Exempt Medical Coder Jobs in Temple, TX (NOW HIRING)

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Employee Benefits:
DSHS offers insurance coverage and other benefits available through the State of Texas Group Benefits Plan administered by the Employee Retirement System of Texas (ERS). To learn more about all the benefits available to you as a DSHS employee and other DSHS opportunities for early career pathways, visit the DSHS Careers Page.
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Functional Title: Congenital Syphilis Nurse Consultant Job Title: Public Health Nurse II Agency: Dept of State Health Services Department: Region 7 Posting Number: 15823 Closing Date: 10/09/2026 Posting Audience: Internal and External Occupational Category: Healthcare Practitioners and Technical Salary Range: $5,551.55- $6,525.75 Pay Frequency: MonthlySalary Group: TEXAS-B-22 Shift: Day Additional Shift: Telework: Travel: Up to 50% Regular/Temporary: Regular Full Time/Part Time: Full time FLSA Exempt/Non-Exempt: Exempt Facility Location: Job Location City: TEMPLE Job Location Address: 1010 OLD WACO RD Other Locations: Temple; Austin; Centerville; Lampasas; Lockhart; Navasota; Waco MOS Codes: 290X,46AX,46FX,46NX,46PX,46SX,46YX,66B,66C,66E,66F,66G,66H,66N,66P,66R,66S,66T,66W
Brief Job Description:
Under the direct supervision of the Advanced Practice Registered Nurse (APRN) and the medical supervision of the Regional Medical Director (RMD), the Nurse II performs complex nursing work that may include the delivery of congenital syphilis and HIV/STI services and for the areas designated; to include the coordination of services, technical consultation and clinical support for Communicable Disease, in particular, HIV/STI activities. Responsibilities include, but are not limited to, community education, patient care, reporting/documentation, and disease intervention activities. Nurse II is responsible for services in the region, including participation in current and long-range planning for HIV/STI prevention and intervention in assigned areas. In coordination with a multidisciplinary team of program managers and/or supervisors ensures program goals and objectives are met. Works under limited supervision with considerable latitude for use of initiative and independent judgment. May provide additional Public Health Nursing direct services or HIV/STI services as needed for Communicable Disease Support.
Safe operation of either a state-owned vehicle or personal vehicle is required to conduct state business, and an acceptable driving record must be maintained in accordance with DSHS Policy OS-3901, Fleet Operations and Management & Procedures and standards developed by the Texas Department of Public Safety.
Essential Job Functions:
Patient Care: (40%)
• Evaluates patients for Congenital Syphilis risk factors, clinical presentation, and screening results. Evaluation and treatment may occur in either the clinic or field settings.
• In collaboration with the authorizing physician develops a treatment plan; establishes mutual goals with the CS patients and monitors the CS patient's treatment response using nursing assessments skills and analysis of patient interviews and laboratory results.
• Engages patients in behavior modification to promote CS treatment adherence.
• Provides consultation, training, and technical assistance to agency staff, direct-care recipients, provider agencies, local health entities and the medical community to ensure CS treatment is completed using latest guidelines from DSHS.
Provides direct case management and follow-up care to Congenital Syphilis patients, as assigned by their supervisor.
• Collects specimen for laboratory testing to include urine, blood via venipuncture or fingerstick, and self-collection swabs
• Maintains timely detailed records of patient encounters in state databases.
Community Education: (20%)
• Serves as a technical consultant and resource to individuals, providers and stakeholders by providing information on CDC/DSHS standards regarding the current testing, diagnoses and treatment of Congenital Syphilis, as well as other STIs and HIV. Completes reports that analyze CS/STI and/or HIV regional data and prepares the reports for leadership. The facilities involved include health facilities, county correctional facilities, residential substance abuse facilities, and other community agency facilities.
• Proactively communicates and establishes relationships with private healthcare providers in the community providing specific and detailed clinical guidance according to the recommendations given from the CDC and DSHS.
• Participates or leads multidisciplinary meetings and trainings to review all aspects of Congenital Syphilis case management and provide guidance and recommendations to promote consistent and optimal patient care.
Disease Intervention Activities: (20%)
• Independently performs detection, intervention, reporting, surveillance, notification, and referral activities related to persons with HIV/STD infections and their contacts, at high risk for HIV/STD transmission.
This includes injection drug users, and other hard-to-reach and special populations, including, homeless persons, sex industry workers, transgender and intersexed persons, incarcerated populations, and persons whose primary language is not English.
• Ensures statutory disease reporting, achievement of program performance standards, and abides by the DSHS DIS guidelines, DSHS HIV/STD Surveillance guidelines, DSHS Congenital Syphilis guidelines and HHS HR manual. This includes injection drug users, and other hard-to-reach and special populations, including, homeless persons, sex industry workers, transgender and intersexed persons, incarcerated populations, and persons whose primary language is not English.
Consulting:(10%)
• Consults with the regional medical director and Texas DSHS recognized medical experts on complicated Congenital Syphilis cases or HIV/STI cases as needed.
Consults within appropriate knowledge and scope of practice with local health entities, private providers and other health care providers within the region to support appropriate clinical care and case management for CS patients.
Emergency Preparedness and Response (5%)
Emergency response duties as assigned may include planning for a disaster event response, actively participating during a disaster response and/or recovery effort. Serving in a supporting role during a disaster response and/or recovery effort and assisting with agency continuity of operations during disaster response and/or recovery efforts. Performs other duties as assigned. Ability to wear Personal Protective Equipment to include N-95 or equivalent respiratory protection.
Performs other duties as assigned (5%)
Knowledge, Skills, and Abilities (KSAs):
• Comprehensive knowledge of Department of State Health Services HIV/STI Program standards of operation, policies and procedures.
• Knowledge and understanding of current social, economic and public health issues.
• Knowledge of the CDC HIV/STI treatment protocols and guidelines
• Knowledge of HIV/STI epidemiology and transmission, and case management techniques.
• Knowledge of and ability to comply with Texas DSHS confidentiality guidelines.
• Knowledge of the Texas Department of State Health Services Infectious Disease Prevention Division that include Tuberculosis, Immunizations and HIV/STI Programs.
• Knowledge of behavioral change theories and their application.
• Skill in performing basic/abbreviated adult and pediatric physical assessment and obtaining relevant clinical history.
• Skill in case analysis and providing clinical case management services.
• Skill in interpreting treatment, radiographic and bacteriological data.
• Skill in communicating effectively with others (internal / external) both orally and in writing.
• Skill in performing phlebotomy; obtaining and processing specimens; administering medications and immunizations.
• Skill in using a personal computer and applicable software programs (Microsoft Office, Adobe, NEDSS/THISIS, and CMIS)
• Ability to interpret public health laws and regulations.
• Ability to understand and follow written and oral instructions.
• Ability to conduct objective, comprehensive nursing assessment plans.
• Ability to direct and conduct contact and outbreak investigations.
• Ability to function independently.
• Ability to apply time management principles to tasks.
• Ability to maintain effective working relationships with the public and medical community using tact and diplomacy.
• Ability to work independently exercising sound judgment
• Ability to work well and effectively in a multidisciplinary team environment
• Have working knowledge and be familiar with the Outbreak Response Plan, the STI program objectives, the CDC Program Operation Guidelines for STI prevention and adheres to all relevant DSHS policies and guidelines.
Registrations, Licensure Requirements or Certifications:

• Must be licensed and registered as a Registered Nurse in the State of Texas with an active, unrestricted license.
• Current and valid driver's license for the State of Texas.

Initial Screening Criteria:

• RN licensed in Texas or compact license equivalent (Required)
• Registered Nurse with a minimum of two years' experience with at least one year experience within the last five years working with persons at risk for HIV/STD. (Preferred)
• BSN (Preferred)
• Bilingual in Spanish and English (Preferred)
• Graduation from a Nursing Program accredited by the Texas Board of Nurse Examiners. (Preferred)
• Experience in working with communities. (Preferred)
• Experience in developing and/or providing health education presentations/training. (Preferred)
• Experience with computer software applications including Microsoft Word, Excel, Outlook, electronic health/medical records systems and the internet. (Preferred)

Additional Information: Primary headquarters location will be Regional Headquarters in Temple, TX with secondary headquarters location determination based on availability of DSHS office space in geographical location.
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 for this position. For more information see the Texas State Auditor's Military Crosswalk at https://hr.sao.texas.gov/CompensationSystem/JobDescriptions/.
ADA Accommodations:
In compliance with the Americans with Disabilities Act (ADA), DSHS will provide reasonable accommodation during the hiring process for individuals with a qualifying disability. If reasonable accommodation is needed to participate in the interview process, please notify the person who contacts you to schedule the interview. If you need assistance completing the on-line application, contact the HHS Employee Service Center at 1-888-894-4747 or via email at HHSServiceCenter.Applications@ngahrhosting.com.
Salary Information, Pre-employment Checks, and Work Eligibility:

• The salary offered will follow DSHS starting salary guidelines. Any employment offer is contingent upon available budgeted funds.
• Depending on the program area and position requirements, applicants selected for hire may be required to pass background and other due diligence checks.
• DSHS uses E-Verify. You must bring your I-9 documentation with you on your first day of work. Download the I-9 form