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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 theBenefits of Working at HHS webpage.

Functional Title:Licensed Vocational Nurse II

Job Title:Licensed Vocational Nurse II

Agency:Health and Human Services Comm

Department:Residential Care Admissions

Posting Number:15796

Closing Date:07/09/2026

Posting Audience:Internal and External

Occupational Category:Healthcare Practitioners and Technical

Salary Range:$4,594.16

-$5,921.16

Pay Frequency:Monthly

Salary Group:TEXAS-A-18

Shift:Regular Evening and Weekend

Additional Shift:Days (First); Evenings (Second); Nights (Third); Weekends

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:Big Spring State Hospital

Job Location City:BIG SPRING

Job Location Address:1901 N HIGHWAY 87

Other Locations:Big Spring

MOS Codes:290X,46AX,46FX,46NX,46PX,46SX,46YX,66B,66C,66E,66F,66G,66H,66N,66P,66R,66S,66T,66W,68C,68Z

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 peoples 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.

Performs highly complex vocational nursing work. Provides for the care, treatment, and general welfare of individuals residing at the State Hospital (SH) who have complex mental health, behavioral, and medical diagnosis. Performs basic and complex 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 psychiatric nursing assistants and other staff on how to provide service and care that support the individuals needs. Performs technical nursing procedures according to facility and state regulations. Keeps informed of and follows all agency, SH, and hospital policies and procedures. Provides direction and assists with on-the-job training to others such as newly hired LVNs and direct care staff. Assists Registered Nurses (RNs) with implementation of protocols, procedures, and programs to improve overall health and safety of staff and individuals. Works under general supervision of an RN with moderate latitude for the use of initiative and independent judgment.

Performs other duties as assigned. Other duties as assigned include but are not limited to actively participating and/or serving ina supporting role to meet the agencys 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.

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.

Administers medications and treatments orally, rectally, internally, or by injection. Assists other medical staff, such as Registered Nurses (RNs), Physicians, Advanced Practice Registered Nurses and Physician Assistants, in examining and caring for patients. Makes rounds as needed and works in other locations at the hospital as needed. Demonstrates competency in performing complex technical nursing tasks and procedures in accordance with HHSC, hospital and state regulations. Trains/instructs new LVN staff to perform nursing functions at the hospital, including acclimating them to the individuals, and describing their needs and preferences.

Performs complex and technical nursing procedures according to facility and state regulations such as wound care, breathing treatments. Collects specimens for laboratory examination and conducts appropriate screening tests when requested by lab personnel.

Monitors individuals weight, diet, meals, and vital signs. Monitors individuals health status after medication administration, treatments and procedures. Instructs psychiatric nursing assistants on how to monitor individuals after a treatment or procedure.

Timely and accurately documents and reports pertinent treatments and observations in the individuals medical record (electronic health record or paper chart) in accordance with hospital procedures and protocols. Recognize symptoms of illness and reports accurately to RN and/or Primary Care Provider.

Fosters interdisciplinary collaboration and integration. Communicates pertinent information orally and in writing to other tea

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HEALTH AND HUMAN SERVICES COMMISSION jobs

LVN II- Big Spring State Hospital