnings immediately after you complete your shift!</li><li><b>
LifeMart Benefits</b>: As a valued member of our team, you have access to exclusive discounts and savings through LifeMart, a proprietary, members-only discount shopping website. LifeMart provides real savings on a wide range of products and services to help you manage everyday needs. Some of the benefits include:<ul><li><b>
Travel</b>: Discounts on flights, hotels, car rentals, and vacation packages.</li><li><b>
Tickets</b>: Savings on movie tickets, theme parks, and other entertainment options.</li><li><b>
Electronics</b>: Deals on the latest gadgets, computers, and home electronics.</li><li><b>
Family Care</b>: Discounts on childcare, eldercare, and pet care services.</li><li><b>
Wellness</b>: Savings on gym memberships, fitness equipment, and wellness programs.</li><li><b>
Home &amp; Auto</b>: Discounts on home improvement services, appliances, and auto care.</li><li><b>
Financial and Legal</b>: Savings on financial planning, tax services, and legal assistance.</li><li><b>
Apparel</b>: Deals on clothing, shoes, and accessories from top brands.</li><li><b>
Flowers &amp; Gifts</b>: Discounts on flowers, gift baskets, and other special occasion items.</li><li><b>
Restaurants and Dining</b>: Savings on dining out at popular restaurants.</li></ul></li></ul><p>
 <b>Wisely Financial Services:</b></p><p>
 As part of our comprehensive benefits package, we are pleased to offer access to Wisely's financial services. These services are designed to provide flexibility and control over your finances, helping you manage your money more effectively and achieve your financial goals. Here are some of the key services offered by Wisely:</p><ul><li><b>
Early Direct Deposit</b>: Opt-in to receive your paychecks early through direct deposit.</li><li><b>
Cashback Rewards</b>: Earn cashback rewards on purchases at participating merchants, accessible through the myWisely mobile app.</li><li><b>
Prepaid Debit Cards</b>: Use Wisely's prepaid debit cards for everyday financial transactions.</li></ul><p><b>
Call to Action</b></p><p>
Are you passionate about making a difference in people's lives? Join us at CNS and be part of a team that is dedicated to helping individuals with brain injuries find hope and independence. Apply now to become a Licensed Vocational Nurse and start your journey with us today!</p><p>
The wage range for this role takes into account the wide range of factors that are considered in making compensation decisions including skill sets, experience, education and training, licensure and certifications, and other business and organizational needs. It&rsquo;s not typical for an individual to be hired at or near the top of the range for their role and compensation decisions are arrived at each unique case. A reasonable estimate of the current range is $33.00 - $38.00 per hour.</p><p><b>
I WANT IN!</b></p><p><b>
Apply Now!</b></p><p></p><div><div><b><br>
#LI-SB1</b></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div></div><br>
Monday-Friday from 7:30am-4:30pm</div>

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