Texas.gov - State of Texas Official Website
Assistant Chief Nurse Executive
Texas.gov - State of Texas Official Website, Terrell, Texas, United States, 75161
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.
Job Details
Functional Title:
Assistant Chief Nurse Executive Job Title:
Nurse IV Agency:
Health & Human Services Comm Department:
Residential Care Supervisor H Posting Number:
10152 Closing Date:
01/11/2026 Posting Audience:
Internal and External Occupational Category:
Healthcare Practitioners and Technical Salary Group:
TEXAS-B-26 Salary Range:
$8,624.25-$10,785.83 Pay Frequency:
Monthly Shift:
Evening 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:
Terrell State Hospital Job Location City:
TERRELL Job Location Address:
1200 E BRIN Brief Job Description
Would you thrive in an environment where you learn and grow personally and professionally all while helping make a positive impact on people's lives? Do you appreciate being around others like yourself who are dependable, trustworthy, hard workers who believe in the value of teamwork? HSCS is dedicated to building an atmosphere where employees feel valued and supported while providing specialized care for Texans in need. HSCS is comprised of nine psychiatric hospitals, one youth residential treatment facility, and thirteen state supported living centers. The psychiatric hospitals are a hub of excellence for forensic mental health and complex psychiatric care, with all facilities accredited by The Joint Commission. They provide state-of-the-art treatment that is recovery-oriented and science-based. If providing hope and healing through compassionate, innovative, and individualized care interests you, we welcome your application for the position below. Assistant Chief Nurse Executive Responsibilities
The Assistant Chief Nurse Executive performs advanced professional nursing work overseeing and evaluating nursing policies, procedures, and activities within the scope of practice attributed to the skills of a registered nurse at the State Hospital (SH). Ensures that patient’s rights are protected by addressing issues found in patient care reports, client abuse and neglect reports, 24-hour reports, patient satisfaction surveys, and other hospital reporting mechanisms. Assists in the design, development, and implementation of systems that evaluate and contribute to the quality of patient care. Performs tasks, demonstrating involvement in furthering performance improvement and quality assessment initiatives between nursing and other professional disciplines. Provides consultation and training to nurse managers to assist them in developing their nursing staff. Develops, reviews, and revises nursing policies and procedures to promote a professional environment, promote the mission of the program and assure congruence with professional and organizational expectations. Reviews medical records and patient assessments to determine compliance with policies and procedures, correctness of assessment, standards of care, and quality of service. Works with external organizations such as universities, professional groups, advocacy groups, and the public to facilitate community involvement. Promotes a teaching environment that empowers nurses to provide effective, compassionate, and efficient nursing care. Supports the Chief Nurse Executive (CNE) to oversee implementation of quality assurance processes including overseeing and evaluating progress of Corrective Action Plans (CAP) and Quality Improvement Plans (QIP) related to nursing services. Works under the minimal supervision of the Chief Nurse Executive with extensive latitude for the use of initiative and independent judgment. Performs other duties as assigned. Other duties as assigned include but are not limited to actively participating and/or serving in a supporting role to meet the agency’s obligations for disaster response and/or recovery or Continuity of Operations (COOP) activation. Such participation may require an alternate shift pattern assignment and/or location. This position may be eligible to earn additional pay for work performed on evenings, nights and/or weekends. Essential Job Functions
Attends work on a regular basis and may be asked to work a specific shift schedule or, at times, even a rotating schedule, extended shift and/or overtime in accordance with agency leave policy and performs other duties as assigned. Knowledge, Skills and Abilities (KSAs)
Knowledge:
Texas Nurse Practice Act, peer review, management theory, planning, Recovery Model of Care, training principles, group dynamics, nursing competencies, psychiatric rehabilitation practices, ticket based administration, staffing plans. Skills:
Care and treatment of patients, interpersonal teamwork, computer proficiency, restraint and seclusion, coaching, organization, instruction, supervision, budget development, patient education, CPR, AED, first aid, therapeutic intervention with psychiatric patients. Registrations, Licensure Requirements or Certifications
Licensed to practice as a Registered Nurse (RN) in the state of Texas, or in a party state, that recognizes reciprocity through the Nurse Licensure Compact. Must possess a valid Texas driver license or obtain it no later than 90 days after hire date to drive a state vehicle. Initial Screening Criteria
Graduation from an accredited nursing program or from an accredited four-year college or university with major coursework in nursing. Master’s degree preferred. Four (4) years’ experience working in a setting with other professional disciplines. Experience with computers or an electronic medical record. Four (4) years’ experience with a psychiatric population or with severe and persistent mental illness. Five (5) years of experience in direct nursing practice as a practicing registered nurse in a recognized health agency, hospital, health-care facility, or clinic setting preferred. Three (3) years’ experience as an administrative nurse with supervisory authority over other nurses preferred. Three (3) years’ experience working as a team lead or nursing manager preferred. Additional Information
Applicants must pass a fingerprint criminal background check, pre-employment drug screen, and registry checks including the Client Abuse/Neglect Reporting System (CANRS), Nurse Aid, Medication Aide and Employee Misconduct, List of Excluded Individuals/Entities (LEIE). Males between the ages of 18-25 must be registered with the Selective Service. All applicants must be at least 18 years of age to be considered for employment at a state-operated facility. Waco Center for Youth applicants must be 21 years of age. Flexibility in work hours may be required for this position. The position may be required to work overtime and/or extended hours. Compliance with HHSC immunization policy and state hospital operating procedures related to immunizations is required. According to the Centers for Disease Control and Prevention, healthcare workers are considered to be at significant risk for acquiring or transmitting hepatitis B, measles, mumps, rubella, varicella (chicken pox), tetanus, diphtheria, pertussis (whooping cough), and influenza. All these diseases are vaccine preventable. As a result, state hospital policy requires employees be vaccinated according to their level of contact with individuals. In the event you choose to not be immunized for the influenza virus, you may be required to wear a mask and take other protective measures. ADA Accommodations
In compliance with the Americans with Disabilities Act (ADA), HHSC and DSHS agencies will provide reasonable accommodation during the hiring and selection process for qualified individuals with a disability. Pre-Employment Checks and Work Eligibility
Depending on the program area and position requirements, applicants selected for hire may need to pass background and other due diligence checks. HHSC uses E-Verify. You must bring your I‑9 documentation with you on your first day of work. Telework Disclaimer
This position may be eligible for telework. Please note, all HHS positions are subject to state and agency telework policies in addition to the discretion of the direct supervisor and business needs.
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Functional Title:
Assistant Chief Nurse Executive Job Title:
Nurse IV Agency:
Health & Human Services Comm Department:
Residential Care Supervisor H Posting Number:
10152 Closing Date:
01/11/2026 Posting Audience:
Internal and External Occupational Category:
Healthcare Practitioners and Technical Salary Group:
TEXAS-B-26 Salary Range:
$8,624.25-$10,785.83 Pay Frequency:
Monthly Shift:
Evening 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:
Terrell State Hospital Job Location City:
TERRELL Job Location Address:
1200 E BRIN Brief Job Description
Would you thrive in an environment where you learn and grow personally and professionally all while helping make a positive impact on people's lives? Do you appreciate being around others like yourself who are dependable, trustworthy, hard workers who believe in the value of teamwork? HSCS is dedicated to building an atmosphere where employees feel valued and supported while providing specialized care for Texans in need. HSCS is comprised of nine psychiatric hospitals, one youth residential treatment facility, and thirteen state supported living centers. The psychiatric hospitals are a hub of excellence for forensic mental health and complex psychiatric care, with all facilities accredited by The Joint Commission. They provide state-of-the-art treatment that is recovery-oriented and science-based. If providing hope and healing through compassionate, innovative, and individualized care interests you, we welcome your application for the position below. Assistant Chief Nurse Executive Responsibilities
The Assistant Chief Nurse Executive performs advanced professional nursing work overseeing and evaluating nursing policies, procedures, and activities within the scope of practice attributed to the skills of a registered nurse at the State Hospital (SH). Ensures that patient’s rights are protected by addressing issues found in patient care reports, client abuse and neglect reports, 24-hour reports, patient satisfaction surveys, and other hospital reporting mechanisms. Assists in the design, development, and implementation of systems that evaluate and contribute to the quality of patient care. Performs tasks, demonstrating involvement in furthering performance improvement and quality assessment initiatives between nursing and other professional disciplines. Provides consultation and training to nurse managers to assist them in developing their nursing staff. Develops, reviews, and revises nursing policies and procedures to promote a professional environment, promote the mission of the program and assure congruence with professional and organizational expectations. Reviews medical records and patient assessments to determine compliance with policies and procedures, correctness of assessment, standards of care, and quality of service. Works with external organizations such as universities, professional groups, advocacy groups, and the public to facilitate community involvement. Promotes a teaching environment that empowers nurses to provide effective, compassionate, and efficient nursing care. Supports the Chief Nurse Executive (CNE) to oversee implementation of quality assurance processes including overseeing and evaluating progress of Corrective Action Plans (CAP) and Quality Improvement Plans (QIP) related to nursing services. Works under the minimal supervision of the Chief Nurse Executive with extensive latitude for the use of initiative and independent judgment. Performs other duties as assigned. Other duties as assigned include but are not limited to actively participating and/or serving in a supporting role to meet the agency’s obligations for disaster response and/or recovery or Continuity of Operations (COOP) activation. Such participation may require an alternate shift pattern assignment and/or location. This position may be eligible to earn additional pay for work performed on evenings, nights and/or weekends. Essential Job Functions
Attends work on a regular basis and may be asked to work a specific shift schedule or, at times, even a rotating schedule, extended shift and/or overtime in accordance with agency leave policy and performs other duties as assigned. Knowledge, Skills and Abilities (KSAs)
Knowledge:
Texas Nurse Practice Act, peer review, management theory, planning, Recovery Model of Care, training principles, group dynamics, nursing competencies, psychiatric rehabilitation practices, ticket based administration, staffing plans. Skills:
Care and treatment of patients, interpersonal teamwork, computer proficiency, restraint and seclusion, coaching, organization, instruction, supervision, budget development, patient education, CPR, AED, first aid, therapeutic intervention with psychiatric patients. Registrations, Licensure Requirements or Certifications
Licensed to practice as a Registered Nurse (RN) in the state of Texas, or in a party state, that recognizes reciprocity through the Nurse Licensure Compact. Must possess a valid Texas driver license or obtain it no later than 90 days after hire date to drive a state vehicle. Initial Screening Criteria
Graduation from an accredited nursing program or from an accredited four-year college or university with major coursework in nursing. Master’s degree preferred. Four (4) years’ experience working in a setting with other professional disciplines. Experience with computers or an electronic medical record. Four (4) years’ experience with a psychiatric population or with severe and persistent mental illness. Five (5) years of experience in direct nursing practice as a practicing registered nurse in a recognized health agency, hospital, health-care facility, or clinic setting preferred. Three (3) years’ experience as an administrative nurse with supervisory authority over other nurses preferred. Three (3) years’ experience working as a team lead or nursing manager preferred. Additional Information
Applicants must pass a fingerprint criminal background check, pre-employment drug screen, and registry checks including the Client Abuse/Neglect Reporting System (CANRS), Nurse Aid, Medication Aide and Employee Misconduct, List of Excluded Individuals/Entities (LEIE). Males between the ages of 18-25 must be registered with the Selective Service. All applicants must be at least 18 years of age to be considered for employment at a state-operated facility. Waco Center for Youth applicants must be 21 years of age. Flexibility in work hours may be required for this position. The position may be required to work overtime and/or extended hours. Compliance with HHSC immunization policy and state hospital operating procedures related to immunizations is required. According to the Centers for Disease Control and Prevention, healthcare workers are considered to be at significant risk for acquiring or transmitting hepatitis B, measles, mumps, rubella, varicella (chicken pox), tetanus, diphtheria, pertussis (whooping cough), and influenza. All these diseases are vaccine preventable. As a result, state hospital policy requires employees be vaccinated according to their level of contact with individuals. In the event you choose to not be immunized for the influenza virus, you may be required to wear a mask and take other protective measures. ADA Accommodations
In compliance with the Americans with Disabilities Act (ADA), HHSC and DSHS agencies will provide reasonable accommodation during the hiring and selection process for qualified individuals with a disability. Pre-Employment Checks and Work Eligibility
Depending on the program area and position requirements, applicants selected for hire may need to pass background and other due diligence checks. HHSC uses E-Verify. You must bring your I‑9 documentation with you on your first day of work. Telework Disclaimer
This position may be eligible for telework. Please note, all HHS positions are subject to state and agency telework policies in addition to the discretion of the direct supervisor and business needs.
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