In quantum theory an observable, including energy, takes a determined value if and only if the system is prepared in a state, for which this is the case. If it is a pure state it is an eigenstate of the Hamiltonian of the system.
Since the Hamiltonian plays the special role to generate the time evolution of the system, an eigenstate of the Hamiltonian is also a stationary state. In the Schrödinger picture the entire time evolution is carried by the states, and if you prepare the system to be initially in an eigenstate of the Hamiltonian, ##|\psi_0 \rangle=|u_{E} \rangle##, then
$$|\psi(t) \rangle=\exp(-\mathrm{i} \hat{H} t) |u_E \rangle=\exp(-\mathrm{i} E t) |u_E \rangle.$$
This means the state ket depends on time only via a phase factor and thus it always represents the same state,
$$\hat{\rho}(t)=|\psi(t) \rangle \langle \psi(t) | =|u_E \rangle \langle u_E|=\hat{\rho}(0).$$
Any other initial state can be written as a superposition of energy eigenstates. If you superimpose eigenstates with different energy eigenvalues, it's of course not anymore an energy eigenstate and thus it describes a time dependent state, and energy is not determined.
Energy conservation means that energy doesn't change with time. If ##\hat{A}## is a self-adjoint operator (that is not explicitly time-dependent) representing an observable ##A##, the operator
$$\mathring{\hat{A}}=\frac{1}{\mathrm{i}} [\hat{A},\hat{H}]$$
represents the time derivative ##\dot{A}## of the observable ##A##.
Thus the energy, represented by the Hamiltonian ##\hat{H}##, is conserved, provided ##\hat{H}## is not explicitly time dependent.
In relation with states the conservation law implies the time-independence of the state, as we have already seen above, i.e., no matter what happens to the system, the system once prepared in an energy eigenstate, its state stays in this energy eigenstate, and thus the initially determined total energy of the system stays determined at all times, and the determined value of the energy doesn't change.
If the state is not an energy eigenstate, then energy conservation still holds for the average value of the energy. This is a special case of Ehrenfest's theorem. If the system is prepared in a pure state with the state ket ##|\psi(t) \rangle## The expectation value of the energy is given by
$$\langle E \rangle=\langle \psi(t)|\hat{H}|\psi(t) \rangle.$$
The expectation value for the time derivative of the energy is
$$\langle \dot{E} \rangle = \langle \psi(t)|\mathring{\hat{H}}|\psi(t) \rangle=0.$$
Infamously Bohr and Kramer shortly before the correct modern quantum theory was discovered hypothesized that energy conservation holds only on average in general.
That was famously disproven by Bothe with his ingenious invention of coincidence counting, where he could meausure the energy (and momenta) of the photon and the electron in Compton scattering, showing that total energy and momentum are conserved on an event-by-event basis, i.e., in any scattering event the energy-momentum conservation holds strictly true and not only on average (1924).
https://arxiv.org/abs/1106.1365
It's quite fitting that Bothe got his Nobel prize for his coincidence-counter method together with Born for his probabilistic interpretation of the QT, which clearly resolved the puzzle about the conservation laws on the microscales in the sense given above.