Registered Nurse IV

Performs advanced (senior-level) nursing work;
Work involves planning, developing, coordinating, and evaluating nursing activities and providing for the care and treatment of patients;
May plan, assign, and/or supervise the work of others;
Works under limited supervision, with considerable latitude for the use of initiative and independent judgment.

Plans, develops, coordinates, and evaluates nursing activities and makes recommendations for improvements. Plans, develops, implements, and monitors program operations. Develops, reviews, revises, and explains health care program policies and procedures. Develops and implements quality assurance programs and processes. Develops in-service training and educational programs. Administers or oversees the administration of medication, immunizations, and treatment, and observes patients for unusual symptoms and reactions.

Makes hospital rounds to ensure that prescribed methods and procedures are followed. Evaluates nursing services through the analysis of statistical studies and performance evaluation reports. Reviews medical records and patient assessments to determine compliance with policies and procedures, correctness of assessment, and quality of service. Provides consultation, training, and technical assistance to agency staff, care recipients, provider agencies, and the medical community.

May conduct inspections, certifications, surveys, and investigations of health care facilities to determine compliance with state and federal laws, regulations, and rules. May plan, assign, and/or supervise the work of others. Performs all other related duties as assigned.

• Bachelor of Science in Nursing (BSN) from an accredited college or university , preferred or
• Associate Degree in Nursing (ADN) from an accredited college or university
• Four (4) years of experience in nursing work.
• One (1) year or more of experience as a supervisory nurse.
• One (1) year or more of experience with Electronic Medical Records (EMR).

Must be registered as a Registered Nurse by the State of Texas or a state that recognizes reciprocity through the Nurse Licensure Compact.

Certified in Basic Life Support.

Must have a current valid Texas motor vehicle operator’s license.

Must be able to be insured by the County’s insurance carrier.

Knowledge of nursing techniques and procedures, health care laws and regulations, medical diagnosis and procedures, accepted medical treatment patterns, community health and nursing care principles, practices, and procedures, program regulations and procedures, and utilization review and control measures.

Fluent in English and Spanish (speak, read, and write).

Ability to provide patient care, prepare and maintain records, and explain public health law.

Ability to organize, coordinate, and evaluate nursing activities and delivery of public health services.

Ability to interpret policies and procedures, interpret health care regulations, recognize patterns of medical necessity treatment, and to plan, assign, and/or supervise the work of others.