WONDERFUL BLESSED CARE INCVerified Source

RN (Texas) - IDD Home Care Role | Wonderful Blessed Care

Onsite · Houston, Texas
Posted August 8, 2026
contract

Overview

As an RN in the Texas HCS program, you will own clinical oversight for individuals with IDD in a home-based setting. You will conduct initial and annual assessments, delegate tasks to unlicensed staff per Texas regulations, and monitor chronic conditions like diabetes and seizures. Working with a dedicated care team, you ensure compliance with physician orders and state standards. This contract role in Houston stands out for its focus on independent clinical judgment and direct impact on client well-being.

What You'll Do7

  • 1Complete initial and annual nursing assessments for clients in the HCS program, documenting findings per HHSC guidelines.
  • 2Delegate nursing tasks to unlicensed staff under 22 TAC Chapter 225, ensuring competency and legal compliance.
  • 3Monitor chronic conditions including diabetes, seizures, and other IDD-related health issues, adjusting care as needed.
  • 4Develop and update nursing service plans in collaboration with the care team and physician orders.
  • 5Train unlicensed staff on medication administration, emergency protocols, and client-specific care plans.
  • 6Ensure all documentation meets Medicaid waiver and HCS regulatory standards.
  • 7Communicate with physicians, families, and team members to coordinate comprehensive care.

Requirements7

  • 1Active RN license from the Texas Board of Nursing or compact state.
  • 21+ years of nursing experience within the last 36 months.
  • 3Pass criminal history background checks required by Texas Health and Human Services (HHSC).
  • 4Experience with IDD (Intellectual and Developmental Disabilities) preferred.
  • 5Familiarity with Medicaid waiver programs and HCS regulations highly desirable.
  • 6Ability to conduct comprehensive assessments and develop nursing service plans.
  • 7Valid Texas Driver's License and CPR/BLS certification.

Salary Insight

Salary not disclosed in listing

Location

Typeonsite
LocationHouston, Texas

Required Skills

hcsiddmedicaidcpr/blstexas rn license
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