Registered Nurse Supervisor Jobs in Texas
Registered Nurse Supervisor jobs in Texas are among the most active in the country, with strong demand across hospital systems, long-term care networks, and outpatient and specialty clinics at every level from charge nurse to senior clinical supervisor. Most hiring is concentrated in Houston, Dallas, and San Antonio, where large employers such as HCA Houston Healthcare, Baylor Scott & White Health, and Methodist Health System maintain substantial nursing leadership teams. The most consistent openings are in ICU and critical care supervision, med-surg unit leadership, and home health administration. Find a role that fits below and apply directly.
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Join BSWH Waxahachie Hospital as an RN Supervisor and be part of something better!
Baylor Scott & White Medical Center-Waxahachie
Job Title: Supervisor Nurse Procedural RN
Department: ASC (Ambulatory Surgery Center)
Unit Specifics- 2 ORs, Oversight of 14 staff.
Hours: Full-Time, Days, 8- hour shifts, 40 hours per week. No call. Will be required to assist the GI Lab at the main hospital when/if needed.
**Preferred Skills: Knowledge of Surgical Procedures. Prior Supervisor Experience. OR Experience. Previous ASC Experience. **
**Must have: Strong Physician Relations. Team Building. Knowledge of GI/Pain Procedures. Prior Charge Nurse Experience. Strong people skills. Accountability.
About Us
At Baylor Scott & White Health, we promote well-being for everyone. It's the largest healthcare system in Texas that encourages healthy living.
Our Core Values are:
- We serve faithfully by doing what's right with a joyful heart.
- We never settle by constantly striving for better.
- We are in it together by supporting one another and those we serve.
- We make an impact by taking initiative and delivering exceptional experience.
Benefits
- Immediate eligibility for health and welfare benefits
- 401 (k) savings plan with dollar-for-dollar match up to 5%
- Tuition Reimbursement
- PTO accrual beginning Day 1
JOB SUMMARY
The Supervisor, Nursing Procedural Registered Nurse (RN) is responsible for supervision of assigned nursing and unit-based personnel to provide a safe, caring environment for patients, family and staff which fosters professinoal nursing practice, shared decision-making, interprofessional teamwork and collaboration with positive patient and staff outcomes. The Supervisor oversees day-to-day operations and productivity and assists the Nursing Manager in planning, developing, implementing, evaluating and monitoring policies and procedures, budgets and the allocation of resources, quality/performance improvement initiatives, educational programs and shared governance councils to achieve departmental and organizational goals and objectives. Provides nursing care as needed.
This role is only to be used in specific procedural departments as determined by the Office of the CNO.
ESSENTIAL FUNCTIONS OF THE ROLE
Clinical Judgment: Creates, fosters and sustains a healthy work environment which supports evidence-based practice and research. Coordinates patient care through collaboration with interprofessional team members in planning, implementing and evaluating patients' plans of care. Identifies potential problems and/or resources for patients and families. Supervises personnel in providing safe, cost-effective, efficient care based on individual patient needs. Ensures staff members maintain competency based on standards of practice for patient population. Provides nursing care as needed.
Clinical Inquiry: Systematically evaluates the quality and effectiveness of nursing practice, including, but not limited to, nursing sensitive indicators. Facilitates practice changes among nursing staff through quality and performance improvement initiatives and use of best, evidence-based practices and research findings. Identifies, proposes and conducts clinical research.
Caring Practices: Creates and sustains a compassionate, supportive, safe and therapeutic environment for patients, families and staff. Assists in the coordination of patient care conferences and interprofessional rounds to address patient/family needs, discharge planning and best caring practices and outcomes.
Response to Diversity: Identifies issues arising from individual differences and develops awareness of these issues in nursing staff, medical staff and other health care providers. Role models, teaches and provides age-specific and developmentally-appropriate patient care in accordance with established guidelines and scope of duty or practice for patients served in department. Identifies and resolves conflicts between others that affect performance and/or the work environment.
Advocacy and Moral Agency: Advocates on behalf of the nursing staff to represent the concerns of patients, families and staff. Fosters an ethical practice environment for professional practice and patient care based on optimum communication, teamwork and coordination of care. Addresses ethical issues through a systematic process using institutional ethics committee as needed. Promotes health care at local, state and national levels.
Facilitation of Learning: Monitors the learning needs of staff and patients/families and assists in the design, implementation and evaluation of educational activities to enhance their knowledge and skills. Fosters an environment that is supportive of staff's professional and personal growth. Facilitates the development of clinical and leadership expertise in staff through role modeling, teaching and coaching/mentoring. Identifies staff professional growth opportunities and assists in the development of the department's succession plan. Provides and evaluates a comprehensive onboarding/orientation program for newly-hired staff. Functions as a resource within the clinical specialty program.
Collaboration: Role models, teaches and mentors professional leadership and accountability for nursing's role within the interprofessional health care team. Collaborates with medical, allied health and administrative staff to ensure the provision of safe, quality, compassionate care. Participates in departmental and organizational programs, committees and special projects to achieve desired outcomes.
Systems Thinking. Recognizes, responds and provides follow-up to issues, concerns and suggestions on behalf of patient population and staff. Provides timely follow-up to critical incidents and sentinel events and provides input into system redesign to promote a culture of safety for patients, families and staff and decrease risk. Allocates resources (e.g., staffing, supplies and equipment) and coordinates services to optimize patient care, throughput and services that maximize efficiency and cost-effectiveness. Assists in educating nursing staff in planning and evaluating staffing based on nursing-sensitive indicators. Assists nursing manager in human resource management of personnel: hiring, coaching for improved performance and professional development and terminating employees. Assists in developing/monitoring the operating and capital budgets, resolving variances and implementing strategies to improve efficiency and reduce costs. Assists in the development of department goals and objectives. Interprets and guides nursing and unit-based personnel on BSWH policies and procedures. Assumes accountability, responsibility and authority for daily operations at department/shift level. Performs in the capacity of Nursing Manager in his/her absence. Completes special projects and other duties as assigned.
Professionalism: Improves nursing practice and the work environment through promotion and facilitation of shared governance and decision-making processes. Identifies personal/professional development goals and commits to life-long learning for self and staff to maintain current knowledge in nursing and leadership/management practices through learning activities such as, continuing education, networking with professional colleagues, membership and involvement in professional nursing organizations, self-study, professional reading, certification and seeking advanced degrees. Contributes to the professional development of peers, colleagues and others. Plans, develops, implements, evaluates and revises the department's recognition program to ensure meaningful recognition of the contributions of others. Demonstrates commitment to community service. Achieves national board certification in specialty within two years of promotion/appointment as Nursing Supervisor.
KEY SUCCESS FACTORS
Knowledge and understanding of nursing and patient care standards and procedures.
Knowledge of laws, rules and regulations; standards and guidelines of certifying and accrediting bodies; hospital and department/unit standards, protocols, policies and procedures governing the provision of nursing care applicable to the area of assignment.
Knowledge of medical terminology; principles and practices of health promotion, risk reduction, illness and disease prevention and management; medications and drugs, common dosages, their physical and physiological effects, and possible adverse reactions.
Knowledge of medical and professional nursing ethics and patient privacy rights.
Must be able to communicate thoughts clearly; both verbally and in writing.
Ability to provide age-specific, quality, patient-centered care to all patients through the nursing process and standards of nursing practice with sensitivity and respect for the diversity of human experience and to develop, evaluate, implement and, as necessary, modify a patient care plan to meet the needs of individual patients.
Ability to make tactical decisions around the allocation and direction of the work of supervised employees using established guidelines, policies and/or procedures.
Ability to make effective hiring and termination recommendations.
Ability to train and evaluate performance of supervised staff.
General computer skills, including but not limited to: Microsoft Office, information security, scheduling and payroll systems, electronic medical documentation, and email.
BENEFITS
Our competitive benefits package includes the following
- Immediate eligibility for health and welfare benefits
- 401(k) savings plan with dollar-for-dollar match up to 5%
- Tuition Reimbursement
- PTO accrual beginning Day 1
QUALIFICATIONS
- EDUCATION - Associate's
- EXPERIENCE - 2 Years of Experience
- CERTIFICATION/LICENSE/REGISTRATION -
Registered Nurse (RN)
Basic Life Support (BLS): BLS in 30 days of hire or transfer.
See All 181+ Registered Nurse Supervisor Jobs in Texas
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Find JobsRegistered Nurse Supervisor Jobs by City in Texas
Where Texas roles are concentrated, by current openings.
Registered Nurse Supervisor Job Market in Texas
A snapshot from current Texas openings, updated as new roles post.
Who's Hiring
- Medical City Healthcare29

- Baylor Scott & White Health15

- CHRISTUS Health9

- Avir Health8

- Peterson Health7

Top Industries Hiring
- Healthcare & Medical Services23
- Government & Public Sector1
- Non-Profit & Social Services1
- Consulting & Professional Services1
What Texas Employers Look For
The qualifications that appear most often in registered nurse supervisor jobs across Texas.
- Active Texas RN license issued or recognized by the Texas Board of Nursing
- Minimum of two to four years of bedside RN experience in an acute care or specialty setting
- Prior experience in a charge nurse, team lead, or supervisory nursing role
- Bachelor of Science in Nursing preferred, with many positions requiring or expecting it
- Current BLS certification and ACLS or PALS depending on unit type
- Demonstrated ability to manage nursing staff schedules, performance, and patient care outcomes
Registered Nurse Supervisor Jobs in Texas: Frequently Asked Questions
How do you become a registered nurse supervisor in Texas?
You start by holding an active Texas RN license, issued through the Texas Board of Nursing after passing the NCLEX-RN exam. From there, most Texas employers expect several years of clinical bedside experience before considering candidates for supervisory roles. A BSN is increasingly expected, and some systems favor candidates with a nursing leadership certificate or who are enrolled in an MSN program. Internal promotion from charge nurse or senior staff nurse is the most common path.
Which companies hire registered nurse supervisors in Texas?
Employers hiring registered nurse supervisors in Texas right now include Medical City Healthcare, Baylor Scott & White Health, and CHRISTUS Health, based on current listings on Migrate Mate as of August 2026. Texas's large integrated health systems, veterans' health networks, and regional hospital groups generate consistent supervisor-level openings across the state.
Which Texas cities have the most registered nurse supervisor jobs?
Dallas, San Antonio, and Houston have the most registered nurse supervisor openings in Texas. Houston's concentration of major medical centers, trauma hospitals, and specialty facilities drives the largest share of listings, while Dallas-Fort Worth's sprawling health system networks and San Antonio's combination of military medical facilities and civilian hospital groups account for strong, steady demand across both metros.
Are there remote registered nurse supervisor jobs in Texas?
Yes, but they're rare. Registered nurse supervisor roles are inherently hands-on, requiring on-site presence to oversee staff, respond to patient care situations, and manage unit operations. About 20% of registered nurse supervisor openings tied to Texas are remote or hybrid as of August 2026, and those postings tend to be concentrated in utilization review, case management supervision, or telehealth program oversight rather than traditional floor or unit leadership.
How can I get hired as a registered nurse supervisor in Texas with little or no experience?
The most realistic entry path is securing a charge nurse or senior staff nurse role at a Texas hospital system, which serves as the direct stepping stone into supervision. Large Texas employers such as Baylor Scott & White Health and HCA Houston Healthcare run nurse residency and leadership development programs that give newer RNs structured exposure to supervisory responsibilities. Building tenure in a single specialty, earning your ACLS or a specialty certification, and expressing interest in float charge assignments accelerates readiness for a formal supervisory posting.
Where can I find and apply to registered nurse supervisor jobs in Texas?
You can find and apply to registered nurse supervisor jobs in Texas on Migrate Mate, which lists current openings across the state. Search the available roles, find the ones that fit your experience and location, and apply directly to the employers posting them.
See All 181+ Registered Nurse Supervisor Jobs in Texas
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