Nurse III - House Supervisor

About the role

The Nurse III House Supervisor performs highly complex nursing work and is responsible for the after-hours operation of campus-based nursing services. This position encompasses multiple responsibilities which include: management of clinical nursing practice and patient care delivery, development of nursing personnel, ensuring compliance with regulatory and professional standards, and other hospital policies and procedures.

Responsibilities

• Attends work on a regular basis and may be asked to work a specific shift schedule or, at times, even a rotating schedule, extended shift and/or overtime in accordance with agency leave policy and performs other duties as assigned.
• Captains the after-hours operation of campus-based nursing services and the delivery of quality patient care. Makes hospital rounds on each area to promote nursing visibility and to assess unit operations are followed according to policy and procedure. Assists after hours nursing staff in the promotion of a safe and therapeutic environment.
• Ensures compliance with The Joint Commission (TJC) standards, Centers for Medicare and Medicaid (CMS) conditions of participation, Texas Administrative Code (TAC), Texas Board of Nursing, Texas Nurse Practice Act, and the rules and regulations of the Agency and state hospital system.
• Prepares the daily house supervisor's report for official record and dissemination to hospital leadership.
• Implements program specific staffing plans ensuring they are met according to nursing policies and procedures. Provides direction and leadership ensuring nurse staffing summaries are timely, complete, and accurate and takes action to reassign staff to meet the required staffing numbers.
• Provides Clinical RN unit coverage as needed or assigned to meet staffing plans. Administers medication, treatment, assessment, and patient monitoring. On site subject matter expert and consultant to all clinical and administrative staff.
• Serves as a point of contact and resource to external customers. Coordinates external visits and requests from these external customers including but not limited to HHSC Provider Investigators, Office of Inspector General (IOG) representatives, regulatory agencies, law enforcement, etc. Provides with requested information as required. Facilitates and coordinates interviews with staff and/or patients as requested and within required guidelines. Manages the client abuse/neglect process after hours to assure patient safety and needs are met. Takes appropriate staff action and mitigation as needed to ensure safety of patients and staff.
• Coordinates a smooth admission process during non-traditional work hours. Conducts triage and assessment of patients presenting for admission. Communicates with the Mental Health Authority, outside medical hospital, and law enforcement as needed and appropriate. Plans and coordinates required discipline assessments and the unit placement for patients meeting eligibility for admission.
• Administrative Nurse designee during disasters and emergencies, and coordinates emergency and disaster drills for the hospital. Reports to the site of the incident to provide direction and support to nursing staff. Incident Commander during disasters and emergencies occurring after hours following hospital emergency management procedures.
• Member of the Nursing Clinical Operations Team and other appointed hospital committees and workgroups by actively participating with a focus on problem solving and performance improvement. Active in the planning, development, and implementation of performance improvement plans and initiatives. Represents nursing leadership and works collaboratively with other hospital disciplines in the development of hospital policies and procedures.
• Participates in Quality Assurance and Performance Improvement activities by completing hospital rounds, audits, medical records reviews; clinical reviews/investigations; identifying deficiencies; development of in-service training; and implementing performance improvement plans.

Requirements

Knowledge, Skills and Abilities (KSAs):

• Knowledge of state and federal laws for individuals with mental health issues rules, regulations, policy and procedures related to State Hospital.
• Knowledge of the laws and rules of the Texas Board of Nursing.
• Knowledge of Texas Nurse Practice Act, including the Texas Board of Nursing Rules and Regulations, and the role of nursing peer review in the provision of both professional nursing and vocational nursing.
• Knowledge of emergency procedures and emergency equipment, i.e., CPR., and ability to assess and care for residents and/or staff members in emergency situations.
• Knowledge of nursing care standards, the Settlement Agreement and the Healthcare Guidelines.
• Skill and knowledge related to supervising employees.
• Skill in the care and treatment of patients and in the use of nursing treatment tools and equipment.
• Skill in analyzing problems, formulating and implementing plans of corrections, and to successfully lead change.
• Skills in the use of computer/software and an electronic health record system.
• Skills in time management and prioritization.
• Ability to communicate effectively to groups and individuals.
• Ability to achieve and maintain collaborative relationships.
• Ability to train all levels of staff.
• Ability to analyze and develop policies, procedures, and reports.
• Ability to interpret regulations and communicate them effectively both orally and in writing.
• Ability to evaluate services, identify concerns/trends and develop meaningful plans for improvement.
• Ability to organize, coordinate, and evaluate nursing activities.
• Ability to instruct, train, oversee and provide guidance to others.
• Ability to maintain required continuing education hours.
• Proficient in the use of computer/software and knowledge of electronic health care systems.

Qualifications

Initial Screening Criteria:

• Graduation from a Nursing Program accredited by the Texas Board of Nurse Examiners required AND
• At least three (3) years of work experience as a RN in a recognized health agency, hospital, or health care facility.

Benefits

Comprehensive benefits package includes 100% paid employee health insurance for full-time eligible employees, a defined benefit pension plan, generous time off benefits, numerous opportunities for career advancement and more.