Licensed Vocational Nurse III

Date:
Mar 4, 2026

Location:

TERRELL, TX

Agency:
Health & Human Services Commission (HHSC)

Functional

Title:

Licensed Vocational Nurse III

Job Title:

Licensed Vocational Nurse III

Posting Number: 14528

Closing Date: 03/18/2026

Salary Range: $4,866.58 - $6,335.66

Pay Frequency:
Monthly

Salary Group: TEXAS-A-19

Shift: Evening (First);
Days (Second)

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:

Terrell State Hospital

Job Location City: TERRELL

Job Location Address: 1200 E BRIN

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, and numerous opportunities for career advancement.

Explore more details on the Benefits of Working at HHS webpage.

• Performs advanced vocational nursing work for residents with complex medical, mental health and/or behavioral health issues.
• Provides basic and advanced routine and non‑routine nursing tasks to promote the health of individuals within assigned areas and shift.
• Collects specimens for lab work and performs health screenings.
• Instructs direct support professionals and other staff on how to provide service and care that supports the individual’s medical needs.
• Performs technical nursing procedures according to facility and state regulations.
• Stays informed of and follows all agency, state hospital and unit policies and procedures.
• Provides direction and assists with on‑the‑job training to others such as newly hired LVNs and direct care staff.
• Provides on‑the‑job nursing instruction and training for new LVNs within their scope of practice as requested by RN Supervisor.
• Monitors, oversees the work of, and assigns work to, LVNs as needed.
• Evaluates nursing intervention outcomes and provides input to other members of the healthcare team.
• Assists RNs with implementation of protocols, procedures and programs to improve overall health and safety of staff and residents.
• Works under the limited supervision of a Registered Nurse (RN), with considerable latitude for initiative and independent judgment.
• Performs other duties as assigned, including active participation in disaster response, continuity of operations or other agency obligations which may require alternate shift patterns or locations.
• Eligible for additional pay for work performed on evenings, nights and/or weekends.

• Attends work on a regular basis and may be requested to work a specific shift schedule or, at times, a rotating schedule, extended shift and/or overtime.
• Administers medications and treatments, makes rounds as needed and works in other locations at the SH as needed.
• Demonstrates competency in performing complex technical nursing tasks and procedures in accordance with HHSC, SH and state regulations.
• Performs complex and technical nursing procedures such as tracheostomy care, gastrostomy/jejunostomy care, wound care, breathing treatments.
• Collects specimens for laboratory examination and conducts appropriate screening tests when requested by lab personnel.
• Monitors individuals’ weight, diet, mealtimes and vital signs; monitors health status after treatments and procedures and for signs and symptoms of illness.
• Timely and accurately documents and reports pertinent treatments and observations in the individual’s medical record (electronic health record or paper chart).
• Communicates pertinent information orally and in writing to other team members, such as the RN Case Manager, to ensure the treatment team has the best data for decision making.
• Leads, monitors, and oversees others who are monitoring individuals before, during, and after treatments and procedures.
• Trains/instructs new LVN staff, oversees their work, provides feedback, facilitates the “on the job training” checklist and collaborates with the new…