Nurse III / Supervisory

Texas Health and Human Services; Waco (TX); On-site; USD 84,000 - 99,000; Full time

Benefits offered by this job

Health insurance

Pension plan

Career advancement opportunities

Job summary

Texas Health and Human Services Commission in Waco, TX seeks a Nurse III with supervisory responsibilities to oversee nursing care across shifts. The role includes coordinating scheduling, supervising staff, and ensuring 24-hour continuity of care in collaboration with Nurse Coordinator and other leaders.

Qualified candidates will have RN licensure, a nursing program degree, and at least three years of experience, including psychiatric care exposure.

Qualifications

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

Responsibilities

• Observe, assess, plan, intervene, evaluate outcomes and document patient care.
• Provide primary management for service area during assigned shift.
• May supervise, counsel, and evaluate other nursing staff.

Skills

Nursing supervision

CPR/Restraint techniques

Team coordination

Education

Nursing program graduation (Texas Board of Nurse Examiners accredited)

Tools

RN licensure

Job description

Date: Oct 27, 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 / Supervisory

Job Title: Nurse III

Agency: Health & Human Services Comm

Department: Chld /orAdolPsych Nursing

Posting Number: 22262

Closing Date: 11/26/2026

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: Compressed Weekend

Additional Shift: Days (First); Evenings (Second); Nights (Third); Weekends

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.

Under the direct supervision of the Chief Nurse Executive/Assistant Chief Nurse Executive, the Nurse III observes, assesses, plans, intervenes, evaluates outcomes, and documents all aspects of patient care; possesses a unique knowledge regarding the patient population to be served; coordinates scheduling within assigned areas; provides primary management for service area during assigned shift with a supportive but clear supervisory manner; and provides direct nursing care to individual patients as needed. May supervise, counsel, and evaluate other nursing staff. Collaborates with Nurse Coordinator, other charge nurses, and Mental Health Supervisor/Specialists to ensure 24-hour continuity of care. May assume duties of the Nurse Coordinator/Nurse Manager during their absence; is flexible in work schedule; and has broad latitude for initiative and independent judgment. Understands that duties, location of work, and shift/pattern are subject to change as determined by the administration to meet the needs of the hospital. Must understand that duties may include exposure to blood or other potentially infectious materials. Performs other duties as assigned. Other duties as assigned include but are not limited to actively participating and serving in a supporting role to meet the agency’s obligations for disaster response and 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.
• Assesses the health/mental status of the patient upon admission or transfer and on an ongoing basis, and documents the assessment, planning, intervention, and evaluation in patient records to determine priorities and plan therapeutic nursing care. Performs CPR/Heimlich techniques correctly and safely according to the specifications of the American Heart Association.
• With nurse administrators and staff nurses, provides direction and coordination of staffing and patient care activities on assigned units in a consultative manner by addressing performance problems promptly and keeping accurate documentation of interventions. Coordinates and administers the effective utilization of nursing service personnel on assigned units.
• Facilitates a smooth admission or transfer process during working hours to achieve the hospital mission by communicating with admissions staff or unit staff, reviews written documentation to ensure appropriate status, and triage patients when needed.
• Carries out medical staff practitioners’ orders and implements nursing interventions according to acceptable nursing care standards and hospital policies and procedures. Assists in the client abuse and neglect investigation process.
• Implements special precautions as ordered, explains and documents rights restrictions, and implements restraint/seclusion procedures according to departmental policy and established nursing standards to maintain patient safety. Protects the patient from causing harm to self or others and upholds patient rights.
• Attends mandatory training to ensure staff competence and development. Attends and participates in ongoing in-service and other education and training programs appropriate to the population/age group to meet the physical, psychosocial, and cultural needs of patients. Monitors the use of treatment, intervention, and protection strategies (TIPS) to ensure the well-being of patients and staff, and ensures TIPS program requirements are adhered to during an episode of patient restraint.
• Communicates openly with Chief Nurse Executive/Assistant Chief Nurse Executive/Nurse Administrator/Nurse Manager to obtain current information to inform and disseminate to staff on assigned units.
• 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 recognized American Nurses Association Nursing Standards.
• Knowledge of departmental policies and procedures.
• Knowledge of the Nurse Practice Act.
• Skill in supervisory and management techniques.
• Skill and ability to perform CPR, agency approved aggression management and restraint techniques, and emergency care in a medical or psychiatric emergency.
• Skill in positive interaction with patients, staff, families, and the public.
• Ability to handle crisis situations calmly.
• Ability to communicate effectively, both verbally and in writing.
• Ability to use sound judgement and critical thinking skills.

Registrations, Licensure Requirements, Or Certifications

• Must possess a valid Texas driver license or obtain it no later than 90 days after hire date to drive a state vehicle. Applicants with an out-of-state driver 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).

Initial Screening Criteria

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

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 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 at least 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 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 to those 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 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.

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.

Nearest Major Market: Waco