RN IV Nurse Manager

Texas Health & Human Services Commission • RICHMOND, TX

20d • $8,300 - $10,786 • Onsite

About The Position

The Nurse Manager performs advanced, senior-level nursing functions, including planning, developing, coordinating, supervising, and evaluating nursing care provided around the clock. The position directs the day-to-day operations of assigned nursing areas and ensures nursing practices comply with HHSC policies, the Texas Administrative Code, Texas Board of Nursing standards, and applicable state and federal requirements. The manager maintains a competent, adequately staffed workforce through hiring, scheduling and leave activities, training, coaching, and performance evaluation. The role provides clinical direction and ensures care reflects each resident’s characteristics and specialized needs, while supporting integrated treatment teams and working with interdisciplinary teams, families, other departments, and external organizations. The Nurse Manager also participates in quality assurance and performance improvement and provides treatment to HHS employees injured in the course and scope of their employment. The position works under minimal supervision with considerable latitude for initiative and independent judgment.

The role is based at Richmond State Supported Living Center, which provides campus-based services and supports to people with intellectual and developmental disabilities who may be medically fragile or have behavioral needs. The position is designated for the day shift and is not eligible for telework. Travel may be required up to 10%. The role may involve rotating or extended shifts, overtime, on-call duties, weekends, holidays, and work at another location or on an alternate shift during disaster response or continuity-of-operations activation. Additional pay may be available for work on evenings, nights, weekends, or maximum-security locations.

Applicants must be licensed to practice as an RN in Texas or a Nurse Licensure Compact party state and maintain current CPR certification. At least two years of experience as a practicing RN is required. A bachelor's degree, three years of RN experience in a health agency, hospital, or healthcare facility, two years of nursing supervisory experience, and experience working with people with intellectual or developmental disabilities are preferred. Hiring is subject to required background, drug-screening, and registry checks.

Requirements

• Current license to practice as a Registered Nurse in Texas or in a Nurse Licensure Compact party state that recognizes reciprocity.
• Current CPR certification, which must be maintained.
• At least two years of experience as a practicing registered nurse.
• Knowledge of nursing techniques, standards, and procedures; healthcare laws and regulations; medical diagnoses and procedures; accepted treatment patterns; community health and nursing care; program regulations; and utilization review and control measures.
• Knowledge of state and federal laws and ICF-IID or Joint Commission requirements, policies, and procedures related to State Supported Living Centers or State Hospitals, or ability to acquire that knowledge quickly.
• Excellent written and verbal communication skills, including the ability to present ideas clearly and concisely.
• Skills in patient care, computer software and electronic health record systems, time management, prioritization, teamwork, and coaching.
• Ability to interact appropriately with people with intellectual or developmental disabilities, their families, and staff.
• Ability to provide patient care, maintain records, interpret policies and healthcare regulations, and recognize patterns of medical-necessity treatment.
• Ability to organize, coordinate, and evaluate nursing activities; instruct, train, and supervise others; and work independently and productively with all staff levels.
• Ability to perform comprehensive physical assessments, identify abnormal findings, and recognize signs and symptoms of illness or injury.
• Ability to analyze and integrate information to make nursing judgments, assess acuity, develop plans of care, and evaluate outcomes.
• Ability to provide nursing care in emergencies and sufficient strength and flexibility to safely perform CPR.
• Must pass required fingerprint criminal background, pre-employment drug-screen, and registry checks.
• Applicants must be at least 18 years old; males aged 18–25 must be registered with the Selective Service.
• Must be willing to work weekends and holidays; flexibility in hours, overtime, and extended hours may be required.
• State Supported Living Center employees are subject to random drug testing.

Nice To Haves

• At least three years of experience as a practicing RN in a health agency, hospital, or healthcare facility.
• Bachelor's degree.
• At least two years of nursing supervisory experience.
• Previous experience working with individuals with intellectual and/or developmental disabilities.

Responsibilities

• Plan, organize, direct, and manage daily operations of assigned nursing areas in accordance with agency policies and applicable rules and regulations.
• Facilitate nursing standards of practice consistent with oversight entities and regulatory requirements, including the Board of Nursing, ICF-IID standards, Joint Commission, CMS conditions of participation, and the Texas Administrative Code.
• Establish, implement, and evaluate staffing plans; ensure timely nursing coverage 24 hours a day, seven days a week; and assign direct-care nurses based on patient needs and care complexity.
• Monitor nursing resource allocation, staffing patterns, and nursing-care trends; aggregate and communicate information to program staff and leadership.
• Hire, train, coach, evaluate, and support the professional growth of assigned nurses; ensure required training and staff development plans are completed; and promote recruitment, retention, recognition, and morale.
• Provide clinical direction and expertise, oversee nursing performance indicators, review records and peer-review findings, participate in serious-incident reviews, and take corrective action as needed.
• Oversee implementation of nursing policies, procedures, and protocols; conduct rounds and observations; audit nursing documentation; assist nurses in resolving issues; and hold regular meetings to address feedback and concerns.
• Develop and update training curricula and deliver in-service training in collaboration with the Nurse Educator; assign targeted training and support clinical learning opportunities.
• Participate in quality assessment and improvement initiatives; use data to identify trends and improve nursing care; protect residents’ rights; and ensure significant events are captured, reviewed, communicated, and followed up.
• Conduct or oversee clinical reviews and alert leadership to safety and risk-management issues while facilitating problem-solving.
• Support partnerships with residents and families, leadership, interdisciplinary teams, committees, other HHSC programs and departments, outside agencies, and external stakeholders.
• Provide treatment to HHS employees injured in the course and scope of employment; maintain CPR and emergency-response skills and initiate emergency treatment as necessary.
• Attend work regularly, serve on call on a rotating schedule when required, perform other assigned duties, and support disaster response, recovery, or continuity-of-operations activities.

Benefits

• 100% paid employee health insurance for full-time eligible employees.
• Defined benefit pension plan.
• Generous time-off benefits.
• Career advancement opportunities.
• Free continuing education units (CEUs) and updated resources through Lippincott access for nurses.
• The position may be eligible for additional pay for work performed on evenings, nights, weekends, or maximum-security locations.

What This Job Offers

• Job Type: Full-time
• Career Level: Senior
• Education Level: No Education Listed