Nurse III - House Supervisor

apartment Texas Health and Human Services location_onBig Spring, TX 79720, US

Functional Title: Nurse III - House Supervisor
Job Title: Nurse III - House Supervisor
Agency: Health & Human Services Comm
Department: Residential Care Admissions
Posting Number: 11013
Closing Date: 02/03/2026
Posting Audience: Internal and External
Occupational Category: Healthcare Practitioners and Technical
Salary Group: TEXAS-B-24
Salary Range: $7,532.75 - $8,886.16
Pay Frequency: Monthly
Shift: Regular Weekend Day
Additional Shift: Days (First); Evenings (Second); Nights (Third); Weekends
Telework: Not Eligible for Telework
Travel: Up to 10%
Regular/Temporary: Regular
Full Time/Part Time: Full time
FLSA Exempt/Non-Exempt: Exempt
Facility Location: Big Spring State Hospital
Job Location City: BIG SPRING
Job Location Address: 1901 N HIGHWAY 87
Other Locations: Big Spring
MOS Codes: 290X,46AX,46FX,46NX,46PX,46SX,46YX,66B,66C,66E,66F,66G,66H,66N,66P,66R,66S,66T,66W

Brief Job Description:

Would you thrive in an environment where you learn and grow personally and professionally all while helping make a positive impact on people’s lives? Do you appreciate being around others like yourself who are dependable, trustworthy, hard workers who believe in the value of teamwork? HSCS is dedicated to building an atmosphere where employees feel valued and supported while providing specialized care for Texans in need. HSCS is comprised of nine psychiatric hospitals, one youth residential treatment facility, and thirteen state supported living centers. The psychiatric hospitals are a hub of excellence for forensic mental health and complex psychiatric care, with all facilities accredited by The Joint Commission. They provide state-of-the-art treatment that is recovery-oriented and science-based. If providing hope and healing through compassionate, innovative, and individualized care interests you, we welcome your application for the position below.

The Nurse III House Supervisor performs highly complex nursing work and is responsible for the after-hours operation of campus-based nursing services. This position encompasses multiple responsibilities which include: management of clinical nursing practice and patient care delivery, development of nursing personnel, ensuring compliance with regulatory and professional standards, and other hospital policies and procedures. The House Supervisor develops and ensures program specific staffing plans are met and initiates action to reassign staff to accomplish appropriate staffing at all times. Serves as a consultant, clinical and administrative expert to all staff after-hours. Advises and communicates unusual incidents or significant events are conveyed to the Administrative Officer of the Day (AOD), Medical Officer of the Day (MOD), Chief Nurse Executive (CNE), Assistant Chief Nurse Executive (ACNE) and Nurse Manager, when applicable. Participates in development of nursing policy and decision-making as a member of the Nursing Clinical Operations Team. Serves in the capacity of a Lead Clinical RN as assigned, or as needed. Must understand that duties, location of work and shift patterns are subject to change, as determined by administration, to meet the needs of the hospital. Works under general supervision, with moderate latitude for the use of initiative and independent judgment.

Performs other duties as assigned. 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.

This position may be eligible to earn additional pay for work performed on evenings, nights and/or weekends.

Essential Job Functions (EJFs):

Attends work on a regular basis and may be asked to work a specific shift schedule or, at times, even a rotating schedule, extended shift and/or overtime in accordance with agency leave policy and performs other duties as assigned.

Coordinates the after-hours operation of campus-based nursing services and the delivery of quality patient care. Makes hospital rounds on each area to promote nursing visibility and to assess unit operations are followed according to policy and procedure. Assists after hours nursing staff in the promotion of a safe and therapeutic environment. Ensures compliance with The Joint Commission (TJC) standards, Centers for Medicare and Medicaid (CMS) conditions of participation, Texas Administrative Code (TAC), Texas Board of Nursing, Texas Nurse Practice Act, and the rules and regulations of the Agency and state hospital system. Prepares the daily house supervisor's report for official record and dissemination to hospital leadership.

Implements program specific staffing plans ensuring they are met according to nursing policies and procedures. Provides direction and leadership ensuring nurse staffing summaries are timely, complete, and accurate and takes action to reassign staff to meet the required staffing numbers. Provides Clinical RN unit coverage as needed or assigned to meet staffing plans. Administration of medication, treatment, assessment, and patient monitoring. On site subject matter expert and consultant to all clinical and administrative staff. Collaborates with the AOD, MOD, Chief Nurse Executive (CNE), Assistant Chief Nurse Executive (ACNE), and Nurse Managers for the onsite coordination of the hospital's after-hours nursing services. Provides training and direction to staff, assists leadership in identifying needed improvements.

Point of contact and resource to external customers. Coordinates external visits and request from these external customers including but not limited to HHSC Provider Investigators, Office of Inspector General (IOG) representatives, regulatory agencies, law enforcement, etc. Provides with requested information as required. Facilitates and coordinates interviews with staff and/or patients as requested and within required guidelines. Manages the client abuse/neglect process after hours to assure patient safety and needs are met. Takes appropriate staff action and mitigation as needed to ensure safety of patients and staff.

Coordinates a smooth admission process during non-traditional work hours. Conducts triage and assessment of patients presenting for admission Communication with the Mental Health Authority, outside medical hospital, and law enforcement as needed and appropriate. Planning and coordination of required discipline assessments and the unit placement for patients meeting eligibility for admission.

Administrative Nurse designee during disasters and emergencies, and coordinates emergency and disaster drills for the hospital. Reports to the site of the incident to provide direction and support to nursing staff. Incident Commander during disasters and emergencies occurring after hours following hospital emergency management procedures.

Member of the Nursing Clinical Operations Team and other appointed hospital committees and workgroups by actively participating with a focus on problem solving and performance improvement. Active in the planning, development, and implementation of performance improvement plans and initiatives. Represents nursing leadership and works collaboratively with other hospital disciplines in the development of hospital policies and procedures.

Participates in Quality Assurance and Performance Improvement activities by completing hospital rounds, audits, medical records reviews; clinical reviews/investigations; identifying deficiencies; development of in-service training; and implementing performance improvement plans.

Knowledge, Skills and Abilities (KSAs):

• Knowledge of state and federal laws for individuals with mental health issues rules, regulations, policy and procedures related to State Hospital.

• Knowledge of the laws and rules of the Texas Board of Nursing.

• Knowledge of Texas Nurse Practice Act, including the Texas Board of Nursing Rules and Regulations, and the role of nursing peer review in the provision of both professional nursing and vocational nursing.

• Knowledge of emergency procedures and emergency equipment, i.e., CPR., and ability to assess and care for residents and/or staff members in emergency situations.

• Knowledge of nursing care standards, the Settlement Agreement and the Healthcare Guidelines.

• Skill and knowledge related to supervising employees.

• Skill in the care and treatment of patients and in the use of nursing treatment tools and equipment.

• Skill in analyzing problems, formulating and implementing plans of corrections, and to successfully lead change.

• Skills in the use of computer/software and an electronic health record system.

• Skill in time management and prioritization.

• Ability to communicate effectively to groups and individuals.

• Ability to achieve and maintain collaborative relationships.

• Ability to train all levels of staff.

• Ability to analyze and develop policies, procedures, and reports.

• Ability to interpret regulations and communicate them effectively both orally and in writing.

• Ability to evaluate services, identify concerns/trends and develop meaningful plans for improvement.

• Ability to organize, coordinate, and evaluate nursing activities.

• Ability to instruct, train, oversee and provide guidance to others.

• Ability to maintain required continuing education hours.

• Proficient in the use of computer/software and knowledge of electronic health care systems

Registrations, Licensure Requirements or Certifications:

Licensed to practice as a registered nurse (RN) in the State of Texas (or state that recognizes reciprocity through the Nurse Licensure Compact) prior to hire.

Initial Screening Criteria:

Graduation from a Nursing Program accredited by the Texas Board of Nurse Examiners required AND

At least three (3) years of work experience as a RN in a recognized health agency, hospital, or health care facility.

Additional Information:

Applicants must pass a fingerprint criminal background check, pre-employment drug screen, and registry checks including the Client Abuse/Neglect Reporting System (CANRS), Nurse Aid, Medication Aide and Employee Misconduct, List of Excluded Individuals/Entities (LEIE). Males between the ages of 18-25 must be registered with the Selective Service.

All applicants must be at least 18 years of age to be considered for employment at a state-operated facility. Waco Center for Youth applicants must be 21 years of age.

Flexibility in work hours may be required for this position. The position may be required to work overtime and/or extended hours.

Compliance with HHSC immunization policy and state hospital operating procedures related to immunizations is required. According to the Centers for Disease Control and Prevention, healthcare workers are considered to be at significant risk for acquiring or transmitting hepatitis B, measles, mumps, rubella, varicella (chicken pox), tetanus, diphtheria, pertussis (whooping cough), and influenza. All these diseases are vaccine preventable. As a result, state hospital policy requires employees be vaccinated according to their level of contact with individuals. In the event you choose to not be immunized for the influenza virus, you may be required to wear a mask and take other protective measures.

Review our Tips for Success when applying for jobs at DFPS, DSHS and HHSC.

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 to fill this position. For more information please see the Texas State Auditor’s Job Descriptions, Military Crosswalk and Military Crosswalk Guide at Texas State Auditor's Office - Job Descriptions.

ADA Accommodations:

In compliance with the Americans with Disabilities Act (ADA), HHSC and DSHS agencies will provide reasonable accommodation during the hiring and selection process for qualified individuals with a disability. If you need assistance completing the on-line application, contact the HHS Employee Service Center at 1-888-894-4747. If you are contacted for an interview and need accommodation to participate in the interview process, please notify the person scheduling the interview.

Pre-Employment Checks and Work Eligibility:

Depending on the program area and position requirements, applicants selected for hire may be required to pass background and other due diligence checks.

HHSC uses E-Verify. You must bring your I-9 documentation with you on your first day of work. Download the I-9 Form

Telework Disclaimer:

This position may be eligible for telework. Please note, all HHS positions are subject to state and agency telework policies in addition to the discretion of the direct supervisor and business needs.

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Join the Texas Health and Human Services Commission (HHSC) and be part of a team committed to creating a positive impact in the lives of fellow Texans. At HHSC, your contributions matter, and we support you at each stage of your life and work journey. Our comprehensive benefits package includes 100% paid employee health insurance for full-time eligible employees, a defined benefit pension plan, generous time off benefits, numerous opportunities for career advancement and more. Explore more details on the Benefits of Working at HHS webpage . Functional Title: RN Shift Supervisor Job Title: Nurse III/Nurse Manager Agency: Health & Human Services Comm Department: Unit 1 - Nursing Posting Number: 10614 Closing Date: 01/25/2026 Posting Audience: Internal and External Occupational Category: Healthcare Practitioners and Technical Salary Group: TEXAS-B-24 Salary Range: $7,532.75 - $8,886.16 Pay Frequency: Monthly Shift: Day Additional Shift: Days (First); Evenings (Second); Weekends Telework: Not Eligible for Telework Travel: Up to 5% Regular/Temporary: Regular Full Time/Part Time: Full time FLSA Exempt/Non-Exempt: Exempt Facility Location: El Paso State Supported Living Center Job Location City: EL PASO Job Location Address: 6700 DELTA DR Other Locations: El Paso MOS Codes: 290X,46AX,46FX,46NX,46PX,46SX,46YX,66B,66C,66E,66F,66G,66H,66N,66P,66R,66S,66T,66W Brief Job Description: Come work in an environment where we truly value and respect those we serve and believe in the mission that all people can achieve a higher level of wellness and independence. The state supported living centers serve people with intellectual and developmental disabilities who are medically fragile or who have behavioral problems. The centers provide campus-based direct services and supports at 13 centers located throughout the state. Learn About Our State Supported Living Centers If you are looking for a place to work where you can establish a career that is filled with purpose, this is the job for you! Free CEUs and updated resources through Lippincott access for all nurses. The RN Shift Supervisor is responsible for coordinating and overseeing nursing activities and ensuring appropriate nursing staff coverage during the assigned shift. Serves as the point-of-contact for other interdisciplinary staff for coordination of nursing services for the assigned areas, or the SSLC as a whole, specific to SSLC needs. Responds to emergency situations to provide assessment and ensures safety and care of individuals and staff. Provides treatment to HHS employees injured in course and scope of employment. Performs complex nursing work, including comprehensive physical assessments and care intervention, such as health screenings, treatments and other nursing procedures. Evaluates and documents healthcare needs and/or issues and reports health care needs and/or issues to the appropriate person(s). Provides oversight and coaching of, and delegates work to, nursing staff including direct care RNs and LVNs during the assigned shift. Assists with on-the-job nursing instruction and training of other nurses as instructed and serves as a resource for other nurses. Reports personnel issues to the assigned nurse managers for follow up. Provides input into subordinate nursing staff evaluations, as requested. Models appropriate interaction with individuals with intellectual and developmental disabilities, their family members, and with staff members. Develops and presents information for inservice training or staff development, as assigned. Communicates with others, such as direct care staff, physicians, primary care practitioners (PCPs), administration, and other nursing staff to ensure optimal care as part of the interdisciplinary team. Notifies the Nurse Manager, Nurse Operations Officer (NOO) or other designated supervisor, of trends and concerns to ensure that communication is in place to provide consistent, high quality care for all persons served. Maintains a professional, harmonious working relationship with facility employees as well as outside agency employees. Keeps informed of and follows all agency, and facility policies and procedures. Completes other assignments as instructed. Works under general supervision of the Nurse Manager, NOO or other designated supervisor, with moderate latitude for the use of initiative and independent judgment. This position may be eligible to earn additional pay for work performed on evenings, nights and/or weekends. Essential Job Functions (EJFs): Attends work on a regular basis and may be required to work a specific shift schedule or, at times, even a rotating schedule, extended shift and/or overtime in accordance with agency leave policy and performs other duties as assigned. May serve in an on-call status on a rotating schedule as required to meet operational needs of the facility. During the shift, is assigned to either a home, group of homes or the SSLC as a whole, depending on SSLC size. Ensures appropriate nursing staff coverage is maintained for the assigned area during the assigned shift by collaborating with person(s) responsible for nursing schedule and other appropriate staff. Makes adjustment to nursing assignments based upon call-ins and the immediate needs of individuals served. Delegates work assignments to nursing staff within the assigned area and reports significant nursing coverage issues to the appropriate administrator. Serves as the point-of-contact for other interdisciplinary staff for coordination of nursing services for the assigned areas, or the SSLC as a whole, specific to SSLC needs. For the assigned area, receives calls for assistance from staff members such as direct care nurses, the campus coordinator, home supervisor, on-duty supervisor, incident and risk management staff and other department heads. Responds to these calls by assessing nursing services being providing and the need for additional or different services. Coordinates with other nursing staff, medical staff or administrative staff to ensure the needed services are received in the assigned area. Needs might include a specific nursing assessment, treatment, or consultation with medical staff for consideration for transfer offsite to a hospital to receive assessment or treatment. Performs complex nursing work including comprehensive physical health assessments, health screenings, and treatments campus wide. Performs technical nursing procedures according to facility and state regulations after demonstration for competency, i.e., tracheostomy care, gastrostomy/jejunostomy care, wound care, breathing treatments. Maintains competency in use of all medical equipment as ordered by physician/PCP. Administers medications, immunizations, and treatment and observes patients for unusual symptoms and reactions. Demonstrates knowledge of medications administered in order to identify desired effects or adverse reactions. Evaluates and documents healthcare needs and/or issues and reports health care needs and/or issues to the appropriate person(s). Communicates health status/needs to other disciplines, and to families as needed. Provides teaching and training to staff and individuals. Assists with on-the-job nursing instruction and training of other nurses, such as LVNs and Nurse Is during the assigned shift by observing them perform their essential job duties and providing feedback to them in their performance of nursing protocols and treatments. Develops and presents information for Inservice training or staff development, as assigned. Serves as a resource for other nurses by answering their questions about nursing protocols and providing information about where to seek additional information for in their professional development such as the use of online learning platforms. Models appropriate interaction with individuals with intellectual and developmental disabilities, their family members, and with staff members. Provides input to nurse manager and other supervisors to assist in the evaluation of employee performance. Responds to emergency situations to ensure safety of individuals. Performs CPR, suctioning, and other emergency procedures as directed by physician/PCP/protocol. Administers emergency medications as prescribed. Demonstrates a working knowledge of emergency procedures and emergency equipment. Recognizes and coaches appropriate Safe Use of Restraint (SUR) procedures. Provides treatment to HHS employees injured in course and scope of employment. Performs related work as assigned. Serves as resource/mentor to other nurses. Cross-trains other registered nurse(s) to back–up as RN Shift Supervisor, as needed. Provides back-up coverage for nursing activities on an as-needed basis. For example, as needed, assists in lab to draw blood samples as per scheduled time periods, etc. Collects specimens for laboratory examination and conducts appropriate screening tests (after competency is documented) as requested by lab personnel. Actively participates in, and prepares for in advance, essential meetings related to care of persons served in order to manage and coordinate health care to achieve optimal health. Updates necessary items in the automated system(s) and other tracking documents and takes the necessary action to communicate information to other disciplines. Participates in competency-based training and continuing education activities and meetings to maintain competence in nursing best practice. Demonstrates knowledge of safety and infection control practices to ensure a safe working environment. Complies with state mandated continuing education to maintain licensure as a registered nurse. Follows information security protocols in order to maintain the accuracy and confidentiality of consumer records. Complies with all State/Federal/Local standards; Facility Policy, ICF Standards, and Texas Nurse Practice Act. by following standard precautions to minimize cross contamination. Provide treatment to HHS employees injured in course and scope of employment. 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 nursing techniques, standards, and procedures; of health care laws and regulations; of medical diagnoses and procedures; of accepted medical treatment patterns; of community health and nursing care principles, practices, and procedures; of program regulations and procedures; and of utilization review and control measures. Knowledge of state and federal laws and Intermediate Care Facility for individuals with intellectual disabilities (ICF-IID) rules, regulations, policy and procedures related to State Supported Living Center or ability to quickly gain that knowledge. Knowledge of nursing care standards, the Settlement Agreement and the Healthcare Guidelines or ability to quickly gain the knowledge. Knowledge of infectious diseases and infection prevention and control principles and practices in the healthcare setting. Knowledge of standards and Infection Prevention Control standards related to infection control and utilization management. Skills in the use of computer/software and an electronic health record system Skill in the care and treatment of patients. Exceptional physical assessment skills. Exceptional organizational skills. Excellent verbal and written communication skills and the ability to present ideas clearly and concisely in both written and oral communications, and via telemedicine equipment. Ability to provide patient care; to prepare and maintain records; to organize, coordinate, and evaluate nursing activities and delivery of health services; to interpret policies and procedures; to interpret health care regulations; to recognize patterns of medical necessity treatment; and to plan, assign, and/or supervise the work of others. Ability to interpret regulations and communicate them effectively both orally and in writing. Ability to appropriately interact with individuals with intellectual/developmental disabilities, with their family members, and with staff members. Ability to work independently and productively with all levels of staff. Ability to train all levels of staff and coordinate shift assignments. Ability to make decisions and recommendations to SSLC leadership including on-call administrators. Must maintain current CPR certification. Must have strength and flexibility to safely perform Cardiopulmonary Resuscitation (CPR). Knowledge of emergency procedures and emergency equipment, i.e., CPR., and ability to assess and care for residents and/or staff members in emergency situations. Registrations, Licensure Requirements or Certifications: Licensed to practice as a registered nurse in the State of Texas or a state that recognizes reciprocity through the Nurse Licensure Compact. Initial Screening Criteria: At least one (1) year experience as a practicing registered nurse is required. At least two (2) years of experience as a practicing registered nurse in a health agency, hospital, or health-care facility is preferred. Bachelor's Degree is preferred. Previous experience working with Individuals with Intellectual or Developmental Disabilities (IDD) is preferred. Nursing supervisory experience is preferred. Additional Information: Applicants must pass a fingerprint criminal background check, pre-employment drug screen, and registry checks including the Client Abuse/Neglect Reporting System (CANRS), Nurse Aide, Medication Aide and Employee Misconduct and HHS List of Excluded Individuals/Entities (LEIE). Males between the ages of 18 – 25 must be registered with the Selective Service. All State Supported Living Center Employees are subject to Random Drug Testing. Flexibility in work hours may be required for this position. The position may be required to work overtime and/or extended hours. Must be willing to work weekends and holidays. All applicants must be at least 18 years of age to be considered for employment at a state-operated facility. Review our Tips for Success when applying for jobs at DFPS, DSHS and HHSC . 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 to fill this position. For more information please see the Texas State Auditor’s Job Descriptions, Military Crosswalk and Military Crosswalk Guide at Texas State Auditor's Office - Job Descriptions . ADA Accommodations: In compliance with the Americans with Disabilities Act (ADA), HHSC and DSHS agencies will provide reasonable accommodation during the hiring and selection process for qualified individuals with a disability. If you need assistance completing the on-line application, contact the HHS Employee Service Center at 1-888-894-4747. If you are contacted for an interview and need accommodation to participate in the interview process, please notify the person scheduling the interview. Pre-Employment Checks and Work Eligibility: Depending on the program area and position requirements, applicants selected for hire may be required to pass background and other due diligence checks. HHSC uses E-Verify. You must bring your I-9 documentation with you on your first day of work. Download the I-9 Form Telework Disclaimer: This position may be eligible for telework. Please note, all HHS positions are subject to state and agency telework policies in addition to the discretion of the direct supervisor and business needs.