Green Card Nurse Supervisor Jobs

INTRODUCTION

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.

ROLE AND RESPONSIBILITIES

Functional Title: Nurse III RN Shift Supervisor

Job Title: Nurse III RN Shift Supervisor

Agency: Health & Human Services Comm

Department: Unit 1 - Nursing

Posting Number: 22864

Closing Date: 11/28/2026

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: Days (First)

Telework: Not Eligible for Telework

Travel: Up to 5%

Regular/Temporary: Regular

Full Time/Part Time: Full time

FLSA Exempt/Non-Exempt: Exempt

Facility Location: El Paso State Supported Living Center

Job Location City: EL PASO

Job Location Address: 6700 DELTA DR

Other Locations: El Paso

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

Brief Job Description:

Come work in an environment where we truly value and respect those we serve and believe in the mission that all people can achieve a higher level of wellness and independence.

The state supported living centers serve people with intellectual and developmental disabilities who are medically fragile or who have behavioral problems. The centers provide campus-based direct services and supports at 13 centers located throughout the state. Learn About Our State Supported Living Centers

If you are looking for a place to work where you can establish a career that is filled with purpose, this is the job for you!

Free CEUs and updated resources through Lippincott access for all nurses.

The RN Shift Supervisor performs highly complex nursing work by coordinating, monitoring, and evaluating nursing services during an assigned shift to support safe, consistent, and quality care for individuals served at a State Supported Living Center. Coordinates nursing assignments and shift coverage, provides clinical guidance, mentoring, coaching, and on-the-job training to nursing staff, and serves as a point of contact for nursing and interdisciplinary staff. Performs comprehensive assessments, treatments, medication administration, emergency response, documentation, and other nursing procedures in accordance with laws, regulations, facility policies, standards of care, and the Texas Nurse Practice Act. Evaluates nursing program operations, services, and shift activities. Communicates findings and recommended corrective actions or process improvements through appropriate supervisory channels, follows up as assigned to support implementation of approved changes, supports continuity of care, and may provide direct care nursing services as needed. Works under limited supervision of the NOO or other designated supervisor, with considerable latitude for the use of initiative and independent judgment.

Starting salary for this position: $7,532.75

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 required 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.

• May serve in an on-call status on a rotating schedule as required to meet operational needs of the facility.

• Coordinates, monitors and evaluates nursing services and activities for the assigned area (a home, group of homes, or the SSLC as a whole, depending on SSLC size) during the assigned shift. Supports appropriate nursing staff coverage by collaborating with the person(s) responsible for the nursing schedule and other appropriate staff to ensure proper coverage. Adjusts nursing assignments based on call-ins and the immediate needs of individuals served. Communicates significant nursing coverage issues to the appropriate supervisor or administrator.

• Coordinates work assignments for nursing staff within the assigned area during the assigned shift. Provides guidance, on-the-job training, mentoring, and coaching to nursing staff, including direct care RNs and LVNs, to support consistent nursing practice and continuity of care. Monitors and reviews nursing assessments, related documentation, and nursing service delivery on the assigned shift to determine compliance with policies and procedures, accuracy and completeness of assessments, adherence to standards of care, and quality of services provided to individuals. Provides feedback to the supervisor for follow up.

• Evaluates nursing program operations, services, and activities during the assigned shift to identify trends, concerns, gaps in coverage, training needs, and opportunities to improve consistency, quality, and continuity of nursing care. Reviews information from shift activities, nursing assessments, documentation, staff reports, incidents, and interdisciplinary communication to determine whether nursing services are being delivered in accordance with facility policies and procedures, standards of care, applicable rules and regulations, and the Texas Nurse Practice Act. Communicates findings, concerns, and recommended corrective actions or process improvements to nursing leadership through appropriate supervisory channels. Follows up as assigned to support implementation of approved changes and promote safe, effective, and person-centered nursing services for individuals served.

• Serves as the point of contact for interdisciplinary staff for coordination of nursing services for the assigned areas, or the SSLC as a whole, specific to SSLC needs. Receives calls for assistance from staff members such as direct care nurses, the campus coordinator, home supervisor, on-duty supervisor, incident and risk management staff, and other department heads. Responds by assessing nursing services being provided to ensure they meet standards of care and identifies the need for additional or different services to ensure quality of services. Coordinates with nursing, medical, or administrative staff to help ensure needed services are received in the assigned area. Needs include tasks such as a nursing assessment, treatment, or consultation with medical staff for consideration of transfer offsite to a hospital for assessment or treatment. Models and coaches this work for less experienced RN Shift Supervisors.

• Performs highly complex nursing work including comprehensive assessments, health screenings, and treatments campus wide. Performs technical nursing procedures according to facility and state regulations after demonstration for competency, i.e., tracheostomy care, gastrostomy/jejunostomy care, wound care, breathing treatments. Maintains competency in use of all medical equipment as ordered by physician/PCP. Administers medications, immunizations, and treatment and observes patients for unusual symptoms and reactions. Demonstrates knowledge of medications administered in order to identify desired effects or adverse reactions. Evaluates and documents healthcare needs and/or issues and reports health care needs and/or issues to the appropriate person(s). Communicates health status/needs to other disciplines, and to families as needed.

• Provides teaching and training to staff and individuals. Assists with on-the-job nursing instruction and training of other nurses, such as LVNs and RNs, and less experienced RN Shift Supervisors, during the assigned shift by observing work performance and providing feedback related to nursing protocols and treatments. Develops and presents information for in-service training or staff development, as assigned. Serves as a resource for other nurses by answering questions about nursing protocols and providing information about where to seek additional professional development resources, including online learning platforms. Models appropriate interaction with individuals with intellectual and developmental disabilities, their family members, and staff members. Provides input to nurse managers and other supervisors to assist with follow up and employee performance evaluation.

• Trains other RN Shift Supervisors, as assigned, and serves as a resource for them in performing their essential job functions, including coordinating coverage and adjusting nursing assignments during the shift. Mentors and coaches them to develop their skills and abilities. Identifies best practices for shift organization and nursing staff deployment and provides recommendations to the supervisor. Cross-trains registered nurses to serve as back-up RN Shift Supervisors, as needed.

• Provides back-up coverage for nursing activities on an as-needed basis. For example, assists in the lab to draw blood samples during scheduled time periods, as needed. Collects specimens for laboratory examination and conducts appropriate screening tests after competency is documented, as requested by lab personnel. Provides direct care nursing services as needed due to staffing issues, complex cases, or on-the-job training needs. Responds to emergency situations to ensure safety of individuals. Performs CPR, suctioning, and other emergency procedures as directed by physician/PCP/protocol. Administers emergency medications as prescribed. Demonstrates a working knowledge of emergency procedures and emergency equipment. Recognizes and coaches appropriate Safe Use of Restraint (SUR) procedures. Provides treatment to HHS employees injured in course and scope of employment.

• Actively participates in, and prepares for in advance, essential meetings related to care of persons served in order to manage and coordinate health care to achieve optimal health. Updates necessary items in the automated system(s) and other tracking documents and takes the necessary action to communicate information to other disciplines.

• Participates in competency-based training and continuing education activities and meetings to maintain competence in nursing best practice. Demonstrates knowledge of safety and infection control practices to ensure a safe working environment. Complies with state mandated continuing education to maintain licensure as a registered nurse. Follows information security protocols in order to maintain the accuracy and confidentiality of consumer records. Complies with all State/Federal/Local standards; Facility Policy, ICF Standards, and Texas Nurse Practice Act. by following standard precautions to minimize cross contamination.

• 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):

• Considerable knowledge of nursing techniques, standards, procedures, health care laws and regulations, medical diagnoses and procedures, accepted treatment practices, community health principles, program regulations, and utilization review measures.

• Knowledge of nursing care standards and evidence-based practices for individuals with developmental disabilities.

• Knowledge of state and federal laws and ICF-IID rules, regulations, policies, and procedures related to SSLCs, or ability to quickly gain this knowledge.

• Knowledge of infectious diseases and infection prevention and control principles and practices in the healthcare setting. Knowledge of standards and Infection Prevention Control standards related to infection control and utilization management.

• Knowledge of emergency procedures and equipment, including CPR, and ability to respond to resident or staff emergencies.

• Skill in providing nursing care and treatment to individuals with complex medical and behavioral health needs.

• Skill in using computers, software, and electronic health record systems.

• Skill in time management, organization and prioritization.

• Skill in training, coaching, and mentoring nurses.

• Skill in communicating clearly and concisely, verbally and in writing.

• Ability to provide patient care; prepare and maintain records; organize, coordinate, and evaluate nursing activities and delivery of health services; interpret policies and procedures; interpret health care regulations; recognize patterns of medical necessity treatment; and plan, assign, coordinate, and monitor the work of nursing staff during an assigned shift.

• Ability to interpret regulations and communicate them effectively both orally and in writing.

• Ability to work independently and productively with all levels of staff.

• Ability to prioritize work, manage multiple deadlines, and align tasks with departmental needs.

• Ability to perform comprehensive assessments, identify abnormal findings, and recognize signs and symptoms of illness or injury.

• Ability to analyze and integrate information, make nursing judgments, develop plans of care, evaluate outcomes, and make recommendations to the team.

• Ability to appropriately interact with individuals with intellectual/developmental disabilities, with their family members, and with staff members.

• Ability to train staff, mentor nurses, coordinate shift assignments, and provide feedback through appropriate supervisory channels.

• Ability to make sound nursing decisions and recommendations and appropriately escalate concerns to SSLC leadership, nurse managers, and on-call administrators.

• Must maintain current CPR certification and have the strength and flexibility to safely perform CPR.

• Physical ability to use CPR, Safe Use of Restraint (SUR), and Ukeru techniques once trained.

REGISTRATIONS, LICENSURE REQUIREMENTS OR CERTIFICATIONS:

Licensed to practice as a registered nurse in the State of Texas or a state that recognizes reciprocity through the Nurse Licensure Compact.

INITIAL SCREENING CRITERIA:

• At least one (1) year experience as a practicing registered nurse is required.

• Experience coordinating nursing services, shift coverage, or nursing assignments is preferred.

• At least two (2) years of experience as a practicing registered nurse in a health agency, hospital, or health-care facility is preferred.

• Bachelor's Degree is preferred.

• Previous experience working with Individuals with Intellectual and/or Developmental Disabilities (IDD) is preferred.

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 HHS List of Excluded Individuals/Entities (LEIE).

Males between the ages of 18 – 25 must be registered with the Selective Service.

All State Supported Living Center Employees are subject to Random Drug Testing.

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

All applicants must be at least 18 years of age to be considered for employment at a state-operated facility.

Review our Tips for Success when applying for jobs at DFPS, DSHS and HHSC.

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 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.