Healthcare Jobs at Texas Health and Human Services Commission with Visa Sponsorship
Healthcare jobs at Texas Health and Human Services Commission span clinical, behavioral health, and public health roles throughout Texas. For Healthcare professionals on a work visa, the agency has an established path for H-1B visa sponsorship, making it a viable target if your specialty aligns with state public health priorities.
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Get Access To All JobsJoin 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: Nurse I
Job Title: Nurse I
Agency: Health & Human Services Comm
Department: CCSE Region 04 SPMP Nurses
Posting Number: 19806
Closing Date: 08/20/2026
Posting Audience: Internal and External
Occupational Category: Healthcare Practitioners and Technical
Salary Range: $4,263.16 - $6,779.25
Pay Frequency: Monthly
Salary Group: TEXAS-B-20
Shift: Day
Additional Shift: Days (First)
Telework: Eligible for Telework
Travel: Up to 50%
Regular/Temporary: Regular
Full Time/Part Time: Full time
FLSA Exempt/Non-Exempt: Exempt
Facility Location:
Job Location City: TYLER
Job Location Address: 3303 MINEOLA HWY
Other Locations: Athens; Austin; Beaumont; Canton; Del Rio; Harlingen; Henderson; Jacksonville; Jasper; Linden; Livingston; Longview; Lufkin; Lumberton; Marshall; Mineola; Nacogdoches; New Boston; Palestine; Paris; Pittsburg; Port Arthur; Quitman; Rusk; San Benito; Texarkana; Tyler; Uvalde; Waco
MOS Codes: 290X, 46AX, 46FX, 46NX, 46PX, 46SX, 46YX, 66B, 66C, 66E, 66F, 66G, 66H, 66N, 66P, 66R, 66S, 66T, 66W
Job Description:
Nurse I: Reviews required paperwork and documents to approve or deny Community Attendant Services (CAS) and Day Activity/Health Services (DAHS). Conducts reviews and authorizes CAS services annually.
Participates in Interdisciplinary Team meetings with Health and Human Services Commission (HHSC) Community Care Services Eligibility (CCSE) case workers to resolve issues for HHS clients when needed, and to determine if services are appropriate based on program criteria. Maintains confidentiality of all incoming and outgoing information. Understands and adheres to all HHSC and CCSE policies and procedures. Provides outstanding customer service in person, over the telephone and via e-mail. Maintains a positive and productive attitude while working in a fast-paced, high-volume environment. Functions as an advocate to the participant and acts as a liaison to other providers of services. May participate in HHSC fair hearings process related to the delivery of services to participants.
Essential Job Functions:
Attends work on a regular and predictable schedule in accordance with Agency leave policy and performs other duties as assigned. Be familiar with and follow all HHS policies and procedures relating to job performance and work rules. Reviews required paperwork and documents for accuracy and completeness to approve or deny CAS and DAHS. Ensures information and documentation provided to CCSE staff and contracted agencies are accurate, appropriate and presented in a professional manner. Documents information manually on patient records and data enters patient information into multiple automated systems. Reviews, completes and finalizes authorization of services in an automated system, timely and accurately. Verifies client information and performs data entry into automated systems that includes Service Authorization System Online (SASO) and multiple SharePoint sites. Completes special assignments and reports, as assigned.
Registrations, Licensure Requirements or Certifications:
Must have a valid Texas license as a Registered Nurse or licensed in a state that recognizes reciprocity through the Nurse License Compact Act.
Knowledge Skills Abilities:
Knowledge of professional nursing techniques, procedures and standards. Knowledge of CCSE program services policies and service delivery processes, preferred. Knowledge of International Statistical Classification of Diseases, Tenth Revision (ICD10) medical diagnoses and corresponding ICD10 coding. Knowledge of medical issues related to people with disabilities/geriatric and special needs. Proficient with Microsoft Outlook and other Microsoft Office products. Experience in functioning as an advocate and as a resource for contracted service providers and co-workers. Skill in organizing workloads; skill in setting priorities and being able to effectively handle multiple responsibilities.
Initial Screening Criteria:
- Submitted application must be complete.
- Submitted application indicates applicant is currently licensed as a Registered Nurse (RN).
- Submitted application indicates applicant has a minimum of two years professional working experience as an RN.
Review our Tips for Success when applying for jobs at DFPS, DSHS and HHSC.
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 to fill this position. For more information please see the Texas State Auditor’s Job Descriptions, Military Crosswalk and Military Crosswalk Guide at Texas State Auditor's Office - Job Descriptions.
ADA Accommodations:
In compliance with the Americans with Disabilities Act (ADA), HHSC and DSHS 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.
Pre-Employment Checks and Work Eligibility:
Depending on the program area and position requirements, applicants selected for hire may be required to pass background and other due diligence checks.
HHSC uses E-Verify. You must bring your I-9 documentation with you on your first day of work. Download the I-9 Form.
Telework Disclaimer:
This position may be eligible for telework. Please note, all HHS positions are subject to state and agency telework policies in addition to the discretion of the direct supervisor and business needs.
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: Nurse I
Job Title: Nurse I
Agency: Health & Human Services Comm
Department: CCSE Region 04 SPMP Nurses
Posting Number: 19806
Closing Date: 08/20/2026
Posting Audience: Internal and External
Occupational Category: Healthcare Practitioners and Technical
Salary Range: $4,263.16 - $6,779.25
Pay Frequency: Monthly
Salary Group: TEXAS-B-20
Shift: Day
Additional Shift: Days (First)
Telework: Eligible for Telework
Travel: Up to 50%
Regular/Temporary: Regular
Full Time/Part Time: Full time
FLSA Exempt/Non-Exempt: Exempt
Facility Location:
Job Location City: TYLER
Job Location Address: 3303 MINEOLA HWY
Other Locations: Athens; Austin; Beaumont; Canton; Del Rio; Harlingen; Henderson; Jacksonville; Jasper; Linden; Livingston; Longview; Lufkin; Lumberton; Marshall; Mineola; Nacogdoches; New Boston; Palestine; Paris; Pittsburg; Port Arthur; Quitman; Rusk; San Benito; Texarkana; Tyler; Uvalde; Waco
MOS Codes: 290X, 46AX, 46FX, 46NX, 46PX, 46SX, 46YX, 66B, 66C, 66E, 66F, 66G, 66H, 66N, 66P, 66R, 66S, 66T, 66W
Job Description:
Nurse I: Reviews required paperwork and documents to approve or deny Community Attendant Services (CAS) and Day Activity/Health Services (DAHS). Conducts reviews and authorizes CAS services annually.
Participates in Interdisciplinary Team meetings with Health and Human Services Commission (HHSC) Community Care Services Eligibility (CCSE) case workers to resolve issues for HHS clients when needed, and to determine if services are appropriate based on program criteria. Maintains confidentiality of all incoming and outgoing information. Understands and adheres to all HHSC and CCSE policies and procedures. Provides outstanding customer service in person, over the telephone and via e-mail. Maintains a positive and productive attitude while working in a fast-paced, high-volume environment. Functions as an advocate to the participant and acts as a liaison to other providers of services. May participate in HHSC fair hearings process related to the delivery of services to participants.
Essential Job Functions:
Attends work on a regular and predictable schedule in accordance with Agency leave policy and performs other duties as assigned. Be familiar with and follow all HHS policies and procedures relating to job performance and work rules. Reviews required paperwork and documents for accuracy and completeness to approve or deny CAS and DAHS. Ensures information and documentation provided to CCSE staff and contracted agencies are accurate, appropriate and presented in a professional manner. Documents information manually on patient records and data enters patient information into multiple automated systems. Reviews, completes and finalizes authorization of services in an automated system, timely and accurately. Verifies client information and performs data entry into automated systems that includes Service Authorization System Online (SASO) and multiple SharePoint sites. Completes special assignments and reports, as assigned.
Registrations, Licensure Requirements or Certifications:
Must have a valid Texas license as a Registered Nurse or licensed in a state that recognizes reciprocity through the Nurse License Compact Act.
Knowledge Skills Abilities:
Knowledge of professional nursing techniques, procedures and standards. Knowledge of CCSE program services policies and service delivery processes, preferred. Knowledge of International Statistical Classification of Diseases, Tenth Revision (ICD10) medical diagnoses and corresponding ICD10 coding. Knowledge of medical issues related to people with disabilities/geriatric and special needs. Proficient with Microsoft Outlook and other Microsoft Office products. Experience in functioning as an advocate and as a resource for contracted service providers and co-workers. Skill in organizing workloads; skill in setting priorities and being able to effectively handle multiple responsibilities.
Initial Screening Criteria:
- Submitted application must be complete.
- Submitted application indicates applicant is currently licensed as a Registered Nurse (RN).
- Submitted application indicates applicant has a minimum of two years professional working experience as an RN.
Review our Tips for Success when applying for jobs at DFPS, DSHS and HHSC.
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 to fill this position. For more information please see the Texas State Auditor’s Job Descriptions, Military Crosswalk and Military Crosswalk Guide at Texas State Auditor's Office - Job Descriptions.
ADA Accommodations:
In compliance with the Americans with Disabilities Act (ADA), HHSC and DSHS 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.
Pre-Employment Checks and Work Eligibility:
Depending on the program area and position requirements, applicants selected for hire may be required to pass background and other due diligence checks.
HHSC uses E-Verify. You must bring your I-9 documentation with you on your first day of work. Download the I-9 Form.
Telework Disclaimer:
This position may be eligible for telework. Please note, all HHS positions are subject to state and agency telework policies in addition to the discretion of the direct supervisor and business needs.
Tips for Finding Healthcare Jobs at Texas Health and Human Services Commission
Align Your Credentials With Texas Licensure Requirements
Texas has its own licensing boards for physicians, nurses, and allied health professionals. Before applying, verify your credentials meet Texas Medical Board or relevant state board requirements, since HHSC positions typically require active Texas licensure or eligibility at time of offer.
Target Roles in Underserved Program Areas
HHSC consistently recruits for behavioral health, public health, and Medicaid program roles serving underserved populations. These shortage-area positions tend to have stronger internal justification for H-1B sponsorship compared to administrative or generalist Healthcare postings.
Research HHSC Positions Through Migrate Mate
HHSC posts open Healthcare roles across dozens of Texas offices and program divisions. Use Migrate Mate to filter active openings by visa sponsorship track record, so you're targeting positions where sponsorship has actually moved forward for Healthcare candidates.
Understand the State Agency H-1B Filing Process
As a state government entity, HHSC is exempt from the H-1B cap, meaning your petition doesn't enter the annual lottery. This matters for your timeline: a cap-exempt employer can file with USCIS year-round, so you're not locked to the April registration window.
Request a Written Sponsorship Commitment Early
During offer negotiations, ask HR directly whether the position budget includes H-1B filing fees and legal counsel. State agencies have procurement rules that affect how attorney costs are handled, so clarifying this before signing protects you from unexpected out-of-pocket costs.
Prepare a Specialty Occupation Evidence File in Advance
USCIS scrutinizes whether Healthcare roles at government agencies qualify as specialty occupations. Gather your transcripts, license certificates, and a detailed job duty breakdown before your offer letter arrives so your employer's attorney can move quickly on the I-129 petition.
Frequently Asked Questions
Does Texas Health and Human Services Commission sponsor H-1B visas for Healthcares?
Yes, Texas Health and Human Services Commission does sponsor H-1B visas for qualifying Healthcare roles. As a state government agency, HHSC is cap-exempt, meaning petitions aren't subject to the annual H-1B lottery and can be filed at any point during the year. Sponsorship decisions are made at the position level, so whether a specific role qualifies depends on the job duties and your credentials.
How do I apply for Healthcare jobs at Texas Health and Human Services Commission?
Healthcare positions at HHSC are posted through the Texas state government jobs portal. You'll create a CAPPS Recruit profile, submit your application, and go through a structured interview process that often includes a panel review. For roles requiring licensure, you'll need to confirm active Texas credentials or documented eligibility. Migrate Mate also surfaces HHSC Healthcare openings filtered by visa sponsorship history, which can help you prioritize where to apply.
Which visa types does Texas Health and Human Services Commission use for Healthcare roles?
The H-1B is the primary visa category HHSC uses for Healthcare professionals in specialty occupation roles, including physicians, clinical psychologists, and certain allied health positions. Because HHSC is a state government employer, it qualifies as a cap-exempt H-1B sponsor. Other visa categories like TN visa or O-1 visa are possible depending on your nationality and credentials, but H-1B is the most commonly pursued path for this employer.
What qualifications does HHSC typically expect for Healthcare roles with sponsorship?
HHSC generally requires a relevant bachelor's degree at minimum, though most clinical and behavioral health roles require a master's degree, doctoral degree, or professional license. Active Texas licensure is commonly required at the time of hire rather than at offer. Roles focused on Medicaid programs, community mental health, or public health initiatives often carry the clearest sponsorship precedent because the specialty occupation standard is easier to document.
How long does the H-1B process typically take once HHSC extends an offer?
After an offer, your employer's legal team files a Labor Condition Application with DOL, which typically takes seven business days. The I-129 petition is then filed with USCIS, with standard processing running three to six months. Since HHSC is cap-exempt, there's no lottery wait. Premium processing is available through USCIS for a faster decision if your start date is time-sensitive.