Nurse III Supervisor

Join the Texas Department of Aging & Disability Services as a Nurse III Supervisor and take on a challenging role that requires strong leadership and clinical expertise. As a key member of our team, you will oversee the assessment, care, and integrated treatment of individuals residing at our State Supported Living Centers.

• Plan, organize, and manage the daily activities of RN Case Managers in accordance with SSLC and HHSC policies and procedures, state and federal rules and regulations, and ICF-IID standards.
• Provide clinical direction and expertise to RN Case Managers, ensuring that nursing case management plans are developed based on an appropriate assessment of specific and specialized resident needs.
• Oversee RN case management performance indicators, ensuring that each RN Case Manager properly monitors the health status of the individuals assigned to them and completes assigned tasks timely and with quality.
• Conduct record reviews to audit the quality work performed by the RN Case Manager, including the annual assessment, risk ratings, nursing plans of care.
• Provide feedback to the case manager and take any corrective action needed.
• Oversee the interaction of the RN Case Managers with individuals and teams, conducting periodic rounds/observations of the assigned RN Case Managers performing routine work on the home with individuals and staff members, and in unit meetings.
• Collaborate with Nurse Manager and other involved managers to ensure RN Case Managers are prepared and providing accurate information and quality services.
• Conduct monthly meeting(s) with RNCM and nurse managers to provide feedback and resolve issues.
• Oversee the quality of the RN Case Managers participation in the individual's interdisciplinary team (IDT) and assists the RN Case Manager in resolving any issues that arise.
• Periodically attend unit meetings to ensure RN Case Managers are prepared and providing accurate information for the development of service plans.
• Perform chart reviews/audits to determine the IDT documentation is sufficient and accurate.
• Assists RN Case Managers in resolving issues that arise in the IDT, such as a difference of opinion on clinical issues, necessary tests or services, and/or treatment protocols.
• As needed, advocates for the RN Case Manager's perspective within the IDT, providing additional information or training to IDT members.
• Initiates action to resolve issues with other IDT managers and consults with the Chief Nurse Executive (CNE) if necessary.
• Oversee nursing case management policies and procedures and recommends changes when needed.
• Facilitates the implementation of standards of practice that are consistent with the Board of Nursing, ICF-IID standards, Centers for Medicare and Medicaid (CMS) conditions of participation, Texas Administrative Code (TAC), and the rules and regulations of the Agency and SSLC.
• Participates in quality assurance reviews and other activities related to the development/enhancement/refinement of nursing policy and procedure in order to evaluate and improve the quality of nursing case management provided.
• Oversees implementation of local Quality Improvement plans (QIPs) and corrective action plans (CAPs) involving RN Case Manager duties.
• Utilizes data as a basis to identify and address patterns and trends as they relate to the delivery of nursing case management.
• Oversees the RN Case Managers' analysis of data for trends for incidents and issues such as emesis, falls, seizures, restraints, adverse drug reactions, and/or injuries.
• Oversees that, based on data analysis and trending, RN Case Managers are using good clinical judgment, communicating issues to the IDT, completing a change of status to ensure a care plan is put in place, and ensuring risk levels are appropriate.
• Develops and updates training curricula, including the RN Case Manager training curriculum, and provides training to new and incumbent RN case managers in collaboration with the Nurse Educator.
• Provides in-service training to professional staff and other specialty areas as needed in collaboration with the Nurse Educator.
• Oversees that required training is completed.
• Assigns targeted training, such as training on nursing care plans, to RN Case Managers based upon audits/reviews.
• Provides consultation, training, and technical assistance to nurses, IDT members, and others on standards and practices for nursing case management.
• Facilitates, coaches, and supervises others in the development and deployment of strategies to ensure optimal levels of nursing case management services.
• Establishes and maintains professional work relationships with individuals, co-workers, supervisors, ancillary staff, and visitors.
• Mentors and coaches new RN Case Managers and other nursing staff within the scope of practice.
• During rounds, ensures individuals have their supports and assists DSPs when necessary.
• Attends various meetings as assigned and depending upon the needs of the SSLC, such as morning medical meetings, IDTs in the absence of the assigned RN Case Manager, medical provider meetings, human rights committee, level of supervision meetings, transition meetings, pre-placement visits, Quality Assurance/Quality Improvement (QAQI), and/or skin integrity/wound care meetings.
• Completes any required actions and documentation following the meeting.
• Participates in other work groups and processes as assigned, such as reviews of serious incidents, mortality review committee, state-and federal monitoring and review processes.
• Oversees the records and documents provided by RN Case Managers for these reviews.
• Provide direct care nursing services and responses to urgent matters (such as high-profile incidents) as needed.
• Administers medication, immunizations, and treatment, and observes patients for unusual symptoms and reactions.
• Provides treatment to HHS employees injured in course and scope of employment.
• 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.

• Knowledge of nursing techniques, standards, and procedures; of health care laws and regulations; of medical diagnoses and procedures; of accepted medical treatment patterns; of community health and nursing care principles, practices, and procedures; of program regulations and procedures; and of utilization review and control measures.
• Knowledge of state and federal laws and Intermediate Care Facility for individuals with intellectual disabilities (ICF-IID) rules, regulations, policy, and procedures related to State Supported Living Center or ability to quickly gain that knowledge.
• Excellent verbal and written communication skills and the ability to present ideas clearly and concisely in both written and oral communications.
• Skill in the care and treatment of patients.
• Skills in the use of computer/software and an electronic health record system.
• Skill in time management and prioritization.
• Strong interpersonal skills which promote teamwork.
• Strong coaching skills.
• Ability to appropriately interact with individuals with intellectual/developmental disabilities, with their family members, and with staff members.
• Ability to provide patient care; to prepare and maintain records; to interpret policies and procedures; to interpret health care regulations; and to recognize patterns of medical necessity treatment.
• Ability to interpret regulations and communicate them effectively both orally and in writing.
• Ability to organize, coordinate, and evaluate nursing activities.
• Ability to instruct, train, and supervise the work of others.
• Ability to work independently and productively with all levels of staff.
• Ability and skills to perform comprehensive physical assessments and identify abnormal findings on evaluation and to recognize signs and symptoms of illness or injury.
• Ability to analyze, assimilate, and integrate information in order to make nursing judgments about conditions and the acuity of conditions, to develop plans of care, and to evaluate outcomes of care.
• Ability to provide nursing care for residents and/or staff members in emergency situations.
• Must maintain current CPR certification. Must have strength and flexibility to safely perform Cardiopulmonary Resuscitation (CPR).