TB Program Manager (Nurse III

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Employee Benefits:

DSHS offers insurance coverage and other benefits available through the State of Texas Group Benefits Plan administered by the Employee Retirement System of Texas (ERS). To learn more about all the benefits available to you as a DSHS employee and other DSHS opportunities for early career pathways, visit the DSHS Careers Page.

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Functional Title: TB Program Manager (Nurse III 
Job Title: Public Health Nurse III 
Agency: Dept of State Health Services 
Department: Region 4/5 
Posting Number: 21025 
Closing Date: 09/18/2026 
Posting Audience: Internal and External 
Occupational Category: Healthcare Practitioners and Technical 
Salary Range: $5,919.04 - $8,886.16 
Pay Frequency: Monthly
Salary Group: TEXAS-B-24 
Shift: Day 
Additional Shift:  
Telework:  
Travel: Up to 30% 
Regular/Temporary: Regular 
Full Time/Part Time: Full time 
FLSA Exempt/Non-Exempt: Exempt 
Facility Location:  
Job Location City: TYLER 
Job Location Address: 2521 W FRONT ST 
Other Locations:  
MOS Codes: 290X,46AX,46FX,46NX,46PX,46SX,46YX,66B,66C,66E,66F,66G,66H,66N,66P,66R,66S,66T,66W 
 
 
 

Brief Job Description:

Under the minimal supervision of the Regional Medical Director(RMD) or designee, and with extensive latitude for the use of initiative and independent judgment, performs highly advanced (senior-level) program management and specialized clinical consultative nursing work directing the regional Tuberculosis (TB) Elimination and Control and Hansen’s Disease Programs.

The position serves as the primary regional expert, clinical consultant, and resource for field clinic nursing staff, local health authorities, private medical providers, and community partners regarding complex TB case management, diagnostic screening protocols, and nursing workflows.

Work involves planning, developing, executing, and evaluating the regional TB and Hansen’s Disease programs to ensure strict compliance with Texas Communicable Disease Law, OSHA standards, and CDC/IDSA/ATS clinical guidelines. This role focuses entirely on programmatic administration, contract monitoring, clinical data analysis, and consultative and technical oversight. Orchestrates regional consultative planning and clinical direction during large-scale public health emergencies or major TB outbreaks.

Essential Job Functions (EJFs):

Attends work on a regular and predictable schedule in accordance with agency leave policy and performs other duties as assigned.

(20%) Guides TB Elimination Division Program and Hansen’s Disease program to meet Regional State and CDC objectives. Develops program performance measures and evaluates TB and Hansen’s Disease Programs. Reviews, audits and analyzes Regional and Local Health Department (LHD) TB program services, containment and surveillance activities to ensure that case management, disease investigation/intervention and contact management activities are in accordance with Regional, State and CDC recommendations and policy. Analyzes program statistical data and reports to identify trends/populations at-risk and problem areas, and to direct resources for proper operational response. Directs staff in the collection and compilation of data for  program reports; reviews for quality and approves for submission.  Coordinates to obtain, analyze and submit reports for LHDs; provides technical assistance on reporting.

(20%) Provides TB technical and clinical services. Maintains a cooperative working relationship with state, regional, LHDs, public health officials, correctional facilities and community health care providers. Provides nursing consultation utilizing knowledge of current medical practices (screening/diagnostic procedures/treatment guidelines); arranges expert physician consultation services for complex TB cases (MDR-TB and pediatrics). Reviews and evaluates epidemiological (contact investigations) procedures; provides guidance and instruction to public and private health care providers on conducting sound disease investigations and contact management. Reviews, monitors and analyzes disease investigations, reviews/prioritizes high-risk cases and suspects to ensure all contacts are identified, screened, examined and followed according to standard of care. Reviews and monitors high-risk cases/suspects weekly to ensure appropriate case management and treatment according to standard of care and treatment guidelines; provides consultation and intervention for case management of treatment regimens that deviate from policy and protocol. Develops regional policies/protocols and standard operating procedure manuals in accordance with State, Regional and CDC guidelines. 

(15%) Develops, reviews and revises standing delegation orders (SDOs) for physician approval. Provides internal and external health care providers with current medical/epidemiological guidelines, SDOs, state/regional policies and resources, and distributes current TB literature. Evaluates educational/training needs to meet program objectives. Develops, disseminates and/or provides education/training for TB professional and non-professional healthcare providers; includes development and update of TB clinical competencies/skills checklists. Provides clinical case management, contact investigation and disease intervention in the community and in clinic settings. Provides direct client services according to approved SDOs or physician orders; educates clients/families. Documents client services according to program and nursing licensure requirements. Provides leadership within the cross functional Disease Control & Prevention team for TB case finding and targeted screening of high risk populations.

(15%) Provides consultative clinical and technical services to agency program staff, other governmental agencies, LHDs, correctional facilities, community organizations and health care providers that serve populations at-risk to ensure a high standard of practice for TB control activities; assists the general public as needed. Identifies, networks and coordinates with local, regional, state, interstate and international partners to ensure the provision of client services. Conducts Quality Assurance TB Program reviews for LHDs, correctional facilities and regional clinics as required. Communicates effectively with internal and external customers, including clients/families. Represents the region and agency at meetings and conferences. Regularly updates direct supervisor and regional director on program issues/activities; obtains guidance and assistance when appropriate. Member of regional management meetings; serves as manager-in-charge, as requested. 

(15%) Supervises professional, technical and administrative program staff. Responsible to develop and maintain current job descriptions and performance standards; interviews, selects, hires and dismisses staff according to agency policy. Provides orientation and training relevant to job duties; assigns work. Ensures appropriate mentoring of staff, and oversees professional nursing care delivered by TB nurse staff.  Delivers performance evaluations; makes recommendations for raises and merit awards; addresses performance issues through established processes in consultation with supervisor. Approves employee travel, time and leave requests, considering program needs. Conducts regular staff meetings.

(10%) Manages program budget to effectively utilize resources. Monitors available funds and coordinates with regional administration to adjust budget, as needed. Provides recommendations for TB funding formula and other budget decisions impacting the region and LHDs. Serves as liaison between LHDs and central office TB Program. Determines need for necessary supplies and equipment; approves purchases within budget authority.

(5%) Other duties as assigned include but are not limited to actively participating and/or serving in a supporting role to meet the agency’s obligations for disaster response and/or recovery or Continuity of Operations (COOP) activation. Such participation may require an alternate shift pattern assignment and/or location

Knowledge, Skills and Abilities (KSAs):

Knowledge of:

Knowledge of concepts of public health practices; current social and economic problems and community inter-relationships

Knowledge of the structure and function of local, regional and state public health organizations, and the principles of program administration

Knowledge of TB and Hansen’s disease epidemiology, signs/symptoms, transmission, factors affecting morbidity/mortality, diagnostic methodologies, nationally accepted medical and pharmacological treatment protocols, and nursing interventions

Knowledge of interventions and health promotion strategies implemented at a population-level

Knowledge of local, state, and federal laws and procedures pertaining to Tuberculosis/Hansen’s Disease and disease surveillance 

Skill in:

Skill in performing phlebotomy; obtaining and processing specimens; performing basic adult and pediatric physical assessment and obtaining relevant clinical history; conducting diagnostic procedures including TB skin test; conducting a disease investigative interview; administering medications and immunizations; providing clinical case management services

Skill in adhering to universal precautions appropriate to the clinical situation

Skill in providing education to clients/families, healthcare workers and the general public

Skill in conflict management and team building

Ability to:

Ability to plan (short-term and long-range), organize, implement, assess, analyze, evaluate and manage a regional Tuberculosis and Hansen’s disease program; establish and meet project deadlines, and complete projects satisfactorily.

Ability to collaborate with and provide clinical and technical consultation and guidance to public health personnel, private healthcare workers and others in TB prevention and control efforts

Ability to coordinate and direct health-related activities of public, private and professional groups, to address groups effectively, and to express ideas clearly and concisely 

Ability to work independently, exercising sound judgment; establish and maintain internal and external effective working relationships; communicate tactfully and effectively with people of all ages, backgrounds and disciplines 

Ability to plan, organize and direct the work of others 

Ability to interact effectively as a team member and as a team leader.

Ability to use computer programs and working knowledge of email/calendar (Outlook), word processing (Word), and database (Access or similar database) 

Ability to work other than regular hours

Registrations, Licensure Requirements or Certifications:

Must possess an active, unencumbered license to practice as a Registered Nurse (RN) in the State of Texas, or hold a recognized multistate compact license through the Nurse Licensure Compact (NLC).

Must possess and maintain a current Basic Life Support (BLS) or CPR certification from an agency-approved provider.

Must possess a valid Texas Class C Driver’s License and maintain an acceptable driving record.

Initial Screening Criteria:

Current unencumbered Texas RN license (or compact equivalent); BSN required (Master’s preferred); Minimum 4 years of experience as an RN in a public health clinic, infectious disease setting, or epidemiology environment; Minimum 2 years of experience in a program coordinator, clinical consultant, or project leadership role (direct personnel supervision is not required, but leadership of programmatic workflows is).

Additional Information:

Willing to work hours other than 8:00 a.m.-5:00 p.m. Must provide own transportation. Must be willing to travel to geographical areas where our patients reside. If an employee operates a personal or state motor vehicle in performance of their official duties they must hold a current valid Texas drivers license for the appropriate type vehicle. Employee/applicant is responsible for providing a copy of their drivers license prior to beginning employment.

Active Duty, Military, Reservists, Guardsmen, and Veterans:

Military occupation(s) that relate to the initial selection criteria and registration or licensure requirements for this position may include, but not limited to those listed in this posting. All active-duty military, reservists, guardsmen, and veterans are encouraged to apply if qualified for this position. For more information see the Texas State Auditor’s Military Crosswalk at https://hr.sao.texas.gov/CompensationSystem/JobDescriptions/.

ADA Accommodations:

In compliance with the Americans with Disabilities Act (ADA), DSHS will provide reasonable accommodation during the hiring process for individuals with a qualifying disability. If reasonable accommodation is needed to participate in the interview process, please notify the person who contacts you to schedule the interview. If you need assistance completing the on-line application, contact the HHS Employee Service Center at 1-888-894-4747 or via email at HHSServiceCenter.Applications@ngahrhosting.com.

Salary Information, Pre-employment Checks, and Work Eligibility:

• The salary offered will follow DSHS starting salary guidelines. Any employment offer is contingent upon available budgeted funds.
• Depending on the program area and position requirements, applicants selected for hire may be required to pass background and other due diligence checks.
• DSHS uses E-Verify. You must bring your I-9 documentation with you on your first day of work.  Download the I-9 form