Nurse III PNMT RN

Texas Health & Human Services Commission • Mexia, TX

2d • $7,533 - $8,886 • Onsite

About The Position

The Physical and Nutritional Management Team (PNMT) Nurse is a registered nurse who evaluates assessment information and recommends specialized physical and nutritional management supports for individuals who meet PNMT referral criteria or need assistance from the interdisciplinary team. The nurse plans, develops, evaluates, and treats physical and nutritional management issues within the nursing scope of practice, working with the Interdisciplinary Team (IDT) to integrate PNMT recommendations into Individual Support Plans (ISPs). The role includes conducting post-hospitalization assessments, developing measurable goals and action plans, assisting with interventions and monitoring progress, and reporting findings to PNMT and other designated committees. The nurse also reviews relevant research, standards, and regulations, contributes to documentation and policy work, and may provide direct nursing care or treat HHS employees injured in the course of employment. The position works under limited supervision with considerable latitude for initiative and independent judgment.

Requirements

• Current license to practice as a registered nurse in Texas or in a state recognizing reciprocity through the Nurse Licensure Compact.
• At least one year of experience working as a practicing registered nurse.
• Experience in assessment and documentation of health status.
• Maintain current CPR certification and have the strength and flexibility to safely perform CPR.
• Knowledge of nursing techniques, standards, and procedures; health care laws and regulations; medical diagnoses and procedures; accepted treatment patterns; community health and nursing care; program regulations; and utilization review and control measures.
• Knowledge of nursing care standards, the Settlement Agreement, and Healthcare Guidelines, or ability to gain this knowledge quickly.
• Knowledge of evidence-based practices for treating individuals with developmental disabilities.
• Knowledge of applicable state and federal laws, ICF-IID rules, regulations, policies, and procedures related to state supported living centers, or ability to gain this knowledge quickly.
• Knowledge of emergency procedures and equipment, including CPR, and ability to assess and care for residents or staff in emergencies.
• Knowledge of wound and ostomy care, wound prevention, and Root Cause Analysis.
• Computer and software skills, including use of electronic health record systems and creating graphs from collected data.
• Skill in writing policies, procedures, and guidelines; communicating clearly in writing and verbally; patient care and treatment; and working with complex physical and nutritional management needs.
• Ability to provide patient care; maintain records; organize, coordinate, and evaluate nursing activities and health service delivery; interpret policies, procedures, and regulations; recognize patterns of medical necessity; and provide technical assistance and consultation.
• Ability to interact appropriately with individuals with intellectual or developmental disabilities, their families, and staff.
• Ability to work independently and productively with all levels of staff, prioritize work, manage multiple deadlines, train staff, motivate staff, facilitate change, and make nursing decisions and recommendations.
• Ability to make recommendations to state supported living center leadership, including on-call administrators.
• Ability to use CPR, safe use of restraint (SUR), and Ukeru techniques once trained.
• Must be at least 18 years old to be considered for employment at a state-operated facility.
• Must pass required fingerprint criminal background, pre-employment drug, and registry checks; state supported living center employees are subject to random drug testing.
• Males ages 18–25 must be registered with the Selective Service.

Nice To Haves

• At least two years of experience as a practicing registered nurse in a health agency, hospital, or health-care facility.
• Bachelor’s degree.
• Specialized training or experience working with individuals with complex physical and nutritional management needs.
• Previous experience working with individuals with intellectual or developmental disabilities.

Responsibilities

• Attend regular work and may follow a specific, rotating, or extended shift schedule and work overtime as needed; perform other assigned duties.
• Serve on a rotating on-call schedule as required by facility needs.
• Attend daily medical or other state center meetings and track referral criteria for specialized PNMT services.
• Participate in and lead PNMT discussions and IDT meetings; perform specialized nursing assessments as indicated.
• Analyze assessment data and develop PNMT recommendations with measurable goals and action plans; develop or contribute to individual health care plans and document progress notes.
• Collaborate with the IDT to integrate PNMT recommendations into ISPs, provide relevant clinical information, monitor implementation, support goal development, and report ISPA meeting results to PNMT.
• Review return-from-hospital documentation and perform post-hospitalization assessments for relevant referral criteria; coordinate with hospital liaison nurses and report results to PNMT.
• Monitor and evaluate PNMP effectiveness within nursing practice, identify risks, and recommend improvements to nursing, habilitation, direct care services, and standards of care.
• Instruct, counsel, and assist the IDT with physical and nutritional management needs; provide interventions and monitor individuals’ progress, including positioning, feeding, medication administration, and oral care.
• Participate in evaluating enteral nutrition needs, including whether feeding tubes remain medically necessary and whether less restrictive eating methods are appropriate.
• Collect and analyze PNMT activity and outcomes data, conduct scheduled PNMP/PNMT documentation audits, report findings to designated committees, contribute to related policies, and submit assigned monthly reports.
• Review literature, research, nursing standards, and applicable laws and regulations; serve as a nursing resource on physical and nutritional management.
• Collaborate in creating and delivering specialized staff training and in-service materials on injury and illness prevention and physical and nutritional management topics.
• Provide direct nursing care as needed and treat HHS employees injured in the course and scope of employment.
• Participate in disaster response, recovery, or Continuity of Operations activities as assigned, which may require a different shift or location.

Benefits

• 100% paid employee health insurance for full-time eligible employees.
• Defined benefit pension plan.
• Generous time off benefits.
• Career advancement opportunities.
• Free continuing education units (CEUs) and updated resources through Lippincott access for nurses.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed