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: Licensed Vocational Nurse II
Job Title: Licensed Vocational Nurse II
Agency: Health & Human Services Comm
Department: Cottages - Nursing
Posting Number: 17957
Closing Date: 08/14/2026
Posting Audience: Internal and External
Occupational Category: Healthcare Support
Salary Range: $4,548.00 - $5,921.16
Pay Frequency: Monthly
Salary Group: TEXAS-A-18
Shift: Evening
Additional Shift: Days (First); Evenings (Second); Nights (Third)
Telework: Not Eligible for Telework
Travel: Up to 5%
Regular/Temporary: Regular
Full Time/Part Time: Full time
FLSA Exempt/Non-Exempt: Nonexempt
Facility Location: Brenham State Supported Living Center
Job Location City: BRENHAM
Job Location Address: 4001 S HWY 36
Other Locations:
MOS Codes: 290X,46AX,46FX,46NX,46PX,46SX,46YX,66B,66C,66E,66F,66G,66H,66N,66P,66R,66S,66T,66W,68C,68Z
Brief Job Description:
This position is available for Morning, Evening and Night shifts on multiple homes.
This position may be eligible to earn additional pay for work performed on evenings, nights and/or weekends.
MSP statement: This position may also be eligible to earn additional pay for work performed on maximum security locations.
Come work in an environment where we truly value and respect those we serve and believe in the mission that all people can achieve a higher level of wellness and independence.
The state supported living centers serve people with intellectual and developmental disabilities who are medically fragile or who have behavioral problems. The centers provide campus-based direct services and supports at 13 centers located throughout the state. Learn About Our State Supported Living Centers
If you are looking for a place to work where you can establish a career that is filled with purpose, this is the job for you!
Free CEUs and updated resources through Lippincott access for all nurses.
Performs highly complex vocational nursing work. Provides for the care, treatment, and general welfare of individuals residing at the SSLC who have complex medical, mental health and/or behavioral health issues. Performs basic and complex routine and non-routine nursing tasks to promote the health of the individuals within the assigned areas and assigned shift. Collects specimens for lab work and performs health screenings. Instructs direct support professionals and other staff on how to provide service and care that support the individual’s medical needs. Performs technical nursing procedures according to facility and state regulations. Keeps informed of and follows all agency, SSLC, and unit/home policies and procedures. Provides direction and assists with on-the-job training to others such as newly hired LVNs and direct care staff. Assists Registered Nurses (RNs) with implementation of protocols, procedures and programs to improve overall health and safety of staff and individuals. Works under general supervision of an RN with moderate latitude for the use of initiative and independent judgment.
Essential Job Functions (EJFs):
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. May serve in an on-call status on a rotating schedule as required to meet operational needs of the facility.
Administers medications and treatments orally, rectally, internally, or by injection. Assists other medical staff, such as Registered Nurses (RNs), Physicians, Advanced Practice Registered Nurses and Physician Assistants, in examining and caring for patients. Makes rounds and/or home visits as needed and works in other locations at the SSLC as needed. Demonstrates competency in performing complex technical nursing tasks and procedures in accordance with HHSC, SSLC and state regulations. Trains/instructs new LVN staff to perform nursing functions at the SSLC, including acclimating them to the individuals, and describing their needs and preferences.
Performs complex and technical nursing procedures according to facility and state regulations such as tracheostomy care, gastrostomy/jejunostomy care, wound care, breathing treatments. Collects specimens for laboratory examination and conducts appropriate screening tests when requested by lab personnel.
Monitors individuals’ weight, diet, feedings, and vital signs. Monitors individuals’ health status after treatments and procedures. Instructs direct support professionals on how to monitor individuals after a treatment or procedure using instruction sheets such as that used for post-sedation monitoring of signs and symptoms.
Timely and accurately documents and reports pertinent treatments and observations in the individual’s medical record (electronic health record or paper chart) in accordance with SSLC procedures and protocols. Recognize symptoms of illness and reports accurately to RN and/or Primary Care Provider.
Fosters interdisciplinary collaboration and integration. Communicates pertinent information orally and in writing to other team members, such as the RN Case Manager, in order to ensure the treatment team has the best information possible to make decisions.
Serves as a resource/mentor for new LVNs. Assists the RN Supervisor with on-the-job nursing instruction and training of other new LVNs.
Assists RNs with implementation of protocols, procedures, and programs to improve overall health and safety of staff and individuals. Assists the Infection Control Nurse by implementing measures that prevent the spread of disease, assists the QA Nurse in developing and implementing quality assurance programs, and assists in the implementation of therapeutic nursing programs. Collects data for RN/Primary Care Provider.
Provides information and education to individuals, in accordance with their care plan, when performing procedures and treatments such as explaining the name and purpose of a particular medication and explaining why the individuals is taking the medication.
Ensures the individual is positioned correctly prior to providing a treatment and, when necessary, assists or instructs other staff in turning/repositioning individuals to administer treatments.
Ensures that supplies are available, in advance, to provide the required procedure or treatment. Takes inventory and ensures the home/unit is properly stocked. Orders supplies through appropriate channels when they are needed.
Responds to emergency situations to ensure safety of individuals. Follows safety and infection control procedures of the SSLC.
Performs other duties as assigned such as working in the clinic or lab, assisting with patient scheduling, and/or accompanying individuals off site for activities or appointments that need nursing attendance.
Provide treatment to HHS employees injured in courses and scope of employment.
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 and Abilities (KSAs):
-
Knowledge of nursing care standards, nursing procedures and techniques, and of the principles and processes used in providing appropriate patient care.
-
Knowledge of emergency procedures and emergency equipment, i.e., CPR, and ability to assess and care for residents and/or staff members in emergency situations.
-
Skills in using reasoning to identify problems and in considering appropriate resolution of situations.
-
Skill in the operation of computers and applicable computer software.
-
Skill in the care and treatment of patients.
-
Ability to provide patient care to a wide variety of individuals with complex medical, mental health, and/or behavioral health issues.
-
Ability to prepare and maintain records and to use an electronic health record system once trained.
-
Ability to communicate effectively and to instruct others.
-
Ability to appropriately interact with individuals with intellectual/developmental disabilities, with their family members, and with staff members.
Must maintain current CPR certification. Must have strength and flexibility to safely perform Cardiopulmonary Resuscitation (CPR).
Registrations, Licensure Requirements or Certifications:
Must maintain current CPR certification.
Licensed to practice as a licensed vocation nurse in the state of Texas or a state that recognizes reciprocity through the Nurse Licensure Compact.
Or
Issued a temporary permit to perform supervised nursing duties awaiting licensure.
Initial Screening Criteria:
-
Graduation from a LVN program.
-
Prior employment experience as an LVN is preferred.
-
Experience working or volunteering directly with persons with intellectual disabilities or other developmental disabilities is preferred.
-
Experience using an electronic health record system is preferred.
Additional Information:
Applicants must pass a fingerprint criminal background check, pre-employment drug screen, and registry checks including the Client Abuse/Neglect Reporting System (CANRS), Nurse Aide, Medication Aide and Employee Misconduct and HHS List of Excluded Individuals/Entities (LEIE).
Males between the ages of 18 – 25 must be registered with the Selective Service.
All State Supported Living Center Employees are subject to Random Drug Testing.
Flexibility in work hours may be required for this position. The position may be required to work overtime and/or extended hours. Must be willing to work weekends and holidays.
All applicants must be at least 18 years of age to be considered for employment at a state-operated facility.
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: Licensed Vocational Nurse II
Job Title: Licensed Vocational Nurse II
Agency: Health & Human Services Comm
Department: Cottages - Nursing
Posting Number: 17957
Closing Date: 08/14/2026
Posting Audience: Internal and External
Occupational Category: Healthcare Support
Salary Range: $4,548.00 - $5,921.16
Pay Frequency: Monthly
Salary Group: TEXAS-A-18
Shift: Evening
Additional Shift: Days (First); Evenings (Second); Nights (Third)
Telework: Not Eligible for Telework
Travel: Up to 5%
Regular/Temporary: Regular
Full Time/Part Time: Full time
FLSA Exempt/Non-Exempt: Nonexempt
Facility Location: Brenham State Supported Living Center
Job Location City: BRENHAM
Job Location Address: 4001 S HWY 36
Other Locations:
MOS Codes: 290X,46AX,46FX,46NX,46PX,46SX,46YX,66B,66C,66E,66F,66G,66H,66N,66P,66R,66S,66T,66W,68C,68Z
Brief Job Description:
This position is available for Morning, Evening and Night shifts on multiple homes.
This position may be eligible to earn additional pay for work performed on evenings, nights and/or weekends.
MSP statement: This position may also be eligible to earn additional pay for work performed on maximum security locations.
Come work in an environment where we truly value and respect those we serve and believe in the mission that all people can achieve a higher level of wellness and independence.
The state supported living centers serve people with intellectual and developmental disabilities who are medically fragile or who have behavioral problems. The centers provide campus-based direct services and supports at 13 centers located throughout the state. Learn About Our State Supported Living Centers
If you are looking for a place to work where you can establish a career that is filled with purpose, this is the job for you!
Free CEUs and updated resources through Lippincott access for all nurses.
Performs highly complex vocational nursing work. Provides for the care, treatment, and general welfare of individuals residing at the SSLC who have complex medical, mental health and/or behavioral health issues. Performs basic and complex routine and non-routine nursing tasks to promote the health of the individuals within the assigned areas and assigned shift. Collects specimens for lab work and performs health screenings. Instructs direct support professionals and other staff on how to provide service and care that support the individual’s medical needs. Performs technical nursing procedures according to facility and state regulations. Keeps informed of and follows all agency, SSLC, and unit/home policies and procedures. Provides direction and assists with on-the-job training to others such as newly hired LVNs and direct care staff. Assists Registered Nurses (RNs) with implementation of protocols, procedures and programs to improve overall health and safety of staff and individuals. Works under general supervision of an RN with moderate latitude for the use of initiative and independent judgment.
Essential Job Functions (EJFs):
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. May serve in an on-call status on a rotating schedule as required to meet operational needs of the facility.
Administers medications and treatments orally, rectally, internally, or by injection. Assists other medical staff, such as Registered Nurses (RNs), Physicians, Advanced Practice Registered Nurses and Physician Assistants, in examining and caring for patients. Makes rounds and/or home visits as needed and works in other locations at the SSLC as needed. Demonstrates competency in performing complex technical nursing tasks and procedures in accordance with HHSC, SSLC and state regulations. Trains/instructs new LVN staff to perform nursing functions at the SSLC, including acclimating them to the individuals, and describing their needs and preferences.
Performs complex and technical nursing procedures according to facility and state regulations such as tracheostomy care, gastrostomy/jejunostomy care, wound care, breathing treatments. Collects specimens for laboratory examination and conducts appropriate screening tests when requested by lab personnel.
Monitors individuals’ weight, diet, feedings, and vital signs. Monitors individuals’ health status after treatments and procedures. Instructs direct support professionals on how to monitor individuals after a treatment or procedure using instruction sheets such as that used for post-sedation monitoring of signs and symptoms.
Timely and accurately documents and reports pertinent treatments and observations in the individual’s medical record (electronic health record or paper chart) in accordance with SSLC procedures and protocols. Recognize symptoms of illness and reports accurately to RN and/or Primary Care Provider.
Fosters interdisciplinary collaboration and integration. Communicates pertinent information orally and in writing to other team members, such as the RN Case Manager, in order to ensure the treatment team has the best information possible to make decisions.
Serves as a resource/mentor for new LVNs. Assists the RN Supervisor with on-the-job nursing instruction and training of other new LVNs.
Assists RNs with implementation of protocols, procedures, and programs to improve overall health and safety of staff and individuals. Assists the Infection Control Nurse by implementing measures that prevent the spread of disease, assists the QA Nurse in developing and implementing quality assurance programs, and assists in the implementation of therapeutic nursing programs. Collects data for RN/Primary Care Provider.
Provides information and education to individuals, in accordance with their care plan, when performing procedures and treatments such as explaining the name and purpose of a particular medication and explaining why the individuals is taking the medication.
Ensures the individual is positioned correctly prior to providing a treatment and, when necessary, assists or instructs other staff in turning/repositioning individuals to administer treatments.
Ensures that supplies are available, in advance, to provide the required procedure or treatment. Takes inventory and ensures the home/unit is properly stocked. Orders supplies through appropriate channels when they are needed.
Responds to emergency situations to ensure safety of individuals. Follows safety and infection control procedures of the SSLC.
Performs other duties as assigned such as working in the clinic or lab, assisting with patient scheduling, and/or accompanying individuals off site for activities or appointments that need nursing attendance.
Provide treatment to HHS employees injured in courses and scope of employment.
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 and Abilities (KSAs):
-
Knowledge of nursing care standards, nursing procedures and techniques, and of the principles and processes used in providing appropriate patient care.
-
Knowledge of emergency procedures and emergency equipment, i.e., CPR, and ability to assess and care for residents and/or staff members in emergency situations.
-
Skills in using reasoning to identify problems and in considering appropriate resolution of situations.
-
Skill in the operation of computers and applicable computer software.
-
Skill in the care and treatment of patients.
-
Ability to provide patient care to a wide variety of individuals with complex medical, mental health, and/or behavioral health issues.
-
Ability to prepare and maintain records and to use an electronic health record system once trained.
-
Ability to communicate effectively and to instruct others.
-
Ability to appropriately interact with individuals with intellectual/developmental disabilities, with their family members, and with staff members.
Must maintain current CPR certification. Must have strength and flexibility to safely perform Cardiopulmonary Resuscitation (CPR).
Registrations, Licensure Requirements or Certifications:
Must maintain current CPR certification.
Licensed to practice as a licensed vocation nurse in the state of Texas or a state that recognizes reciprocity through the Nurse Licensure Compact.
Or
Issued a temporary permit to perform supervised nursing duties awaiting licensure.
Initial Screening Criteria:
-
Graduation from a LVN program.
-
Prior employment experience as an LVN is preferred.
-
Experience working or volunteering directly with persons with intellectual disabilities or other developmental disabilities is preferred.
-
Experience using an electronic health record system is preferred.
Additional Information:
Applicants must pass a fingerprint criminal background check, pre-employment drug screen, and registry checks including the Client Abuse/Neglect Reporting System (CANRS), Nurse Aide, Medication Aide and Employee Misconduct and HHS List of Excluded Individuals/Entities (LEIE).
Males between the ages of 18 – 25 must be registered with the Selective Service.
All State Supported Living Center Employees are subject to Random Drug Testing.
Flexibility in work hours may be required for this position. The position may be required to work overtime and/or extended hours. Must be willing to work weekends and holidays.
All applicants must be at least 18 years of age to be considered for employment at a state-operated facility.
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.