Signet Health manages the behavioral health services at Permian Basin Behavioral Health Center in Midland, TX (New, free-standing psychiatric facility).  We are looking for a Nurse Supervisor for Nightshift 7pm - 7am.   

Signet offers a competitive and comprehensive compensation package along with generous personal time off.

The Nurse Supervisor provides operational, clinical, and administrative leadership for designated inpatient behavioral health units in a DNV-certified Texas hospital. This role ensures delivery of safe, therapeutic, trauma-informed, and recovery-focused nursing care while ensuring compliance with DNV, CMS, and Texas Health & Human Services (HHSC) rules. The Nurse Supervisor directs front-line nursing staff and serves as a key driver of clinical outcomes, patient/staff safety, quality metrics, regulatory readiness, and staff development.

ESSENTIAL RESPONSIBILITIES:

Clinical Operations & Daily Leadership

• Oversee day-to-day nursing operations for assigned behavioral health units (adult, adolescent, forensic and crisis unit).
• Ensure adequate nurse and behavioral health technician (BHT/MHT) staffing levels aligned with acuity and Texas staffing regulations.
• Round on units multiple times daily to ensure clinical care standards, therapeutic milieu, safety, and staff engagement.
• Serve as a resource to charge nurses for decision-making, crisis intervention, and escalation.
• Monitor performance indicators: restraints/seclusions, falls, self-harm attempts, elopement risk, medication safety, and length of stay.

Regulatory & DNV Accreditation Compliance

• Ensure nursing policies and practices meet DNV NIAHO standards, CMS Conditions of Participation, and Texas Administrative Code BH requirements.
• Lead unit-level DNV readiness activities: chart audits, tracers, environment-of-care checks, staff competencies, and quality reviews.
• Assist with plan-of-correction items, unit performance improvement (PI) projects, and regulatory documentation.

Staff Leadership, Development & Competency

• Supervise, mentor, and evaluate Charge Nurses, RNs, LVNs, and MHT/BHT staff.
• Lead new hire orientation, annual competencies, and ongoing education for behavioral health nursing.
• Conduct performance evaluations, coaching, corrective actions, and professional development planning.
• Promote a culture of trauma-informed care, Just Culture, teamwork, de-escalation, and patient-centered care.

Quality, Safety & Risk Management

• Partner with Quality/Risk to address patient safety events, complete investigations, implement corrective actions, and monitor trends.
• Facilitate Root Cause Analysis (RCA) activities for nursing-related events.
• Ensure adherence to standards for suicide prevention, ligature mitigation, observation levels, and safe medication administration.
• Monitor infection prevention practices including hand hygiene, PPE, isolation protocols, and environmental safety.

Patient Experience & Clinical Outcomes

• Drive improvements in patient satisfaction and therapeutic outcomes.
• Ensure patients receive structured programming, group treatment, and individualized nursing interventions.
• Collaborate with physicians, social work/case management, therapy services, and ancillary teams to ensure timely care plans and discharges.
• Address patient/family concerns and grievances related to nursing care.

Resource & Budget Oversight

• Assist in development and monitoring of nursing department budgets, staffing plans, and supply utilization.
• Manage agency use, overtime, and productivity metrics.
• Support recruitment, professional growth, and retention of nursing staff.

Collaboration & Communication

• Serve on committees such as Nursing Leadership, Quality/PI, Patient Safety, Environment of Care, and Pharmacy & Therapeutics.
• Participate in daily leadership huddles, bed meetings, and cross-departmental coordination activities.
• Communicate updates, policy changes, regulatory alerts, and safety priorities to nursing staff.

Education

• Bachelor of Science in Nursing (BSN) is required.
• Master’s Degree in Nursing, Healthcare Administration, or related field preferred.

Licensure

• Current Texas RN license (unencumbered) is required.
• BLS certification required; SAMA or equivalent behavioral health de-escalation certification required or obtained shortly after hire.

Experience

• Minimum 5 years of acute psychiatric/behavioral health nursing experience.
• At least 3 years of leadership experience (Charge RN, Nurse Supervisor, Nurse Manager).
• Experience in a DNV-accredited or Joint Commission-accredited facility strongly preferred.
• Strong knowledge of suicide prevention protocols, observation levels, restraint/seclusion regulations, and trauma-informed care.

Knowledge & Skills

• In-depth knowledge of Texas BH regulations, CMS CoPs, and DNV NIAHO standards.
• Strong crisis management and clinical decision-making abilities.
• Excellent leadership, communication, and team-building skills.
• Proficiency in EMR systems, data analysis, staffing models, and workflow redesign.

Working Conditions

• On-site hospital role with frequent movement through inpatient psychiatric units.
• Exposure to behavioral crises and infectious diseases; consistent use of safety protocols required.
• Occasional evenings/weekends for staffing needs, surveys, serious patient events, or emergent operations.

Working at Permian Basin Behavioral Health Center (PBBHC) offers the rare opportunity to be a part of a brand-new, mission-driven organization that is transforming access to behavioral healthcare across West Texas and Southeastern New Mexico. Team members play a meaningful role in building programs, shaping culture, and directly impacting lives in a growing region with a strong sense of purpose and collaboration by transforming lives and restoring hope.

Living in Midland, Texas adds to the appeal, offering a high quality of life with affordable housing, short commutes, excellent schools, and a welcoming community. Midland blends small-city convenience with big-opportunity energy. Featuring a vibrant arts scene, outdoor recreation, and easy access to regional travel—making it an ideal place to grow both professionally and personally.