Nurse III - House Supervisor

Texas Health & Human Services Commission•Austin, TX

5d•$7,533 - $8,886•Onsite

About The Position

The Nurse III House Supervisor performs highly complex nursing work and is responsible for the after-hours operation of campus-based nursing services at Austin State Hospital. The role manages clinical nursing practice and patient care delivery, supports the development of nursing personnel, ensures compliance with regulatory and professional standards and hospital policies, and develops and implements program-specific staffing plans. The House Supervisor may reassign staff to maintain appropriate coverage and serve as a clinical and administrative consultant to staff after hours. Significant events and unusual incidents are communicated to hospital leadership. The position participates in nursing policy development and decision-making, may serve as a Lead Clinical RN, and works under general supervision with moderate latitude for initiative and independent judgment. Duties, work location, and shift patterns may change to meet hospital needs. The position coordinates after-hours nursing services and patient care, makes hospital rounds, supports a safe and therapeutic environment, prepares the daily house supervisor report, and oversees staffing and clinical coverage. It serves as an on-site resource for staff and external customers, coordinates admissions and assessments outside traditional working hours, manages after-hours abuse and neglect processes, and supports emergency and disaster response. The role also participates in nursing operations, hospital committees, quality assurance, performance improvement, audits, reviews, training, and policy development. Other duties may include disaster response or recovery and Continuity of Operations (COOP) activities, which may require an alternate shift or location. The position is full-time, regular, exempt, and assigned to the evening shift. It is not eligible for telework and may involve travel up to 10%. Additional pay may be available for work on evenings, nights, and/or weekends. Flexible hours, rotating or extended shifts, overtime, and schedule changes may be required.

Requirements

Graduation from a nursing program accredited by the Texas Board of Nurse Examiners.
At least three years of work experience as an RN in a recognized health agency, hospital, or healthcare facility.
Registered nurse license to practice in Texas, or in a state that recognizes reciprocity through the Nurse Licensure Compact, before hire.
Knowledge of state and federal laws, rules, regulations, policies, and procedures concerning individuals with mental health issues and state hospitals.
Knowledge of Texas Board of Nursing laws and rules and the Texas Nurse Practice Act, including nursing peer review.
Knowledge of emergency procedures and equipment, including CPR, and ability to assess and care for residents or staff in emergencies.
Knowledge of nursing care standards, the Settlement Agreement, and Healthcare Guidelines.
Supervisory skills and skill in patient care, treatment, and use of nursing treatment tools and equipment.
Ability to analyze problems, develop and implement corrective plans, and lead change.
Proficiency with computers, software, and electronic health record or healthcare systems.
Time-management and prioritization skills.
Ability to communicate effectively with individuals and groups and maintain collaborative relationships.
Ability to train, instruct, oversee, and guide staff at all levels.
Ability to analyze and develop policies, procedures, and reports; interpret regulations and communicate them orally and in writing.
Ability to evaluate services, identify concerns and trends, and develop improvement plans.
Ability to organize, coordinate, and evaluate nursing activities.
Ability to maintain required continuing education hours.
If transporting patients, must possess a valid Texas driver's license or obtain one within 90 days of hire to drive a state vehicle; applicants with an out-of-state license must provide an original certified driving record, and an eligible driving record is required under HHSC Fleet Management policy.
Must pass applicable fingerprint criminal background, pre-employment drug, and registry checks.
Must be at least 18 years old for employment at a state-operated facility.
Must comply with HHSC immunization policy and state hospital immunization procedures.
Must provide I-9 documentation on the first day of work.

Responsibilities

Coordinate the after-hours operation of campus-based nursing services and delivery of quality patient care.
Make hospital rounds to assess unit operations, promote nursing visibility, and support a safe and therapeutic environment.
Ensure compliance with applicable Joint Commission, CMS, Texas Administrative Code, Texas Board of Nursing, Texas Nurse Practice Act, agency, and hospital requirements.
Prepare the daily house supervisor report for the official record and dissemination to hospital leadership.
Implement program-specific staffing plans, ensure staffing summaries are complete and timely, and reassign staff as needed to meet required staffing levels.
Provide Clinical RN unit coverage as needed, including medication administration, treatments, assessments, and patient monitoring.
Serve as an on-site subject matter expert and consultant to clinical and administrative staff; collaborate with hospital leadership on after-hours nursing services.
Train and direct staff and assist leadership in identifying improvements.
Coordinate external visits and requests from investigators, regulators, law enforcement, and other external customers; provide information and facilitate interviews as appropriate.
Manage the after-hours client abuse and neglect process and take appropriate action to protect patients and staff.
Coordinate admissions during non-traditional hours, including triage, patient assessment, communications with outside entities, discipline assessments, and unit placement for eligible patients.
Serve as administrative nurse designee during disasters and emergencies, coordinate emergency and disaster drills, and provide direction and support at incident sites.
Act as Incident Commander for after-hours disasters and emergencies in accordance with hospital emergency procedures.
Participate in Nursing Clinical Operations Team activities, committees, workgroups, policy development, and performance improvement initiatives.
Conduct rounds, audits, medical record reviews, clinical reviews, and investigations; identify deficiencies, develop in-service training, and implement improvement plans.
Participate in disaster response or recovery and Continuity of Operations activities as assigned.
Perform other duties as assigned.