Nurse III / House Supervisor

Your Texas Benefits; Waco (TX); Hybrid; USD 84,000 - 99,000; Full time

Benefits offered by this job

Health insurance

Pension plan

Career advancement

Job summary

The Texas Health and Human Services Commission in Waco seeks a Nurse III – House Supervisor to oversee campus-based nursing services, ensure quality patient care, and lead nursing staff. This role requires clinical leadership, policy adherence, and effective coordination across clinical operations.

The position offers opportunities for professional growth within a large state health system, with day shifts, regular hours, and occasional on-call responsibilities.

Qualifications

• Clinical leadership and advanced nursing practice.
• Staff development and mentoring.
• Regulatory compliance and patient safety.

Responsibilities

• 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 to ensure unit operations follow policy and procedure.
• Implements staffing plans, directs nurse staffing, administers medications and treatments, and ensures timely patient monitoring.
• Onsite subject matter expert and consultant to clinical staff; collaborates with leadership for coordination of nursing services.
• Point of contact for external customers and coordinates external visits and activities.

Job description

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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

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

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