Overview 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, numerous opportunities for career advancement and more. Explore more details on the Benefits of Working at HHS webpage.
Functional Title: Registered Nurse Case Manager
Job Title: Nurse III
Agency: Health & Human Services Comm
Department: Campus Nursing
Posting Number: 10707
Closing Date: 11/27/2025
Posting Audience: Internal and External
Occupational Category: Healthcare Practitioners and Technical
Salary Group: TEXAS-B-24
Salary Range: $7,532.75-$8,886.16
Pay Frequency: Monthly
Shift: Day
Telework: Not Eligible for Telework
Travel: Up to 5%
Regular/Temporary: Regular
Full Time/Part Time: Full time
FLSA Exempt/Non-Exempt: Exempt
Facility Location: Abilene State Supported Living Center
Job Location City: ABILENE
Job Location Address: 2501 MAPLE ST
Other Locations: Abilene
Essential Job Functions (EJFs):
Attends work on a regular basis and may be required to work a specific shift schedule or rotating schedule, extended shift and/or overtime in accordance with agency leave policy and performs other duties as assigned.
May serve in an on-call status on a rotating schedule as required to meet operational needs of the facility.
Monitors the health status of all individuals assigned to the RN Case Manager. Conducts rounds, observes, and interacts with individuals, oversees nursing interventions, and evaluates outcomes of care.
Provides hands-on nursing care as needed and guides LVNs and direct care staff to implement health care plans.
Participates as a member of the interdisciplinary team (IDT) to coordinate health care, educate team members about care plans, and advocate for the needs and preferences of the individual.
Prepares for essential meetings related to individuals on the caseload and updates necessary items in automated systems and tracking documents.
Performs physical assessments on a monthly, quarterly, and annual basis and as needed to develop care plans and referrals.
Completes required documentation on a schedule and meets deadlines for plans of care, assessments, and other records.
Reviews physician orders and MAR to ensure medications are administered as ordered and analyzes data for trends to guide actions.
Attends on-campus medical appointments and coordinates off-campus specialist appointments when required.
Participates in competency-based training, maintains nursing licensure, follows safety and infection control practices, and adheres to information security protocols.
Establishes professional relationships, mentors new RN Case Managers, and participates in quality assurance reviews and committees.
Provides treatment to HHSC employees injured on the job as needed and supports disaster response and COOP activities as required.
Knowledge, Skills and Abilities (KSAs):
Knowledge of nursing techniques, standards, procedures, medical regulations, and health care principles.
Skill in patient care and in using computer software and electronic health records.
Knowledge of state and federal laws and IDD-related regulations affecting State Supported Living Centers.
Ability to interact effectively with individuals with IDD, families, and staff; interpret policies; and recognize patterns of medical necessity and treatment.
Ability to perform comprehensive physical assessments, interpret data, and develop plans of care; strong time management and prioritization.
Excellent verbal and written communication skills; ability to work independently with all levels of staff.
Maintain current CPR certification and knowledge of emergency procedures and equipment.
Ability to interpret regulations and communicate them clearly; ability to assess and respond to emergencies.
Registrations, Licensure Requirements or Certifications:
Licensed to practice as a registered nurse in the State of Texas or a state that recognizes reciprocity through the Nurse Licensure Compact.
Initial Screening Criteria:
At least one (1) year experience as a practicing registered nurse is required. Experience in assessment and documentation of health status is required. At least two (2) years of experience in a health agency, hospital, or health-care facility is preferred. A Bachelor\'s Degree is preferred. Previous experience with Individuals with Intellectual and/or Developmental Disabilities (IDD) is preferred.
Additional Information:
Applicants must pass fingerprint background check, pre-employment drug screen, and registry checks including CANRS, Nurse Aide, Medication Aide, and LEIE. Males 18–25 must be registered with Selective Service. All state employees are subject to random drug testing. Flexibility in work hours may be required; overtime, weekends, and holidays may be needed. Applicants must be at least 18 years of age. Review Tips for Success when applying for jobs at DFPS, DSHS and HHSC.
Active Duty, Military, Reservists, Guardsmen, and Veterans:
Military occupations related to the role are encouraged to apply. More information available in the Texas State Auditor’s guidance on Military Crosswalk.
ADA Accommodations:
HHSC provides reasonable accommodations during the hiring process for qualified individuals with disabilities.
Pre-Employment Checks and Work Eligibility:
Some positions require background checks and other due diligence. HHSC uses E-Verify. Bring I-9 documentation on your first day.
Telework Disclaimer:
This position may be eligible for telework. Telework is subject to state and agency policies and supervisor discretion.