Nurse II

Overview

Date:
Feb 3, 2026

Location:

TERRELL, TX

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. HHSC supports employees at each stage of life and work. Benefits include 100% paid employee health insurance for full-time eligible employees, a defined benefit pension plan, generous time off benefits, opportunities for career advancement, and more.

Functional

Title:

Nurse II
Job Title: Nurse II
Agency: Health & Human Services Comm
Department: Residential Care Supervisor H
Posting Number: 13488
Closing Date: 02/17/2026
Posting Audience: Internal and External
Occupational Category: Healthcare Support
Salary Group: TEXAS-B-22
Salary Range: $6,579.41 - $7,761.50
Pay Frequency: Monthly
Shift: Regular Evening and Weekend
Additional Shift: Days (First);
Evenings (Second)
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:

Terrell State Hospital
Job Location City: TERRELL
Job Location Address: 1200 E BRIN
Other Locations: Terrell
MOS Codes: 290X,46AX,46FX,46NX,46PX,46SX,46YX,66B,66C,66E,66F,66G,66H,66N,66P,66R,66S,66T,66W

• Under the direct supervision of the Nurse Administrator/Nurse Manager, observes, assesses, plans, intervenes and evaluates outcomes and documents all aspects of patient care. Provides direct nursing care as needed and coordinates scheduling within assigned areas. 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. May assume duties of the Nurse Coordinator during absence.
  
  Flexible in work schedule. Maintains broad latitude for initiative and independent judgment.
• Provides direct nursing care to individual patients; understands duties, location of work, and shift/pattern may change to meet hospital needs. May involve exposure to blood or other potentially infectious materials.
• Participates in disaster response and/or Continuity of Operations (COOP) activation as assigned, including alternate shift patterns or locations.
• Eligible for additional pay for work performed on evenings, nights, and/or weekends where applicable.
• Attends mandatory trainings, participates in ongoing in-service and other programs to meet patient population needs.
• Performs other duties as assigned.

• Attends work on a regular basis; may work a specific or rotating schedule, extended shifts, and/or overtime per agency policy.
• Assess the health/mental status of patients on admission/transfer and throughout stay; document assessment, planning, intervention, and evaluation to guide care. Perform CPR/Heimlich as required by American Heart Association guidelines.
• Provide direction and coordination of staffing and patient care on assigned units; communicate with administrators and staff to address performance issues and document interventions.
• Facilitate admissions/transfers by coordinating with admissions staff and unit personnel; triage patients as needed.
• Execute medical staff orders and nursing interventions according to standards and hospital policies; inform unit staff of updates.
• Provide and document patient and/or group teaching about medications, illness, and treatments appropriate to age and cognitive level.
• Implement precautions as ordered; document rights restrictions and apply restraints/seclusion per policy to maintain safety and uphold patient rights.
• Engage in abuse/neglect processes, ensure patient safety, and participate in Performance Improvement initiatives; coordinate nursing service utilization on assigned units.
• Attend mandatory trainings and participate in ongoing education relevant to patient population needs.

• Knowledge of recognized American Nurses Association Nursing Standards.
• Knowledge of departmental policies and procedures; knowledge of the Nurse Practice Act.
• Supervisory and management technique skills; ability to supervise and manage staff.
• CPR, aggression management and restraint techniques; emergency…