House Supervisor - PRN Day Shift

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PRN Professional Houston, TX, US

Nexus Children’s Hospital – Houston is seeking an experienced
Nursing House Supervisor to provide clinical leadership, support nursing teams, and coordinate hospital operations. This is an opportunity to make a meaningful impact on the care of children and adolescents with complex medical, behavioral health, and neurodevelopmental needs.

We’re looking for a confident, compassionate nursing leader who can guide staff through challenging situations, make sound clinical decisions, and help ensure every patient receives safe, individualized care.

Nexus Children’s Hospital – Houston provides specialized inpatient care for children and adolescents with complex needs, including autism spectrum disorder, intellectual and developmental disabilities, and behavioral health challenges. Our interdisciplinary team works together to support each patient’s medical stability, behavioral progress, and quality of life.

The Nursing House Supervisor provides administrative and clinical oversight across all units, serving as an on-site resource for nursing staff and hospital departments. This role coordinates staffing, supports patient flow, responds to emergencies, and helps maintain a safe, efficient, and patient-centered care environment.

During evenings, nights, weekends, and holidays, the House Supervisor serves as the primary on-site administrative representative, supporting timely decisions and continuity of hospital operations.

Provide clinical oversight, guidance, and hands-on support to nursing staff across all units.

Assess patient acuity and adjust staffing assignments and resources to support safe care delivery.

Coordinate admissions, transfers, discharges, and bed management to maintain effective patient flow.

Participate in clinical rounds, recognize changes in patient condition, and support timely escalation of care.

Respond to emergencies, critical incidents, and urgent staffing needs.

Facilitate communication among nursing, providers, admissions, and other departments.

Support evidence-based nursing practices, specialty care protocols, and hospital-wide initiatives.

Serve as an accessible resource for clinical decision-making, problem-solving, and operational concerns.

Coach and mentor staff, provide performance feedback, and assist with conflict resolution.

Identify learning needs and recommend education and training opportunities.

Coordinate staffing to balance patient needs, staff capabilities, and responsible use of hospital resources.

Approve and monitor overtime and agency staffing within organizational guidelines.

Promote efficient use of supplies and provide information on staffing trends and operational needs.

Promote compassionate care that respects each patient’s dignity, communication needs, and individual circumstances.

Address patient and family concerns promptly and professionally.

Advocate for timely access to appropriate care and specialty services.

Support staff in using therapeutic communication and de-escalation techniques.

Help teams manage challenging behaviors and emotional needs with sensitivity and sound clinical judgment.

Monitor adherence to hospital policies, regulatory standards, accreditation requirements, and infection prevention practices.

Conduct safety rounds and audits to identify risks and opportunities for improvement.

Report and assist with investigating incidents, near misses, and patient…