House Supervisor - PRN Day Shift

Nexus Health Systems; Houston (TX); On-site; USD 85,000 - 110,000; Full time

Job summary

Nexus Children's Hospital in Houston seeks an experienced Nursing House Supervisor (RN) to provide clinical leadership and coordinate hospital operations for pediatric inpatients with complex medical and behavioral health needs.

The role requires ADN with 3+ years of nursing experience and at least 2 years in a supervisory capacity, plus 1–2 years in pediatric acute care. Strong clinical judgment and collaboration across teams are essential for safe, patient-centered care.

Qualifications

• ADN required; BSN preferred.
• 3+ years of clinical nursing experience, with at least 2 years in a leadership or supervisory role.
• 1–2 years of pediatric nursing experience, preferably in an acute care setting.
• Experience caring for patients with medical and/or behavioral health diagnoses is preferred.
• Strong assessment, planning, and evaluation skills in a complex clinical environment.

Responsibilities

• Provide clinical leadership across all units and support nursing staff.
• Coordinate staffing, admissions, transfers, discharges, and bed management to optimize patient flow.
• Respond to emergencies, critical incidents, and staffing needs.
• Collaborate with departments to ensure patient safety and quality care.
• Coach staff, provide feedback, and support conflict resolution.
• Promote evidence-based nursing practices and HIPAA-compliant patient privacy.

Skills

Clinical leadership

Staff coaching

Critical thinking

Emergency coordination

Effective communication

Decision making

Education

Associate Degree in Nursing (ADN)

Bachelor of Science in Nursing (BSN) preferred

Tools

Electronic Health Records (EHR)

Clinical technology

Job description

Nursing House Supervisor (RN)

Nexus Children's Hospital - Houston | Houston, TX

Lead With Purpose

Nexus Children's Hospital - Houston is seeking an experienced

Nursing House Supervisor (RN)

Nexus Children's Hospital - Houston | Houston, TX

Lead With Purpose

Nexus Children's Hospital - Houston is seeking an experienced Nursing House Supervisor to provide clinical leadership, support nursing teams, and coordinate hospital operations. This is an opportunity to make a meaningful impact on the care of children and adolescents with complex medical, behavioral health, and neurodevelopmental needs.

We're looking for a confident, compassionate nursing leader who can guide staff through challenging situations, make sound clinical decisions, and help ensure every patient receives safe, individualized care.

About Us

Nexus Children's Hospital - Houston provides specialized inpatient care for children and adolescents with complex needs, including autism spectrum disorder, intellectual and developmental disabilities, and behavioral health challenges. Our interdisciplinary team works together to support each patient's medical stability, behavioral progress, and quality of life.

Position Summary

The Nursing House Supervisor provides administrative and clinical oversight across all units, serving as an on-site resource for nursing staff and hospital departments. This role coordinates staffing, supports patient flow, responds to emergencies, and helps maintain a safe, efficient, and patient-centered care environment.

During evenings, nights, weekends, and holidays, the House Supervisor serves as the primary on-site administrative representative, supporting timely decisions and continuity of hospital operations.

What You'll Do

Clinical Leadership and Hospital Operations

• Provide clinical oversight, guidance, and hands-on support to nursing staff across all units.
• Assess patient acuity and adjust staffing assignments and resources to support safe care delivery.
• Coordinate admissions, transfers, discharges, and bed management to maintain effective patient flow.
• Participate in clinical rounds, recognize changes in patient condition, and support timely escalation of care.
• Respond to emergencies, critical incidents, and urgent staffing needs.
• Facilitate communication among nursing, providers, admissions, and other departments.
• Support evidence-based nursing practices, specialty care protocols, and hospital-wide initiatives.

Staff Support and Resource Management

• Serve as an accessible resource for clinical decision-making, problem-solving, and operational concerns.
• Coach and mentor staff, provide performance feedback, and assist with conflict resolution.
• Identify learning needs and recommend education and training opportunities.
• Coordinate staffing to balance patient needs, staff capabilities, and responsible use of hospital resources.
• Approve and monitor overtime and agency staffing within organizational guidelines.
• Promote efficient use of supplies and provide information on staffing trends and operational needs.

Patient and Family Experience

• Promote compassionate care that respects each patient's dignity, communication needs, and individual circumstances.
• Address patient and family concerns promptly and professionally.
• Advocate for timely access to appropriate care and specialty services.
• Support staff in using therapeutic communication and de-escalation techniques.
• Help teams manage challenging behaviors and emotional needs with sensitivity and sound clinical judgment.

Quality, Safety, and Compliance

• Monitor adherence to hospital policies, regulatory standards, accreditation requirements, and infection prevention practices.
• Conduct safety rounds and audits to identify risks and opportunities for improvement.
• Report and assist with investigating incidents, near misses, and patient complaints.
• Collaborate with quality and risk management teams on corrective actions.
• Protect patient privacy and maintain confidentiality in accordance with HIPAA and organizational policies.
• Participate in hospital committees, quality improvement initiatives, and required education and competency validation.
• Model professional conduct, accountability, and the mission, vision, and values of Nexus.
• Perform other duties as assigned.

What You'll Bring

Education and Experience

• Associate Degree in Nursing (ADN) required; Bachelor of Science in Nursing (BSN) preferred.
• At least 3 years of clinical nursing experience, including at least 2 years in a leadership or supervisory role.
• At least 1-2 years of pediatric nursing experience, preferably in an acute care setting.
• Experience caring for patients with medical and/or behavioral health diagnoses strongly preferred.
• Strong assessment skills and experience planning, implementing, and evaluating care in a complex clinical environment.

Skills and Leadership Qualities

• Sound clinical judgment and critical thinking in high-acuity and complex patient care situations.
• Strong knowledge of medication administration, acute illness management, and emergency response coordination.
• Effective communication with patients, families, providers, and interdisciplinary teams.
• Ability to remain calm, organized, and decisive during emergencies and rapidly changing clinical demands.
• Skill in therapeutic communication, behavioral health management, and de-escalation.
• Effective staff coaching, conflict resolution, and supervisory skills.
• Proficiency with electronic health records and clinical technology.
• A compassionate, accountable leadership approach that supports both patients and staff.

Licensure and Certifications

• Current Registered Nurse (RN) licensure in Texas.
• BLS certification through the American Heart Association or American Red Cross required, valid for at least 6 months from the date of hire.
• ACLS and PALS certification through the American Heart Association or American Red Cross required per unit requirements, valid for at least 6 months from the date of hire.
• Completion of de-escalation training within 30 days of hire.
• Required licensure and certifications must remain current and in good standing throughout employment.

Make an Impact at Nexus

Bring your clinical expertise and leadership to a team dedicated to helping children and adolescents with complex needs.