Workplace Diversity


locationFort Worth, TX, USA
PublishedPublished: 12/8/2023
Full Time


Full COVID-19 vaccination is an essential requirement of this role, unless individual is approved for a reasonable accommodation based on disability, medical condition, or religious belief that prevents them from being vaccinated. MHMR will adhere to all federal, state and local regulations as well as all client requirements and will obtain necessary proof of vaccination prior to employment to ensure compliance

I) Job Purpose

Under the supervision of the Director/ Program Manager, the responsibilities of this position are to provide quality nursing care to assigned clients and to be a member of the interdisciplinary treatment team.

II) Essential Functions

A. Ensure the delivery of quality client care through the nursing process by utilizing the resources available to provide initial and ongoing assessment for agency clients who require psychiatric treatment under the supervision of the physician and Registered Nurse.

Performance Requirement(s):

  • Completes psychiatric nursing and health care assessments and documents in the medical progress notes within 24 hours of service delivery.
  • Participates in the development of treatment plans for clients that need psychiatric intervention, to include the formulation of short and long term goals, evaluation, and treatment plan modification for each person that receives nursing services.

B. Provides nursing care to each individual that is assigned and assures that necessary documentation regarding contact is contained in the clinical record within a 24-hour period.

Performance Requirement(s):

  • Completes a nursing progress note for each face to face service contact which is done with the individual, conforming to all DSHS Community Standards and Medicaid Standards.
  • Monitors and records vital signs.
  • All verbal orders, which are received from the physicians, are documented within 24 hours of receipt of those orders.
  • Acts according to all written and verbal medical orders in accordance with Texas Statute.
  • Records all telephone contacts accurately within 24 hours of contact in the Medical Progress notes.

C. Provides assistance to the Team in the Specialty of Nursing.

Performance Requirement(s):

  • Gives and records injections according to medical orders and agency guidelines after each occurrence.
  • Checks and records blood pressure of all identified hypertensive clients and Clozaril clients at each nursing appointment, and according to MHMR of Tarrant County Vital Signs parameters.
  • Refers clients with severe medication reactions for emergency treatment according to the guidelines established by the agency.
  • Performs and records an AIMS Examination Procedure on each client exhibiting symptoms suggestive of first time Tardive Dyskinesia.
  • Shows evidence of health and/or medication teaching related to the Treatment Plan in the notes. Evaluates needs/outcomes of those receiving the instruction and documents each occurrence.
  • Assumes accountability when using independent clinical judgment and established protocols. Exercises the option of team consensus gathering when faced with decisions that involve other disciplines or complex clinical issues.

D. Works jointly with the physicians and RN's to assure proper medical protocols are being followed 100% of the time.

Performance Requirement(s):

  • Assist the physician to ensure compliance with lab studies and the policies regarding the standard of practice for lab reviews.
  • Always promotes collegiality among health care team members, through collaborative communication.
  • Maintains stock of injectable medications and emergency medication supply for the clinic, stock will be checked at least every two weeks to reorder.

E. Works with other Health Care providers to ensure adequate medical care for our clients.

Performance Requirement(s):

  • Collaborates with other health care providers and members of the organization to solve clinical care problems each time they occur.
  • Maintains necessary supplies for implementation of agency policies on infection.

F. Maintains a professional and ethical code of behavior.

Performance Requirement(s):

  • Always maintains confidentiality of all clients, observes preservation of client rights including the right to file a complaint.
  • Communicates with Director/Assistant Director/Program Manager regarding complex clinical or ethical issues, each time they arise.
  • Actively promotes wellness oriented lifestyle behaviors for those individuals we serve as evidenced by nursing progress notes.

III) Knowledge of Laws, Policies/Procedures, Skills, Education and Abilities

  • Knowledge of Disease of Addiction and Mental Illness
  • Knowledge of Supportive Counseling Techniques
  • Knowledge of Dysfunctional Family Systems
  • Dynamics and Principles of Communication
  • Knowledge of Medications, their use and typical side effects
  • Knowledge of the Texas Vocational Nurse Act, the American Nurses Association Code of Ethics for Nurses, and Accepted Standards for Clinical Nursing Practice.
  • Ability to collect and organize subjective and objective data, assist in performing an assessment and participate in developing a plan for intervention based on the assessment and intervention.
  • Ability to establish rapport and therapeutic relationships with clients (and their significant other when necessary).
  • Ability to implement aspects of an established teaching plan for clients with common health problems and well-defined learning needs.
  • Ability to work cooperatively with a variety of professionals and non-professionals.
  • Emotional stability and maturity with the ability to work effectively under stress or in emergency situations.
  • Knowledge of the client’s rights policies as established by the agency and state standards.
  • Ability to act as a client advocate.
  • Ability to distinguish between medical and nursing actions. Knowledge of the Texas Vocational Nurse Act.
  • Ability to evaluate client needs in a holistic manner.
  • Ability to accept clinical and administrative supervision as a part of clinical and professional growth.
  • Accountability for providing nursing care within limits of nursing knowledge, experience, and ethical/legal standards of care.

IV) Internal & External Customer Service

Doctor/Nurse Practitioner; Counselors; Substance Abuse Workers; ADS Management Team; Pharmacy; Probation/Parole; Tarrant County Medical and Education Research Foundation (TCMERF); Recovery Resource Council; John Peter Smith Hospital (JPS); Health Department; Department of State Health Services (DSHS); other MHMR clinics

V) Travel

This position requires driving to and from locations for work and/and may require overnight traveling. Employees are required to have a license in good standing and be able to be covered by agency liability insurance. If personal vehicle is utilized for work travel, then maintaining personal auto insurance coverage is required.

Minimum Requirements 

Required Education
High School Diploma/GED

Defined Experience
Health or Human Services


Required License
State of Texas Licensed Vocational Nurse
Valid Texas driver’s license with an acceptable driving record.
Must provide license (if applicable) and official documentation of all educational attainment i.e. Transcript/Degree/Certificate

Required Supervisory Experience

Testing Requirements
Pre-employment tests including drug and TB Screening, Physical Exam including balance and lift test.
Satori Alternatives to Managing Aggression (SAMA) Protection

Lifting Requirements
25 Pounds

Our Benefits:

All staff are required to participate in agency Emergency Preparedness and Environmental Safety programs and may be assigned by their departments as a key/essential staff level function during critical events or for the purpose of sustaining business continuity.

This position may require temporary or permanent re-assignment to any MHMR Tarrant facility as determined by program needs and /or the Division/Director.

Assigned work hours may change as the needs of the agency change.

The functional Title of this position may change as the needs of the agency change.

All work will be complete within the scheduled work hours.  All non-exempt (hourly) employee are expected to clock In and out for each work shift, no work done should be done off the clock.

Prior approval from supervisor is required for all Paid Time Off (PTO) and Overtime.

MHMR reserves the tight to change, and to or eliminate a position as it deems appropriate.

Employment is at will, as well as agency needs may change.

Agency dress code is to be followed at all times.

Physical on-site presence, including regular attendance and punctuality is an essential function of this position.  Any change or adjustments to your assigned work schedule or shift hours must be approved by your supervisor in advance.

Our Benefits:

Our total rewards program offers benefits* to full time employees beginning 1st of the month following hire date including but not limited to:

• Comprehensive healthcare options (Medical, Dental, and Vision)

• Life insurance and additional supplemental accident and hospitalization plans

• 401a match and 457 deferred compensation plans

• Paid vacation and holidays; varied flexible work environment locations

• Annual tuition reimbursement program

• Student Loan Forgiveness

• Professional development programs and training

• And more…..

Insurance eligibility:

• Full time employees begin 1st of the month following hire date

• Market driven positions (full time or part time) begin immediately after hire date

• Select part time market driven positions are eligible for most insurance plans

• Substitute status jobs are not eligible for benefits

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Additional Information
*MHMR of Tarrant County (“MHMR”) and its affiliates and subsidiaries have an internal recruiting department. MHMR may supplement that internal capability from time to time with assistance from temporary staffing agencies, placement services, and professional recruiters herein after referred to collectively as “Recruiters"). Recruiters are hereby specifically directed NOT to contact MHMR employees directly in an attempt to present candidates – MHMR recruiting team or other authorized MHMR personnel must present ALL candidates to hiring managers. For more information please visit our website