Rn Executive Jobs (NOW HIRING)

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: Chief Nurse Executive Job Title: Nurse VI Agency: Health & Human Services Comm Department: Campus Nursing Posting Number: 18733 Closing Date: 07/23/2026 Posting Audience: Internal and External Occupational Category: Healthcare Practitioners and Technical Salary Range: $10,761.41- $15,791.58 Pay Frequency: MonthlySalary Group: TEXAS-B-30 Shift: Day Additional Shift: Days (First) 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: Lufkin State Supported Living Center Job Location City: POLLOK Job Location Address: 6844 N US HWY 69 Other Locations: Pollok; Lufkin MOS Codes: 290X,46AX,46FX,46NX,46PX,46SX,46YX,66B,66C,66E,66F,66G,66H,66N,66P,66R,66S,66T,66W
Brief Job Description:
Come 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 independence.
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 support at 13 centers located throughout the state. Learn About Our State Supported Living Centers
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 nurses.
The Chief Nurse Executive (CNE) performs highly advanced nursing work establishing policies and procedures for, and guiding, directing, and overseeing the daily operations and activities of the nursing programs and services for the State Supported Living Center (SSLC) within the scope of practice attributed to the skills of a registered nurse at the State Supported Living Center (SSLC). Leads in the design, development, and implementation of systems that evaluate and contribute to the quality of patient care. Directs nursing operations to effectively achieve the vision and strategic, financial, and operational plans that have been developed for the SSLC. Overseas, coordinates, monitors and evaluates all nursing services including 24-hour direct care nursing services, nursing education, infection control practices, wound care, and nursing case management. Ensures the delivery of high-quality nursing services to individuals with intellectual disabilities who also have complex medical, psychiatric and/or behavioral health needs. Oversee the development of guidelines, procedures, policies, rules, and regulations and monitors for compliance. Direct and oversee nursing staff participation in the interdisciplinary team process. Collaborates and coordinates closely with the Medical Director and other department heads. Evaluates the effectiveness and quality of the services provided using available data and ensures compliance with protocols. Reviews medical records and patient assessments to determine compliance with policies and procedures, correctness of assessment, standards of care, and quality of service. Directs and oversees the work of the Nursing Operations Officer and specialty nursing positions. Arranges for and overseas contracted nursing staff when needed. Provides direct care nursing services when needed. Serves as a resource and subject matter expert on nursing protocols, and activities. Provides consultation to nursing staff on complex cases. Provides and coordinates treatment to employees injured in course and scope of employment. Ensures optimum performance of the nursing department toward nursing best practices. Seeks and utilizes suggestions to effectively streamline work efforts and minimize redundancy. Oversee monitoring of nursing compliance with state and federal laws, regulations, and rules. Reviews special investigations and reports and develops corrective action plans and quality improvement plans. Identifies areas of needed change using prudent independent nursing judgment and takes action to improve operations. Professionally represents the nursing department at meetings, conferences, and committees. Serves as a member of the SSLC's executive leadership team and on other assigned committees. Keeps state-office nursing leadership apprised of nursing services resource allocation and reallocation needs. Works under the minimal supervision of the SSLC Director and has extensive latitude for the use of initiative and independent judgment.
Essential Job Functions (EJFs):
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.
May serve in an on-call status on a rotating schedule as required to meet operational needs of the facility.
Directs and oversees the daily operations and business functions of the nursing department to ensure high quality nursing treatment of individuals with intellectual and developmental disabilities who also have complex medical, psychiatric and/or behavioral health needs. Oversee processes to develop and execute a nurse staffing plan that ensures the continuous (24-hours/day, 7 days/week) timely availability of nursing staff to meet resident care needs and support the SSLC mission. Identifies minimum staffing for all levels of personnel to ensure a safe environment capable of complying with all regulatory and professional standards (e.g., Texas Administrative Code, accrediting agencies, and the Nurse Practice Act). Seeks and utilizes suggestions to effectively streamline work efforts and minimize redundancy. Keeps State-Office nursing leadership apprised of nursing services resource allocation and reallocation needs. Identifies opportunities for improved recruitment and retention efforts of qualified nursing personnel (e.g., participation in job fairs, school visits, advertising, addressing job satisfaction issues, review of all exit interviews, tracking of program specific turnover, etc.).
Analyzes data from multiple sources for trends, systemic issues, root causes, and areas for improvement. Utilizes data as a basis to identify and address patterns and trends as they relate to the delivery of nursing care. Proactively identifies issues and implements solutions. Promotes safety and wellbeing of staff at the SSLC. Oversees infection control practices and nursing response to illness outbreaks. Provides and coordinates treatment to HHS employees injured in course and scope of employment.
Directs and oversees the work of the Nursing Operations Officer (NOO) and specialty nursing positions such as the infection control practitioner, hospital liaison nurse, RN case managers, program compliance nurse and nurse educator and administrative/clerical staff. Supervises other types of staff as needed depending upon SSLC structure. Hires, trains, and promotes professional growth of the employees within the department so that a competent workforce is maintained. Ensures that all departmental staff are compliant with training per agency and facility standards. Conducts performance evaluations of assigned staff to give employees timely feedback on their performance and oversees staff development plans and activities. Ensure all nursing licenses remain current. Acts to improve employee retention and reduce turnover. Arranges for and overseas contracted nursing staff when needed.
Leads 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. Assigns project teams of essential stakeholders to address improvement opportunities using the principles of continuous quality improvement and documents appropriately. Utilizing data, assures a system of concurrent reporting of general patterns and trends of nursing care provided. Incorporates program specific monitoring into ongoing performance improvement activities. Establishes vehicles to assure readily available, accurate, and useable data, congruent with goals and objectives, and meets reporting responsibilities.
Oversee monitoring of nursing compliance with state and federal laws, regulations, and rules. Formulates and implements plans, to ensure optimum performance of the nursing department. Oversees preparation for and responds to Centers for Medicare and Medicaid Services (CMS) annual certification survey and regulatory audits. Reviews audit reports for citations and develop and implements a Plan of Improvement (POI) or Plan of Correction (POC) to correct any citations. Reviews reports from the State Review Team (SRT) for progress toward compliance with nursing indicators. Reviews special investigations involving staff where Abuse, Neglect and/or Exploitation (ANE) is asserted. Uses information contained to address both personnel and system issues and guides future corrective action plans (CAPs) and quality improvement plans (QIPs).
Oversee writing of, reviews, revises and implements nursing care policies and procedures such as IV therapy, medication administration, the self-administration of medication programs. Performs timely reviews and updates to nursing care policies, procedures and guidelines, requesting input from ancillary departments as needed. Interprets regulations and communicate them effectively in writing and orally. Explain nursing policies and procedures such as infection control practices, licensure rules and regulations, and the peer review process to all nursing staff. Develops and implements operational guidelines to promote compliance with health-related laws, rules, and regulations such as guidelines to ensure information security protocols are followed to maintain the accuracy and confidentiality of consumer records.
Oversee activities that evaluate the quality of nursing services provided in cooperation with the quality assurance department staff. Ensures that resident's rights are protected by addressing issues found in resident care reports, client abuse and neglect reports, 24-hour reports, and other SSLC reporting mechanisms. Assures systematic capture, review and analysis, communication, and follow-up in relation to significant events on the program (e.g., Medication Errors, Adverse Drug Reactions, Unauthorized Departures, Deaths, Unusual Occurrences, etc.). Overseas and conducts clinical reviews to ensure adequate clinical care is provided to residents when assigned. Ensures the generation and completion of injury reports. Alerts leadership to safety/risk management issues and actively facilitates problem-solving strategies. Maintains a physical presence on the living units and infirmary, assessing the quality of nursing services being provided, and modeling appropriate interaction with staff and SSLC residents. Provides feedback to nurse managers for their action.
Overseas the nursing care of the residents of the SSLC in cooperation with the Medical Director, Unit Directors, departmental directors and identified staff so that optimal health care is delivered to individuals served. Provides consultation to nursing staff on complex cases, offering clinical guidance to nursing and interdisciplinary staff in the assessment, treatment, and management of patients with challenging or high-risk conditions. Delegates nursing duties and sufficient authority for their accomplishment but maintains overall responsibility for the nursing care of the individuals at the SSLC. As needed (such as due to staffing issues, complex cases, or for the purpose of on-the-job training), provides direct care nursing services, such as administering medications, immunizations, treatments and observes patients for unusual symptoms and reactions. Directs and oversees process for physical, developmental, and psychosocial assessments to determine need for specialized health services. Follows standards and guidelines required by federal or state law or regulation or by facility policy in providing oversight of the nursing services and activities for which the CNE is administratively responsible.
Reviews medical records and patient assessments to determine compliance with policies and procedures, correctness of assessment, standards of care, and quality of service following a serious incident or in conjunction with routine reviews such as the QA/QI Council, IMRT and Clinical Death Review team. Evaluates the assessment, care and integrated treatment plans developed by the RN Case Managers to ensure they accurately and definitively direct the implementation of all necessary care based upon the trend analysis of health care needs and/or issues to the appropriate person.
Coordinates outreach efforts to stakeholders to promote awareness of health care issues, and the nursing programs and services at the SSLC. Promotes positive working relationships with outside agencies (e.g. Provider Investigations (PI), Office of Inspector General (OIG), other SSLC departments, programs and divisions including ancillary/support services, (e.g. Pharmacy, Medical Staff, Risk Management, Quality Assurance, Dietary, etc.). Develops and maintains relationships with local nursing schools to promote meaningful clinical experiences for nursing students. Ensures contracts with nursing schools are current. Provides or oversees SSLC attendance at local nursing schools career days to educate nursing students regarding opportunities for employment and nursing services at the SSLC.
Directs and participates in the development of competency-based training and continuing education activities and meetings to ensure others maintain competence in