Nurse II - RN Case Manager - Case Management
Company: Texas Health & Human Services Commission
Posted on: January 27, 2023
Nurse II - RN Case ManagerCome work in an environment where we
truly value and respect those we serve and believe in the mission
that all people can achieve a higher level of wellness and
The state supported living centers serve people with intellectual
and developmental disabilities who are medically fragile or who
have behavioral problems. The centers provide campus-based direct
services and supports at 13 centers located throughout the state.
Learn About Our State Supported Living Centers
The state of Texas offers many benefits to employees. HHSC is a
qualifying organization for the Federal Public Service Loan
Forgiveness Program, which forgives the remaining balance on
college student Direct Loans after making 120 qualifying monthly
payments. We also offer excellent health benefits, a lifetime
monthly retirement annuityas well as 401(k) and 457 Programs under
the Employees Retirement System of Texas.
If you are looking for a place to work where you can establish a
career that is filled with purpose, this is the job for you!
Free CEUs and updated resources through Lippincott access for all
The RN Case Manager performs complex nursing work providing for the
assessment, care and integrated treatment of individuals residing
at the SSLC. Oversees the delivery of nursing care necessary and
monitors the health care status to meet the health care needs of
individuals assigned to the caseload. As a member of the
interdisciplinary team (IDT), works closely and professionally with
members of other disciplines to ensure that communication is in
place to provide consistent, high quality interdisciplinary and
holistic care for all persons served. Performs physical
assessments, documents healthcare needs, develops health care
plans, oversees the implementing nursing intervention(s), evaluates
and analyzes the outcomes of the interventions. Works proactively
to ensure optimal health care outcomes for assigned individuals.
Reviews available documentation for issues and incidents involving
assigned individuals. Performs and reports trend analysis of health
care needs and/or issues to the appropriate person and creates
nursing care plans that accurately and definitively direct the
implementation of all necessary care. Self-initiates to maintain
competence in nursing best practices. Uses established nursing
methods, procedures and techniques to successfully complete job
duties. Attends medical appointments with individuals when need to
ensure optimal communication and continuity of care. Participates
in quality assurance reviews, attends meetings, mentors and coaches
new RN case managers as assigned, and participates in committees
and workgroups as assigned. Provides treatment to HHS employees
injured in the course and scope of employment as needed. Works
under the general supervision of a manager who is a Registered
Nurse, with latitude for the use of initiative and independent
Essential Job Functions:
Attends work on a regular basis and may be required 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.
Monitors the health status of all individuals assigned to the RN
Case Manager. Conducts rounds on the assigned home(s) to gather
information from direct support professionals, nursing staff, and
others. Observes and interacts with the individuals. Oversees the
implementing nursing intervention(s), evaluates and analyzes the
outcomes of the interventions. Uses nursing skill and judgment and
established procedures to identify current and emerging issues.
Documents and follows up on those issues in accordance with
protocols. Ensures that proactive nursing care is provided in an
attempt to promote the optimal health of persons served.
Demonstrates thorough knowledge of the nursing process and nursing
procedures. Provides hands-on nursing care as needed, including
guidance for LVNs and direct care staff to implement health care
Actively participates as member of the individual's
interdisciplinary team (IDT) as the nursing expert. Participates in
proactive problem solving related to care of persons served and
nursing processes and issues. Educates others such as the
interdisciplinary team members, the Legally Authorized
Representative (LAR), the individual, other medical care providers
about the individual's health care plan and status. Works to
achieve consensus within the interdisciplinary team. Advocates for
the need and preferences of the individual.
Actively participates in, and prepares for in advance, essential
meetings related to the individuals on the assigned caseload to
manage and coordinate health care. Updates necessary items in the
automated system(s) and other tracking documents and takes the
necessary action to communicate information to other
Performs physical assessments on a monthly, quarterly and annual
basis and as needed, in accordance with training and facility
protocols. Uses information gathered to develop acute care plans,
integrated health care plans, and referrals to health care
providers and conveys information gathered to the interdisciplinary
Completes required documentation in accordance with schedule (i.e.
daily, weekly, monthly, quarterly, annually) and established
guidelines and protocols. These include individual plans of care,
comprehensive quarterly and annual individualized assessments, and
complete physical assessments. Meets required deadlines
Reviews physician's orders and Medication Administration Records
(MAR) to ascertain that medications/treatments are administered as
ordered. Reviews available information for incidents and issues
such as emesis, falls, seizures, restraints, and/or injuries. Uses
knowledge of medications administered in order to identify desired
effects or adverse reactions. Analyzes data for trends and takes
appropriate action based on the findings.
Attends on campus medical appointments, treatment and/or clinics
with the individual as assigned. When required to coordinate
continuity of care, attends off campus medical specialist
Participates in competency-based training and continuing education
activities and meetings to maintain competence in nursing best
practice. Demonstrates knowledge of safety and infection control
practices to ensure a safe working environment. Complies with state
mandated continuing education to maintain licensure as a registered
nurse. Follows information security protocols in order to maintain
the accuracy and confidentiality of consumer records.
Establishes and maintains professional work relationships with
persons served, co-workers, supervisors, ancillary staff and
visitors. Mentors and coaches new RN Case Managers as assigned.
Participates in quality assurance reviews and other activities
related to the development/enhancement/refinement of nursing policy
and procedure in order to evaluate and improve the quality of
nursing care provided on campus. Participates in other work groups
and committees as assigned.
Provide treatment to HHS employees injured in the course and scope
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.
Knowledge Skills Abilities:
* Knowledge of nursing techniques, standards, and procedures; of
health care laws and regulations; of medical diagnoses and
procedures; of accepted medical treatment patterns; of community
health and nursing care principles, practices, and procedures; of
program regulations and procedures; and of utilization review and
* Skill in the care and treatment of patients.
* Knowledge of state and federal laws and Intermediate Care
Facility for individuals with intellectual disabilities (ICF-IID)
rules, regulations, policy and procedures related to State
Supported Living Center or ability to quickly gain that
* Ability to appropriately interact with individuals with
intellectual/developmental disabilities, with their family members,
and with staff members.
* Ability to provide patient care; to prepare and maintain records;
to interpret policies and procedures; to interpret health care
regulations; and to recognize patterns of medical necessity
* Skills in the use of computer/software and an electronic health
* 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
* Ability to work independently and productively with all levels of
* Must maintain current CPR certification. Must have strength and
flexibility to safely perform Cardiopulmonary Resuscitation
* 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, the Settlement Agreement and
the Healthcare Guidelines or ability to quickly gain the
* Ability to interpret regulations and communicate them effectively
both orally and in writing.
* Ability and skills to perform comprehensive physical assessments
and identify abnormal findings on evaluation and to recognize signs
and symptoms of illness or injury.
* 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
Registration or Licensure Requirements:
Licensed to practice as a registered nurse in the State of Texas or
a state that recognizes reciprocity through the Nurse Licensure
Initial Selection Criteria:
* Any prior work as a LVN or RN.
* At least one (1) years of experience as a practicing registered
nurse in a health agency, hospital, or health-care facility is
* Bachelor's Degree is preferred.
* Experience in assessment and documentation of health status.
All applicants must pass: pre-employment drug screen, fingerprint
criminal background check, and Client Abuse/Neglect Reporting
System (CANRS), Employee Misconduct Registry and Nurse/Aide
Registry checks. Males between the ages of 18 - 25 must be
registered with the Selective Service.
All State Supported Living Center employees are subject to Random
Flexibility in work hours may be required for this position. The
position may be required to work overtime and/or extended
All applicants must be at least 18 years of age to be considered
for employment at a state-operated facility.
All new hire candidates will be required to receive COVID-19
medical screening (nasal test) as part of the due diligence
Personal protective equipment required and provided
Social distancing guidelines in place
Sanitizing, disinfecting, or cleaning procedures in place
Vaccines available for employees
Military occupation(s) that relate to the initial selection
criteria and registration or licensure requirements for this
position may include: 66B-H, 66N/P/R, 290X, 46FX, 46NX, 46SX. For
more information see the Texas State Auditor's Military Crosswalk
Top 10 Tips for Success when Applying to Jobs at HHSC and DSHS
HHS agencies use E-Verify. You must bring your I-9 documentation
with you on your first day of work.
I-9 Form - Click here to download the I-9 form.
In compliance with the Americans with Disabilities Act (ADA), HHS
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
Keywords: Texas Health & Human Services Commission, Lubbock , Nurse II - RN Case Manager - Case Management, Executive , Lubbock, Texas
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