Graduate - Licensed Vocational Nurse II

Job Posting Overview

Functional

Title:

Graduate - Licensed Vocational Nurse II

Job Title: Licensed Vocational Nurse II

Agency: Health & Human Services Commission (HHSC)

Department: Childress - Nursing

Posting Number: 12291

Closing Date: 03/29/2026

Salary Group: TEXAS-A-18

Salary Range: $4,594.16 – $5,921.16 per month

Shift: Evening (also available for Morning, Night, and Flex shifts as needed)

Location: 4001 S HWY 36, Brenham, TX (Brenham State Supported Living Center)

Travel: Up to 5%

Telework: Not Eligible

• Provide highly complex vocational nursing care to individuals with intellectual and developmental disabilities who are medically fragile or behaviorally challenging.
• Administer medications and treatments orally, rectally, internally, or by injection, and perform complex technical nursing procedures such as tracheostomy care, gastrostomy/jejunostomy care, wound care, and breathing treatments.
• Collect specimens for laboratory examination and conduct screening tests as requested by lab personnel.
• Monitor vital signs, weight, diet, and feeding; observe and document post-treatment status.
• Instruct direct support professionals and other staff on how to monitor individuals after a procedures and provide patient education.
• Assist Registered Nurses (RNs) and other medical staff in implementing protocols, procedures, and programs to improve overall health and safety.
• Respond to emergency situations and follow safety and infection control procedures.
• Participate in interdisciplinary collaboration, communicating pertinent information orally and in writing.
• Perform other duties as assigned, such as working in the clinic or lab, assisting with patient scheduling, or accompanying individuals off site for activities or appointments that require nursing attendance.
• Provide treatment to HHS employees injured within the scope of employment.
• Participate in disaster response and continuity of operations activations as required.

• Attend work regularly and may be required to work a rotating shift schedule, extended shift, or overtime in accordance with agency leave policy.
• Serve in an on-call status on a rotating schedule as required.
• Administer medications and treatments by injection, assist other medical staff, make rounds, and perform complex technical procedures.
• Train and instruct new LVN staff and serve as a resource/mentor for new LVNs.
• Assist RNs with implementation of protocols and quality assurance programs.
• Communicate and collaborate with RN case managers and other team members.
• Respond to emergency situations and ensure safety of individuals.
• Perform other duties as assigned, such as working in the clinic or lab and assisting with patient scheduling.

• Knowledge of nursing care standards and procedures.
• Knowledge of emergency procedures, CPR, and ability to assess and care for residents and staff in emergency situations.
• Skilled in using reasoning to identify problems and consider appropriate resolution.
• Skill in operating computers and applicable software.
• Skill in the care and treatment of patients.
• Ability to provide patient care to a wide variety of individuals with complex medical, mental health, and/or behavioral health issues.
• Ability to prepare and maintain records and use an electronic health record system.
• Ability to communicate effectively and instruct others.
• Ability to interact appropriately with individuals with intellectual/developmental disabilities, their family members, and staff members.
• Must maintain current CPR certification and have the strength and flexibility to safely perform CPR.

Licensed to practice as a licensed vocational nurse in the state of Texas or a state that recognizes reciprocity through the Nurse Licensure Compact.

Or issued a temporary permit to perform supervised nursing duties while awaiting licensure.

• Graduation from an LVN program.
• Prior employment experience as an LVN is preferred.
• Experience working or volunteering directly with persons with intellectual or developmental disabilities is preferred.
• Experience using an electronic health record system…