House Supervisor - Night Shift

Nexus Health Systems; Dallas (TX); On-site; USD 94,000 - 130,000; Full time

Job summary

Nexus Children’s Hospital – Dallas seeks an experienced Nursing House Supervisor (RN) to provide clinical leadership and on-site hospital oversight during the night shift. You will guide staff, coordinate staffing and patient flow, and ensure safe, high‑quality pediatric care across units.

The role emphasizes collaboration with physicians and nursing leaders, incident response, and maintaining regulatory compliance, infection prevention, and documentation in the EHR.

Qualifications

• Three years of clinical nursing experience with at least two years in leadership or supervisory roles.
• Pediatric nursing experience preferred (acute care).
• Texas RN licensure and BLS/ACLS/PALS as required by unit.

Responsibilities

• Serve as the primary on‑site nursing and administrative resource during assigned night shifts.
• Provide clinical oversight and support to nursing staff across units.
• Coordinate admissions, transfers, discharges, and bed management for safe patient care.
• Assess patient acuity and adjust staffing accordingly.
• Participate in clinical rounds and coordinate responses to emergencies.

Skills

Clinical leadership

Nursing assessment

Communication

Staff coaching

Education

Associate Degree in Nursing (ADN)

Bachelor of Science in Nursing (BSN) preferred

Tools

Electronic Health Records

Job description

Nursing House Supervisor (RN) – Night Shift

Nexus Children’s Hospital – Dallas

Location: Dallas, TX | Shift: Nights

Lead with confidence. Make a difference for children.

Nexus Children’s Hospital – Dallas is seeking an experienced Nursing House Supervisor to provide clinical leadership and hospital oversight during the night shift. Our interdisciplinary teams care for pediatric patients with complex medical, neurobehavioral, and rehabilitation needs, combining compassionate care with an individualized approach to recovery.

As the on-site nursing and administrative resource, you will guide staff, coordinate staffing and patient flow, and respond to clinical and operational needs across all units. This opportunity is ideal for a hands‑on nursing leader who brings sound judgment, a calm approach to challenging situations, and a commitment to supporting patients, families, and staff.

What You’ll Do

Provide Clinical and Operational Leadership

• Serve as the primary on‑site nursing and administrative resource during assigned night shifts, including weekends and holidays as scheduled.
• Provide clinical oversight, guidance, and support to nursing staff across all units.
• Coordinate admissions, transfers, discharges, and bed management to support safe, timely patient care.
• Assess patient acuity and adjust staffing assignments and resources to meet changing needs.
• Participate in clinical rounds, support escalation of care, and coordinate responses to emergencies and critical incidents.
• Partner with physicians, nursing leaders, and other departments to maintain continuity of care and resolve operational concerns.

Support Patients, Families, and Staff

• Promote compassionate, respectful care for children with complex medical and behavioral health needs.
• Address patient and family concerns promptly, using clear communication and sound judgment.
• Support staff in therapeutic communication, de‑escalation, and the safe management of challenging behaviors.
• Coach and mentor nursing staff, provide performance feedback, and help resolve conflicts.
• Identify learning needs and reinforce clinical competency, accountability, and professional development.

Advance Safety, Quality, and Compliance

• Monitor adherence to clinical standards, hospital policies, regulatory requirements, and infection prevention practices.
• Conduct safety rounds and audits to identify risks and support corrective action.
• Report and assist with investigations of incidents, near misses, and patient complaints.
• Collaborate with quality and risk management teams on improvements that strengthen patient safety and care delivery.
• Protect patient confidentiality and maintain accurate documentation using electronic health record systems.

Manage Resources Responsibly

• Balance staffing needs with patient acuity, safety, and responsible use of hospital resources.
• Approve and monitor overtime and agency staffing in accordance with hospital policies.
• Promote efficient use of supplies and provide input on staffing trends and operational needs.

What You’ll Bring

Education And Experience

• Associate Degree in Nursing (ADN) from an accredited nursing program required; Bachelor of Science in Nursing (BSN) preferred.
• Minimum of three years of clinical nursing experience, including at least two years in a leadership or supervisory role.
• At least one to two years of pediatric nursing experience, preferably in an acute care setting.
• Experience caring for patients with medical and/or behavioral health diagnoses strongly preferred.

Clinical And Leadership Skills

• Strong nursing assessment skills and clinical judgment in complex or high‑acuity situations.
• Knowledge of medication administration, acute illness management, and emergency response coordination.
• Ability to prioritize competing needs and make timely decisions during rapidly changing situations.
• Effective communication, staff coaching, conflict resolution, and interdisciplinary collaboration skills.
• Ability to provide compassionate support to patients and families during stressful situations.
• Proficiency with electronic health records and clinical technology.

Licensure and Certifications

• Current Registered Nurse (RN) licensure in Texas.
• BLS through the American Heart Association or American Red Cross required, valid for at least six months from the date of hire.
• ACLS and PALS, as required by the assigned unit, through the American Heart Association or American Red Cross, valid for at least six months from the date of hire.
• Completion of de‑escalation training within 30 days of hire.
• Maintenance of all required certifications in good standing throughout employment.

Make an Impact at Nexus

Bring your clinical expertise and leadership to a role where your decisions support safe care throughout the night. Join Nexus Children’s Hospital – Dallas and help our teams deliver compassionate, coordinated care for children and their families.