RN Nurse Supervisor, (B276099-1), 211, Grant Funded Employees

City of Laredo•Laredo, TX

About The Position

This grant-funded position supervises nursing personnel and the daily operations of the City of Laredo municipal Tuberculosis (TB) Prevention and Control Program. Continued employment is dependent on the availability of grant funds. The supervisor provides clinical nursing oversight and program administration for suspected and confirmed TB disease, TB infection, contact investigations, directly observed therapy (DOT), surveillance, and infection prevention. Services must be patient-centered, timely, safe, and documented in accordance with the current Texas Tuberculosis Manual, DSHS standing delegation orders, applicable laws, grant requirements, City policies, and Medical Director orders. The role oversees staffing, performance, financial operations, and coordination with regional, state, and binational partners. The position leads clinical case management and program operations, including prioritization of infectious cases and urgent investigations, treatment monitoring, testing coordination, reporting, contact follow-up, and infection prevention. It also manages staff, budgets, supplies, partnerships, audits, outreach, and program quality. The supervisor may provide authorized nursing services when needed, collaborates with the Medical Director and public health partners, and drives a City vehicle for city business. Other duties may be assigned. A bachelor’s degree in Nursing or a related field and at least one year of experience in public health, healthcare administration, or related work are required. A Texas Registered Nurse license and valid Texas driver license are required. CPR certification must be obtained within six months of employment. Applicants with foreign education must submit an eligible credential evaluation verifying U.S. degree equivalency. Employment offers are subject to a background check, certified transcripts, and pre-employment drug and alcohol testing; employees in safety-sensitive positions are subject to random testing.

Requirements

Bachelor’s degree from an accredited college or university in Nursing or a related field.
At least one year of experience in public health, healthcare administration, or related experience.
Registered Nurse license from the State of Texas.
Valid Texas driver license; an applicant with an out-of-state license must obtain a Texas driver license within six months of employment.
Obtain valid CPR certification within six months of employment; continued employment is contingent on obtaining required certification within the specified period.
Applicants with education completed outside the United States must provide a degree-equivalency evaluation from a NACES- or AICE-member credential evaluation agency.
Knowledge of nursing, public health, TB transmission, diagnosis, treatment monitoring, DOT, contact investigations, LTBI, infection control, Texas TB guidance, DSHS forms and standing orders, and NEDSS.
Knowledge of supervision, employee relations, budgeting, procurement, grant compliance, public administration, emergency response, office software, outreach, and health communication.
Knowledge of office procedures and software, English grammar and writing, employee supervision, healthcare delivery systems, accounting and budget management, social media and promotional strategies, grant writing, technical writing, and emergency management.
Skills in organization and time management, task switching, basic auditing, conflict resolution, public speaking, and presentations.
Ability to communicate effectively orally and in writing; maintain effective working relationships; meet schedules and deadlines; maintain confidentiality and professional boundaries; lead quality improvement; implement and evaluate program services; and design, manage, and execute a program budget.
Ability to function in a principle-based organization built on character and core values.
Applicants offered employment must undergo a thorough background check and provide certified school transcripts; selected applicants must complete pre-employment drug and alcohol testing. Safety-sensitive positions are subject to random drug and alcohol testing.

Responsibilities

Supervise, direct, and evaluate assigned staff; make authorized hiring, discipline, and termination recommendations; assign and prioritize work; manage schedules, leave, payroll, training, employee concerns, performance appraisals, and management liaison duties.
Lead daily TB clinic operations, triage workload, and prioritize infectious active TB treatment, suspected infectious cases, and urgent contact investigations.
Oversee nursing case management for suspected and confirmed TB cases, including assessments, individualized care plans, adherence support, adverse-reaction monitoring, clinical follow-up, referrals, and treatment completion in collaboration with the Medical Director.
Ensure prescribed DOT or approved video DOT is planned, performed, documented, and escalated for missed doses or interruptions; provide authorized nursing services when needed.
Coordinate sputum collection, laboratory testing, imaging, bacteriology follow-up, specimen handling, critical-result communication, and monitoring of isolation status without independently authorizing release from isolation.
Initiate and supervise infectious-period assessments and patient interviews; identify and prioritize contacts and track testing, medical evaluation, window-period follow-up, treatment, and referrals.
Oversee TB infection evaluations and treatment monitoring, targeted testing, and follow-up of referrals, including for high-risk and medically vulnerable populations.
Ensure timely TB reporting and complete, accurate data entry and reconciliation in Texas NEDSS, the City electronic health record, DSHS forms, case registers, contact investigation records, and grant reports; protect confidential records.
Coordinate isolation and airborne infection prevention, respirator and PPE practices, ventilation and negative-pressure checks, exposure response, and staff safety training; promptly escalate deficiencies and service interruptions.
Coordinate complex cases, including drug-resistant TB, pediatric cases, nonadherence, hospital discharge, cross-jurisdictional transfers, and Laredo–Nuevo Laredo binational referrals.
Manage medication and clinical supply inventory, storage, reconciliation, expiration monitoring, purchasing controls, and accountability for grant-supported materials.
Oversee program budgets, expenses, financial reports, vouchers, purchasing, accounts payable, fees, invoices, and cash transactions in accordance with City policy and authorization requirements.
Establish and maintain partnerships with hospitals, laboratories, clinics, employers, schools, community organizations, Texas DSHS, and binational TB programs; oversee risk-based outreach, education, presentations, and awareness efforts.
Collaborate in public health emergency response, interdepartmental initiatives, outbreak investigations, committees, and quality improvement; conduct chart and program audits and implement corrective actions.
Plan for continuity during staffing shortages, cross-train staff within licensure and standing orders, and promptly escalate when minimum nursing coverage is unavailable; do not assign nursing-only duties to unlicensed personnel.
Meet program productivity and accountability standards, including case triage, assigned RN case management, DOT planning, contact evaluation and tracking, timely records, weekly supervisory reviews, corrective plans, deadline-based reporting, and monthly medication, supply, and financial reconciliation.
Drive a City vehicle for city business use.
Perform other duties as assigned.