Nurse Manager (Behavioral Health)

Signet Health•Midland, TX

1d•Onsite

About The Position

Nurse Manager - Permian Basin Behavioral Health Center - Midland, TX Signet Health is currently recruiting for a Nurse Manager for a New, free-standing psychiatric hospital located at Permian Basin Behavioral Health Center in Midland, TX. The Nurse Manager provides operational, clinical, and administrative leadership for designated inpatient behavioral health units in a DNV-certified Texas hospital. This role ensures delivery of safe, therapeutic, trauma-informed, and recovery-focused nursing care while ensuring compliance with DNV, CMS, and Texas Health & Human Services (HHSC) rules. The Nurse Manager supervises front-line nursing staff and serves as a key driver of clinical outcomes, patient/staff safety, quality metrics, regulatory readiness, and staff development. ESSENTIAL RESPONSIBILITIES: Clinical Operations & Daily Leadership Oversee day-to-day nursing operations for assigned behavioral health units (adult, adolescent, forensic and crisis unit). Ensure adequate nurse and behavioral health technician (BHT/MHT) staffing levels aligned with acuity and Texas staffing regulations. Round on units multiple times daily to ensure clinical care standards, therapeutic milieu, safety, and staff engagement. Serve as a resource to charge nurses for decision-making, crisis intervention, and escalation. Monitor performance indicators: restraints/seclusions, falls, self-harm attempts, elopement risk, medication safety, and length of stay. Regulatory & DNV Accreditation Compliance Ensure nursing policies and practices meet DNV NIAHO standards, CMS Conditions of Participation, and Texas Administrative Code BH requirements. Lead unit-level DNV readiness activities: chart audits, tracers, environment-of-care checks, staff competencies, and quality reviews. Assist with plan-of-correction items, unit performance improvement (PI) projects, and regulatory documentation. Staff Leadership, Development & Competency Supervise, mentor, and evaluate Charge Nurses, RNs, LVNs, and MHT/BHT staff. Lead new hire orientation, annual competencies, and ongoing education for behavioral health nursing. Conduct performance evaluations, coaching, corrective actions, and professional development planning. Promote a culture of trauma-informed care, Just Culture, teamwork, de-escalation, and patient-centered care. Quality, Safety & Risk Management Partner with Quality/Risk to address patient safety events, complete investigations, implement corrective actions, and monitor trends. Facilitate Root Cause Analysis (RCA) activities for nursing-related events. Ensure adherence to standards for suicide prevention, ligature mitigation, observation levels, and safe medication administration. Monitor infection prevention practices including hand hygiene, PPE, isolation protocols, and environmental safety. Patient Experience & Clinical Outcomes Drive improvements in patient satisfaction and therapeutic outcomes. Ensure patients receive structured programming, group treatment, and individualized nursing interventions. Collaborate with physicians, social work/case management, therapy services, and ancillary teams to ensure timely care plans and discharges. Address patient/family concerns and grievances related to nursing care. Resource & Budget Oversight Assist in development and monitoring of nursing department budgets, staffing plans, and supply utilization. Manage agency use, overtime, and productivity metrics. Support recruitment, professional growth, and retention of nursing staff. Collaboration & Communication Serve on committees such as Nursing Leadership, Quality/PI, Patient Safety, Environment of Care, and Pharmacy & Therapeutics. Participate in daily leadership huddles, bed meetings, and cross-departmental coordination activities. Communicate updates, policy changes, regulatory alerts, and safety priorities to nursing staff.

Requirements

Bachelor of Science in Nursing (BSN) required.
Current Texas RN license (unencumbered).
BLS certification required; CPI or equivalent behavioral health de-escalation certification required or obtained shortly after hire.
Minimum 5 years of acute psychiatric/behavioral health nursing experience.
At least 3 years of leadership experience (Charge RN, Nurse Supervisor, Nurse Manager).
Strong knowledge of suicide prevention protocols, observation levels, restraint/seclusion regulations, and trauma-informed care.
In-depth knowledge of Texas BH regulations, CMS CoPs, and DNV NIAHO standards.
Strong crisis management and clinical decision-making abilities.
Excellent leadership, communication, and team-building skills.
Proficiency in EMR systems, data analysis, staffing models, and workflow redesign.
On-site hospital role with frequent movement through inpatient psychiatric units.
Exposure to behavioral crises and infectious diseases; consistent use of safety protocols required.
Occasional evenings/weekends for staffing needs, surveys, serious patient events, or emergent operations.

Nice To Haves

Master’s Degree in Nursing, Healthcare Administration, or related field preferred.
Experience in a DNV-accredited or Joint Commission-accredited facility strongly preferred.

Responsibilities

Oversee day-to-day nursing operations for assigned behavioral health units (adult, adolescent, forensic and crisis unit).
Ensure adequate nurse and behavioral health technician (BHT/MHT) staffing levels aligned with acuity and Texas staffing regulations.
Round on units multiple times daily to ensure clinical care standards, therapeutic milieu, safety, and staff engagement.
Serve as a resource to charge nurses for decision-making, crisis intervention, and escalation.
Monitor performance indicators: restraints/seclusions, falls, self-harm attempts, elopement risk, medication safety, and length of stay.
Ensure nursing policies and practices meet DNV NIAHO standards, CMS Conditions of Participation, and Texas Administrative Code BH requirements.
Lead unit-level DNV readiness activities: chart audits, tracers, environment-of-care checks, staff competencies, and quality reviews.
Assist with plan-of-correction items, unit performance improvement (PI) projects, and regulatory documentation.
Supervise, mentor, and evaluate Charge Nurses, RNs, LVNs, and MHT/BHT staff.
Lead new hire orientation, annual competencies, and ongoing education for behavioral health nursing.
Conduct performance evaluations, coaching, corrective actions, and professional development planning.
Promote a culture of trauma-informed care, Just Culture, teamwork, de-escalation, and patient-centered care.
Partner with Quality/Risk to address patient safety events, complete investigations, implement corrective actions, and monitor trends.
Facilitate Root Cause Analysis (RCA) activities for nursing-related events.
Ensure adherence to standards for suicide prevention, ligature mitigation, observation levels, and safe medication administration.
Monitor infection prevention practices including hand hygiene, PPE, isolation protocols, and environmental safety.
Drive improvements in patient satisfaction and therapeutic outcomes.
Ensure patients receive structured programming, group treatment, and individualized nursing interventions.
Collaborate with physicians, social work/case management, therapy services, and ancillary teams to ensure timely care plans and discharges.
Address patient/family concerns and grievances related to nursing care.
Assist in development and monitoring of nursing department budgets, staffing plans, and supply utilization.
Manage agency use, overtime, and productivity metrics.
Support recruitment, professional growth, and retention of nursing staff.
Serve on committees such as Nursing Leadership, Quality/PI, Patient Safety, Environment of Care, and Pharmacy & Therapeutics.
Participate in daily leadership huddles, bed meetings, and cross-departmental coordination activities.
Communicate updates, policy changes, regulatory alerts, and safety priorities to nursing staff.