Nursing Jobs at Texas Health and Human Services Commission with Visa Sponsorship
Nursing jobs at Texas Health and Human Services Commission span clinical, public health, and case management functions throughout Texas state facilities. For international nursing candidates, the agency has an established path for H-1B visa sponsorship, making it a viable target if you hold the right licensure and specialty credentials.
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INTRODUCTION
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: Nursing Services Staffing Coordinator
Job Title: Administrative Asst III
Agency: Health & Human Services Comm
Department: Residential Care Supervisor H
Posting Number: 19132
Closing Date: 08/07/2026
Posting Audience: Internal and External
Occupational Category: Healthcare Support
Salary Range: $3,101.00 - $4,365.66
Pay Frequency: Monthly
Salary Group: TEXAS-A-13
Shift: Day
Additional Shift: Days (First)
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: Terrell State Hospital
Job Location City: TERRELL
Job Location Address: 1200 E BRIN
Other Locations:
MOS Codes: 0100,0111,0170,3372,3381,4430,6046,15P,3F5X1,420A,42A,56M,68G,741X,8A200,AZ,LS,LSS,MC,PERS,PS,RP,SN
YN,YNS
BRIEF JOB DESCRIPTION:
Would you thrive in an environment where you learn and grow personally and professionally all while helping make a positive impact on people’s lives? Do you appreciate being around others like yourself who are dependable, trustworthy, hard workers who believe in the value of teamwork? HSCS is dedicated to building an atmosphere where employees feel valued and supported while providing specialized care for Texans in need. HSCS is comprised of ten psychiatric hospitals, two youth residential treatment facilities, and thirteen state supported living centers. Psychiatric hospitals are a hub of excellence for forensic mental health and complex psychiatric care, with all facilities accredited by The Joint Commission. They provide state-of-the-art treatment that is recovery-oriented and science-based. If providing hope and healing through compassionate, innovative, and individualized care interests you, we welcome your application for the position below.
The Administrative Assistant III (Nursing Services Staffing Coordinator) performs complex (journey-level) work serving as the administrative support for Nursing Services and reports to the Chief Nurse Executive (CNE). Position demonstrates the ability to assume responsibility without direct supervision; exercises initiative and judgment; and makes decisions within the scope of assigned authority. The Nursing Services Staffing Coordinator position is fast paced, multitasked, deadline oriented, and works with several managerial levels such as Nurse Administrators, Nurse Managers, the Nurse Educator, and Shift Coordinators. Performs responsible and complex administrative work, serves as intermediary in carrying out delegated administrative detailed duties, and as communication liaison for Nursing Administration. Prepares and disseminates staffing schedules for Nursing Services. Reviews staffing reports and coordinates unit coverage. Assembles, organizes, and tabulates statistics and data generating reports for the monitoring and evaluation of Nursing Services. Collects data and prepares report relating to budget such as overtime expenditures, cost of contract staffing, and longitudinal data for nursing expenditures. This position supports a busy and multitasking office with administrative level nurse staff who is conducting multifaceted monitoring of nursing performance throughout the hospital to ensure compliance with governmental entities, laws, and accreditations. Work requires familiarity with the laws and regulations controlling the employing agency, its functions, policies and procedures, and the making of decisions in the application of such laws and regulations. Prepares routine and special correspondence, reports, studies, forms, and documents. Coordinates nursing meetings by scheduling, preparing agenda, taking minutes, and distribution of information. Compiles reports analyzing departmental data, such as student data, educational leave, and other as assigned; uses complex spreadsheets and tables for CNE and hospital wide committees. Develops special administrative analyses and summaries of quality improvement activities and performs preliminary research, development, and preparation of educational/promotional materials. Works under general supervision, with moderate latitude for the use of initiative and independent judgment.
Performs other duties as assigned. 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.
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.
Serves as administrative support for Nursing Services and supports the mission and vision of the facility. Plans, directs, organizes, and monitors flow of work in Nursing Administration with minimal supervision using initiative and judgment within hospital policy and nursing department processes.
Serves as a communication liaison between Nursing Administration and contacts with other departments. Works with several managerial levels such as Nurse Administrators, Nurse Managers, the Nurse Educator, Shift Coordinators, direct reports of the CNE, unit staff, other hospital disciplines, other agencies and facilities, and the community. Screen and monitor phone calls, handling or routing of calls that do not require personal attention of the CNE; exercises judgment in referring calls to appropriate person or department and directing visitors to appointments/locations.
Responsible for the preparation and distribution of the staffing schedule for Nursing Services direct care employees. The Nursing Services Staffing Coordinator is required to create monthly schedules for all of Nursing Services direct care staff, Licensed and Unlicensed. It requires the collection and coordination of all requests for time off, approving/denying those requests based on required hospital staffing numbers. The coordinator is also responsible for daily updates to this schedule related to changes in employee status.
Reviews staffing reports and coordinates unit coverage when needed. Comparison of staffing projections with hospital schedule identifying discrepancies and upcoming potential staffing concerns. Communication of potential staffing shortages to unit administration and delegates.
Assembles, organizes, and tabulates statistics and data. Creates / maintains various tracking systems designed to monitor and evaluate the effectiveness of staffing along with additional key indicators for Nursing Services. This requires attention to detail and accuracy with the ability to identify concerning outliers. These tracking systems contain pertinent data including departmental vacancies, direct care staff reassigned out of patient care, number of staff on leave, utilization of overtime and its correlation to meeting staffing needs, number of patients requiring enhanced or higher level of observation, number of staff held per shift, among additional required reports. Completes budget reports, including overtime expenditures and costs of contract staffing for Nursing Services. These are continuously changing numbers requiring diligent tracking and monitoring.
Supports a busy and multitasking office with administrative level nurse staff who is conducting multifaceted monitoring of nursing performance throughout the hospital to ensure compliance with governmental entities, laws, and accreditations. Fields departmental correspondence and contacts which are received either by phone, mail, in person, or other or routing them appropriately. Required to maintain familiarity with the laws and regulations controlling the employing agency, its functions, policies and procedures, the Nursing Department, and the making of decisions in the application of such laws and regulations.
Prepares routine and special correspondence, reports, studies, forms, and documents. Maintains data for quarterly Nursing Activity report and prepares reports within scheduled timeframes. Responsible for collecting and/or preparing additional reports or manuals as directed. Revises and/or develops of departmental manuals, forms, documents, or studies as assigned.
Position coordinates meetings chaired by the CNE or as designated, i.e., nursing executive staff committee meetings, Nurse Staffing Committee meetings, Unit Scheduling Meetings; and is responsible for preparing agendas and taking, transcribing, and distribution of minutes of meetings as indicated. Position coordinate’s locations, calendars, announcements, and reminders of meetings.
Compiles and analyzes departmental data, makes calculations, manipulate complex spreadsheets and tables, and prepares reports for the CNE and hospital wide committees. Reports include fall data, school affiliations and student data, agency staffing information, educational leave tracking, among others.
Develops special administrative analyses and summaries of quality improvement activities. Performs preliminary research, development and preparation of educational/promotional materials designed to improve performance measure outcomes.
Performs other duties as assigned. 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):
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Knowledge of and experience in using office systems such as Microsoft Office, Excel, Word, Power Point, and Outlook, spelling, punctuation, grammar, and arithmetic
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Knowledge of Continuous Quality Improvement, Corporate Compliance, Emergency Preparedness Procedures, Infection Control Manual/Standard Precautions, Mental Health and Mental Illness, MHRS System, MSDS Sheets, Rights of Patients, and HHSC Departmental Rules
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Skills in coordinating trainings, meetings, travel arrangements and conference calls
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Skills in receiving and responding to complex phone calls and email inquiries in a positive and professional manner.
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Knowledge of office practices and administrative procedures
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Knowledge of business English, spelling and grammar
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Knowledge of state travel policy and procedure
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Knowledge of record keeping and filing systems
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Skills in the use of standard office equipment
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Skills in the use of electronic data and/or word processing equipment and software, to include Microsoft office products (Outlook, Word, Excel, and PowerPoint)
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Skills in written communications
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Skills in proofreading, editing, and formatting.
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Skills in verbal communications
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Ability to implement administrative procedures.
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Ability to interpret rules, regulations, policies, and procedures.
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Ability to train others.
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Ability to work independently and as a team member.
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Ability to manage multiple projects while meeting timelines.
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Ability to prepare correspondence, forms and requisitions.
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Ability to implement administrative procedures and to evaluate their effectiveness.
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Ability to communicate efficiently and effectively using both written and verbal skills.
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Ability to interpret complex rules, regulations, policies and procedures.
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Ability to understand the basic elements of mental health programs.
REGISTRATIONS, LICENSURE REQUIREMENTS OR CERTIFICATIONS:
None
INITIAL SCREENING CRITERIA:
At least two (2) years’ experience in a professional support role.
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 Aid, Medication Aide and Employee Misconduct, List of Excluded Individuals/Entities (LEIE). Males between the ages of 18-25 must be registered with the Selective Service.
All applicants must be at least 18 years of age to be considered for employment at a state-operated facility. Waco and Terrell Center for Youth applicants must be 21 years of age.
Flexibility in work hours may be required for this position. The position may be required to work overtime and/or extended hours.
Compliance with HHSC immunization policy and state hospital operating procedures related to immunizations is required. According to the Centers for Disease Control and Prevention, healthcare workers are considered to be at significant risk for acquiring or transmitting hepatitis B, measles, mumps, rubella, varicella (chicken pox), tetanus, diphtheria, pertussis (whooping cough), and influenza. All these diseases are vaccine preventable. As a result, state hospital policy requires employees be vaccinated according to their level of contact with individuals. In the event you choose to not be immunized for the influenza virus, you may be required to wear a mask and take other protective measures.
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 Nursing Jobs at Texas Health and Human Services Commission
Get Your Texas Nursing License Early
Texas requires RN licensure through the Texas Board of Nursing before you can start. Begin the endorsement or NCLEX process well ahead of any application, since credential review for internationally trained nurses can take several months.
Target State Agency Job Portals Directly
Texas Health and Human Services Commission posts openings through the Texas state jobs system at WorkInTexas.com. Filtering by nursing classification and agency name surfaces roles before they appear on aggregator sites, giving you a faster lead on active requisitions.
Clarify Sponsorship Willingness Before Interviews
State agencies run structured hiring processes, so ask your HR contact directly whether H-1B sponsorship is available for the specific position during the early screening stage. Not every nursing vacancy at HHSC carries the same sponsorship approval from the agency's legal team.
Use Migrate Mate to Find Verified Sponsoring Roles
Search Migrate Mate to identify current nursing openings at Texas Health and Human Services Commission that are tied to documented H-1B sponsorship history. This narrows your applications to roles where sponsorship is a realistic outcome, not just a possibility.
Understand H-1B Cap Exemption for Government Entities
Texas Health and Human Services Commission is a government entity, which means H-1B petitions filed on its behalf may qualify for cap exemption under USCIS rules. Confirm this with the agency's HR or legal team, since cap-exempt status removes lottery risk from your timeline.
Align Your Specialty to Current HHSC Workforce Gaps
HHSC consistently recruits for psychiatric, public health, and correctional nursing roles across Texas. Tailoring your resume and cover letter to these high-demand specialties increases your visibility in their applicant pool and signals a clear fit for the agency's operational priorities.
Frequently Asked Questions
Does Texas Health and Human Services Commission sponsor H-1B visas for Nursings?
Yes, Texas Health and Human Services Commission does sponsor H-1B visas for qualifying nursing roles. As a state government agency, HHSC may also qualify to file cap-exempt H-1B petitions through USCIS, which removes the annual lottery from the equation. Sponsorship availability varies by role and facility, so confirming directly with HR during the application process is the most reliable approach.
How do I apply for Nursing jobs at Texas Health and Human Services Commission?
Applications go through the Texas state government jobs portal at WorkInTexas.com, where HHSC posts active nursing vacancies. You'll need a current Texas RN license or a license in process before applying. Once you identify a role, submit your application through the portal and indicate your need for visa sponsorship during the HR screening stage so the agency's legal team can confirm sponsorship eligibility for that specific position.
Which visa types are commonly used for Nursing roles at Texas Health and Human Services Commission?
The H-1B is the primary visa category HHSC uses for sponsored nursing positions, as registered nursing qualifies as a specialty occupation under USCIS guidelines. Some internationally trained nurses also enter on TN visas if they are Canadian or Mexican citizens, or on immigrant visa pathways like the EB-3 if pursuing permanent residence. The right category depends on your nationality, credentials, and whether the employer is willing to sponsor long-term.
What qualifications does Texas Health and Human Services Commission expect for sponsored Nursing roles?
HHSC requires a current and unrestricted Texas RN license for most nursing positions. For internationally educated nurses, the agency expects your credentials to be evaluated and your NCLEX passed before a start date. Specialized roles in psychiatric, public health, or correctional settings may require additional certifications or prior experience in those settings, which strengthens both your candidacy and the sponsorship case the agency presents to USCIS.
How do I find Nursing jobs at Texas Health and Human Services Commission that include visa sponsorship?
Migrate Mate is the most direct way to browse nursing openings at Texas Health and Human Services Commission that are linked to H-1B sponsorship history. Rather than applying broadly and hoping sponsorship is available, you can filter to roles where HHSC has an established record of filing for international candidates, which makes your job search significantly more targeted and efficient.