Overview
Nurse Manager - Permian Basin Behavioral Health Center - Midland, TX
Signet Health is currently recruiting for a
Nurse Manager for a
New, free-standing psychiatric hospital located at Permian Basin Behavioral Health Center in Midland, TX.
The Nurse Manager 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 Manager supervises 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) required.
- Master's Degree in Nursing, Healthcare Administration, or related field preferred.
Licensure
- Current Texas RN license (unencumbered).
- BLS certification required; CPI 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.
