House Supervisor

San Antonio Behavioral Healthcare Hospital
San Antonio, TX

The House Supervisor – RN assumes responsibility for complete facility operations during the assigned shift. This includes supervising nursing and clinical staff, ensuring that patient care is provided in an accurate and timely manner. This position has responsibility for the supervision of care patients. The House Supervisor facilitates delivery of high-quality, safe and effective nursing care, assists in the operation of the nursing department according to the legal guidelines of mental health care in the State of Texas, supervises staff activities according to the hospital's goals and philosophy, supports nursing staff in interpretation and implementation of policies, procedures and nursing standards of care.

Essential Duties:

  • Oversees the entire hospital operations when administration is not present.
  • Provide, delegate, coordinate and evaluate care of patient through the collaborative efforts of team members and in accordance with the nursing process and standards of care and practice. Provide general nursing care in a facility.
  • Function as the lead nurse on assigned shift.
  • Responsible for staff assignments and/or direction of duties, tasks or projects.
  • Provide professional and administrative leadership to staff.
  • Accountable for the oversight of staffing performance.
  • Coordinate nursing, medical and/or behavioral health care activities with all staff to ensure smooth and complete coordination of efforts during shared shift.
  • Supervisory responsibility for assigning staff according to education and ability.
  • Provide mentoring and training as needed.
  • Coordinate all care rendered to patients, including physician orders and diagnostic information, and ensure consultations are ordered.
  • Document medical, behavioral health information and nursing care.
  • Administer medications and maintain records in accordance with company policies and procedures.
  • Assist in developing a plan of care with specific and measurable goals, objectives and interventions defining actions unique to each patient's needs. Assist in updating and revising the plan of care as goals/objectives are met or when the patient's condition changes.
  • Provide structure and maintain a therapeutic environment in collaboration with the patients and other care providers.
  • Consistently utilize universal precautions, environmental safety guidelines and applicable level system as applicable.
  • Upholds the Organization's ethics and customer service standards.

 

This job description is not intended to be all-inclusive. Employee may perform other related duties to meet the ongoing needs of the hospital. Duties may be modified or changed with or without notice.

Requirements

Education and/or Licensure – ADN or BSN from an accredited college or university. Must be 21 years or older. CPR and Behavior Managing Program must be obtained within 30 days after hire. Valid Texas RN license in good standing required.

Experience – Two (2) years as an RN/BSN and one (1) year working in a behavioral healthcare setting required. One (1) year supervisory experience of healthcare management and/or experience in an inpatient mental health setting at a management level preferred. Clinical supervision and basic skills in personnel management concepts and methods; basic teaching or training skills preferred; able to understand and apply applicable standards and regulations.

Additional Requirements – Must pass a medication administration exam before administering medications. Must successfully complete training, including restraint and seclusion policies prior to assuming patient care responsibilities.

Knowledge Skills and Abilities

  • Knowledgeable of patient rights and laws pertaining to mental health and regulations pertaining to psychiatric nursing and the treatment of the mentally and emotionally disturbed patients. Theories, principles, and techniques of group and individual psychotherapy, symptoms and behaviors of emotionally disturbed mentally ill patients.
  • Advanced knowledge and clinical skills in diagnosis and treatment of mental health, professional nursing principles, procedures, and techniques used in the care and treatment of psychiatric patients, social, psychological, and physical factors of mental and emotional disorders.
  • Knowledgeable of medical and psychological terminology, medications, including psychotropic drugs, and effects on psychiatric patients as well as control, preparation and administration of medications.
  • Displays basic knowledge of treatment procedures; interventions common to acute psychotic as well as non-violent crises intervention practice, medical and psychiatric emergency procedures.
  • Basic knowledge of abnormal psychology as typically found in the child or adolescent psychiatric population, application of this knowledge to child, adolescent or adult knowledge of medical terminology, especially those terms associated with child, adolescent or adult psychiatric care; thorough familiarity of psychopharmacy and the use of psychotropic medications with child, adolescent or adult psychiatric population, basic teaching and training skills helpful; problem-solving; organizational and time management; crisis intervention skills
  • Ability to apply professional nursing care principles and procedures in the evaluation and treatment of psychiatric patients. Develop interpersonal therapeutic relationships with psychiatric patients.
  • Ability to exercise appropriate judgment in answering questions and releasing information; analyze and project consequences of decisions and/or recommendations.
  • Ability to handle confidential information with great sensitivity.

§ Well-developed verbal and written communication skills in English. Skill to communicate effectively in order to exchange and/or provide information, build and/or maintain cooperative relationships.

§ Ability to effectively interact with persons of widely diverse roles, backgrounds, cultures, and socio-economic classes, those in crises or resistant or negative toward organization.

§ Displays basic knowledge of treatment procedures; interventions common to acute psychotic as well as non-violent crises intervention practice.

§ Basic knowledge of abnormal psychology as typically found in the child or adolescent psychiatric population, application of this knowledge to child, adolescent or adult knowledge of medical terminology, especially those terms associated with child, adolescent or adult psychiatric care.

§ Skilled in facilitating and/or co-facilitating process-oriented and didactic groups.

§ Skilled in problem solving, prioritizing and time management

§ Crisis intervention skills and the ability to exercise self-control in potentially volatile situations such as being verbally or physically confronted in a threatening or aggressive manner; must be flexible and not easily frustrated in dealing with differences of opinions.

§ Ability to apply time management practices to prioritize, schedule and complete work effectively to comply with mandated policies and deadlines.

§ Ability to work on multiple tasks or parts of tasks simultaneously to ensure timely completion of work activities.

 

Physical Requirements/Environmental Conditions

Perform the following with or without reasonable accommodations:

§ Ability to stoop, kneel, crouch, crawl, reach, stand, walk, push, pull, lift, grasp, and be able to perceive the attributes of objects such as size, shape, temperature, and/or texture by touching with skin, particularly that of the fingertips.

§ Ability to express and exchange ideas via spoken word during activities in which they must convey detail or important spoken instructions to others accurately, sometimes quickly and loudly.

§ Hearing to perceive the nature of sound with no less than 40 db loss @ Hz, 1000 Hz, and 2000 Hz with or without correction; ability to perceive detailed information orally and make fine discriminations in sound.

§ Perform repetitive motions with wrists, hands, and fingers. Individual must be able to exert up to 100 pounds of force occasionally and to be able to lift, carry, push, pull, or otherwise move objects.

§ Work requires a minimum standard of visual acuity with or without correction that will enable people in the role to complete administrative and clerical tasks, as well as inspect and analyze.

§ Must be able to work and concentrate amidst distractions such as noise, conversation and foot traffic; ability to handle interruptions often and be able to move from one task to another

§ While worker may possibly be subjected to temperature changes, the worker is generally not substantially exposed to adverse environmental conditions as the work is predominantly inside.

§ Job usually involves contact with patients or patient specimens. Exposure to blood, body fluids, non-intact skin or tissue specimens, is possible.

Benefits

  • Health Insurance
  • Vision Insurance
  • Dental Insurance
  • 401K Retirement Plan
  • Healthcare Spending Account
  • Dependent Care Spending Account
  • PTO Plan
  • Life Insurance (Supplemental Life, Term, and Universal plans are also available.)
  • Short and Long-Term Disability (with additional buy-in opportunities)
Posted 2026-06-06

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