Nurse III - House Supervisor

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

Benefits offered by this job

100% paid employee health insurance

Defined benefit pension plan

Generous time-off benefits

Job summary

Texas Health and Human Services is seeking a Nurse III House Supervisor in Terrell, TX. This role is responsible for managing campus-based nursing services, ensuring quality patient care, and compliance with healthcare standards.

The ideal candidate must be a licensed RN in Texas with at least three years of experience. Key responsibilities include coordinating nursing operations, conducting hospital rounds, and participating in quality improvement activities.

Comprehensive benefits are offered, including paid health insurance and generous time-off.

Qualifications

• Licensed to practice as a registered nurse (RN) in Texas.
• At least three years of RN work experience in a recognized health agency or hospital.

Responsibilities

• Coordinate after-hours nursing services and ensure patient care.
• Conduct hospital rounds and assess unit operations.
• Prepare daily supervisor reports for hospital leadership.

Skills

Knowledge of state and federal laws for mental health

Supervisory skills

Clinical care skills

Problem-solving and planning

Effective communication

Proficient in electronic health record systems

Education

Graduation from a Texas nursing program

RN License in Texas

Job description

Date: May 14, 2026

Location: TERRELL, TX

Join the Texas Health and Human Services Commission (HHSC) and be part of a team committed to creating a positive impact in the lives of fellow Texans. Our 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.

Functional Title

Nurse III - House Supervisor

Job Title

Nurse III

Agency / Department

Health & Human Services Comm / Chld /orAdolPsych Nursing

Posting Details

Posting Number: 16943
Closing Date: 08/12/2026
Posting Audience: Internal and External
Occupational Category: Healthcare Support
Salary Range: $7,532.75 – $8,886.16 per month
Pay Frequency: Monthly
Shift: Day (evenings, nights available)
Telework: Not Eligible
Travel: Up to 10%

Facility Location

1200 E BRIN, TERRELL (Terrell Center for Youth)

Overview

The Nurse III House Supervisor performs highly complex nursing work and is responsible for the after‑hours operation of campus‑based nursing services. The role includes management of clinical nursing practice, patient care delivery, development of nursing personnel, compliance with regulatory and professional standards, and participation in disaster response and continuity of operations.

Responsibilities

• Coordinate after‑hours operation of campus‑based nursing services and ensure quality patient care.
• Conduct hospital rounds, promote nursing visibility, and assess unit operations.
• Ensure compliance with The Joint Commission, CMS, TAC, Texas Board of Nursing, and Texas Nurse Practice Act.
• Prepare daily house supervisor reports for hospital leadership.
• Implement staffing plans, reassign staff as needed, and provide clinical RN unit coverage.
• Administer medication, treatment, assessment, and patient monitoring.
• Serve as on‑site subject matter expert and consultant to clinical and administrative staff.
• Coordinate external visits and requests from investigators, regulators, and law enforcement.
• Manage client abuse/neglect process after hours to assure patient safety.
• Coordinate smooth admission process during non‑traditional hours, including triage and assessment.
• Act as administrative nurse designee during disasters and emergencies and coordinate drills.
• Participate in Nursing Clinical Operations Team, performance‑improvement activities, and hospital policy development.
• Perform other duties as assigned, including disaster response and COOP activation.

Essential Job Functions (EJF)

Attend work regularly, possibly on rotating or extended schedules, and perform other duties as assigned.

Knowledge, Skills & Abilities (KSAs)

• Knowledge of state and federal laws and regulations for individuals with mental health issues.
• Knowledge of Texas Board of Nursing rules and the Texas Nurse Practice Act.
• Knowledge of emergency procedures and equipment (e.g., CPR) and ability to care for residents and staff in emergencies.
• Knowledge of nursing care standards, settlement agreements, and healthcare guidelines.
• Supervisory skills and knowledge related to employee management.
• Clinical care skills and use of nursing treatment tools and equipment.
• Problem‑solving, planning, and implementation of corrective actions.
• Proficiency with computer/software and electronic health record systems.
• Time‑management and prioritization skills.
• Effective communication with groups and individuals.
• Ability to build collaborative relationships, train staff, and develop policies and reports.
• Interpret regulations and communicate them orally and in writing.
• Evaluate services, identify concerns or trends, and develop improvement plans.
• Organize, coordinate, and evaluate nursing activities.
• Maintain required continuing education hours.
• Proficient in use of computer/software and electronic health‑care systems.

Registration & Licensure Requirements

Licensed to practice as a registered nurse (RN) in the State of Texas (or a state recognized through the Nurse Licensure Compact) before hire.

Initial Screening Criteria

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

Background & Eligibility Checks

Applicants must pass a fingerprint criminal background check, pre‑employment drug screening, and registry checks (CANRS, Nurse Aid, Medication Aide, Employee Misconduct, LEIE). Males aged 18‑25 must register with the Selective Service. All applicants must be at least 18 years old; certain locations require applicants to be 21.

Additional Information

Compliance with HHSC immunization policy and state hospital immunization procedures is required. Vaccinations against hepatitis B, measles, mumps, rubella, varicella, tetanus, diphtheria, pertussis, and influenza are mandatory. Non‑vaccinated employees may be required to wear a mask. Some positions may allow telework and may require overtime or extended hours.

Equal Opportunity Statement

HHSC is an equal opportunity employer and encourages applications from all qualified individuals, including people with disabilities and veterans.

Nearest Major Market

San Antonio