Nurse III RN Shift Supervisor

Texas Health & Human Services Commission•El Paso, TX
•$7,533 - $8,886•Onsite

About The Position

The RN Shift Supervisor performs highly complex nursing work by coordinating, monitoring, and evaluating nursing services during an assigned shift to support safe, consistent, quality care for individuals served at a State Supported Living Center. The role coordinates nursing assignments and shift coverage, provides clinical guidance, mentoring, coaching, and on-the-job training to nursing staff, and serves as a point of contact for nursing and interdisciplinary staff. It also involves comprehensive assessments, treatments, medication administration, emergency response, documentation, and other nursing procedures in accordance with applicable laws, regulations, facility policies, standards of care, and the Texas Nurse Practice Act. The supervisor evaluates nursing program operations, services, and shift activities; communicates findings and recommended corrective actions or process improvements through supervisory channels; and follows up as assigned to support implementation of approved changes. The position supports continuity of care and may provide direct nursing care as needed. Work is performed under limited supervision of the NOO or another designated supervisor, with considerable latitude for initiative and independent judgment. The role is based at the El Paso State Supported Living Center. It is a full-time, regular position on a day shift, with telework not eligible and travel up to 5%. The posted salary range is $7,532.75–$8,886.16 monthly, with a starting salary of $7,532.75. Additional pay may be available for work on evenings, nights, and/or weekends. The role may require on-call duty, rotating schedules, overtime, extended hours, weekends, holidays, or an alternate shift or location during disaster response or Continuity of Operations activation.

Requirements

  • Current license to practice as a registered nurse in Texas or a state with reciprocity through the Nurse Licensure Compact.
  • At least one year of experience as a practicing registered nurse.
  • Current CPR certification.
  • Ability to safely perform CPR and, once trained, Safe Use of Restraint (SUR) and Ukeru techniques.
  • Considerable knowledge of nursing techniques, standards, procedures, health-care laws and regulations, medical diagnoses and procedures, accepted treatment practices, community health principles, program regulations, and utilization review measures.
  • Knowledge of nursing care standards and evidence-based practices for individuals with developmental disabilities.
  • Knowledge of state and federal laws and ICF-IID rules, regulations, policies, and procedures related to State Supported Living Centers, or ability to acquire this knowledge quickly.
  • Knowledge of infectious diseases and infection prevention and control principles and practices in healthcare settings.
  • Knowledge of emergency procedures and equipment, including CPR, and ability to respond to resident or staff emergencies.
  • Skill in providing nursing care and treatment to individuals with complex medical and behavioral health needs.
  • Skill in using computers, software, and electronic health record systems.
  • Skill in time management, organization, prioritization, staff training, coaching, mentoring, and clear verbal and written communication.
  • Ability to provide patient care, maintain records, organize and evaluate nursing activities, interpret policies and regulations, recognize medical necessity patterns, and plan, assign, coordinate, and monitor nursing staff work during a shift.
  • Ability to work independently and productively with all levels of staff, manage multiple deadlines, and align tasks with departmental needs.
  • Ability to perform comprehensive assessments, identify abnormal findings, recognize signs and symptoms of illness or injury, make nursing judgments, develop care plans, evaluate outcomes, and make recommendations.
  • Ability to interact appropriately with individuals with intellectual or developmental disabilities, their family members, and staff.
  • Ability to train staff, mentor nurses, coordinate shift assignments, provide feedback through appropriate supervisory channels, and appropriately escalate concerns to leadership or on-call administrators.
  • Must pass required fingerprint criminal background, pre-employment drug, and registry checks.
  • Must be at least 18 years old to be considered for employment at a state-operated facility.

Nice To Haves

  • Experience coordinating nursing services, shift coverage, or nursing assignments.
  • At least two years of experience as a practicing registered nurse in a health agency, hospital, or healthcare facility.
  • Bachelor's degree.
  • Previous experience working with individuals with intellectual and/or developmental disabilities.

Responsibilities

  • Coordinate, monitor, and evaluate nursing services and activities in an assigned area during the assigned shift.
  • Collaborate with scheduling personnel and other staff to ensure appropriate nursing coverage; adjust assignments to address call-ins and immediate care needs, and report significant coverage issues to the appropriate supervisor or administrator.
  • Coordinate nursing staff work assignments and provide clinical guidance, on-the-job training, mentoring, and coaching to RNs, LVNs, and less experienced shift supervisors.
  • Monitor and review nursing assessments, documentation, and service delivery for compliance, accuracy, completeness, standards of care, and quality; provide feedback to supervisors for follow-up.
  • Evaluate shift operations and related information to identify trends, concerns, coverage gaps, training needs, and improvement opportunities; communicate findings and recommendations through appropriate supervisory channels and follow up as assigned.
  • Serve as a nursing point of contact for interdisciplinary staff; assess concerns, coordinate nursing, medical, or administrative support, and help ensure appropriate services, treatments, assessments, consultations, or hospital transfers are considered as needed.
  • Perform comprehensive assessments, health screenings, treatments, technical nursing procedures, medication and immunization administration, and documentation; monitor for symptoms and medication reactions and communicate health needs to appropriate parties.
  • Teach and train staff and individuals; assist with nursing instruction, provide feedback on protocols and treatments, develop or present in-service training as assigned, and provide input to nurse managers regarding staff performance follow-up.
  • Train, mentor, and coach other RN Shift Supervisors; recommend best practices for shift organization and staff deployment; and cross-train registered nurses as backup shift supervisors when needed.
  • Provide backup nursing coverage, including drawing blood or collecting specimens after competency is documented, and provide direct care when required by staffing needs, complex cases, or training needs.
  • Respond to emergencies, perform CPR, suctioning, and other emergency procedures as directed, administer prescribed emergency medications, use emergency equipment, coach appropriate Safe Use of Restraint procedures, and provide treatment to employees injured at work.
  • Prepare for and participate in meetings related to the care of individuals served; update automated systems and tracking documents and communicate information to other disciplines.
  • Participate in competency-based training, continuing education, and meetings; maintain nursing licensure and CPR certification; follow safety, infection-control, information-security, confidentiality, and applicable facility, state, and federal requirements.
  • Participate in agency disaster response, recovery, or Continuity of Operations activation as assigned, potentially requiring a different shift pattern or location.
  • Attend work regularly and perform other duties as assigned.

Benefits

  • 100% paid employee health insurance for full-time eligible employees.
  • Defined benefit pension plan.
  • Generous time off benefits.
  • Opportunities for career advancement.
  • Free CEUs and updated resources through Lippincott access for nurses.
  • Position may be eligible for additional pay for work performed on evenings, nights, and/or weekends.
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