Salary Group B25

Class No. 4414



Performs highly advanced and/or supervisory (senior-level) nursing work. Work involves planning, developing, coordinating, and evaluating nursing activities and providing for the 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 plan, assign, and/or supervise the work of others. Works under minimal supervision, with extensive latitude for the use of initiative and independent judgment.


Oversees and/or conducts inspections, certifications, surveys, and investigations of health care facilities or education programs to determine compliance with state and federal laws, regulations, and rules.

Oversees and evaluates nursing activities and makes recommendations for improvements.

Oversees and evaluates quality assurance programs and processes.

Administers or oversees the administration of 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.

Develops and evaluates in-service training and educational programs.

Develops, reviews, revises, and explains health care program policies and procedures.

Evaluates case management service plans.

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

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

Makes hospital rounds to ensure that prescribed methods and procedures are followed.

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

Reviews medical records and patient assessments to determine compliance with policies and procedures, correctness of assessment, standards of care, and quality of service.

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

Assists in developing guidelines to promote compliance with health-related laws, rules, and regulations.

May visit settings for clinical learning experiences.

May plan, assign, and/or supervise the work of 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; of community health and nursing care principles, practices, and procedures; of program regulations and procedures; and of utilization review and control measures.

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 organize, coordinate, and evaluate nursing activities and delivery of public health services; to interpret policies and procedures; to interpret health care regulations; to recognize patterns of medical necessity treatment; to communicate effectively; and to plan, assign, and/or supervise the work of 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