🔎 Role snapshot

• Provides professional nursing care, health assessments, and clinical oversight for residents.

• Coordinates medical care with physicians, NPs, therapists, and care staff; develops and monitors care plans.

• Delegates tasks to unlicensed staff within state rules; ensures medication safety and adherence to orders.

• Serves as a clinical lead within the care team and may supervise LPNs/LVNs, CNAs, and DSPs per policy.

🎯 Core qualifications (typical)

• Education & licensure

  • Active Texas RN license from the Texas Board of Nursing (BON), in good standing.

  • Graduation from an accredited Registered Nurse program.

  • Eligibility for licensure verification (e.g., license verification for out-of-state hires).

• Experience

  • Prior experience in inpatient, outpatient, community-based, IDD/HCBS, or residential care settings is preferred.

  • Experience with care planning, medication administration, and clinical assessments is typical.

• Background checks

  • Successful completion of fingerprint/background checks per HHSC/employer policy.

• Continuing education

  • Ongoing compliance with BON CE requirements; site-specific nursing training may be required (infection control, medication policies, rights protections).

🧠 Licensing, scope of practice, and credentialing

• Scope of practice

  • Practice under the Texas Nurse Practice Act and BON rules.

  • Authorized to administer medications and therapies as ordered, within facility policies and delegation rules.

  • Develop, implement, and evaluate individual resident care plans in collaboration with the care team.

• Supervision & delegation

  • Supervise or coordinate with LPNs/LVNs, CNAs, and DSPs as allowed by state law and agency policy.

  • Ensure appropriate nurse delegation, task assignments, and supervision levels.

• Documentation

  • Maintain accurate nursing documentation: care plans, progress notes, MARs/medication records, incident reports, and health assessments.

  • Ensure documentation supports regulatory compliance and quality of care.

🛡️ Health, safety, and professional responsibilities

• Health status & immunizations

  • Meet employer and HHSC health requirements; immunizations as required.

  • Maintain CPR/BLS certification and any site-specific emergency training.

• Patient rights & safety

  • Uphold resident rights, safety, and privacy; report abuse/neglect per policy.

• Infection control

  • Adhere to infection control policies, standard precautions, and PPE usage.

🧰 Training, onboarding, and ongoing development

• Onboarding

  • Orientation on agency policies, TAC/HHSC requirements, resident rights, documentation standards, and medication policies.

• Clinical training

  • Medication administration policies, wound care, vital signs monitoring, chronic disease management, and emergency procedures.

  • Training on care coordination, data collection, and use of electronic health/records systems.

• Professional development

  • Opportunities for continuing education and competency validation (clinical skills refreshers, etc.).

🗂️ Duties & responsibilities (highlights)

• Conduct health assessments, triage health concerns, and coordinate medical care.

• Administer medications and treatments as ordered; monitor for adverse effects.

• Develop and update care plans; review and adjust with the care team.

• Document health status, progress, and incidents; maintain HIPAA-compliant records.

• Collaborate with physicians, RNs in the team, therapists, case managers, and families.

• Provide staff training and supervision related to clinical tasks and resident health.

Note: There are On Call position and as a Contractor -full time