Licensed Vocational Nurse

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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: Licensed Vocational Nurse 
Job Title: Licensed Vocational Nurse I 
Agency: Dept of State Health Services 
Department: Region 11 
Posting Number: 7791 
Closing Date: 02/04/2026 
Posting Audience: Internal and External 
Occupational Category: Healthcare Practitioners and Technical 
Salary Group: TEXAS-A-15 
Salary Range: $3,248.00 - $4,043.00 
Pay Frequency: Monthly
Shift: Day 
Additional Shift: Days (First) 
Telework: Not Eligible for Telework 
Travel: Up to 35% 
Regular/Temporary: Regular 
Full Time/Part Time: Full time 
FLSA Exempt/Non-Exempt: Nonexempt 
Facility Location:  
Job Location City: ALICE 
Job Location Address: 408 N FLOURNOY RD 
Other Locations:  
MOS Codes: 290X,46AX,46FX,46NX,46PX,46SX,46YX,66B,66C,66E,66F,66G,66H,66P,66R,66S,66T,66W,68C,68Z 
 
 
 

Brief Job Description:

The LVN I will work under the direction and supervision of the nurse supervisor to provide comprehensive public health nursing services throughout Region 11. 

Responsibilities include but are not limited to coordinate services to perform immunization and surveillance duties as assigned. Perform moderate and complex nursing tasks and public health work.  Administer vaccines to infants, children and adults under the DSHS guidelines and nursing standards in compliance with policies and procedures. Responsible for ensuring proper storage, handling, and inventory of the vaccines. Collect data for surveillance investigations and submit reports for vaccine preventable diseases. Have knowledge of medications, vaccines, side effects, adverse reactions and techniques of administering medications. Complete documentation and data entry daily. Conduct in-services and orientations for TVFC providers, as needed. Provides comprehensive nursing care in coordination with TB, CHI, and STD programs. Maintain an acceptable driving record that meets the standards developed by the Texas Department of Public Safety (DPS) and safely operate either a state-owned vehicle or personal vehicle to conduct state business in accordance with DSHS Policy OS-3901, Fleet Operations and Management & Procedures, and Texas motor vehicle, traffic and driving licensing law. May be required to work other than normal business hours to respond to public health emergencies, disease outbreaks, health fairs, screenings, and meetings/trainings. Actively participate and/or serve in a supporting role to meet the agency’s obligations for disaster response and/or recovery or Continuity of Operations (COOP) activation. 

Attends work on a regular and predictable schedule in accordance with agency leave policy and performs other duties as assigned.

Note: Military occupation(s) that relate to the initial selection criteria and registration or licensure requirements for this position may include, but not limited to: 68B, 46NX. 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.  

Essential Job Functions (EJFs):

(45%) Client Services

Provides public health nursing services to clients with a range of simple to complex health needs in Region 11. Will conduct and coordinate immunization clinics for under immunized infants, children, and adults in the undeserved communities. Works in a clinical setting and travels to administer vaccines according to DSHS guidelines. Makes home visits as necessary. Follows requirements for eligibility, vaccine administration, documentation, and confidentiality. Responsible for administration of vaccines and medications. Conducts appropriate screening tests. Collects specimens for laboratory examination and performs routine laboratory tests on samples. Completes reports and documentation in accordance with nursing practices. Documents appropriately in electronic health record.

(15%) CONSUMER INFORMATION:

Travels to coordinate and participate in activities to inform, educate, and motivate the public in English and Spanish about the importance and safety of immunizations, community health improvement concerns, and sexually transmitted disease prevention. Distributes and ensures patient understanding of the Vaccine Information Statement (VIS) which inform the parents and recipients about the risks and benefits of vaccines. Distributes child fatality prevention education, and community health improvement education, including sexual health information and sexual transmitted infection prevention

(20%) VACCINE & REGISTRY MANAGEMENT

Complies with vaccine management guidelines.  Responsible for assuring the proper handling and storage of vaccine.  Maintains accurate vaccine inventory and temperature logs for the refrigerator and freezer. May be activated after hours, including weekends and holidays, in response to temperature excursion notification Sensaphone System on refrigerator and/or freezer vaccine storage units. Transfers vaccines as needed, completes biological report, and maintains accurate documentation on VAOS, IMMTRAC2, and PIOS. Updates Immunization registry information in the system to ensure at least 95% of children under 6 years of age are in the registry.  Promotes IMMTRAC2 among parents and providers.  Assists to reconcile questionable matches in IMMTRAC2.

(10%) COORDINATION OF SERVICES:

Coordinates with TB, STD, and CHI programs to provide comprehensive care to the clients in the community. Assist with direct observation therapy when needed. Offers point of care STD testing to clients at risk. Collects and submits specimen for positive POC STD test to central lab. Provides community on child fatality prevention education and regular contributes to DSHS newsletter. Works with CHI to promote car seats, swim safety, bully prevention, suicide prevention, and healthy plate education.

(5%) SURVEILLANCE:

Regularly, uses epidemiological data to inform their community of VPD diseases affecting the surrounding counties. In an event of an outbreak, or as need arises, applies epidemiological principals and methods to assess, prevent and control disease. Investigates and documents suspected Vaccine Preventable Disease cases in the community in accordance with the DSHS Surveillance Manual during outbreaks.  Assists with Perinatal Hepatitis B case investigations during outbreaks throughout Region 11.

(5%) Other Duties:

 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. Clinical staff should be up-to-date with recommended vaccines, to safely respond in emergency situations & avoid community transmission with services. Clinical staff should be fitted for respiratory mask (e.g., respirator, N-95) to manage infectious situations.

Knowledge, Skills and Abilities (KSAs):

Knowledge of Standards of Immunization practices for children, adolescents, and adults.

Knowledge of school immunization requirements.

Knowledge of the TVFC/ASN programs and ImmTrac2.

Knowledge of medical terminology.

Knowledge of office practices administrative practices.

Knowledge of English, spelling and writing.

knowledge in ordering and purchasing, maintenance of receipt book.

Knowledge of HIPPA and confidentiality rules.

Knowledge of record retention and record destruction

Skill in utilizing computer programs including Outlook, Word, PowerPoint, and Excel and Internet.

Ability to interpret immunization schedule, policies and procedures.

Ability to maintain confidentiality of records and information, along with data entry of files.

Ability to work harmoniously with co-workers, supervisors and the public & resolve conflict.

Ability to function independently, ensure completion of job duties, problem solve, and exercise.

professional judgment.

Ability to attend work on a regular and predicable schedule. May be required to work nights and

weekends.

Ability to travel and must have reliable transportation.

Knowledge of school immunization requirements.

Knowledge of the TVFC/ASN programs and ImmTrac2.

Knowledge of medical terminology.

Knowledge of office practices administrative practices.

Knowledge of English, spelling and writing.

knowledge in ordering and purchasing, maintenance of receipt book.

Knowledge of HIPPA and confidentiality rules.

Knowledge of record retention and record destruction

Skill in utilizing computer programs including Outlook, Word, PowerPoint, and Excel and Internet.

Ability to interpret immunization schedule, policies and procedures.

Ability to maintain confidentiality of records and information, along with data entry of files.

Ability to work harmoniously with co-workers, supervisors and the public & resolve conflict.

Ability to function independently, ensure completion of job duties, problem solve, and exercise

professional judgment.

Ability to attend work on a regular and predicable schedule. May be required to work nights and

weekends.

Ability to travel and must have reliable transportation.

Ability to adhere to DSHS Universal Expectations, Guiding Principles, Code of Ethics, and Standards

of Conduct.

Ability to communicate effectively and ability to present information, trainings, & presentations to the public.

Ability to understand and speak Spanish.

Ability to work effectively with supervisor, co-workers, medical professionals, and the general public in individual or joint projects.

Knowledge and skills organizing meetings between several individuals, departments or organizations.

Knowledge and skills to coordinate travel arrangements.

Ability and skills to analyze data and prepare a written report.

Ability to think critically to solve problems and respond during emergency situations.

Ability to type a minimal of 30 words per minute.

Registrations, Licensure Requirements or Certifications:

Current Texas Vocational Nurse License, in good standing

Licensure Current BLS/CPR Certification

Requirements or must have a valid Class C Texas driver’s license or equivalent licenses from another state

Initial Screening Criteria:

Bilingual English/Spanish speaking.

Willing to travel 35% of time (30 % day & 5% night).

Additional Information:

Clinical teams are involved in response, therefore specific vaccines may be requested to prevent transmission of illness. Additionally, clinical staff will be fitted for respiratory protection (e.g., N95, respirator mask) & should be able to perform duties with protection.

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