House Supervisor - PRN Day Shift

Nexus Health Systems Ltd•Houston, TX

5d•Onsite

About The Position

Nexus Children’s Hospital – Houston is seeking an experienced Nursing House Supervisor to provide clinical leadership, support nursing teams, and coordinate hospital operations while caring for children and adolescents with complex medical, behavioral health, and neurodevelopmental needs. The role provides administrative and clinical oversight across all units and serves as an on-site resource for nursing staff and hospital departments. Responsibilities include coordinating staffing, supporting patient flow, responding to emergencies, and helping maintain a safe, efficient, patient-centered care environment. During evenings, nights, weekends, and holidays, the House Supervisor serves as the primary on-site administrative representative to support timely decisions and continuity of hospital operations.

Requirements

Associate Degree in Nursing (ADN) required.
At least 3 years of clinical nursing experience, including at least 2 years in a leadership or supervisory role.
At least 1–2 years of pediatric nursing experience.
Strong assessment skills and experience planning, implementing, and evaluating care in a complex clinical environment.
Sound clinical judgment and critical thinking in high-acuity and complex patient care situations.
Strong knowledge of medication administration, acute illness management, and emergency response coordination.
Effective communication with patients, families, providers, and interdisciplinary teams.
Ability to remain calm, organized, and decisive during emergencies and rapidly changing clinical demands.
Skill in therapeutic communication, behavioral health management, and de-escalation.
Effective staff coaching, conflict resolution, and supervisory skills.
Proficiency with electronic health records and clinical technology.
Current Registered Nurse (RN) licensure in Texas.
BLS certification through the American Heart Association or American Red Cross, valid for at least 6 months from the date of hire.
ACLS and PALS certification through the American Heart Association or American Red Cross, required per unit requirements and valid for at least 6 months from the date of hire.
Completion of de-escalation training within 30 days of hire.
Required licensure and certifications must remain current and in good standing throughout employment.

Nice To Haves

Bachelor of Science in Nursing (BSN) preferred.
Pediatric nursing experience in an acute care setting preferred.
Experience caring for patients with medical and/or behavioral health diagnoses strongly preferred.
A compassionate, accountable leadership approach that supports both patients and staff.

Responsibilities

Provide clinical oversight, guidance, and hands-on support to nursing staff across all units.
Assess patient acuity and adjust staffing assignments and resources to support safe care delivery.
Coordinate admissions, transfers, discharges, and bed management to maintain effective patient flow.
Participate in clinical rounds, recognize changes in patient condition, and support timely escalation of care.
Respond to emergencies, critical incidents, and urgent staffing needs.
Facilitate communication among nursing, providers, admissions, and other departments.
Support evidence-based nursing practices, specialty care protocols, and hospital-wide initiatives.
Serve as a resource for clinical decision-making, problem-solving, and operational concerns.
Coach and mentor staff, provide performance feedback, and assist with conflict resolution.
Identify learning needs and recommend education and training opportunities.
Coordinate staffing to balance patient needs, staff capabilities, and responsible use of hospital resources.
Approve and monitor overtime and agency staffing within organizational guidelines.
Promote efficient use of supplies and provide information on staffing trends and operational needs.
Promote compassionate care that respects each patient’s dignity, communication needs, and individual circumstances.
Address patient and family concerns promptly and professionally.
Advocate for timely access to appropriate care and specialty services.
Support staff in using therapeutic communication and de-escalation techniques.
Help teams manage challenging behaviors and emotional needs with sensitivity and sound clinical judgment.
Monitor adherence to hospital policies, regulatory standards, accreditation requirements, and infection prevention practices.
Conduct safety rounds and audits to identify risks and opportunities for improvement.
Report and assist with investigating incidents, near misses, and patient complaints.
Collaborate with quality and risk management teams on corrective actions.
Protect patient privacy and maintain confidentiality in accordance with HIPAA and organizational policies.
Participate in hospital committees, quality improvement initiatives, and required education and competency validation.
Model professional conduct, accountability, and the mission, vision, and values of Nexus.
Perform other duties as assigned.