VitalHiresVitalHires
Find jobsFree toolsSalary & dataFor employersAbout
Sign inBuild free resume
Resume

By state

CaliforniaCalifornia29,994TexasTexas27,993FloridaFlorida23,567PennsylvaniaPennsylvania20,186
View all states

Top cities

Los AngelesLos Angeles3,126ChicagoChicago2,318HoustonHouston2,296PhiladelphiaPhiladelphia2,289AtlantaAtlanta2,069PhoenixPhoenix2,045
View all cities

Browse

All jobsEvery live openingPosted todayNewest firstBy specialtyBrowse by specialtyBy employerBrowse by employer
NEW

Free Resume Checker

Build your resume in your free account, then run the resume checker for an instant score plus healthcare-specific findings on licensure and clinical experience.

Build your resume

Free tools for healthcare professionals

Healthcare Interview PracticeRehearse questions tailored to a saved healthcare role, answer by voice or text, and review AI-generated feedback before the real conversation.Healthcare Cover Letter GeneratorUse your candidate profile and a job's details to create a focused draft, then review the facts and make it your own.ATS-Friendly Healthcare Resume BuilderCreate or import a resume, organize your clinical experience and credentials, and refine it for the roles you want.Free Healthcare Resume CheckerBuild your resume in your free account, then run the resume checker to see how a clinical hiring team would read it.Healthcare Job Application TrackerSave roles from VitalHires, track your application progress, and keep notes and interview preparation connected to each job.All free toolsBrowse every free job-search tool

Pay data

Salary guidesPosted pay by role and regionPay by stateMedians from live listings

Guides

Resume examplesReal examples by healthcare roleCover letter examplesMarked up by healthcare roleInterview prepReal questions, with feedback

About

About usWho runs this siteUse casesHow people use the toolsWhat's newRecent releasesBlogGuides and analysisContactGet in touch
NEWFree Resume CheckerBuild your resume
VitalHires

VitalHires offers free resume tools for healthcare professionals alongside clinical, allied health, and care team job listings.

Explore

StatesTop Hiring CitiesEmployer DirectoryFor EmployersFor CandidatesApply to JobsSalary GuidesHiring CalendarResume ExamplesCover Letter ExamplesBlog

Top Hiring Cities

View all

Los Angeles

California

3126 live openings

Chicago

Illinois

2318 live openings

Houston

Texas

2296 live openings

Philadelphia

Pennsylvania

2289 live openings

Atlanta

Georgia

2069 live openings

Phoenix

Arizona

2045 live openings

Indianapolis

Indiana

2001 live openings

Boston

Massachusetts

1917 live openings

Legal

AboutContactEditorial PolicyPrivacy PolicyTerms & Conditions

VitalHires aggregates openings directly from official hospital systems and healthcare employer hiring pages. Compensation, credentials, and deadlines are subject to change. Please confirm on the official job posting.

© 2026 VitalHires. All rights reserved.Listings are aggregated from hospital systems, health networks, clinics, and clinical employer hiring pages.
  1. Home/
  2. Jobs/
  3. State Hospital Step Down RN
NORTH TEXAS BEHAVIORAL HEALTH AUTHORITY logo

State Hospital Step Down RN

NORTH TEXAS BEHAVIORAL HEALTH AUTHORITY·Scurry, Texas

$75,000 - $85,000/yrFull TimeOn Site2-5 yrsPosted 2 months ago
Practice for this role

State Hospital Step Down RN · $75,000 - $85,000/yr

How this role compares

Computed from live listings

  • +15% vs. median posted salary for nursing roles in Texas ($65,252, n=2502)
$260 · p10p90 · $120,000,000
this role: $75,000median $65,252

Shaded band: the middle 50% of 2,502 posted nursing roles in Texas salarys. This role sits in the 62nd percentile.

About the role

Pay for this role is about 15% above the Texas median for nursing roles.

Provide direct and indirect nursing care to individuals in the State Hospital Step-Down Program, ensuring adherence to the Texas Nursing Practice Act. Responsibilities include performing assessments, administering medications, and collaborating with an interdisciplinary team to support recovery and transition planning.

Job DetailsLevel

  • ExperiencedJob
  • Location:
  • Scurry,
  • TX 75158Position
  • Type:
  • Full
  • TimeSalary
  • Range: $75,000.00 - $85,000.00
  • Salary/yearTravel
  • Percentage:
  • Road
  • WarriorJob
  • Category: Health CareA complete application is required for consideration. Incomplete applications may not be considered. Each position requires a separate completed application.
  • Job
  • Title: State Hospital Step Down RN Do you have a passion for helping others and want a career where you can make a difference? Then join our NTBHA team. We have proved to be a strong, self-sufficient and enduring foundation within our community. We are committed to connecting and serving our clients where they live.
  • Position’s
  • Role
  • Summary: North Texas Behavioral Health Authority (NTBHA), based in Dallas is responsible for developing a collaborative system of care for children, adolescents and adults with severe mental illness and other serious emotional disturbances, as well as those experiencing a substance use disorder. This position’s actions and work must align with NTBHA values and goals, regulations, and policies and procedures, and meet all documentation standards and regulatory requirements. The Registered Nurse (RN) provides direct and indirect nursing care to individuals served in NTBHA’s State Hospital Step-Down Program. The RN ensures that all care and procedures adhere to the Texas Nursing Practice Act and the Board of Nursing’s Standards of Nursing Practice (Rule §217.11), supporting each individual’s health, safety, and recovery within a therapeutic environment This position involves on-call responsibilities and may require occasional evening or weekend support. The RN works collaboratively with behavioral health staff, case managers, and medical providers in a structured, person-centered environment. This position is classified as exempt and requires flexibility in scheduling to meet organizational needs, including adjusting work hours as necessary to ensure job responsibilities are completed. Travel is required as part of this role’s duties. Travel can vary from 20% to 100% per day. This would include all counties within NTBHA Catchment area (Dallas, Ellis, Hunt, Kaufman, Navarro & Rockwall Counties). This role may be required to use a fleet vehicle and/or a personal vehicle for business needs. This may include, but not limited to field & home visits, offsite meetings, co-located sites and/or pick up items for business needs, etc. If your program requires transport of individuals, this would only be allowed with a company vehicle and approval from management.
  • QualificationsJob duties, responsibilities, and skills: Complete comprehensive assessments to determine if admission to the program is appropriate. Accurately and completely report and document the individual’s status, including signs and symptoms, nursing care rendered, physician or prescriber orders, administration of medications and treatments, and individual’s response(s) and contacts with other care team members concerning significant events regarding the individual’s status. Provide on-call support for after-hours, non-emergency medical events to determine whether on-site intervention is necessary and where the individual should be transported for triage or treatment (e.g., emergency department, local clinic), follow appropriate procedures for visits to emergency departments, local clinics, or hospital admissions. Immediately contact or assist in contacting 9-1-1 for possible life-threatening emergencies, and to follow up until the event is resolved and complete all required documentation. Collaborate with the care team to evaluate all active medications and treatments. Understand the rationale for and effects of medications and treatments and provide medication education to each individual when medications are prescribed or changed. Administers medication injections. Works with insurance companies, pharmacies, and/or Patient Assistance Programs to ensure that individuals get their medications as prescribed and in a timely manner. Ability to travel to different facilities throughout the week to assist in individuals’ care. Will maintain cooperative working relationships with all agency staff and community partners. Maintain client confidentiality. Participate as an integral member of the interdisciplinary team to support stabilization, recovery, and safe transition planning. Must be able to work on and have knowledge of a PC (personal computer). Advanced Microsoft Office Suite skills - Outlook, Word, Excel, PowerPoint, etc., with an ability to become familiar with company-specific programs and software. Duties and projects may be assigned or changed to meet business needs.
  • Qualifications required: Current Texas RN license in good standing. Experience working in behavioral health, crisis, or residential settings preferred. Strong assessment, critical thinking, and communication skills. Ability to respond effectively in crisis situations. Expert knowledge of medications used in the treatment of mental illness. Ability to adhere to established policy and procedures.

Benefits

457(b) Paid time off Health, Dental and Vision insurance Health savings account Flexible spending account Tuition reimbursement We are responsible for developing a collaborative system of care for individuals in crisis in the NTBHA service area. We are focused on trauma-informed, resilience-oriented care in all services provided.

Requirements

Must hold a current Texas RN license in good standing. Experience in behavioral health, crisis, or residential settings is preferred, along with expert knowledge of psychiatric medications.

  • professional certificate
  • Case Management
  • Communication Skills
  • Medication Administration
  • Patient Education
  • Crisis Intervention
  • Microsoft Office Suite
  • Critical Thinking
  • Interdisciplinary Collaboration
  • Comprehensive Assessments
  • Nursing Documentation

Posting details

Employment type
Full Time
Work arrangement
On Site
Experience
2-5 yrs
Salary
$75,000 - $85,000/yr
Location
Scurry, Texas
Posted
Jun 16, 2026
Application
Employer website
NORTH TEXAS BEHAVIORAL HEALTH AUTHORITY logo

Hiring organization

NORTH TEXAS BEHAVIORAL HEALTH AUTHORITY

The North Texas Behavioral Health Authority (NTBHA) is the Texas state-designated Local Behavioral Health Authority (LBHA) for the counties of Dallas, Ellis, Hunt, Kaufman, Navarro, and Rockwall. NTBHA was created to be a safety net for our behavioral health system of care,...

IndustryMental Health Care
TypePublic Company
Size51-200 employees
View profile

Stay updated

Get alerts for similar jobs

Be the first to know when more NORTH TEXAS BEHAVIORAL HEALTH AUTHORITY roles in Scurry, Texas get posted.

Market context

Texas nursing roles need licensed LVNs

In Texas, nursing roles like this often draw steady demand in dialysis and other patient-care settings because employers need licensed LVN/LPN candidates who can start safely and learn specialized workflows. These positions can be competitive when they require a current license, preferred dialysis experience, and completion of a training program soon after hire. Review the AI-summarized requirements and benefits here to save time, then confirm you meet the license, color-recognition, and training expectations before applying.

More openings at NORTH TEXAS BEHAVIORAL HEALTH AUTHORITY

View all employer openings
NORTH TEXAS BEHAVIORAL HEALTH AUTHORITY logo

NORTH TEXAS BEHAVIORAL HEALTH AUTHORITY

Care Coordinator-Ellis Drop Off Ctr

Waxahachie, Texas

$55,000 - $60,000/yr

15 days ago

NORTH TEXAS BEHAVIORAL HEALTH AUTHORITY logo

NORTH TEXAS BEHAVIORAL HEALTH AUTHORITY

Youth Crisis Outreach Team LPHA Specialist

Dallas, Texas

$75,000 - $87,500/yr

22 days ago

NORTH TEXAS BEHAVIORAL HEALTH AUTHORITY logo

NORTH TEXAS BEHAVIORAL HEALTH AUTHORITY

QMHP-State Hospital Step Down Program

Scurry, Texas

$55,000 - $60,000/yr

2 months ago