About The Position

Signet Health manages behavioral health services at Permian Basin Behavioral Health Center, a new, free-standing psychiatric facility in Midland, Texas. The Nurse Supervisor provides operational, clinical, and administrative leadership for designated inpatient behavioral health units in a DNV-certified Texas hospital. The role ensures safe, therapeutic, trauma-informed, and recovery-focused nursing care while supporting compliance with DNV, CMS, and Texas Health & Human Services requirements. The supervisor leads front-line nursing staff and helps drive clinical outcomes, patient and staff safety, quality metrics, regulatory readiness, and staff development. The role oversees daily nursing operations, staffing, clinical quality and safety, regulatory preparation, staff education and performance, patient experience, and resource use. It works closely with physicians, quality and risk teams, social work and case management, therapy services, and other hospital departments. This is an on-site hospital role involving frequent movement through inpatient psychiatric units and exposure to behavioral crises and infectious diseases. Occasional evenings and weekends may be needed for staffing needs, surveys, serious patient events, or emergent operations.

Requirements

  • Bachelor of Science in Nursing (BSN).
  • Current, unencumbered Texas RN license.
  • BLS certification.
  • SAMA or equivalent behavioral health de-escalation certification, required or to be obtained shortly after hire.
  • At least 5 years of acute psychiatric or behavioral health nursing experience.
  • At least 3 years of leadership experience, such as Charge RN, Nurse Supervisor, or Nurse Manager.
  • Strong knowledge of suicide-prevention protocols, observation levels, restraint and seclusion regulations, and trauma-informed care.
  • In-depth knowledge of Texas behavioral health regulations, CMS Conditions of Participation, and DNV NIAHO standards.
  • Strong crisis-management and clinical decision-making abilities.
  • Excellent leadership, communication, and team-building skills.
  • Proficiency with EMR systems, data analysis, staffing models, and workflow redesign.
  • Ability to work on site and use safety protocols in an environment involving behavioral crises and infectious-disease exposure.

Nice To Haves

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

Responsibilities

  • Oversee day-to-day nursing operations for assigned adult, adolescent, forensic, and crisis behavioral health units.
  • Ensure nurse and behavioral health technician staffing levels are aligned with patient acuity and Texas staffing regulations.
  • Round on units to monitor clinical care standards, therapeutic milieu, safety, and staff engagement.
  • Support charge nurses with clinical decision-making, crisis intervention, and escalation.
  • Monitor indicators including restraints and 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 behavioral health requirements.
  • Lead unit-level DNV readiness activities, including chart audits, tracers, environment-of-care checks, staff competencies, and quality reviews.
  • Assist with plans of correction, performance-improvement projects, and regulatory documentation.
  • Supervise, mentor, and evaluate Charge Nurses, RNs, LVNs, and MHT/BHT staff.
  • Lead new-hire orientation, annual competencies, and ongoing behavioral health nursing education.
  • Conduct performance evaluations, coaching, corrective actions, and professional development planning.
  • Promote trauma-informed care, Just Culture, teamwork, de-escalation, and patient-centered care.
  • Partner with Quality and Risk teams to address patient safety events, investigate incidents, implement corrective actions, and monitor trends.
  • Facilitate root cause analysis activities for nursing-related events.
  • Ensure adherence to suicide-prevention, ligature-mitigation, observation-level, and safe medication-administration standards.
  • 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 and case management, therapy services, and ancillary teams on timely care plans and discharges.
  • Address patient and family concerns and grievances related to nursing care.
  • Assist with development and monitoring of nursing 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 leadership huddles, bed meetings, and cross-departmental coordination.
  • Communicate updates, policy changes, regulatory alerts, and safety priorities to nursing staff.
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