Nurse III / House Supervisor

FALL CREEK FARM & NURSERY; Waco (TX); On-site; USD 84,000 - 99,000; Full time

Benefits offered by this job

100% paid employee health insurance

Defined benefit pension plan

Generous time off

Career advancement opportunities

Job summary

Health & Human Services Commission in Waco seeks a Nurse III / House Supervisor to lead campus nursing services, ensure high-quality patient care, and supervise nursing staff across shifts.

The role requires Texas RN licensure, a nursing degree, and strong leadership with psychiatric experience. Telework is not available; duty locations include the Waco Center for Youth.

Qualifications

• Must hold a valid Texas RN license and graduate from an accredited nursing program.
• Minimum three years RN experience in a health care facility.
• Experience with psychiatric populations preferred.

Responsibilities

• Oversee campus nursing services and patient care delivery.
• Develop staffing plans and ensure regulatory compliance.
• Serve as clinical and administrative lead for nursing staff.
• Coordinate with hospital leadership and external regulators.
• Manage admissions, triage, and unit operations on a shift basis.
• Provide training and support to nursing staff; participate in policy development.

Skills

Staff supervision

Communication

Time management

Clinical leadership

Education

RN license – Texas

Nursing degree

Tools

Electronic health record system

Job description

Posting ID20716-Posted09/02/2026-Health & Human Services Comm-Chld /orAdolPsych Nursing-Healthcare Practitioners and Technical-Waco Center for Youth-Not Eligible for Telework-d. $7000 - $8999 per month

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. At HHSC, your contributions matter, and we support you at each stage of your life and work journey. 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. Explore more details on the Benefits of Working at HHS webpage .

• Functional Title: Nurse III / House Supervisor
• Job Title: Nurse III - House Supervisor
• Agency: Health & Human Services Comm
• Department: Chld /orAdolPsych Nursing
• Posting Number: 20716
• Closing Date: 09/16/2026
• Posting Audience: Internal and External
• Occupational Category: Healthcare Practitioners and Technical
• Salary Range: $7,532.75-$8,886.16
• Pay Frequency: Monthly
• Salary Group: TEXAS-B-24
• Shift: Day
• Additional Shift: None
• Telework: Not Eligible for Telework
• Travel: Up to 15%
• Regular/Temporary: Regular
• Full Time/Part Time: Full time
• FLSA Exempt/Non-Exempt: Exempt
• Facility Location: Waco Center for Youth
• Job Location City: WACO
• Job Location Address: 3501 N 19TH ST
• Other Locations: None
• MOS Codes: 290X,46AX,46FX,46NX,46PX,46SX,46YX,66B,66C,66E,66F,66G,66H,66N,66P,66R,66S,66T,66W

Brief Job Description

Would you thrive in an environment where you learn and grow personally and professionally all while helping make a positive impact on people’s lives? Do you appreciate being around others like yourself who are dependable, trustworthy, hard workers who believe in the value of teamwork? HSCS is dedicated to building an atmosphere where employees feel valued and supported while providing specialized care for Texans in need. HSCS is comprised of ten psychiatric hospitals, two youth residential treatment facilities, and thirteen state supported living centers. The psychiatric hospitals are a hub of excellence for forensic mental health and complex psychiatric care, with all facilities accredited by The Joint Commission. They provide state-of-the-art treatment that is recovery-oriented and science-based. If providing hope and healing through compassionate, innovative, and individualized care interests you, we welcome your application for the position below.

The Nurse III / House Supervisor performs highly complex nursing work and is responsible for the operation of campus-based nursing services. This position encompasses multiple responsibilities which include: management of clinical nursing practice and patient care delivery, development of nursing personnel, ensuring compliance with regulatory and professional standards, and ensuring adherence to other hospital policies and procedures. The House Supervisor develops and ensures program-specific staffing plans are met and initiates action to reassign staff to accomplish appropriate staffing at all times. Serves as a consultant, both clinical and administrative expert, to all staff. Advises and communicates unusual incidents or significant events are conveyed to the Administrative Officer of the Day (AOD), Medical Officer of the Day (MOD), Chief Nurse Executive (CNE), Assistant Chief Nurse Executive (ACNE), and Nurse Manager, when applicable. Participates in the development of nursing policies and decision-making as a member of the Nursing Clinical Operations Team. Serves in the capacity of a Lead Clinical RN as assigned, or as needed. Must understand that duties, location of work, and shift patterns are subject to change as determined by administration to meet the needs of the hospital. Works under general supervision, with moderate latitude for the use of initiative and independent judgment.

Performs other duties as assigned. Other duties as assigned include but are not limited to actively participating and/or serving in a supporting role to meet the agency’s obligations for disaster response and/or recovery or Continuity of Operations (COOP) activation. Such participation may require an alternate shift pattern assignment and/or location.

This position may be eligible to earn additional pay for work performed on evenings, nights, and/or weekends.

Essential Job Functions (EJFs)

• Attends work on a regular basis and may be asked to work a specific shift schedule or, at times, even a rotating schedule, extended shift and/or overtime in accordance with agency leave policy and performs other duties as assigned.
• Coordinates the operation of campus-based nursing services and the delivery of quality patient care. Makes hospital rounds in each area to promote nursing visibility and to ensure unit operations are followed according to policy and procedure. Assists nursing staff in the promotion of a safe and therapeutic environment. Ensures compliance with The Joint Commission (TJC) standards, Centers for Medicare and Medicaid (CMS) conditions of participation, Texas Administrative Code (TAC), Texas Board of Nursing, Texas Nurse Practice Act, and the rules and regulations of the Agency and state hospital system. Prepares the daily house supervisor's report for official record and dissemination to hospital leadership.
• Implements program-specific staffing plans, ensuring they are met according to nursing policies and procedures. Provides direction and leadership ensuring nurse staffing summaries are timely, complete, and accurate, and takes action to reassign staff to meet the required staffing numbers. Provides Clinical RN unit coverage as needed or assigned to meet staffing plans. Administration of medication, treatment, assessment, and patient monitoring.
• Onsite subject matter expert and consultant to all clinical and administrative staff. Collaborates with the AOD, MOD, Chief Nurse Executive (CNE), Assistant Chief Nurse Executive (ACNE), and Nurse Managers for the onsite coordination of the hospital's nursing services. Provides training and direction to staff and assists leadership in identifying needed improvements.
• Point of contact and resource to external customers. Coordinates external visits and requests from these external customers including, but not limited to: HHSC Provider Investigators, Office of Inspector General (IOG) representatives, regulatory agencies, law enforcement, etc. Provides with requested information as required. Facilitates and coordinates interviews with staff and/or patients as requested and within required guidelines. Manages the client abuse/neglect process to ensure patient safety and needs are met. Takes appropriate staff action and mitigation as needed to ensure safety of patients and staff.
• Coordinates a smooth admissions process. Conducts triage and assessment of patients presenting for admission. Communicates with the Mental Health Authority, outside medical hospital, and law enforcement as needed and appropriate. Planning and coordination of required discipline assessments and the unit placement for patients meeting eligibility for admission.
• Administrative Nurse designee during disasters and emergencies, and coordinates emergency and disaster drills for the hospital. Reports to the site of the incident to provide direction and support to nursing staff. Incident Commander during disasters and emergencies occurring after hours following hospital emergency management procedures.
• Member of the Nursing Clinical Operations Team and other appointed hospital committees and workgroups by actively participating with a focus on problem-solving and performance improvement. Active in the planning, development, and implementation of performance improvement plans and initiatives. Represents nursing leadership and works collaboratively with other hospital disciplines in the development of hospital policies and procedures.
• Participates in Quality Assurance and Performance Improvement activities by completing hospital rounds, audits, medical records reviews, and clinical reviews/investigations; identifies deficiencies; develops in-service training; and implements performance improvement plans.
• Performs other duties as assigned by the supervisor to ensure efficient operation of the patient care unit. Other duties as assigned include but are not limited to actively participating and/or serving in a supporting role to meet the agency’s obligations for disaster response and/or recovery or Continuity of Operations (COOP) activation. Such participation may require an alternate shift pattern assignment and/or location.

Knowledge, Skills, and Abilities (KSAs)

• Knowledge of state and federal laws for individuals with mental health issues, and the rules, regulations, and policies and procedures related to State Hospital operations.
• Knowledge of the laws and rules of the Texas Board of Nursing.
• Knowledge of the Texas Nurse Practice Act and the role of nursing peer review in the provision of both professional nursing and vocational nursing.
• Knowledge of emergency procedures and emergency equipment, i.e. CPR., and the ability to assess and care for residents and/or staff members in emergency situations.
• Knowledge of nursing care standards, the Settlement Agreement, and the Healthcare Guidelines.
• Skill and knowledge related to supervising employees.
• Skill in the care and treatment of patients, and in the use of nursing treatment tools and equipment.
• Skill in analyzing problems, formulating and implementing plans of correction, and to successfully lead change.
• Skill in the use of computers/software and an electronic health record system.
• Skill in time management and prioritization.
• Ability to communicate effectively to groups and individuals.
• Ability to achieve and maintain collaborative relationships.
• Ability to train all levels of staff.
• Ability to analyze and develop policies, procedures, and reports.
• Ability to interpret regulations and communicate them effectively, both orally and in writing.
• Ability to evaluate services, identify concerns/trends, and develop meaningful plans for improvement.
• Ability to organize, coordinate, and evaluate nursing activities.
• Ability to instruct, train, oversee, and provide guidance to others.
• Ability to maintain required continuing education hours.

Registrations, Licensure Requirements, or Certifications

• Must possess a valid Texas driver's license or obtain it no later than 90 days after hire date to drive a state vehicle. Applicants with an out-of-state driver's license must provide an original certified driving record from the state of driving licensure. Eligible driving record required based on HHSC Fleet Management policy. Must be able to drive state vehicles and golf carts.
• Licensed to practice as a registered nurse (RN) in the State of Texas (or state that recognizes reciprocity through the Nurse Licensure Compact) prior to hire.

Initial Screening Criteria

• Graduation from a Nursing Program accredited by the Texas Board of Nurse Examiners is required.
• At least three (3) years' work experience as a RN in a recognized health agency, hospital, or health care facility.
• Experience with a psychiatric population or severe and persistent mental illness.

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 Aide, Medication Aide, and Employee Misconduct, and List of Excluded Individuals/Entities (LEIE). Males between the ages of 18-25 must be registered with the Selective Service.

All applicants must be at least 18 years of age to be considered for employment at a state-operated facility. Waco and Terrell Center for Youth applicants must be 21 years of age.

Flexibility in work hours may be required for this position. The position may be required to work overtime and/or extended hours.

Compliance with HHSC immunization policy and State Hospital operating procedures related to immunizations is required. According to the Centers for Disease Control and Prevention, healthcare workers are considered to be at significant risk for acquiring or transmitting hepatitis B, measles, mumps, rubella, varicella (chicken pox), tetanus, diphtheria, pertussis (whooping cough), and influenza. All of these diseases are vaccine preventable. As a result, State Hospital policy requires employees be vaccinated according to their level of contact with individuals. In the event you choose to not be immunized for the influenza virus, you may be required to wear a mask and take other protective measures.

Waco Center for Youth is a psychiatric residential treatment facility that serves teenagers ages 13 through 17 with emotional difficulties and/or behavioral problems. Waco Center for Youth bases its treatment philosophy on the belief that both behavior change and an understanding of self and others are equally important in achieving significant long term success in treatment. The mission of Waco Center for Youth is "to give each youth a chance for change" by providing comprehensive psychiatric residential treatment services to emotionally disturbed adolescents of the state of Texas. The facility is operated by the Health and Human Services Commission and is accredited by the Joint Commission on Accreditation of Health Care Facilities.

Active Duty, Military, Reservists, Guardsmen, and Veterans

Military occupation(s) that relate to the initial selection criteria and registration or licensure requirements for this position may include, but not limited tothose listed in this posting. All active-duty military, reservists, guardsmen, and veterans are encouraged to apply if qualified to fill this position. For more information please see the Texas State Auditor’s Job Descriptions, Military Crosswalk and Military Crosswalk Guide at Texas State Auditor's Office - Job Descriptions .

ADA Accommodations

In compliance with the Americans with Disabilities Act (ADA), HHSC and DSHS agencies will provide reasonable accommodation during the hiring and selection process for qualified individuals with a disability. If you need assistance completing the on-line application, contact the HHS Employee Service Center at 1-888-894-4747. If you are contacted for an interview and need accommodation to participate in the interview process, please notify the person scheduling the interview.

Pre-Employment Checks and Work Eligibility

Depending on the program area and position requirements, applicants selected for hire may be required to pass background and other due diligence checks.

HHSC uses E-Verify. You must bring your I-9 documentation with you on your first day of work. Download the I-9 Form

Telework Disclaimer

This position may be eligible for telework. Please note, all HHS positions are subject to state and agency telework policies in addition to the discretion of the direct supervisor and business needs.