RN Shift Supervisor

Texas Health & Human Services Commission•Lubbock, TX

2d•$7,533 - $8,886•Onsite

About The Position

The RN Shift Supervisor performs highly complex nursing work by coordinating, monitoring, and evaluating nursing services during an assigned shift to support safe, consistent, quality care for individuals served at a State Supported Living Center. The role coordinates nursing assignments and shift coverage, provides clinical guidance, mentoring, coaching, and on-the-job training to nursing staff, and serves as a point of contact for nursing and interdisciplinary staff. It also performs comprehensive assessments, treatments, medication administration, emergency response, documentation, and other nursing procedures in accordance with applicable laws, regulations, facility policies, standards of care, and the Texas Nurse Practice Act. The position evaluates nursing program operations, services, and shift activities; communicates findings and recommended corrective actions or process improvements through appropriate supervisory channels; follows up as assigned to support approved changes; and supports continuity of care. Direct care nursing services may be provided as needed. The role works under limited supervision of the NOO or another designated supervisor, with considerable latitude for initiative and independent judgment. The position is based at the Lubbock State Supported Living Center in Lubbock, Texas. It is a full-time, day-shift position and is not eligible for telework. Travel may be up to 5%. Flexibility in work hours may be required, including rotating schedules, overtime or extended hours, weekends, holidays, and rotating on-call duty as needed. Starting salary is $7,532.75 per month, with a posted range of $7,532.75 to $8,886.16 per month. The position may be eligible for additional pay for work on evenings, nights, and/or weekends. HHSC describes its work as serving people with intellectual and developmental disabilities who may be medically fragile or have behavioral problems. The agency offers free continuing education units and Lippincott resources for nurses. Its benefits information includes 100% paid employee health insurance for eligible full-time employees, a defined benefit pension plan, generous time off, and career advancement opportunities.

Requirements

Current license to practice as a registered nurse in Texas or in a state recognizing reciprocity through the Nurse Licensure Compact.
At least one year of experience as a practicing registered nurse.
Current CPR certification and the strength and flexibility to safely perform CPR.
Physical ability to use CPR, Safe Use of Restraint (SUR), and Ukeru techniques after training.
Considerable knowledge of nursing techniques, standards, procedures, healthcare laws and regulations, medical diagnoses and procedures, accepted treatment practices, community health principles, program regulations, and utilization review measures.
Knowledge of nursing care standards and evidence-based practices for individuals with developmental disabilities.
Knowledge of, or ability to quickly learn, state and federal laws, ICF-IID rules, regulations, policies, and procedures related to State Supported Living Centers.
Knowledge of infectious diseases and infection prevention and control practices, including applicable utilization management standards.
Knowledge of emergency procedures and equipment, including CPR, and ability to respond to resident or staff emergencies.
Skill in providing nursing care and treatment to individuals with complex medical and behavioral health needs.
Skill in using computers, software, and electronic health record systems.
Skills in time management, organization, prioritization, training, coaching, mentoring, and clear verbal and written communication.
Ability to provide patient care; prepare and maintain records; organize, coordinate, and evaluate nursing activities and health-service delivery; interpret policies, procedures, and regulations; recognize patterns of medical necessity; and plan, assign, coordinate, and monitor nursing staff work during a shift.
Ability to work independently and productively with all levels of staff, prioritize work, manage multiple deadlines, and align tasks with departmental needs.
Ability to perform comprehensive assessments, identify abnormal findings and symptoms of illness or injury, analyze information, make nursing judgments, develop care plans, evaluate outcomes, and make recommendations.
Ability to interact appropriately with individuals with intellectual and developmental disabilities, their families, and staff.
Ability to train staff, mentor nurses, coordinate shift assignments, provide feedback through supervisory channels, and escalate concerns appropriately.
Must pass required fingerprint criminal background, pre-employment drug, and registry checks; State Supported Living Center employees are subject to random drug testing.
Must be at least 18 years old to be considered for employment at a state-operated facility.
Males ages 18–25 must be registered with the Selective Service.
Must provide I-9 documentation on the first day of work.

Nice To Haves

Experience coordinating nursing services, shift coverage, or nursing assignments.
At least two years of experience as a practicing registered nurse in a health agency, hospital, or healthcare facility.
Bachelor's degree.
Previous experience working with individuals with intellectual and/or developmental disabilities.

Responsibilities

Coordinate, monitor, and evaluate nursing services and activities for the assigned area during the assigned shift.
Collaborate on nursing staff coverage, adjust assignments based on call-ins and immediate needs, and communicate significant coverage issues to appropriate supervisors or administrators.
Coordinate nursing staff work assignments and provide guidance, on-the-job training, mentoring, and coaching to RNs, LVNs, and other nursing staff.
Monitor and review nursing assessments, documentation, and service delivery for compliance, accuracy, completeness, standards of care, and quality; provide feedback to supervisors for follow-up.
Evaluate shift operations and nursing services to identify trends, concerns, coverage gaps, training needs, and improvement opportunities; communicate findings and recommendations through supervisory channels and follow up on approved changes as assigned.
Serve as a point of contact for interdisciplinary staff and respond to requests for assistance by assessing services, identifying additional care needs, and coordinating with nursing, medical, or administrative staff.
Perform comprehensive assessments, health screenings, treatments, technical nursing procedures, medication and immunization administration, observation, documentation, and communication of health needs.
Maintain competency with ordered medical equipment and perform procedures such as tracheostomy care, gastrostomy/jejunostomy care, wound care, and breathing treatments after competency demonstration.
Teach and train staff and individuals; support nurse instruction and staff development, provide feedback, model appropriate interactions, and provide input to supervisors regarding follow-up and performance evaluation.
Train, mentor, and coach other RN Shift Supervisors; recommend best practices for shift organization and staffing deployment; and cross-train registered nurses as backup supervisors as needed.
Provide backup nursing coverage and direct care as needed, including collecting specimens and conducting screening tests after competency is documented, assisting with lab work, and responding to emergencies.
Perform CPR, suctioning, emergency procedures, and emergency medication administration as directed; demonstrate knowledge of emergency equipment and procedures and coach appropriate Safe Use of Restraint procedures.
Provide treatment to HHS employees injured in the course and scope of employment.
Prepare for and participate in meetings related to the care of individuals served, coordinate healthcare, update automated systems and tracking documents, and communicate information to other disciplines.
Participate in competency-based training, continuing education, and meetings; maintain nursing competence and licensure; follow safety, infection-control, information-security, confidentiality, and applicable regulatory requirements.
Participate in disaster response, recovery, or Continuity of Operations activities as assigned, which may require a different shift pattern or work location.
Attend work regularly, perform other assigned duties, and serve in rotating on-call status when required by facility needs.