Salary Group B21

Class No. 4412



Performs complex (journey-level) nursing work. Work involves providing for the assessment, care, and treatment of patients. Work may include serving as a resource on nursing practices and education programs by performing consultative and administrative work. May train others. Works under general supervision, with moderate latitude for the use of initiative and independent judgment.


Administers medication, immunizations, and treatment, and observes patients for unusual symptoms and reactions.

Conducts physical, developmental, and psychosocial assessments to determine eligibility for health services.

Coordinates community outreach and health education presentations.

Evaluates nursing services through the analysis of statistical studies and performance evaluation reports.

Implements and monitors case management service plans.

Instructs, counsels, and assists patients in meeting their health care needs.

Makes hospital rounds or home visits.

Participates in quality assurance programs and processes.

Prepares, maintains, and reviews patient records, program reports, and patient assessments.

Assists in developing in-service training and educational programs.

May provide consultation, training, and technical assistance to agency staff, care recipients, provider agencies, and the medical community.

May conduct inspections, certifications, surveys, and investigations of health care facilities to determine compliance with state and federal laws, regulations, and rules.

May serve as a resource on nursing practices and education programs by performing consultative and administrative work.

May train others.

Performs related work as assigned.


Experience and Education

Experience in nursing work. Graduation from an accredited four-year college or university with major coursework in nursing or from an accredited nursing program is generally preferred. Experience and education may be substituted for one another.

Knowledge, Skills, and Abilities

Knowledge of nursing techniques and procedures; of health care laws and regulations; of medical diagnoses and procedures; of accepted medical treatment programs; and of community health and nursing care principles, practices, and procedures.

Skill in the care and treatment of patients, and in the operation of computers and applicable computer software.

Ability to provide patient care, to prepare and maintain records, to explain public health laws, to recognize patterns of medical necessity treatment, to communicate effectively, and to train others.

Registration, Certification, and Licensure

Must be registered as a registered nurse in the State of Texas or a state that recognizes reciprocity through the Nurse Licensure Compact.

State Auditor’s Office

Reviewed 9-1-17