Registered Nurse (RN) – Full-Time (HCS/TxHML Program)

Adaptive Aids HCS•Houston, TX

4d•Onsite

About The Position

The Registered Nurse (RN) provides clinical oversight and nursing services across assigned HCS/TxHML provider sites. This role is responsible for conducting assessments, managing delegated nursing tasks, and ensuring compliance with Texas Board of Nursing standards and state regulations. The RN operates with a high level of independence while supporting multiple locations, maintaining documentation accuracy, and ensuring quality care delivery. This position is structured as an Independent Contractor (1099) role, with full-time hours based on caseload and service needs. The role requires flexibility to travel between sites and manage competing priorities while maintaining compliance and timelines.

Requirements

Graduate of an accredited nursing program
Active Texas RN license in good standing
Minimum 1 year of nursing experience
Current CPR certification
Valid driver’s license and reliable transportation
Professional liability insurance
Ability to travel between assigned sites

Nice To Haves

Experience in HCS, IDD, group homes, or home health
Experience with electronic documentation systems

Responsibilities

Conduct comprehensive nursing assessments and evaluations
Develop and update individualized nursing service plans
Perform RN delegation and supervise LVNs and unlicensed staff
Evaluate staff competencies and clinical performance
Monitor health status and report significant changes
Review Medication Administration Records (MARs) for accuracy
Ensure compliance with HCS/TxHML and Texas Administrative Code (TAC)
Coordinate with physicians, pharmacies, and care teams
Complete documentation in approved systems (e.g., TaskMaster Pro)
Submit assessments, reports, and follow-ups within required timelines (24–48 hours)
Support audits, survey readiness, and QA/QI processes