Registered Nurse RN HCS Program

Job Summary

Just Like Home is seeking a compassionate and experienced Registered Nurse (RN) to support individuals with intellectual and developmental disabilities enrolled in the Home and Community-based Services (HCS) Program. The RN is responsible for overseeing medical services, ensuring compliance with Texas Health and Human Services Commission (HHSC) regulations, coordinating healthcare needs, and supporting direct care staff in providing safe and effective services.

The RN will work closely with the Program Director, Case Managers, Direct Support Staff, physicians, pharmacies, and other healthcare providers to ensure individuals receive high-quality, person-centered care.

• Conduct comprehensive nursing assessments for individuals receiving HCS services.
• Develop, review, and update Nursing Care Plans as required by HCS program standards.
• Monitor and evaluate individuals' health status and respond to changes in condition.
• Provide clinical oversight for medication administration and health-related supports.

• Coordinate medical appointments, treatments, and follow-up care with physicians and specialists.
• Communicate with pharmacies regarding medications, refills, and medication changes.
• Ensure physician orders are properly documented and implemented.

• Review Medication Administration Records (MARs) for accuracy and compliance.
• Train and monitor Direct Support Staff on medication administration and health-related tasks.
• Investigate medication errors and implement corrective actions.

• Provide nursing training and delegation to direct care staff as allowed under Texas Nurse Practice Act.
• Conduct competency evaluations for medication administration and health procedures.
• Provide guidance to staff regarding infection control, health monitoring, and emergency procedures.

• Maintain accurate nursing documentation in compliance with Texas HHSC HCS regulations.
• Ensure all medical records, physician orders, and nursing notes are properly maintained.
• Assist with HHSC surveys, audits, and compliance reviews.

• Monitor chronic medical conditions such as diabetes, seizures, hypertension, and behavioral health concerns.
• Ensure proper implementation of specialized medical protocols and physician orders.
• Review incident reports related to health and safety.

• Current Registered Nurse (RN) license in the State of Texas
• Minimum 1 year nursing experience
• Valid Texas Driver's License
• Ability to pass background checks required by HHSC
• Strong documentation and communication skills

• Experience working with IDD / intellectual and developmental disabilities
• Experience with Texas HCS or Medicaid waiver programs
• Knowledge of HHSC regulations and standards

• Knowledge of Texas Nurse Practice Act
• Strong organizational and documentation skills
• Ability to train and supervise direct care staff
• Strong communication and teamwork skills
• Ability to respond to medical emergencies

• Travel between group homes, day habilitation programs, and medical offices
• Work closely with individuals with developmental disabilities
• Combination of office work and field visits

• Competitive salary based on experience
• Professional and supportive work environment
• Opportunity to make a meaningful impact in the lives of others

Just Like Home is dedicated to providing high-quality residential and support services to individuals with intellectual and developmental disabilities through the Texas HCS Program. Our mission is to promote independence, dignity, and quality of life in a safe and supportive environment.