Psychiatric Nursing Assistant Supervisor

Texas Health & Human Services Commission•San Antonio, TX
•$4,381 - $5,921•Onsite

About The Position

The Psychiatric Nursing Assistant V oversees daily operations and the delivery of quality programs and services on an assigned unit at the State Hospital. The position arranges staffing coverage, leads and supervises Psychiatric Nursing Assistants (PNAs), supports staff development, and ensures that care, treatment, training, and support activities are completed and documented in accordance with individual plans. The role works collaboratively with other disciplines and participates in interdisciplinary planning and continuous quality improvement. The supervisor provides guidance for staff working with individuals who have challenging behaviors and complex needs, and maintains a physical presence on the unit to support safety, sanitary living conditions, infection control, risk management, and quality of life. The position also oversees incident reporting, policy compliance, required meetings, and documentation. It works under limited supervision, with considerable latitude to use initiative and independent judgment. The role is full-time at the Terrell Center for Youth in Terrell, Texas, and is not eligible for telework. The position may require work on a specific or rotating schedule, including evenings, nights, weekends, overtime, or extended hours. It may also require an alternate shift or location during disaster response, recovery, or Continuity of Operations activation. The position may be eligible for additional pay for evening, night, and/or weekend work.

Requirements

  • At least four years of direct patient care experience.
  • At least three years of psychiatric patient care experience.
  • At least two years of supervisory or team lead experience.
  • Knowledge of patient care techniques, therapeutic intervention, and de-escalation techniques.
  • Skill in administering first aid and cardiopulmonary resuscitation (CPR).
  • Skill in responding to emergency psychiatric situations, including restraint and seclusion.
  • Skill in conducting Treatment Intervention Protection Strategies (TIPS).
  • Ability to speak and read English.
  • Ability to provide appropriate direct patient care and communicate effectively with direct care staff and psychiatric patients.
  • Ability to conduct, perform, teach, and mentor enhanced searches for contraband; observe, document, and report special observations for potential malingering behaviors.
  • Ability to understand staffing needs and schedule appropriately based on acuity, observation levels, patient population, and specialized programming needs.
  • Ability to model, teach, and mentor appropriate approaches to manipulative and highly aggressive behaviors.
  • Ability to demonstrate proper body mechanics, posture, and lifting techniques.
  • CPR certification, or ability to obtain certification within the first 60 days of employment.
  • If transporting patients, a valid Texas driver license or ability to obtain one within 90 days of hire is required to drive a state vehicle; an eligible driving record is required.
  • Must be at least 21 years old to work at the Terrell Center for Youth.
  • Must pass required fingerprint criminal background, pre-employment drug, and registry checks.
  • Compliance with HHSC immunization policy and state hospital immunization-related operating procedures is required.
  • Flexibility in work hours may be required; overtime or extended hours may be required.

Nice To Haves

  • Three years of supervisory or team lead experience is preferred.

Responsibilities

  • Oversee daily unit operations and ensure delivery of quality programs and services.
  • Arrange and adjust work schedules to ensure adequate staffing and supervision coverage.
  • Plan, assign, and supervise PNA activities; hire, train, coach, and support staff development and retention.
  • Monitor staff training, performance, time and leave entries, evaluations, and development plans.
  • Train and coach PNA IV staff in shift supervision, behavior management, crisis intervention, mealtime coordination, and documentation.
  • Ensure care, treatment, training, and support activities are completed and documented according to individuals’ plans.
  • Maintain adequate active treatment and engagement materials and collaborate with other disciplines and services.
  • Attend Interdisciplinary Team Meetings and participate in developing and implementing individual plans.
  • Guide staff in working with individuals who exhibit challenging, aggressive, or self-injurious behaviors; support behavioral interventions and safety.
  • Maintain a physical presence on the unit, supervise and monitor staff, support coverage as needed, and promote respectful interactions and quality of life.
  • Ensure individuals’ health care needs are addressed under medical supervision; administer first aid as appropriate and report significant changes in health or behavior.
  • Conduct monthly emergency drills, including CPR and fire drills, and ensure staff understand emergency roles.
  • Maintain a safe and sanitary unit, ensure infection control and risk management procedures are followed, and address or report hazards and maintenance issues.
  • Promote continuous quality improvement and compliance with Joint Commission standards; oversee reporting and review of unusual incidents.
  • Guide staff in understanding and following program procedures, policies, and laws, including the Texas Administrative Code; oversee abuse and neglect investigation procedures and follow-up.
  • Attend routine and other assigned meetings, serve on committees, follow up on meeting issues, and prepare reports and documentation.
  • Assist with transporting individuals for scheduled activities or in emergencies when directed.
  • Participate in disaster response, recovery, or Continuity of Operations activities 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.
  • Potential additional pay for work performed on evenings, nights, and/or weekends.
© 2026 Teal Labs, Inc
Privacy PolicyTerms of Service