Clinical Nurse Specialist I

1 week ago

Abilene, Texas, United States Texas Department of Aging & Disability Services Full time
Job Overview:

Advanced Practice RN I

Experience a workplace that genuinely appreciates and respects those we serve, upholding the belief that every individual can attain a greater level of wellness and autonomy.

The state-supported living centers cater to individuals with intellectual and developmental disabilities who are medically vulnerable or exhibit behavioral challenges.

These centers deliver campus-based direct services and support across 13 locations statewide.

The state of Texas provides numerous advantages to its employees.

HHSC qualifies for the Federal Public Service Loan Forgiveness Program, which alleviates the remaining balance on Direct Loans after fulfilling qualifying monthly payments.

Additionally, we offer exceptional health benefits, a lifetime monthly retirement annuity, as well as 401(k) plans and programs under the Employees Retirement System of Texas.

If you seek a fulfilling career with purpose, this position is ideal for you.

The Advanced Practice RN is appointed by the Medical Director with the endorsement of the SSLC Director. This role involves delivering advanced clinical medical care under a physician's supervision. Responsibilities include assessing, planning, and providing comprehensive patient care either independently or in collaboration with other healthcare professionals. The RN directs medical activities/treatments, monitors trends, and suggests improvements. Treatment is also provided to HHS employees injured in the line of duty.

Additional duties may be assigned by the Medical Director/Facility Director, which may involve planning, assigning, and/or overseeing the work of others.

This position operates with minimal supervision, allowing significant latitude for initiative and independent judgment. Clinical and administrative oversight is provided by the Medical Director and/or other supervising physicians.

Shift statement (if applicable): This role may qualify for additional compensation for work performed during evenings, nights, and/or weekends.

Key Responsibilities:

Regular attendance is required, and the employee may need to adhere to a specific shift schedule or, at times, a rotating schedule, extended shifts, and/or overtime in accordance with agency leave policies while performing other assigned duties.

May participate in an on-call status on a rotating schedule as necessary to meet the operational needs of the facility.

Provides acute care to individuals, including daily assessments for urgent health issues or injuries in the clinic and/or infirmary.

The assessment encompasses diagnosis, treatment, and a care plan with documentation of the acute issue, evaluating injuries, including potential sutures and/or referrals to hospitals or emergency rooms.

Delivers chronic care to individuals, which involves quarterly assessments for those with recognized chronic health diagnoses, including a review of appropriate treatments specific to the disease process and adjustments to medical treatment as necessary.

Conducts comprehensive medical care, which includes performing rounds, reviewing infirmary and hospitalized patients, and assessing on-call cases for the status of individuals under treatment.


Provides medical diagnoses and reviews treatment plans during the Individual Service Plan (ISP) meetings.

This includes evaluating all identified risks of the individual (e.g., choking, pneumonia) and their health status, ensuring necessary supports (OT, PT, Nursing) are identified and addressed.

Develops precise and timely documentation, which includes dictation of annual summaries, pre-procedural histories and physicals, documentation of specialty medical consultations, physical and chemical restraints, and all acute and chronic patient care.


Provides treatment to HHS employees injured in the line of duty as required.

Other responsibilities include actively participating and/or serving in a supportive role to fulfill the agency's obligations for disaster response and/or recovery or Continuity of Operations (COOP) activation. Such participation may necessitate an alternate shift pattern assignment and/or location.


Required Knowledge, Skills, and Abilities:

Understanding of methods and procedures in general medicine/nursing, including laws and regulations governing public health and hospital operations.

Knowledge of principles, methods, and procedures for delivering medical evaluations, diagnoses, and treatments.

Familiarity with the principles of developing, implementing, and documenting case histories and individualized care and treatment plans.

Proficiency in interpreting laboratory analyses and x-rays.

Skill in patient care and the use of medical diagnostic and treatment tools and equipment.

Ability to examine, diagnose, and treat physical and mental disorders.
Ability to supervise the work of others providing medical care to patients.
Ability to interact appropriately with individuals with developmental disabilities.
Ability to communicate ideas clearly and concisely in both written and oral forms.
Ability to prepare and maintain medical records.
Ability to collaborate effectively with professionals and paraprofessionals as a member of an interdisciplinary team.
Ability to work independently and adapt flexibly to assigned responsibilities.

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