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Texas Health Human Services Commission
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  • Join the Texas Health and Human Services Commission (HHSC) and be part... Read More
    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: Direct Support Professional II Job Title: Direct Support Professional II Agency: Health & Human Services Comm Department: Sunrise - Residential Care Posting Number: 16574 Closing Date: 10/30/2026 Posting Audience: Internal and External Occupational Category: Healthcare Support Salary Range: $3,047.58 - $4,149.83 Pay Frequency: Monthly Salary Group: TEXAS-A-12 Shift: Day Additional Shift: 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: Austin State Supported Living Center Job Location City: AUSTIN Job Location Address: 2203 W 35TH ST Other Locations: MOS Codes: No military equivalent Brief Job Description: This position is available for Morning, Evening and Night 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! The Direct Support Professional (DSP) II works as part of a team that helps people with intellectual disabilities achieve their goals. This includes routine and emergency care, treatment, and training for people with intellectual disabilities in various settings. Responsibilities can vary, and may include such duties as grooming, bathing, feeding, observing and reporting individual's conditions and behaviors, providing meaningful interactions with individuals, and participating in individualized training and/or active treatment programs for both males and females. The DSP documents information on the person's life, such as things that occur throughout their daily schedule, how they respond to activities on the home, training, and unusual incidents. Completion of work requires use of simple and/or routine duties, while decision making is based on guidance that will be provided to you as you are prepared for the job and from other professional staff on your team. Work is in a team environment with guidance provided through supervision and training. May provide training/mentorship to new DSP Is and/or volunteer to serve as a shift/team lead. This position may be required to drive a state-owned vehicle. 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. Implements habilitation and rehabilitation, behavior management, crisis intervention, and treatment programs with individuals specifically related to the individual's programs. Teaches life skills such as feeding, dressing, and personal hygiene to individuals. Participates in the development of the individual's treatment plan. Observes individuals for signs and symptoms of disease, injury, reactions to medications, or other conditions which warrant medical intervention and properly documents observations. Reports significant changes in individual's physical condition or behavior and records information on individuals as appropriate. Provides assistance in the transporting of individuals going on scheduled activities and in emergency situations, as needed. Administers first aid to individuals as appropriate. Attends to healthcare needs of individuals under supervision of medical personnel. Evacuates individuals in the event of a fire, natural disaster, emergency situation, or drill. Prevents or manages aggressive behavior among individuals and administers cardiopulmonary resuscitation (CPR) in emergency interventions. Performs direct care and support services to individuals. May provide training/mentorship to new DSP Is and/or volunteer to serve as a shift/team lead. 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 Plan (COOP) activation. Such participation may require an alternate shift pattern assignment and/or location. Knowledge, Skills and Abilities (KSAs): * Ability to speak and read English * Ability to make decisions and use good judgment when dealing with critical incidents. * Ability to react quickly and calmly in an emergency situation. * Ability to demonstrate proper body mechanics, good posture, and proper lifting techniques. * Knowledge of individual care techniques and of treatment, therapy, and developmental programs or to learn these through training. * Ability to provide individual care, to administer first aid and/or CPR, to perform Ukeru (once trained), and to conduct Safe Use of Restraint (SUR). * Ability to communicate effectively and to train/mentor/coach others. * Ability to work effectively with others and as a member of a team. Registrations, Licensure Requirements or Certifications: Valid Texas driver's license or ability to obtain it no later than 90 days after hire date, is [preferred OR required.] Applicants with an out-of-state driver's license must provide an original certified driving record from the state of driving licensure. Eligible driving record required based on HHSC Fleet Management policy. Certification in CPR, First Aid, Ukeru, and/or Safe Use of Restraint (SUR) is preferred. Initial Screening Criteria: Required: High School diploma or equivalent, or previous employment experience. Preferred: 6 months of work experience. Experience in writing reports. Experience in behavior programs for persons with intellectual developmental disabilities. Experience in working with people who have mental health/intellectual developmental disabilities. Additional Information: Applicants must pass a fingerprint criminal background check, pre-employment drug screen, and registry checks including the Client Abuse/Neglect Reporting System (CANRS), Nurse Aide, Medication Aide and Employee Misconduct and HHS List of Excluded Individuals/ Entities (LEIE). Males between the ages of 18 - 25 must be registered with the Selective Service. All State Supported Living Center Employees are subject to Random Drug Testing. Flexibility in work hours may be required for this position. The position may be required to work overtime and/or extended hours. Must be willing to work weekends and holidays. All applicants must be at least 18 years of age to be considered for employment at a state-operated facility. Review our Tips for Success when applying for jobs at DFPS, DSHS and HHSC. Active Duty, Military, Reservists, Guardsmen, and Veterans: 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's Job Descriptions, Military Crosswalk and Military Crosswalk Guide at Texas State Auditor's Office - Job Descriptions. ADA Accommodations: 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. Pre-Employment Checks and Work Eligibility: Depending on the program area and position requirements, applicants selected for hire may be required to pass background and other due diligence checks. HHSC uses E-Verify. You must bring your I-9 documentation with you on your first day of work. Download the I-9 Form Telework Disclaimer: 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. Read Less
  • Join the Texas Health and Human Services Commission (HHSC) and be part... Read More
    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: Administrative Asst II - Vocational Job Title: Administrative Asst II Agency: Health & Human Services Comm Department: Vocational Serv Administration Posting Number: 15374 Closing Date: 05/29/2026 Posting Audience: Internal and External Occupational Category: Office and Administrative Support Salary Range: $2,694.33 - $3,946.25 Pay Frequency: Monthly Salary Group: TEXAS-A-11 Shift: Day Additional Shift: Days (First) 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: San Antonio State Supported Living Center Job Location City: SAN ANTONIO Job Location Address: 6711 S NEW BRAUNFELS AVE Other Locations: MOS Codes: 0100,0111,0170,3372,3381,4430,6046,15P,3F5X1,420A,42A,56M,68G,741X,8A200,AZ,LS,LSS,MC,PERS,PS,RP,SN YN,YNS Brief Job Description: 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! Under the supervision Director of Active Treatment and Training the Administrative Assistant II is responsible for all administrative duties related to clerical functions in support of the Active Treatment Services Department with specific assignments related to Vocational/Day Programs. These duties include but are not limited to: Support Vocational/Day Programs developing/implementing tracking systems, Prepares client payroll to include downloading work related data on to Voc Shop payroll software program, preparing gross pay reports and processing pay vouchers. Implements and use of MIMS, Hurricane and Citrix systems for ordering supplies. Assist with special programs as assigned by Director of Active Treatment Services. Serves as the backup Paymaster for Employment Services. Supports division and facility paperwork procedures. Submits work orders. Maintains division records and files. Serves as facility paymaster. Provides clerical supports for Residential Services Dept. Unit HMT meetings. Essential Job Functions: 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. Client worker payroll - Manages all payroll processes for client workers. This consist of daily operations to consist of importing/exporting data, missing cards, calculating weekly payroll, and payroll disbursement. Prepares billing and invoices for services rendered on behalf of the Vocational program. Meets internal deadlines for payroll processing to accounting department, billing, meeting documentation, and administrative deliverables. Individual daily allowances - processing and gathering signatures for daily allowance, disbursement of the daily allowance. Tracking and reporting of Vocational documents for timeliness. Orders Supplies on behalf of Day/Vocational/Leisure Recreation/Active Treatment programs. Implements and use of MIMS, Hurricane, and Citrix systems for ordering supplies. Submits work maintenance orders. Maintains honest and accurate records of division records and files. Attends all manager meetings and completes the manager meeting form during session, accurately documenting employee attendance, snacks, wok orders, program updates, and other key topics. 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. Such participation may require an alternate shift pattern assignment and/or location. Registrations, Licensure Requirements or Certifications: None Knowledge Skills Abilities: Knowledge of computers, word processing, spreadsheets, and databases. Ability to work with money, process invoices and reconcile accounts. Good verbal and written skills. Ability to work as a team and also independently to schedule and manage time. Ability to follow through to task completion. Ability to organize both routine and complex tasks, set priorities, and seek additional guidance from supervisor when needed. Ability to establish and maintain effective work relations and display tact in difficult and stressful situations. Ability to accept and work with system changes. Ability to implement administrative procedures and to evaluate their effectiveness. Initial Screening Criteria: Graduation from a standard senior high school or equivalent is generally preferred. Experience with Word and Excel. Experience in administrative support work. Experience in compiling and analyzing data. Experience in monitoring and maintaining records using spreadsheet and database applications. Experience in preparing monthly reports. Experience working with money. Experience with interpreting rules, regulations, and understanding policies and procedures. Additional Information: Applicants must pass a fingerprint criminal background check, pre-employment drug screen, and registry checks including the Client Abuse/Neglect Reporting System (CANRS), Nurse Aide, Medication Aide and Employee Misconduct and HHS List of Excluded Individuals/Entities (LEIE). Males between the ages of 18 - 25 must be registered with the Selective Service. All State Supported Living Center Employees are subject to Random Drug Testing. Flexibility in work hours may be required for this position. The position may be required to work overtime and/or extended hours. Must be willing to work weekends and holidays. All applicants must be at least 18 years of age to be considered for employment at a state-operated facility. Review our Tips for Success when applying for jobs at DFPS, DSHS and HHSC. Active Duty, Military, Reservists, Guardsmen, and Veterans: 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's Job Descriptions, Military Crosswalk and Military Crosswalk Guide at Texas State Auditor's Office - Job Descriptions. ADA Accommodations: 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. Pre-Employment Checks and Work Eligibility: Depending on the program area and position requirements, applicants selected for hire may be required to pass background and other due diligence checks. HHSC uses E-Verify. You must bring your I-9 documentation with you on your first day of work. Download the I-9 Form Telework Disclaimer: 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. Read Less
  • The Texas Department of Family and Protective Services (DFPS) works to... Read More
    The Texas Department of Family and Protective Services (DFPS) works to build on strengths of families and communities to keep children and vulnerable adults safe, so they thrive. We do this through investigations, services, and referrals. What You Get Beyond Your Paycheck When you join the State of Texas, your monthly paycheck is just one part of your real income. Our benefits provide extra value that many private employers simply don't match-often adding hundreds of dollars each month to what you take home or save. Here's what you get as a full-time employee: * 100% paid health insurance for you, and 50% paid for eligible family members-saving you hundreds every month in out-of-pocket medical costs * Retirement plans with lifetime monthly payments after five years of state service, plus options to save even more with 401(k) and 457 plans * Paid vacation, holidays, and sick leave so you can recharge and take care of life outside work (that's time off you're actually paid for) * Optional dental, vision, and life insurance-at rates much lower than most private plans * Flexible spending accounts for added tax savings on health and dependent care * Employee discounts on things like gym memberships, electronics, and entertainment You also might qualify for Public Service Loan Forgiveness, which could help you pay off federal student loans faster. You can see all the details here: ERS recruitment brochure Functional Title: CPI INV PD Clerk III Job Title: CPI INV PD Clerk III Agency: Dept of Family & Protectve Svc Department: Region 6A INV Dir Del - PS Posting Number: 14561 Closing Date: 09/04/2026 Posting Audience: Internal and External Occupational Category: Protective Services Salary Range: $2,694.33 - $3,320.33 Pay Frequency: Monthly Salary Group: TEXAS-A-11 Shift: Day Additional Shift: Days (First); Evenings (Second); Nights (Third); Weekends Telework: Not Eligible for Telework Travel: Up to 30% Regular/Temporary: Regular Full Time/Part Time: Full time FLSA Exempt/Non-Exempt: Nonexempt Facility Location: Job Location City: HOUSTON Job Location Address: 9111 EASTEX FWY STE 302 Other Locations: MOS Codes: 0100,0111,0160,0161,0170,3051,3372,3432,4133,6042,6046,6617,6672,15P,3F5X1,420A,42A,56M,68G,741X 8A200,AZ,CS,F&S,LS,LSS,PERS,PS,RP,RS,SK,SN,YN,YNS Brief Job Description: The position provides advanced (senior-level) clerical and general office support for the Program Directors of the Child Protection Investigation (CPI) Division. The Clerk works diligently to help maintain smooth office operations by planning, analyzing data, inventory control, assisting with human resource tasks, interpreting policy and procedures, provides professional and courteous assistance to our clients, families and stakeholders when needed, works well under pressure and is able to prioritize assigned tasks and deadlines. Works under limited supervision, with considerable latitude for the use of initiative and independent judgement. The position interacts routinely with Texas Department of Family and Protective Services staff and the community. Essential Job Functions: * Attends work on a regular and predictable schedule in accordance with agency leave policy and performs other duties as assigned. * Compiles, organizes, tracks and monitors various types of information, including but not limited to: agency random moment time studies, requests for any IT changes in hardware or information security and access, processes client services authorizations, accesses and provides information from the HHSC income eligibility database. * Manages program related data entry and case tracking information into IMPACT such as maintaining on-call schedules, reviews, routes and logs courtesy requests and case transfers. Utilizes data warehouse for reports as well as information for internal or external stakeholders. * Answers and screens telephone inquiries including managing client questions or complaints in a professional manner. Takes and routes messages, monitors and distributes faxes received. Opens and distributes incoming mail accordingly and processes all outgoing mail. * Creates various correspondence and forms such as case staffing agendas, program meeting information, phone lists, organization charts, and will assist with meeting notes as requested. * Maintains confidential program related documents such as performance evaluations, personnel records, case records, related files, and other documents to support work of the program area. * Utilizes technology to maximize program efficiency and effectiveness by accessing applications to reserve conference and visitation rooms for meetings in various buildings throughout the program area, and assists staff with processing travel claims. * Oversees supply inventory and creates purchase orders as necessary to ensure adequate supplies for all staff in office. * May assist with switchboard operations, notarizing legal documents, and train new admins as needed. Performs other duties as assigned and required to maintain program operations. * Attend trainings and meeting at various DFPS offices. * May assist Program Administrators with preparation for meetings and trainings. Knowledge, Skills and Abilities: * Ability to answer telephones and distinguish emergency calls. * Ability to type correspondence, forms and use Data Warehouse reports. * Knowledge of DFPS policies and procedures. * Skill in effective verbal and written communication. * Ability to operate a personal computer and use various software packages. Registrations, Licensure Requirements or Certifications: N/A Initial Screening Criteria: Graduation from high school or equivalent. One year and six months full-time administrative support, general office, clerical or secretarial experience. Acceptable substitutions: Forty-five semester hours from an accredited college or university, may substituted for the required experience. Review our Tips for Success when applying for jobs at DFPS, DSHS and HHSC. 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's Job Descriptions, Military Crosswalk and Military Crosswalk Guide at Texas State Auditor's Office - Job Descriptions. You may also contact the DFPS Military Liaison at dfpsmilvets@dfps.texas.gov with additional questions. Applicants selected for hire must pass a background check and if applicable a driver's record check. State of Texas employees are required to maintain the security and integrity of critical infrastructure as defined in Section 117.001(2), State of Texas Business and Commerce Code. Applicants selected for hire comply with this code by completing related training and abiding by agency cybersecurity and communications system usage policies. As a state agency, DFPS is required by Texas Administrative Code (TAC 206 and 213) to ensure all Electronic Information Resources (EIR) follow accessibility standards. The staff must be familiar with the WCAG 2.1 AA and Section 508 to create accessible content including but not limited to; Microsoft Office documents, Adobe PDFs, webpages, software, training guides, video, and audio files. DFPS uses E-Verify. You must bring your I-9 documentation with you on your first day of work. Employees must provide documentation to DFPS to show their identity and authorization to work in the US. Please review the following link for authorized documents: https://www.uscis.gov/i-9-central/form-i-9-acceptable-documents . In compliance with the Americans with Disabilities Act (ADA), HHS/DFPS 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/DFPS 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. Read Less
  • Join the Texas Health and Human Services Commission (HHSC) and be part... Read More
    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: Regional Facility Support Technician Job Title: Administrative Asst III Agency: Health & Human Services Comm Department: Region 6 Administration Posting Number: 16868 Closing Date: 11/09/2026 Posting Audience: Internal and External Occupational Category: Business and Financial Operations Salary Range: $3,337.17 - $3,659.50 Pay Frequency: Monthly Salary Group: TEXAS-A-13 Shift: Day Additional Shift: Days (First) Telework: Not Eligible for Telework Travel: Up to 30% Regular/Temporary: Regular Full Time/Part Time: Full time FLSA Exempt/Non-Exempt: Nonexempt Facility Location: Job Location City: HOUSTON Job Location Address: 5425 POLK ST Other Locations: Houston MOS Codes: 0100,0111,0170,3372,3381,4430,6046,15P,3F5X1,420A,42A,56M,68G,741X,8A200,AZ,LS,LSS,MC,PERS,PS,RP,SN YN,YNS Job Description: Assists Regional Business Services Officers in handling/resolving facility issues. Function as the Local Office Coordinator or backup. Monitors and/or handles repair calls for facilities. Assigns and monitors requests and work tasks. Assist with inventory activities including data entry in the inventory program. Ensures appropriate business services records are maintained. Maintains records, files, and prepares routing reports for all transactions. Perform advanced stock and inventory work. Process shipping requests, provide security permissions, maintain key inventory/issuance of keys and order supplies as assigned. Perform receptionist, switchboard, warehouse, and mailroom/copy center duties. Process purchase request forms for services/goods. Performs administrative work for assigned area and prepares routine or special reports. Essential Job Functions: Attends work on a regular and predictable schedule in accordance with agency leave policy and performs other duties as assigned. Monitors requests, creates and assigns work tasks on facility maintenance and repair issues. Monitors timely and satisfactory disposition of issues with Lessors and Vendors. Refers issues to Regional Business Services Officer and/or Business Manager as appropriate. (30%) Performs administrative or support work for assigned areas (for example, but not limited to, drafting correspondence/documents, tracking assignments, maintaining records and/or logs, completing forms/reports, explaining rules/procedures). (25%) Develops and maintains reports for regional facilities, contracts, and leases. Responds to requests for facility-related information. (10%) Communicates with others internally or externally to provide, exchange, or verify information, answer inquiries, address issues, or resolve/report problems or complaints. (15%) Assists in office moves, physical inventory, warehouse operations, receptionist/switchboard and mailroom/copy center duties. (10%) Provides basic level technical assistance to others (for example, staff, contractors, volunteers, other organizations) on policies, procedures, rules, regulations, standards, or requirements. (5%) Assists in developing standards or procedures for assigned area. (5%) Registrations, Licensure Requirements or Certifications: Valid Class C Texas Driver's License. Knowledge Skills Abilities: Knowledge of modern office practices, procedures, and office machines/equipment. Knowledge of agency policies, procedures, and ability to interpret them. Skill in the use of standard agency computer hardware and software such as Microsoft Office Suite. Skill in organizing and prioritizing workload. Skill in managing multiple priorities. Ability to communicate effectively orally and in writing. Ability to prepare concise reports. Ability to develop and maintain effective working relationships with both internal and external customers. Ability to operate motor vehicles including cargo (one-ton/four-ton) truck and van and pull a trailer in accordance with local, State and Federal traffic regulations. Ability to lift, pull, push and carry 50 lbs. Ability to operate a forklift and pallet jack. Initial Screening Criteria: High School diploma or GED is required. Experience using office machines/equipment i.e. copiers, fax machines, telephone. Experience in computer usage such as Microsoft Office. Ability to communicate effectively in writing as demonstrated in the application. Experience in performing administrative work. Additional Information: May assist with emergency/disaster situations throughout the state which may include overnight travel. Please note that while the posted salary range for this position is $3,337.17 to $3,659.50, only former and current Health and Human Services Commission employees will be offered a salary above $3,337.17. Current employees promoting into this position will be offered a salary that meets Human Resources salary guidelines for promoting employees. Former employees may be offered a salary above $3,337.17 if they have recent, comparable experience. Recent experience includes experience within one year prior to the application closing date. Applicants who are not current or former Health and Human Services Commission employees will be offered a salary of $3,337.17. In compliance with the American Disabilities Act (ADA), HHS agencies will provide reasonable accommodations 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. Review our Tips for Success when applying for jobs at DFPS, DSHS and HHSC. Active Duty, Military, Reservists, Guardsmen, and Veterans: 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's Job Descriptions, Military Crosswalk and Military Crosswalk Guide at Texas State Auditor's Office - Job Descriptions. ADA Accommodations: 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. Pre-Employment Checks and Work Eligibility: Depending on the program area and position requirements, applicants selected for hire may be required to pass background and other due diligence checks. HHSC uses E-Verify. You must bring your I-9 documentation with you on your first day of work. Download the I-9 Form Telework Disclaimer: 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. Read Less
  • Join the Texas Health and Human Services Commission (HHSC) and be part... Read More
    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: Reimbursement Analyst V Job Title: Reimbursement Analyst V Agency: Health & Human Services Comm Department: HHSC & HHS Rate Analysis M/C Posting Number: 13069 Closing Date: 07/22/2026 Posting Audience: Internal and External Occupational Category: Business and Financial Operations Salary Group: TEXAS-B-25 Salary Range: $5,797.66 - $9,508.25 Pay Frequency: Monthly Shift: Day Additional Shift: Telework: Eligible for Telework Travel: Up to 5% Regular/Temporary: Regular Full Time/Part Time: Full time FLSA Exempt/Non-Exempt: Exempt Facility Location: Job Location City: AUSTIN Job Location Address: 4601 W GUADALUPE ST Other Locations: MOS Codes: No military equivalent Brief Job Description: This position is hybrid with (currently) two in-office days per week in Austin. Applicants from outside Texas must be willing to relocate within 30 days of hire. The Reimbursement Analyst V (RAV) position reports to the Manager of Acute Care Services Payment Comparison and serves as lead reimbursement analyst for the Acute Care Services Payment Comparison team. This team is responsible for the design, development, and overall compliance of federal payment rate requirements and reporting. Work involves maintaining complex applications, spreadsheets, and databases used in the determination of payment rates and reporting, as well as strategic operations and planning. The RAV generates and summarizes written documentation to comply with state and federal rules and regulations, conducts executive briefings, interacts and responds to executive staff requests, and responds to inquiries from providers and other staff as required. Additionally, the RAV reviews work products, trains, and mentors other analysts to ensure high quality team outputs. Provides guidance for operational and tactical planning, program development, and data analysis and evaluation related to services and issues. Work involves establishing goals and objectives, drafting and maintaining policies and procedures, and keeping work products on track to meet deadlines; consulting on priorities, standards, measurement tools, and reporting systems for determining progress in meeting goals. Works under minimal supervision, with extensive latitude for the use of initiative and independent judgment. Essential Job Functions (EJFs): Attends work on a regular and predictable schedule in accordance with agency leave policy and performs other duties as assigned. Drafting, Review, and Publishing - Keeps reports, documents, and other deliverables on schedule. Completes detailed analysis of payment rates, claims data, and financial data. Interprets federal and state statute and regulations to understand applicability and requirements. Drafts documents as assigned, reviews work of others for accuracy, creates templates, provides feedback to other analysts and leadership. Prepare documents for, meets with and briefs executive staff on proposed initiatives. Ensures deliverable and publication dates are met. (35%) Coordination and Communication - Interfaces with various Provider Finance staff, provider industry representatives, HHS Enterprise staff, federal staff, legal staff, advisory committees, workgroups, contracted providers, provider representatives, client advocates, and other interested parties concerning payment rate policy issues affecting program delivery, reporting, and compliance documents. Provides day‑to‑day guidance, mentoring, and technical support to staff on analytical methods, data evaluation, and policy interpretation. (20%) Workflow Management - Proactively manage workflow to meet all required notices, submission, and publication of state and federal reports, State Plan Amendments (SPA), and Texas Administrative Code (TAC) updates. Review work of other analysts to ensure accuracy and quality of work. Respond to legislative inquiries, complete bill analysis, draft and estimate fiscal impacts, meet with legislative staff and/or attend hearings as required. Ensures team adherence to established procedures, quality standards, and deliverable timelines. (20%) Processes and Procedures - Create, define, and document processes and procedures (P&Ps). P&Ps should facilitate team consistency, quality, knowledge retention, training, efficiency, and productivity. Maintain P&P documents to reflect current-state processes and continuous improvement. Ensure team is knowledgeable and comply with P&Ps. (20%) Performs other work as assigned or required to maintain and support the office and HHSC operations. (5%) Knowledge, Skills and Abilities (KSAs): Knowledge of: * Advanced Microsoft Office (Excel, Word, PowerPoint), business objects, TMHP Software, claims processing engines, and data querying/analysis tools such as SQL, R, SAS, Python. * Data analysis, statistics, data visualization, medical claims data, methods of funding, program rules, Medicare, and Medicaid. * Reimbursement methodologies. * Texas legislative process. * Health and human service programs, services, and procedures. * Data quality and integrity processes. * Process improvement or quality assurance systems Skill in: * Managing multiple and competing priorities. * Identifying problems, evaluating alternatives, and implementing solutions. * Working collaboratively and cooperatively with diverse groups. * Communication and public speaking. Ability to: * Interpret data and develop effective operating procedures. * Work with large datasets efficiently. * Organize and present information effectively, both orally and in writing to technical and non-technical audiences. * Establish goals and objectives. * Train and provide constructive feedback to staff. * Establish effective working relationships with staff at all levels of an organization, agencies, providers, and stakeholders. * Exercise independent judgment, set priorities, meet deadlines, and adapt to shifting technical and political developments Registrations, Licensure Requirements or Certifications: N/A Initial Screening Criteria: Graduation from an accredited four-year college or university with a bachelor's degree in social science; business, including accounting and statistics; mathematics; physics; economics; health-related field; political science; or other closely related field. Education and work experience can be substituted for one another on a year-for-year basis. Experience with Medicaid and/or healthcare finance preferred. Additional Information: N/A Review our Tips for Success when applying for jobs at DFPS, DSHS and HHSC. Active Duty, Military, Reservists, Guardsmen, and Veterans: 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's Job Descriptions, Military Crosswalk and Military Crosswalk Guide at Texas State Auditor's Office - Job Descriptions. ADA Accommodations: 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. Pre-Employment Checks and Work Eligibility: Depending on the program area and position requirements, applicants selected for hire may be required to pass background and other due diligence checks. HHSC uses E-Verify. You must bring your I-9 documentation with you on your first day of work. Download the I-9 Form Telework Disclaimer: 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. Read Less
  • Join the Texas Health and Human Services Commission (HHSC) and be part... Read More
    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: LTCR Inspector Job Title: Inspector - License & Cert Agency: Health & Human Services Comm Department: Waiver Survey & Certification Posting Number: 14786 Closing Date: 06/13/2026 Posting Audience: Internal and External Occupational Category: Protective Services Salary Range: $5,035.99 - $6,779.25 Pay Frequency: Monthly Salary Group: TEXAS-B-20 Shift: Day Additional Shift: Telework: Not Eligible for Telework Travel: Up to 80% Regular/Temporary: Regular Full Time/Part Time: Full time FLSA Exempt/Non-Exempt: Nonexempt Facility Location: Job Location City: HOUSTON Job Location Address: 9460 HARWIN Other Locations: MOS Codes: 6016,6017,8012,8056,1S0X1,2A7X2,2F0X1,43HX,4E0X1,640A,68R,86M0,87G0,87I0,87Q0,8I000,8I100,8S000,AD LS,ME,MSSD,MSSE,MSSR,MST,OAP11,OAP14 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! LTCR Inspector - Starting Market Rate Salary $60,431.88 The Inspector V conducts on-site inspections and investigations including those involving abuse, neglect, and exploitation of adults and children with mental illness or intellectual, developmental, and physical disabilities in various Texas Long-Term Care facilities: * Home and Community-Based Services (HCS) Waiver Program * Texas Home Living (TxHmL) Waiver Program Investigations are completed in accordance with Texas Administrative Code and Long-Term Care Regulatory (LTCR) policy. The Inspector will testify at hearings or in court proceedings to provide information regarding policy/procedures, history, findings, or activities. Works occasionally outside of traditional working hours (8 am - 5 pm), which includes evening hours, weekends, and holidays, as required for case-related functions, on-call duties, and/or as required by management. This position offers a competitive starting salary; excellent state benefits, including health insurance and retirement; and the opportunity to regularly travel to different providers within a region and across the state - Please see the Additional Information section below for more detail on travel. In this front-line field position, a surveyor is mobile and flexible and performs minimal work at an office, though the role does require writing reports detailing any deficiencies/violations against a facility, remedies to correct those deficiencies, and narrative to support regulatory determinations. See below for details. The state of Texas offers many benefits to employees. HHSC is a qualifying organization for the Federal Public Service Loan Forgiveness Program, which forgives the remaining balance on college student Direct Loans after making 120 qualifying monthly payments. We also offer excellent health benefits, a lifetime monthly retirement annuity as well as 401(k) and 457 Programs under the Employees Retirement System of Texas. Essential Job Functions (EJFs): Attends work on a regular and predictable schedule in accordance with agency leave policy and performs other duties as assigned. The inspector conducts on-site licensure inspections, complaint and incident investigations, and annual comprehensive surveys to include the investigation of abuse, neglect, and exploitation at Long-Term Care (LTC) providers to determine compliance with federal and state health and safety regulations. The inspector conducts exit conferences at the end of an inspection with facility staff regarding preliminary findings of the inspection. (25%) The inspector completes written reports for each inspection or survey to detail deficiencies and provide narratives to support regulatory findings.  The inspector summarizes facts obtained during an investigating whether abuse, neglect, or exploitation occurred. The inspector is responsible for ensuring the documentation is clear and concise; ensures course corrections implemented by the providers are appropriate to address the risk or noncompliance with regulations identified during inspections and investigations. If the inspector determines abuse, neglect, or exploitation did occur the inspector will make a referral to HHSC's Employee Misconduct Registry of the alleged perpetrator. (25%) The inspector establishes priorities in gathering evidence to determine what methods to use in securing evidence such as going through the interview process or reviewing records to determine compliance or noncompliance. Analyzes evidence to complete a thorough investigation and determine if there is a preponderance of evidence. Evidence must follow chain of custody and be protected during the process. (25%) The inspector reviews and approves corrective action plans to address noncompliance with the regulations; responsible for informing the provider of issues that require immediate remedial action to ensure the health and safety of consumers; recommends enforcement actions; ensures administrative penalties are assessed and processed according to state and federal requirements. (10%) The inspector participates in meetings to discuss major issues identified during the inspection/investigation, and the outcome of the inspection/investigations. The inspector testifies at hearings and court proceedings regarding the investigation findings and compliance determinations. The inspector will train new hires by conducting on-the-job training which includes mentoring, shadowing, and return demonstrations. (10%) The inspector performs other duties as assigned by their supervisor, or regional leadership, and that are required to maintain unit operations. This includes being available for on-call duties for emergencies such as weather events or high-priority situations at providers. (5%) Knowledge, Skills, and Abilities (KSAs): Knowledge of and ability to interpret local, state, and federal laws and regulations relevant to program area. Knowledge of acceptable professional standards of care. Skill in conducting inspections and investigations and determining proper courses of action. Skill in establishing and maintaining effective working relationships. Skill in effective verbal and written communication. Ability to work independently. Ability to prepare reports, to interpret laws and regulations, to gather and analyze data and to communicate effectively. Ability to exercise professional judgment and reach sound decisions. Ability to integrate complex regulatory concepts, procedures, or processes. Ability to multi-task and track multiple activities with competing priorities. Ability to establish and maintain effective working relationships with team members and others. Ability to work in a potentially emotion-filled environment. Ability to operate a computer, tablet, laptop device, smartphone, fax machine, copy machine, and various software packages, including Microsoft Office. Ability to conduct interviews in various locations, including private residences, day habilitation facilities, group homes, and state-operated facilities. Ability to work in environments where violent and dangerous individuals may be present. Ability to oversee the work of others. Registrations, Licensure Requirements or Certifications: Valid Class C (or higher) Texas driver's license or equivalent license from another state, is required. Initial Screening Criteria: Experience interacting with or communicating with members of the public, in person or by phone. Four-year degree from an accredited college or university, preferred. Experience conducting investigations preferred. Experience working with individuals with mental illness, intellectual or developmental disabilities, or physical disabilities preferred. Additional Information: Flexibility in work hours is required for this position. The job requires 80% travel, including statewide travel, overnight, and weekend travel. On-call duties for emergencies or high-priority situations in facilities or at providers may be required. Must have reliable transportation. All applicants must pass a fingerprint criminal background check. If you are an active or former licensed nursing facility administrator, certified nurse aide, or medication aide, hiring will be pending until professional licensing and Employee Misconduct Registry checks are completed. If you are offered and accept the position, you will not be permitted to continue employment at any HHSC regulated facilities or providers. You will be required to disclose any potential conflicts of interest, secondary employment, volunteer activities, and friends/family who own, operate, or work at regulated providers. HHS agencies use E-Verify. You must bring your I-9 documentation with you on your first day of work. I-9 Form - Click here to download the I-9 form. Review our Tips for Success when applying for jobs at DFPS, DSHS and HHSC. Active Duty, Military, Reservists, Guardsmen, and Veterans: 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's Job Descriptions, Military Crosswalk and Military Crosswalk Guide at Texas State Auditor's Office - Job Descriptions. ADA Accommodations: 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. Pre-Employment Checks and Work Eligibility: Depending on the program area and position requirements, applicants selected for hire may be required to pass background and other due diligence checks. HHSC uses E-Verify. You must bring your I-9 documentation with you on your first day of work. Download the I-9 Form Telework Disclaimer: 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. Read Less
  • Nurse ll  

    - El Paso
    Join the Texas Health and Human Services Commission (HHSC) and be part... Read More
    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: Nurse ll Job Title: Nurse II Agency: Health & Human Services Comm Department: Chld /orAdolPsych Nursing Posting Number: 16401 Closing Date: 07/27/2026 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: Regular Weekend Day Additional Shift: Telework: Not Eligible for Telework Travel: Up to 10% Regular/Temporary: Regular Full Time/Part Time: Full time FLSA Exempt/Non-Exempt: Exempt Facility Location: El Paso Psychiatric Center Job Location City: EL PASO Job Location Address: 4615 ALAMEDA AVE Other Locations: MOS Codes: 290X,46AX,46FX,46NX,46PX,46SX,46YX,66B,66C,66E,66F,66G,66H,66N,66P,66R,66S,66T,66W Would you thrive in an environment where you learn and grow personally and professionally all while helping make a positive impact on people'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. Under the direct supervision of the Nurse Administrator\Nurse Manager, observes, assesses, plans, intervenes and evaluates outcomes and documents all aspects of patient care. Possesses a unique knowledge regarding the patient population to be served. May coordinate scheduling within assigned areas. Provides primary proactive management for service area during assigned shift with a supportive but clear supervisory manner. Supervises, counsels, and evaluates other nursing staff. Collaborates with Nurse Coordinator, other Nurse Managers, and MH Supervisor/Specialist to ensure 24-hour continuity of care. Assumes duties of the Nurse Coordinator during absence. Is flexible in work schedule. Has broad latitude for initiative and independent judgment. Provides direct nursing care to individual patients as needed. Understands that duties, location of work and shift/pattern are subject to change as determined by the administration to meet the needs of the hospital. Must understand that duties may include exposure to blood or other potentially infectious materials. 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'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. 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. Assess the health/mental status of the patient upon admission and/or transfer and on an ongoing basis and documents assessment, planning, intervention, and evaluation in patient record in order to determine priorities and plan therapeutic nursing care. Performs CPR/Heimlich techniques correctly and safely according to the specifications of the American Heart Association. Provides direction and coordination of staffing and patient care activities on assigned units in a consultative manner with nurse administrators and staff nurses by addressing performance problems promptly and keeping accurate documentation of interventions. Facilitates a smooth admission and/or transfer process during working hours in order to achieve the hospital mission by communicating with admissions staff, unit staff reviewing written documentation to ensure appropriate status and triage patients when needed. Carries out medical staff orders and implements nursing interventions according to acceptable nursing care standards and hospital policies and procedures. Meets with unit nursing staff to inform and disseminate information. Provides and documents individual/group teaching to patients regarding medications, illness, special treatment, etc. utilizing appropriate teaching/response methods for various age groups and cognitive levels to facilitate patient learning. Implements special precautions as ordered, explain and document rights restrictions and implements restraint/seclusion procedures according to departmental policy and established nursing standards to maintain patient safety. Protect the patient from causing harm to self and/or others and uphold patient rights. Participates in the client abuse and neglect process, assures patient safety, and meets patient needs, monitors, and implements Treatment Intervention Protection Strategies (TIPS). Follows all established protocols, policies, and procedures. Participates as the nursing representative in Performance improvement teams. Coordinates and administers effective utilization of nursing service personnel on assigned units. Attends mandatory trainings, participates in on-going in-service and other education and training programs appropriate to the population/age group to meet the physical, psychosocial, and cultural needs of patients. 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'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. Knowledge, Skills and Abilities (KSAs): Knowledge of recognized American Nurses Association Nursing Standards. Knowledge of departmental policies and procedures. Knowledge of the Nurse Practice Act. Skills in supervisory and management techniques. Skills and ability to perform CPR, agency approved aggression management and restraint techniques, and emergency care in a medical or psychiatric emergency. Skills for positive interaction with patients, staff, families, and the public. Ability to handle crisis situations calmly. Ability to communicate effectively, verbally and in writing. Registrations, Licensure Requirements or Certifications: Licensed to practice as a registered nurse (RN) in the State of Texas (or state that recognizes reciprocity through the Nurse Licensure Compact). Initial Screening Criteria: Graduation from a Nursing Program accredited by the Texas Board of Nurse Examiners required. At least six (6) months of experience as a practicing registered nurse is required. At least six (6) months of experience as a practicing registered nurse in a health agency, hospital, or health-care facility is preferred. Bachelor's Degree is preferred. Additional Information: 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. 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. Flexibility in work hours may be required for this position. The position may be required to work overtime and/or extended hours. 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. Review our Tips for Success when applying for jobs at DFPS, DSHS and HHSC. Active Duty, Military, Reservists, Guardsmen, and Veterans: 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's Job Descriptions, Military Crosswalk and Military Crosswalk Guide at Texas State Auditor's Office - Job Descriptions. ADA Accommodations: 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. Pre-Employment Checks and Work Eligibility: Depending on the program area and position requirements, applicants selected for hire may be required to pass background and other due diligence checks. HHSC uses E-Verify. You must bring your I-9 documentation with you on your first day of work. Download the I-9 Form Telework Disclaimer: 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. Read Less
  • Join the Texas Health and Human Services Commission (HHSC) and be part... Read More
    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: Nurse I - RN I Direct Care Job Title: Nurse I Agency: Health & Human Services Comm Department: Unit 1 - Nursing Posting Number: 15530 Closing Date: 05/02/2026 Posting Audience: Internal and External Occupational Category: Healthcare Practitioners and Technical Salary Range: $5,746.66 - $6,779.25 Pay Frequency: Monthly Salary Group: TEXAS-B-20 Shift: Evening Additional Shift: 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: Lubbock State Supported Living Center Job Location City: LUBBOCK Job Location Address: 3401 N UNIVERSITY AVE Other Locations: Lubbock 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, Evening and Night shifts on multiple homes. This position may be eligible to earn additional pay for work performed on evenings, nights and/or weekends. MSP statement (use as needed): This position may also be eligible to earn additional pay for work performed on maximum security location. 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. Performs routine nursing duties. Work involves providing for the assessment, care and treatment of individuals. May train others. Works under moderate supervision, with limited latitude for the use of initiative and independent judgment. Works under the supervision of the Nurse Manager. The Direct Care RN I may assign nursing responsibilities to the Direct Care LVN in accordance with the Nurse Practice Act. The responsibility of the Direct Care RN is to provide for and supervise the professional nursing care of the individuals who reside in a State Supported Living Center. The Direct Care RN is available to unit personnel to make nursing decisions on a 24-hour basis. She/he is a member of the professional team and shares responsibility with other team members for the development of the individual's program. Work involves communication skills, i.e. relaying information to other team members, Primary Care Provider (PCP), nurses; data entry, documentation, completing reports, maintaining personnel records, supervisory duties, and following all facility rules/policies. Provides treatment to HHS employees injured in course and scope of employment. 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. Administers medications, immunizations, and treatment and observes individuals for unusual symptoms and reactions. Conducts physical assessments of individual health needs and implements appropriate action. Implements and monitors case management service plans. Instructs and assists individuals in meeting their health care needs. Prepares, maintains, and reviews individual records and individual assessments. May participate in quality assurance reviews. Complies with all State/Federal/Local standards; Facility Policy, ICF Standards, and Texas Nurse Practice Act. Manages individual's medical record (paper chart/EHR). 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. Such participation may require an alternate shift pattern assignment and/or location. Knowledge, Skills and Abilities (KSAs): * Knowledge of nursing techniques and procedures; of health care laws and regulations; of medical diagnoses and procedures; of accepted medical treatment programs; and of community health and nursing care principles, practices, and procedures. * Ability to provide individual care, to prepare and maintain records, to explain public health law, and to communicate effectively. * Must maintain current CPR certification. * Must have strength and flexibility to safely perform Cardiopulmonary Resuscitation (CPR). * Must be able to demonstrate a working knowledge of emergency procedures and emergency equipment Registrations, Licensure Requirements or Certifications: Licensed to practice as a registered nurse in the State of Texas (or a state that recognizes reciprocity through the Nurse Licensure Compact). Or Issued a temporary permit to perform duties under supervision awaiting license issue. Initial Screening Criteria: Graduation from an Accreditation Commission for Education in Nursing (ACEN) or Commission on Collegiate Nursing Education (CCNE) accredited 4 year or 2 year college or university is required. Prior employment experience as an LVN or a Registered Nurse is preferred. Additional Information: Applicants must pass a fingerprint criminal background check, pre-employment drug screen, and registry checks including the Client Abuse/Neglect Reporting System (CANRS), Nurse Aide, Medication Aide and Employee Misconduct and HHS List of Excluded Individuals/Entities (LEIE). Males between the ages of 18 - 25 must be registered with the Selective Service. All State Supported Living Center Employees are subject to Random Drug Testing. Flexibility in work hours may be required for this position. The position may be required to work overtime and/or extended hours. Must be willing to work weekends and holidays. All applicants must be at least 18 years of age to be considered for employment at a state-operated facility. Review our Tips for Success when applying for jobs at DFPS, DSHS and HHSC. Active Duty, Military, Reservists, Guardsmen, and Veterans: 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's Job Descriptions, Military Crosswalk and Military Crosswalk Guide at Texas State Auditor's Office - Job Descriptions. ADA Accommodations: 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. Pre-Employment Checks and Work Eligibility: Depending on the program area and position requirements, applicants selected for hire may be required to pass background and other due diligence checks. HHSC uses E-Verify. You must bring your I-9 documentation with you on your first day of work. Download the I-9 Form Telework Disclaimer: 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. Read Less
  • Custodian III  

    - San Antonio
    Join the Texas Health and Human Services Commission (HHSC) and be part... Read More
    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: Custodian III Job Title: Custodian III Agency: Health & Human Services Comm Department: Housekeeping Svs Posting Number: 15892 Closing Date: 07/13/2026 Posting Audience: Internal and External Occupational Category: Building and Grounds Cleaning and Maintenance Salary Range: $2,962.92 - $3,547.58 Pay Frequency: Monthly Salary Group: TEXAS-A-10 Shift: Day Additional Shift: Telework: Not Eligible for Telework Travel: Up to 20% Regular/Temporary: Regular Full Time/Part Time: Full time FLSA Exempt/Non-Exempt: Nonexempt Facility Location: San Antonio State Hospital Job Location City: SAN ANTONIO Job Location Address: 6711 S NEW BRAUNFELS Other Locations: San Antonio MOS Codes: 8000,8911,BM,SN 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 people'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. The Custodian III performs highly complex (senior-level) custodial work. Responsibilities include performing, coordinating, cleaning, and sanitizing state hospital buildings and treatment units; providing housekeeping services in a clinical setting, which also involves conducting inspections of the buildings and equipment. The Custodian III orders and restocks supplies and equipment and provides backup to other custodians as needed. Works under limited supervision, with considerable 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 in a supporting role to meet the agency'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. 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. Maintains cleaning supplies, chemicals, and equipment, and maintains records of the supplies used, and building property maintenance tools/equipment. Ensures proper usage and maintenance, and if necessary, minor repairs on buildings and equipment (i.e., buffers, waxing machines, biohazard disposal units, vacuums, etc.). Ensures custodial supplies are restocked. Coordinates and performs the cleaning, dusting, and disinfecting restrooms, all office surfaces/furniture, treatment areas, patient bedrooms, and other hospital areas, utilizing cleaning chemicals as needed; and ensures all waste/trash is collected and disposed of regularly. Ensures all patient units meet or exceed the minimum standard guidelines for cleanliness, health and safety, and infection control. Inspects the buildings and identifies any problem areas in need of follow up, and ensures follow-up occurs. Assists the Custodian Manager in implementing the overall hospital safety and infection control program. 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'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. Knowledge, Skills and Abilities (KSAs): Knowledge of cleaning techniques and procedures to include how to dust, sweep and mop. Knowledge of how to strip and wax floors. Knowledge of how to clean and disinfect restrooms and shower stalls. Knowledge of inventory control principles and methods Skills in the use of custodial materials and chemicals, and in the operation of custodial equipment Skills in the use and maintenance of building maintenance tools and equipment Ability to understand and follow oral and/or written instructions. Ability to stay on task and complete work timely. Ability to follow written and oral instructions. Ability to lift 50 pounds. Ability to stand/walk on hard floors for extended periods. Ability to work harmoniously and productively with co-workers and patients. Ability to work irregular hours. Registrations, Licensure Requirements or Certifications: None Initial Screening Criteria: One of the following is required: One year of experience in a custodial/housekeeping in custodial or environmental services work in a nursing home, hospital, residential facility, hotel or other similar residential equivalent OR Eighteen (18) months proven work experience. Additional Information: 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. 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. Flexibility in work hours may be required for this position. The position may be required to work overtime and/or extended hours. 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. Review our Tips for Success when applying for jobs at DFPS, DSHS and HHSC. Active Duty, Military, Reservists, Guardsmen, and Veterans: 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's Job Descriptions, Military Crosswalk and Military Crosswalk Guide at Texas State Auditor's Office - Job Descriptions. ADA Accommodations: 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. Pre-Employment Checks and Work Eligibility: Depending on the program area and position requirements, applicants selected for hire may be required to pass background and other due diligence checks. HHSC uses E-Verify. You must bring your I-9 documentation with you on your first day of work. Download the I-9 Form Telework Disclaimer: 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. Read Less
  • Join the Texas Health and Human Services Commission (HHSC) and be part... Read More
    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: Psychiatric Nursing Assistant IV/PT Job Title: PNA IV - Nursing Agency: Health & Human Services Comm Department: PsychSecurity Direct Care Posting Number: 14286 Closing Date: 05/27/2026 Posting Audience: Internal and External Occupational Category: Healthcare Support Salary Range: $2,456.70 - $3,056.50 Pay Frequency: Monthly Salary Group: TEXAS-A-16 Shift: Regular Weekend Day Additional Shift: Telework: Not Eligible for Telework Travel: Up to 5% Regular/Temporary: Regular Full Time/Part Time: Part time FLSA Exempt/Non-Exempt: Nonexempt Facility Location: El Paso Psychiatric Center Job Location City: EL PASO Job Location Address: 4615 ALAMEDA AVE Other Locations: MOS Codes: 4C0X1,68X,HM Would you thrive in an environment where you learn and grow personally and professionally all while helping make a positive impact on people'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. The Psychiatric Nursing Assistant IV (PNA Team Lead) performs advanced (senior level) rehabilitative patient care services work under the clinical supervision of a licensed nurse to provide quality psychiatric nursing care in an inpatient setting. Work involves coordinating assignments and specific duties for all PNAs which include assisting the patients with activities of daily living, instructing staff on hospital and program procedures and policies, and providing emergency, health, and personal care services to patients; interacting with patients therapeutically; observing, reporting, and documenting, in an electronic record, patient conditions and behaviors; and participating in individualized and unit-based programming. As an integral member of the recovery team or the admissions team provides verbal and supportive communication and documentation concerning individual patient behaviors, progress or lack thereof towards individualized goals of the recovery plan. Actively participates in shift reporting and recovery team meetings, or meetings with admissions staff. Works under limited supervision, with considerable 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 in a supporting role to meet the agency'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. 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. As the team lead, coordinates assignments and specific duties for PNAs which include assisting the patient with activities of daily living, hygiene, and eating to promote independence and self-care. Takes an active role in the implementation of the individualized recovery plans and offers consistent, ongoing support in assisting patients reaching their goals. Uses therapeutic, person-centered communication skills in promptly and effectively engaging patients. Accompanies patient to appointments as required. Communicates effectively with other team members to promote a positive workplace. Shares information with other PNAs so they understand their role in supporting the patient's treatment. Serves as a participant in the recovery team or admissions team. Provides on-going collaborative verbal, and written communication concerning patients. Instructs other PNAs on how to provide verbal and written communication concerning patient's progress or lack thereof to their individualized goals. Develops plans for treatment and instructs other PNAs on how to take an active role with patients' recovery processes. Uses basic computer skills and responds to questions from other PNAs on reporting procedures to communicate patient care information clearly and concisely in a timely manner. The PNA IV Team Lead assists the licensed nurse and provides guidance to other PNAs in monitoring patients for medication administration or treatment, including taking and monitoring vital signs and performing other assigned tasks within competency level. Proactively promotes safety through continuous environmental awareness and positive engagement of patients to minimize unsafe situations and injuries. Promotes classes and programs offered and encourages patient participation. Co-facilitates groups as assigned or requested. Models' appropriate response in crisis or psychiatric emergency situations using the least restrictive intervention necessary by applying Treatment Intervention Protection Strategies (TIPS) including verbal de-escalation under the direct supervision of a RN to ensure the health and safety of all persons. Performs the CPR/Heimlich techniques and use of an Automatic External Defibrillator (AED) correctly and safely according to the specification of the American Heart Association. Instructs other PNAs on how to provide the RN with timely, clinically relevant patient information (such as possible side effects of medication, disease/injury, or behavioral escalation gained by direct observation/interaction with patients to promote safety. Actively participates in shift change. Provides objective and relevant information to the supervising RN on an ongoing basis concerning the work performance of assigned PNAs to support a more comprehensive performance evaluation and to assist in the identification of training and/or other performance improvement opportunities. Serves as a preceptor (orientation and on-going training) for new employees including PNA Is, IIs, and other temporarily assigned personnel to the unit. 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'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. Knowledge, Skills and Abilities (KSAs): * Knowledge and experience in CAPPS, CARE, Microsoft Word, and Excel * Knowledge of patient aggression reduction interventions * Knowledge of patient care techniques and of treatment, therapy, developmental, and patient centered recovery programs * Knowledge of effective interpersonal and leadership skills and ability to interact with other team members utilizing effective interpersonal skills * Skills in the use of computer and office equipment * Ability to prepare and maintain records, files, and reports * Ability to serve as a lead worker providing direction to others * Ability to read, write and understand English to effectively communicate and carry out verbal and written instructions * Ability to provide patient care, to administer first aid and cardiopulmonary resuscitation, to conduct TIPS, and to communicate effectively * Ability to work with others and accept supervision * Ability to train others Registrations, Licensure Requirements or Certifications: If transporting patients, will be required to have a valid Texas driver license or obtain it no later than 90 days after hire date to drive a state vehicle. Applicants with an out-of-state driver license must provide an original certified driving record from the state of driving licensure. Eligible driving record required based on HHSC Fleet Management policy. CPR certification or the ability to obtain certification for CPR within the first 60 days of employment. Initial Screening Criteria: Four years of work experience required. At least three (3) years direct care experience required. At least three (3) years Psychiatric patient experience preferred. At least three (3) years Supervisory experience preferred. Additional Information: 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. 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. Flexibility in work hours may be required for this position. The position may be required to work overtime and/or extended hours. 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. Review our Tips for Success when applying for jobs at DFPS, DSHS and HHSC. Active Duty, Military, Reservists, Guardsmen, and Veterans: 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's Job Descriptions, Military Crosswalk and Military Crosswalk Guide at Texas State Auditor's Office - Job Descriptions. ADA Accommodations: 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. Pre-Employment Checks and Work Eligibility: Depending on the program area and position requirements, applicants selected for hire may be required to pass background and other due diligence checks. HHSC uses E-Verify. You must bring your I-9 documentation with you on your first day of work. Download the I-9 Form Telework Disclaimer: 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. Read Less

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