RN IV Nurse Manager

Location: Richmond State Supported Living Center, 2100 Preston, Richmond, TX | Posting #22544 | Closes: 12/20/2026 | Salary Group: TEXAS-B-26 | Full-time, Day shift (first shift) | FLSA Exempt | Not telework eligible | Up to 10% travel | Regular appointment

About the role

Join the Texas Health and Human Services Commission (HHSC) at the Richmond State Supported Living Center, serving individuals with intellectual and developmental disabilities who are medically fragile or have behavioral challenges. The center provides campus-based direct services and supports as part of a statewide system of 13 centers. The Nurse Manager performs advanced (senior-level) nursing functions — planning, developing, coordinating, supervising, and evaluating nursing care on a 24-hour basis — while directing day-to-day operations of assigned areas. This role ensures standards of practice align with HHSC, the Texas Administrative Code (TAC), the Texas State Board of Nursing, ICF‑IID standards, Joint Commission, and CMS conditions of participation. The position offers free CEUs and updated resources through Lippincott access for all nurses, and may be eligible for additional pay for evening, night, weekend, or maximum‑security assignments.

Responsibilities

• Attend work regularly; work assigned shifts, rotating schedules, extended shifts, and overtime as needed; serve in on‑call rotation to meet operational needs.
• Plan, organize, direct, and manage daily operations of the assigned nursing area per HHSC policies, state/federal rules, and regulations to ensure quality health services.
• Implement and evaluate standards of practice consistent with the Board of Nursing, ICF‑IID, Joint Commission, CMS, TAC, and agency/SSLC regulations.
• Establish, implement, and evaluate a nursing staffing plan that identifies and deploys minimum resources to meet all regulatory and professional standards; ensure continuous 24/7 nursing staff availability.
• Assess and develop nurse assignments based on patient needs and care complexity to assure safe, quality care.
• Collaborate with other nurse managers to establish and evaluate an annual nursing staffing plan covering all personnel levels.
• Streamline work efforts, minimize redundancy, and keep nursing management informed of resource allocation needs.
• Track and aggregate data for analysis and feedback to program staff and leadership; report patterns and trends (e.g., 24‑hour nursing reports, restraint documentation, staff call‑ins).
• Hire, train, and promote professional growth of assigned nurses; ensure staff compliance with agency/facility training standards.
• Review essential job functions, set performance expectations, coach, provide constructive feedback, and conduct timely performance evaluations; oversee staff development plans.
• Ensure awards and recognition activities that promote staff morale; proactively identify recruitment and retention opportunities.
• Provide clinical direction and expertise; ensure nursing services follow provider orders and meet specialized resident needs.
• Oversee nursing performance indicators for accuracy and quality; participate in performance improvement (monitoring indicators, record reviews, peer reviews, serious incident reviews).
• Use tracking systems to oversee performance indicators, provide feedback, and take corrective action.
• Implement nursing policies, procedures, and protocols to promote a professional environment and organizational mission alignment.
• Conduct periodic rounds/observations of assigned nurses; collaborate with interdisciplinary teams to ensure integrated care.
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