Nurse II / Admissions Coordinator

Texas Health & Human Services Commission Waco , TX 76701

Posted 3 weeks ago

Are you ready to be professionally challenged? Are you looking to be part of a dynamic team of engaged and committed professionals?

Then the Health and Specialty Care System (HSCS) may be just the place for you! The State Hospital System, under the HSCS is comprised of nine psychiatric hospitals located throughout the state and one youth residential psychiatric center in Waco. The HSCS is a hub of excellence for forensic mental health and complex psychiatric care, with all facilities accredited by The Joint Commission.

The hospitals provide state-of-the-art treatment that is recovery-oriented and evidence-based. Whether in a direct-care or support role, your contribution will make a difference in the life of a Texan. Apply now to join our team.

Hours for this position are primarily Monday

  • Friday 8-5.

The Nurse II (Admissions Coordinator) performs complex (journey-level) nursing work and is accountable to the Program Director for overall administrative operations and to the Assistant Chief Nurse Executive for clinical issues. The Admissions Coordinator provides clinical and administrative supervision of Admissions personnel, and provides assessment, care, and treatment of patients throughout the admissions process.

Performs complex leadership and management duties including professional interactions with state hospital personnel, community liaisons, law enforcement, officers of the court, persons served and their families, guardians, and others. The Admissions Coordinator ensures that the admission process flows smoothly and provides a high level of customer satisfaction. During admission, observes the patients for unusual symptoms and conducts nursing assessments to determine eligibility for hospital admission.

Participates in the identification of admissions specific training needs and develops curriculum to address those needs. Participates in the development of nursing specific policies and procedures, prepares monthly nursing schedules, and participates in the hiring process. Works under general supervision, with moderate latitude for use of initiative and independent judgment.

Performs other duties as assigned. 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. Essential Job Functions:

1.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.

2.Provides supervision to all Admissions staff in accordance with hospital and nursing policies to ensure the patients being admitted receive optimum care during the admissions process. Observes the patient for unusual symptoms and conducts nursing assessments to determine eligibility for hospital admission. Reviews admission records to assure the patient receives the required documentation provided at the time of admission.

3.Interacts with state hospital personnel, community liaisons, law enforcement, officers of the court, persons served and their families, guardians, and others by providing consultation, training and technical assistance. Ensures adequate staffing based on number of expected admissions and historical data (busiest times of day/week, etc.) to ensure the patient is properly assessed and treated. Prepares monthly nursing schedule and participates in the hiring process.

4.Administers medications and treatment to the patients if required during the admission process and ordered by the physician. Assures that milieu is recovery based and trauma informed care is provided.

Ensures prompt intervention, education, modeling, coaching, and guidance for both staff and patients to promote therapeutic communication. Quickly follows up on patterns of behavior that do not promote a welcoming, safe milieu.

5.Complies with all established safety rules, regulations, and procedures. Promotes safety by ensuring that employees are fully trained to carry out their assigned duties in accordance with safety procedures. Promptly investigates all accidents and/or injuries incurred by employees in order to determine cause and contributing factors so that corrective action can be taken to prevent recurrence.

6.Participates in performance improvement activities by collecting, organizing, and presenting program specific data by retrieving available reports and information generated by Admissions and/or quality improvement in order to facilitate the provision of quality nursing care and a safe working environment.

7.Participates in the development of nursing specific policies and procedures to ensure compliance with The Joint Commission (TJC) standards, Centers for Medicare and Medicaid (CMS) conditions of participation, Texas Administrative Code (TAC), and the rules and regulations of the Agency and state hospital system.

8.Participates in the identification of admissions specific training needs and develops curriculum to address those needs. Maintains required competencies and continuously enhances nursing skills through continuing education (classes, articles, webinars, etc.) and communicates information to employees.

9.Creates a culture of safety within the Admissions Department: staff are well trained on safety measures and feel it is safe to report errors or near misses; unsafe events are carefully evaluated using input from involved staff then documented and implemented with follow-up audits to prevent drift. Assures emergency drills are completed as required.



  1. Performs other duties as assigned. 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:

1.Knowledge of Texas Nurse Practice Act, and the role of peer review in the provision of professional nursing.

2.Knowledge of HHSC policies and procedures.

3.Knowledge of management theory, organizational planning, plan deployment, and improving organizational performance.

4.Knowledge of the Recovery Model of Care.

5.Knowledge of professional nursing Standards, CPR, Abnormal Involuntary Movement Scale (AIMS), and Treatment, Intervention, and Protection Strategies (TIPS).

6.Knowledge of nursing techniques and procedures.

7.Knowledge of infection control practices and procedures.

8.Knowledge of workers compensation policies and procedures.

9.Demonstrated skills of accurately observing and identifying significant patient behaviors and accurately describing such events in the patient's record.



  1. Skills in utilizing computer hardware/software.

  2. Skills in administering restraint and seclusion.

  3. Strong coaching skills.

  4. Ability to provide patient care.

  5. Ability to prepare and maintain records.

  6. Ability to organize and communicate information both orally and in writing.

  7. Ability to interpret and explain standards and regulations.

  8. Ability to supervise, organize, and manage the Admissions Department.

  9. Ability to create and evaluate training objectives, requirements, and effectiveness of delivery.

  10. Ability to manage time effectively.

  11. Ability to intervene therapeutically with patients experiencing psychiatric disorders (delusions, hallucinations, suicidal/homicidal ideation).

  12. Ability to perform CPR, the Heimlich Maneuver, use the AED, and provide First Aid.

  13. Ability to provide patient/family education regarding medications, disease processes, and health maintenance/promotion.

  14. Ability to intervene therapeutically with patients experiencing delusions, hallucinations, and/or aggression. Registration or Licensure Requirements:


1.Licensed as a Registered Nurse (RN) in the state of Texas, or in a party state, that recognizes reciprocity through the Nurse Licensure Compact.

2.Must possess a valid Texas driver license or obtain it no later than 90 days after hire date to drive a state vehicle. Applicants with an out-of-state driver license must provide an original certified driving record from the state of driving licensure.

Eligible driving record required based on HHSC Fleet Management policy. Initial Selection Criteria:

1.Graduation from an accredited four-year college or university with major coursework in nursing or from an accredited nursing program.

2.At least one (1) year of work experience as an RN in a recognized health agency, hospital, or health care facility. Additional Information:

Requisition # 481462

Flexibility in work hours may be required for this position. The position may be required to work overtime and/or extended hours. Occasional other shift and weekend work is required along with rotating holidays.

All new hire candidates will be required to receive COVID-19 medical screening (nasal test) as part of the due diligence process.

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, and HHS OIG list of Excluded Individuals/Entities. 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.

Salary Note: The salary offered will follow HHS starting salary guidelines which are typically made at or near the posted minimum of the salary range.

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 of these diseases are vaccine-preventable. As a result, state hospital policy requires employees be vaccinated according to their level of contact with patients. 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.

Working for the State of Texas offers attractive benefits in addition to the salary. As a state employee you will receive Health and dental insurance, retirement plans and Employee Discounts at a variety of places. Employment may also qualify you for the student loan forgiveness program.

Waco Center for Youth is a psychiatric residential treatment facility that serves teenagers ages 13 through 17 with emotional difficulties and/or behavioral problems. Waco Center for Youth bases its treatment philosophy on the belief that both behavior change and an understanding of self and others are equally important in achieving significant long term success in treatment.

The mission of Waco Center for Youth is "to give each youth a chance for change" by providing comprehensive psychiatric residential treatment services to emotionally disturbed adolescents of the state of Texas. The facility is operated by the Health and Human Services Commission and is accredited by the Joint Commission on Accreditation of Health Care Facilities.

YOUR WORK HISTORY MUST BE ON YOUR STATE OF TEXAS APPLICATION. To be considered for this position, your application must clearly show how you meet the initial criteria and the knowledge, skills, and abilities requirements of this position.

If you need assistance completing the online application, contact the HHS Employee Service Center at 1-888-894-4747. MOS Code:

Military occupation(s) that relate to the initial selection criteria and registration or licensure requirements for this position may include, but not limited to: 68C, 66N/P/W, 290X, 46FX, 46NX, 46SX. All active duty military, reservists, guardsmen, and veterans are encouraged to apply if qualified to fill this position. For more information see the Texas State Auditor's Military Crosswalk at http://www.hr.sao.state.tx.us/Compensation/JobDescriptions.aspx.

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 interview.



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Nurse II / Admissions Coordinator

Texas Health & Human Services Commission