Nurse III - House Supervisor

Texas Health and Human Services; Kerrville (TX); On-site; USD 84,065 - 99,169; Full time

Benefits offered by this job

100% paid health insurance

Defined benefit pension plan

Generous time-off policies

Career advancement pathways

Job summary

Health & Human Services Commission (HHSC) Kerrville State Hospital seeks a Nurse III House Supervisor to oversee after-hours nursing operations, supervise staff, ensure regulatory compliance, coordinate with hospital leadership, and deliver high-quality patient care during non-traditional hours.

The role includes professional development opportunities and comprehensive benefits, including 100% paid health insurance, a defined benefit pension plan, generous time-off policies, and clear career

Qualifications

• RN license in TX or Nurse Licensure Compact
• Graduation from an accredited nursing program
• Minimum 3 years RN experience in a health/hospital setting

Responsibilities

• Oversee after-hours operation of campus-based nursing services and ensure quality patient care.
• Make rounds, supervise staff, and assess unit operations for policy compliance.
• Assist after-hours staff in maintaining a safe, therapeutic environment.
• Ensure compliance with TJC, CMS, TAC, Board of Nursing, and Nurse Practice Act.
• Prepare daily house supervisor reports for leadership distribution.
• Provide staffing plan leadership and ensure timely staffing summaries.
• Provide RN unit coverage as needed and administer meds, treatments, assessments, and monitoring.

Skills

Staff supervision

Regulatory compliance

Emergency care

EHR systems

Communication

Education

RN license (TX or compact)

Nursing degree

Tools

EHR systems

Job description

Job Title

Nurse III - House Supervisor

Agency

Health & Human Services Commission (HHSC)

Location

Kerrville, TX – Kerrville State Hospital, 721 Thompson Dr, Kerrville, TX 78245

Shift

Day shift with availability for evenings (second shift)

Salary

$7,532.75 – $8,886.16 per month (Salary Group TEXAS-B-24)

Job Overview

The Nurse III House Supervisor is responsible for the after‑hours operation of campus‑based nursing services at Kerrville State Hospital. The role includes supervising staff, ensuring compliance with regulatory standards, coordinating with hospital leadership, and providing quality patient care during non‑traditional hours. This position offers professional development opportunities and comprehensive benefits, including 100% paid health insurance, a defined benefit pension plan, generous time‑off policies, and career advancement pathways.

Responsibilities

• Coordinate the after‑hours operation of campus‑based nursing services and ensure quality patient care.
• Make hospital rounds, promote nursing visibility, and assess unit operations to maintain policy compliance.
• Assist after‑hours nursing staff in creating a safe and therapeutic environment.
• Ensure compliance with The Joint Commission (TJC) standards, CMS conditions of participation, Texas Administrative Code (TAC), Texas Board of Nursing, and the Texas Nurse Practice Act.
• Prepare daily house supervisor's reports for official record and dissemination to hospital leadership.
• Implement program‑specific staffing plans, providing leadership to ensure timely and accurate staffing summaries.
• Provide Clinical RN unit coverage as needed and administer medication, treatment, assessment, and patient monitoring.
• Serve as on‑site subject matter expert and consultant to all clinical and administrative staff, collaborating with AOD, MOD, CNE, ACNE, and Nurse Managers.
• Act as the point of contact for external customers, coordinating requests and facilitating interviews with staff and patients.
• Coordinate smooth admission process during non‑traditional hours, conducting triage and assessment of patients and communicating with the Mental Health Authority and other stakeholders.
• Serve as Administrative Nurse designee during disasters and emergencies, coordinating emergency drills and acting as Incident Commander for after‑hours events.
• Participate in the Nursing Clinical Operations Team and other hospital committees, focusing on problem solving and performance improvement.
• Engage in Quality Assurance and Performance Improvement activities, including rounds, audits, and medical record reviews.

Essential Job Functions

• Attend work on a regular basis and work specific shift schedules, including rotating or overtime schedules as required.
• Coordinate the after‑hours operation of campus‑based nursing services and the delivery of quality patient care.
• Implement program‑specific staffing plans and provide Clinical RN coverage as needed.
• Serve as the on‑site subject matter expert and consultant, collaborating with leadership for coordinated care.
• Act as the point of contact for external customers and coordinate investigations or requests as required.
• Coordinate a smooth admission process during non‑traditional work hours.
• Serve as Administrative Nurse designee during disasters and emergencies.
• Participate in the Nursing Clinical Operations Team and other hospital committees and workgroups.
• Engage in Quality Assurance and Performance Improvement activities.

Knowledge, Skills & Abilities (KSAs)

• Knowledge of state and federal laws for individuals with mental health issues, regulatory policies, and state hospital procedures.
• Knowledge of Texas Board of Nursing laws, regulations, and the Texas Nurse Practice Act.
• Ability to assess and care for residents and/or staff members in emergency situations (CPR, etc.).
• Knowledge of nursing care standards, settlement agreements, and healthcare guidelines.
• Skill in supervising employees, analyzing problems, formulating and implementing change plans.
• Knowledge of nursing treatment tools, equipment, and electronic health record systems.
• Time‑management, prioritization, and effective communication skills.
• Ability to train all levels of staff, interpret regulations, and develop policies and procedures.
• Ability to evaluate services, identify trends, and develop improvement plans.

Registrations, Licensure & Certifications

• Licensed registered nurse (RN) in the State of Texas or a state participating in the Nurse Licensure Compact.
• Valid Texas driver license (or obtainable within 90 days of hire) if transporting patients.

Initial Screening Criteria

• Graduation from a nursing program accredited by the Texas Board of Nurse Examiners.
• At least three (3) years of work experience as an RN in a recognized health agency or hospital.

Additional Information

Applicants must pass a fingerprint criminal background check, pre‑employment drug screen, and registry checks including the Client Abuse/Neglect Reporting System (CANRS), Nurse Aid, Medication Aide, Employee Misconduct, and the List of Excluded Individuals/Entities (LEIE). All candidates must be at least 18 years of age to be considered for employment at a state‑operated facility; applicants for certain centers may need to be 21 years of age. Compliance with HHSC immunization policy is required. Candidates who are not vaccinated for influenza may be required to wear a mask and take other protective measures.

Military, Veterans & Reservists

Active‑duty military, reservists, guardsmen, and veterans are encouraged to apply if qualified. For more information, refer to the Texas State Auditor’s Job Descriptions, Military Crosswalk Guide.

ADA Accommodations

HHSC and DSHS agencies will provide reasonable accommodations during the hiring process for qualified individuals with a disability. Contact the HHS Employee Service Center for assistance.

Worker Eligibility & Pre‑Employment Checks

Selected candidates must pass background and other due diligence checks. HHSC uses E‑Verify and requires I‑9 documentation on the first day of work. Download the I‑9 form as needed.

Telework Disclaimer

This position is not eligible for telework, though all HHS positions are subject to state and agency telework policies in addition to the discretion of the direct supervisor and business needs.