Nurse III / House Supervisor

Texas Health and Human Services; Waco (TX); On-site; USD 90,000 - 106,000; Full time

Benefits offered by this job

100% paid health insurance for full‑t‑

Defined benefit pension

Generous time off

Career advancement opportunities

Job summary

Texas Health and Human Services Commission (HHSC) is seeking a Nurse III – House Supervisor in Waco, TX. The role oversees campus nursing services, staffing, and clinical operations to ensure safe, compliant patient care at the Waco Center for Youth.

The position requires Texas RN licensure and at least 3 years of RN experience, preferably with psychiatric populations. It offers a day shift, regular hours, and opportunities for professional growth within HHSC.

Qualifications

• Must hold a Texas RN license.
• Minimum 3 years RN experience in a health care facility.
• Experience with psychiatric populations preferred.

Responsibilities

• Coordinate the operation of campus-based nursing services and patient care.
• Develop and implement staffing plans and ensure regulatory compliance.
• Lead clinical operations and provide staff training and guidance.
• Act as onsite subject matter expert to staff and external customers.
• Oversee admissions triage and coordination for patients meeting eligibility.

Skills

Nursing leadership

Staff training

Clinical nursing practice

Regulatory compliance

Emergency procedures

Education

RN license (TX)

Nursing program degree

Tools

EMR systems

Computers/Software

Job description

Date: Sep 2, 2026

Location:
WACO, 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. 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 SupervisorJob Title: Nurse III - House SupervisorAgency: Health & Human Services CommDepartment: Chld /orAdolPsych NursingPosting Number: 20716Closing Date: 09/16/2026Posting Audience: Internal and ExternalOccupational Category: Healthcare Practitioners and TechnicalSalary Range: $7,532.75 - $8,886.16Pay Frequency: Monthly

Salary Group: TEXAS-B-24Shift: Day

Additional ShiftTelework: Not Eligible for TeleworkTravel: Up to 15%Regular/Temporary: RegularFull Time/Part Time: Full timeFLSA Exempt/Non-Exempt: Exempt

Facility Location: Waco Center for Youth

Job Location City: WACO

Job Location Address: 3501 N 19TH ST

Other Locations:

MOS Codes: 290X,46AX,46FX,46NX,46PX,46SX,46YX,66B,66C,66E,66F,66G,66H,66N,66P,66R,66S,66T,66W

Brief Job DescriptionWould 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.

AND

• 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