House Supervisor

ESSENTIAL RESPONSIBILITIES

• Oversee day-to-day nursing operations for assigned behavioral health units (adult, adolescent, forensic and crisis unit).
• Ensure adequate nurse and behavioral health technician (BHT/MHT) staffing levels aligned with acuity and Texas staffing regulations.
• Round on units multiple times daily to ensure clinical care standards, therapeutic milieu, safety, and staff engagement.
• Serve as a resource to charge nurses for decision-making, crisis intervention, and escalation.
• Monitor performance indicators restraints/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 BH requirements.
• Lead unit-level DNV readiness activities chart audits, tracers, environment-of-care checks, staff competencies, and quality reviews.
• Aid in the resolution of plan-of-correction items, unit performance improvement (PI) projects, and regulatory documentation.

Staff Leadership, Development & Competency

• Supervise, mentor, and evaluate Charge Nurses, RNs, LVNs, and MHT/BHT staff.
• Lead new hire orientation, annual competencies, and ongoing education for behavioral health nursing.
• Conduct performance evaluations, coaching, corrective actions, and professional development planning.
• Promote a culture of trauma-informed care, Just Culture, teamwork, de-escalation, and patient-centered care.

Quality, Safety & Risk Management

• Partner with Quality/Risk to address patient safety events, complete investigations, implement corrective actions, and monitor trends.
• Facilitate Root Cause Analysis (RCA) activities for nursing-related events.
• Ensure adherence to standards for suicide prevention, ligature mitigation, observation levels, and safe medication administration.
• Monitor infection prevention practices including hand hygiene, PPE, isolation protocols, and environmental safety.

Patient Experience & Clinical Outcomes

• Drive improvements in patient satisfaction and therapeutic outcomes.
• Ensure patients receive structured programming, group treatment, and individualized nursing interventions.
• Collaborate with physicians, social work/case management, therapy services, and ancillary teams to ensure timely care plans and discharges.
• Address patient/family concerns and grievances related to nursing care.

Resource & Budget Oversight

• Assist in development and monitoring of nursing department budgets, staffing plans, and supply utilization.
• Manage agency use, overtime, and productivity metrics.
• Support recruitment, professional growth, and retention of nursing staff.

Collaboration & Communication

• Serve on committees such as Nursing Leadership, Quality/PI, Patient Safety, Environment of Care, and Pharmacy & Therapeutics.
• Participate in daily leadership huddles, bed meetings, and cross-departmental coordination activities.
• Communicate updates, policy changes, regulatory alerts, and safety priorities to nursing staff.