Overview 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. Requirements/Qualifications 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. Hospital/Program Description 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.