Texas.gov - State of Texas Official Website
Nurse IV- Nurse Quality Administrator
Texas.gov - State of Texas Official Website, Austin, Texas, us, 78716
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:
Nurse IV- Nurse Quality Administrator Job Title:
Nurse IV Agency:
Health & Human Services Comm Department:
Residential Care Supervisor H Posting Number:
12151 Closing Date:
01/17/2026 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:
Day Additional Shift:
Days (First) 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:
Austin State Hospital Job Location City:
AUSTIN Job Location Address:
4110 GUADALUPE Other Locations:
Austin MOS Codes:
290X,46AX,46FX,46NX,46PX,46SX,46YX,66B,66C,66E,66F,66G,66H,66N,66P,66R,66S,66T,66W
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 twelve 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.
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.
Regularly makes rounds to individual program areas performing inspections with a focus on performance improvement initiatives and compliance with state and federal laws, rules and regulations. Performs mock compliance surveys for ongoing survey readiness and preparation. Identifies areas of failure and concerns making recommendations for needed improvements.
Evaluates the provision of individual care by review and audits of medical records and person‑centered recovery plans to determine accuracy and compliance with laws, rules, and regulations as they relate to delivery of nursing standards of care. Reviews current documentation procedures to ensure they support delivery of care that meets the requirements of regulatory agencies. Reviews data to evaluate effectiveness of policies and procedures.
Develops and promotes an environment that reduces risk to individuals and staff through support of the hospital's safety and risk management plans, infection control programs, and restraint and seclusion reduction strategies. Participates as a member of the hospital Accident Review Board and Risk Management Committees to develop interventions and corrective plans for a safer individual and employee environment.
Coordinates nursing medication management processes by ensuring compliance with standards related to storage, administration, medication waste, and investigation of unusual individual symptoms and reactions as they relate to nursing delivery of care. Conducts medication room inspections. Investigates and reports medication variances. Identifies and makes recommendations related to medication management. Acts as liaison working collaboratively with the hospital Pharmacy department.
Contributes to the culture of Nursing Services and development of nursing personnel, colleagues and others by sharing current knowledge, clinical information, nursing research through formal and informal methods in order to improve Nursing Services across all shifts. Participates in the development of Nursing Services philosophy, purpose, goals, and objectives.
At the designation of the Chief Nurse Executive, oversees the Nursing Peer Review Process and ensures the review process is one of fact‑finding, analysis, and study of events by nurses in a climate of collegial problem solving focused on obtaining all relevant information about an event. Facilitates local Peer Review procedures and serves as primary contact for contracted Peer Review entity. Ensures facility maintains an adequate number of trained nurses for participation in Peer Review proceedings.
Develops educational activities to improve clinical knowledge, enhance role performance and increase knowledge of professional issues. Identifies and coordinates training needs with the Nurse Educator and ensures that initial and ongoing educational needs are met. Conducts in‑services and training to staff individually or in groups as the need arises. Oversees and provides support to nursing management to ensure compliance in hospital training requirements.
Develops and implements nursing quality assurance programs and evaluates the Nursing Services operations through the analysis of statistical studies and performance evaluation reports. Participates in performance improvement teams, workgroups, and committees. Contributes to the development and implementation of nursing policies and practices.
Serves as the primary nursing consultant and active participant on Root Cause Analysis (RCAs), Management Initiated Review's (MIR's), and Proactive Risk Assessment (PRA). As training issues are identified, the Nurse Quality Administrator will participate in the development of staff education related to these findings and will provide guidance and training to other staff members, as needed. Monitors and reports on corrective action to nursing and hospital leadership.
Supervision and management of assigned staff including, but not limited to, reviewing applications, interviewing candidates, selecting, and hiring potential employees, assigning workload, establishing performance measures, evaluating work performance, providing feedback and guidance utilizing performance conduct management. Assist with oversight and management of nurse staffing schedule and implements mitigation strategies to minimize overtime.
Participates in local and statewide workgroups as assigned serving as a resource by providing feedback and assistance in the development of performance improvement initiatives, policy, and procedure development at a local and state level. Networks with peers, advocates, and family members in state/regional/local area to share ideas and conduct mutual problem solving.
Knowledge, Skills and Abilities
Knowledge of state and federal laws for individuals with Psychiatric Disorders and/or intellectual disabilities (ICF‑IID) and the rules, regulations, policy, and procedures related to State Hospitals: or ability to quickly gain that knowledge.
Knowledge of Texas Nurse Practice Act, including the Texas Board of Nursing Rules and Regulations, and the role of nursing peer review in the provision of both professional nursing and vocational nursing.
Knowledge of emergency procedures and emergency equipment, i.e., CPR., and ability to assess and care for residents and/or staff members in emergency situations.
Knowledge of nursing care standards and Healthcare Guidelines or ability to quickly gain that knowledge.
Skill in the care and treatment of individuals and in the use of nursing treatment tools and equipment.
Skill in analyzing problems, formulating, and implementing plans of corrections, and successfully leading change as evidenced by positive outcomes.
Skills in the use of computer/software and an electronic health record system.
Skill in time management and prioritization.
Excellent verbal and written communication skills and the ability to present ideas clearly and concisely in both written and oral communications.
Ability to appropriately interact with individuals with psychiatric, intellectual/developmental disabilities, with their family members, and with staff members.
Ability to work independently and productively with all levels of staff.
Must maintain current CPR certification. Must have strength and flexibility to safely perform Cardiopulmonary Resuscitation (CPR).
Ability to interpret regulations and communicate them effectively both orally and in writing.
Ability to analyze, assimilate, and integrate information in order to make nursing judgments about conditions and the acuity of conditions, to develop plans of care, and to evaluate outcomes of care.
Ability to organize, coordinate, and evaluate nursing activities.
Ability to instruct, train, oversee and provide guidance.
Registrations, Licensure Requirements or Certifications
Licensed as a Registered Nurse in the state of Texas or in a party state that recognizes reciprocity through the Nurse Licensure Compact.
Texas Driver's License in good standing within parameters of HHS Fleet Policies to drive state vehicles if necessary.
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 and/or an electronic medical record.
Four (4) years' experience with a psychiatric population and/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, and/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.
Review our Tips for Success when applying for jobs at DFPS, DSHS and HHSC.
Active Duty, Military, Reservists, Guardsmen, and Veterans Military occupation(s) that relate to the initial selection criteria and registration or licensure requirements for this position may include, but not limited to those listed in this posting. All active‑duty military, reservists, guardsmen, and veterans are encouraged to apply if qualified to fill this position. For more information please see the Texas State Auditor's Job Descriptions, Military Crosswalk and Military Crosswalk Guide at Texas State Auditor's Office - Job Descriptions.
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. If you need assistance completing the on‑line application, contact the HHS Employee Service Center at 1‑888‑894‑4747. If you are contacted for an interview and need accommodation to participate in the interview process, please notify the person scheduling the interview.
Pre‑Employment Checks and Work Eligibility Depending on the program area and position requirements, applicants selected for hire may be required 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. Download the I‑9 Form.
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.
#J-18808-Ljbffr
Functional Title:
Nurse IV- Nurse Quality Administrator Job Title:
Nurse IV Agency:
Health & Human Services Comm Department:
Residential Care Supervisor H Posting Number:
12151 Closing Date:
01/17/2026 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:
Day Additional Shift:
Days (First) 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:
Austin State Hospital Job Location City:
AUSTIN Job Location Address:
4110 GUADALUPE Other Locations:
Austin MOS Codes:
290X,46AX,46FX,46NX,46PX,46SX,46YX,66B,66C,66E,66F,66G,66H,66N,66P,66R,66S,66T,66W
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 twelve 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.
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.
Regularly makes rounds to individual program areas performing inspections with a focus on performance improvement initiatives and compliance with state and federal laws, rules and regulations. Performs mock compliance surveys for ongoing survey readiness and preparation. Identifies areas of failure and concerns making recommendations for needed improvements.
Evaluates the provision of individual care by review and audits of medical records and person‑centered recovery plans to determine accuracy and compliance with laws, rules, and regulations as they relate to delivery of nursing standards of care. Reviews current documentation procedures to ensure they support delivery of care that meets the requirements of regulatory agencies. Reviews data to evaluate effectiveness of policies and procedures.
Develops and promotes an environment that reduces risk to individuals and staff through support of the hospital's safety and risk management plans, infection control programs, and restraint and seclusion reduction strategies. Participates as a member of the hospital Accident Review Board and Risk Management Committees to develop interventions and corrective plans for a safer individual and employee environment.
Coordinates nursing medication management processes by ensuring compliance with standards related to storage, administration, medication waste, and investigation of unusual individual symptoms and reactions as they relate to nursing delivery of care. Conducts medication room inspections. Investigates and reports medication variances. Identifies and makes recommendations related to medication management. Acts as liaison working collaboratively with the hospital Pharmacy department.
Contributes to the culture of Nursing Services and development of nursing personnel, colleagues and others by sharing current knowledge, clinical information, nursing research through formal and informal methods in order to improve Nursing Services across all shifts. Participates in the development of Nursing Services philosophy, purpose, goals, and objectives.
At the designation of the Chief Nurse Executive, oversees the Nursing Peer Review Process and ensures the review process is one of fact‑finding, analysis, and study of events by nurses in a climate of collegial problem solving focused on obtaining all relevant information about an event. Facilitates local Peer Review procedures and serves as primary contact for contracted Peer Review entity. Ensures facility maintains an adequate number of trained nurses for participation in Peer Review proceedings.
Develops educational activities to improve clinical knowledge, enhance role performance and increase knowledge of professional issues. Identifies and coordinates training needs with the Nurse Educator and ensures that initial and ongoing educational needs are met. Conducts in‑services and training to staff individually or in groups as the need arises. Oversees and provides support to nursing management to ensure compliance in hospital training requirements.
Develops and implements nursing quality assurance programs and evaluates the Nursing Services operations through the analysis of statistical studies and performance evaluation reports. Participates in performance improvement teams, workgroups, and committees. Contributes to the development and implementation of nursing policies and practices.
Serves as the primary nursing consultant and active participant on Root Cause Analysis (RCAs), Management Initiated Review's (MIR's), and Proactive Risk Assessment (PRA). As training issues are identified, the Nurse Quality Administrator will participate in the development of staff education related to these findings and will provide guidance and training to other staff members, as needed. Monitors and reports on corrective action to nursing and hospital leadership.
Supervision and management of assigned staff including, but not limited to, reviewing applications, interviewing candidates, selecting, and hiring potential employees, assigning workload, establishing performance measures, evaluating work performance, providing feedback and guidance utilizing performance conduct management. Assist with oversight and management of nurse staffing schedule and implements mitigation strategies to minimize overtime.
Participates in local and statewide workgroups as assigned serving as a resource by providing feedback and assistance in the development of performance improvement initiatives, policy, and procedure development at a local and state level. Networks with peers, advocates, and family members in state/regional/local area to share ideas and conduct mutual problem solving.
Knowledge, Skills and Abilities
Knowledge of state and federal laws for individuals with Psychiatric Disorders and/or intellectual disabilities (ICF‑IID) and the rules, regulations, policy, and procedures related to State Hospitals: or ability to quickly gain that knowledge.
Knowledge of Texas Nurse Practice Act, including the Texas Board of Nursing Rules and Regulations, and the role of nursing peer review in the provision of both professional nursing and vocational nursing.
Knowledge of emergency procedures and emergency equipment, i.e., CPR., and ability to assess and care for residents and/or staff members in emergency situations.
Knowledge of nursing care standards and Healthcare Guidelines or ability to quickly gain that knowledge.
Skill in the care and treatment of individuals and in the use of nursing treatment tools and equipment.
Skill in analyzing problems, formulating, and implementing plans of corrections, and successfully leading change as evidenced by positive outcomes.
Skills in the use of computer/software and an electronic health record system.
Skill in time management and prioritization.
Excellent verbal and written communication skills and the ability to present ideas clearly and concisely in both written and oral communications.
Ability to appropriately interact with individuals with psychiatric, intellectual/developmental disabilities, with their family members, and with staff members.
Ability to work independently and productively with all levels of staff.
Must maintain current CPR certification. Must have strength and flexibility to safely perform Cardiopulmonary Resuscitation (CPR).
Ability to interpret regulations and communicate them effectively both orally and in writing.
Ability to analyze, assimilate, and integrate information in order to make nursing judgments about conditions and the acuity of conditions, to develop plans of care, and to evaluate outcomes of care.
Ability to organize, coordinate, and evaluate nursing activities.
Ability to instruct, train, oversee and provide guidance.
Registrations, Licensure Requirements or Certifications
Licensed as a Registered Nurse in the state of Texas or in a party state that recognizes reciprocity through the Nurse Licensure Compact.
Texas Driver's License in good standing within parameters of HHS Fleet Policies to drive state vehicles if necessary.
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 and/or an electronic medical record.
Four (4) years' experience with a psychiatric population and/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, and/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.
Review our Tips for Success when applying for jobs at DFPS, DSHS and HHSC.
Active Duty, Military, Reservists, Guardsmen, and Veterans Military occupation(s) that relate to the initial selection criteria and registration or licensure requirements for this position may include, but not limited to those listed in this posting. All active‑duty military, reservists, guardsmen, and veterans are encouraged to apply if qualified to fill this position. For more information please see the Texas State Auditor's Job Descriptions, Military Crosswalk and Military Crosswalk Guide at Texas State Auditor's Office - Job Descriptions.
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. If you need assistance completing the on‑line application, contact the HHS Employee Service Center at 1‑888‑894‑4747. If you are contacted for an interview and need accommodation to participate in the interview process, please notify the person scheduling the interview.
Pre‑Employment Checks and Work Eligibility Depending on the program area and position requirements, applicants selected for hire may be required 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. Download the I‑9 Form.
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.
#J-18808-Ljbffr