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Oklahoma State Government

Purchases state-funded health care; ensures quality

Registered Nurse House Supervisor

Nursing & Frontline Patient CareConfirmed live in the last 24 hours
Full-timeUnited States$40 /hrIn-person

About the Job

Requirements

  • Hold a current, unrestricted Oklahoma Registered Nurse license or a Registered Nurse license recognized by the Enhanced Nurse Licensure Compact.
  • Have at least two years of professional nursing experience appropriate to a long-term care or health care setting.
  • Independently assess resident condition, prioritize care, supervise staff, manage competing shift demands, and communicate effectively with providers, residents and families, and leadership.
  • Know professional nursing theory, practices, and techniques; health promotion and disease prevention; nursing management of available health care resources; nutrition and diet therapy; clinical department functions; available health programs and resources; federal and state rules and regulations concerning health services; accreditation, certification, and licensure standards; preventive health practices; principles and methods of teaching; nursing standards; and nursing policies and procedures.
  • Assist in developing, organizing, and implementing effective nursing care plans; provide education and training; assess the condition and needs of patients, families, and communities appropriate to the care setting; take appropriate interventions; counsel and teach patients and families; guide non-licensed personnel in the assigned area to ensure quality care; develop, plan, and implement an effective nursing care program.
  • Possess sufficient English-language proficiency to perform the essential functions of the position.
  • If designated by the Oklahoma Department of Mental Health and Substance Abuse Services, complete upon appointment one of the required department-sponsored case-management certifications: Certified Behavioral Health Case Manager – Adult; Certified Behavioral Health Case Manager – Child, Adolescent and Family; or Certified Behavioral Health Case Manager – Dual Certification.
  • If applying to the Department of Mental Health and Substance Abuse Services, submit to a physical examination after a conditional offer and meet the physical requirements of occasionally lifting or carrying 50 pounds and pushing or pulling a maximum force of 25 pounds.
  • Be willing and able to work any assigned shift or day of the week, including additional shifts as required.

Responsibilities

  • Assume responsibility for the home at the beginning of the assigned shift; receive and provide an effective handoff; monitor resident, staffing, safety, and operational concerns; provide active supervisory leadership; and escalate significant concerns to the DON, ADON, Administrator, or other designated leader as appropriate.
  • Complete and document supervisory rounds throughout the home at least every two hours, and more frequently when resident condition, staffing, safety, or operational needs require; confirm staff presence and assignment coverage; identify barriers to care; provide direction; and address concerns promptly.
  • Complete or ensure timely RN assessment of significant changes in condition, falls, injuries, acute events, admissions or readmissions, and other events requiring RN evaluation; initiate appropriate nursing interventions; and ensure timely notification of providers, EMS, families or responsible parties, and leadership as applicable.
  • Ensure nursing documentation and follow-up are complete, accurate, and timely, including assessments, progress notes, MARS/TARS, FSBS, antibiotic monitoring, fall/neuro documentation, seven-day documentation, tube/foley monitoring, and other assigned clinical records; personally document RN care and interventions performed.
  • Recognize reportable or significant events; initiate immediate resident safety and clinical interventions; complete required event documentation and RMFs; ensure required notifications and follow-up; and communicate unresolved or high-risk concerns to nursing leadership before the end of the shift.
  • Maintain accurate attendance and staffing records; promptly identify call-ins, vacancies, and coverage concerns; complete required staffing grids; use established staffing procedures to maintain safe coverage; and communicate unresolved staffing concerns to leadership without delay.
  • Ensure completion of medications, treatments, wound care, and required clinical tasks; when staffing or resident needs require, perform direct nursing duties, including medication-cart coverage and treatments within scope of practice.
  • Communicate clearly and concisely with nursing staff, providers, leadership, and the oncoming supervisor, including significant resident, staffing, safety, and operational concerns before leaving the shift.
  • Prioritize resident safety, clinical needs, staffing responsibilities, documentation, and administrative duties; complete required work within the assigned shift without repeated reminders or avoidable carryover.
  • Demonstrate professional conduct, respectful communication, sound judgment, accountability, teamwork, and visible supervisory presence; direct staff, support appropriate delegation, and address performance or conduct concerns within assigned authority.
  • Follow ODVA/SVH policy, nursing standards, infection prevention practices, emergency procedures, and applicable regulatory requirements; identify and correct unsafe or noncompliant practices and escalate concerns appropriately.
  • Complete assigned responsibilities consistently, follow through on identified concerns, respond to leadership communications, and maintain dependable attendance and readiness to perform the House Supervisor role.
  • Complete assigned home and shift processes, such as census or attendance reporting, required supply/O2 counts, transport or dietary communication, EMAR backup processes, and other operational duties established by the home, without displacing core clinical and supervisory responsibilities.
  • Perform other related duties consistent with the position's responsibilities and agency operations.
  • Supervise and direct licensed and unlicensed nursing personnel during the assigned shift and delegate tasks consistent with staff competency, educational preparation, scope of practice, and the Oklahoma Nursing Practice Act.
  • Collaborate with providers and interdisciplinary team members in managing resident care and act for nurse managers in their absence within assigned authority.
  • Participate in quality oversight through direct observation, record review, follow-up of clinical concerns, and identification of care or documentation variances requiring correction or escalation.
  • Develop and present educational programs relevant to nursing practices and standards of care, and evaluate learning.
  • Schedule work assignments, evaluate the health care and performance of assigned staff, provide training, and ensure quality.
  • Perform administrative duties that may include approving leave and initiating disciplinary actions.

Desired Qualifications

  • Long-term care, skilled nursing, charge nurse, or supervisory experience is preferred.

About the Company

Oklahoma State Government

Purchases state-funded health care; ensures quality

The Oklahoma Health Care Authority manages the costs of state-purchased health care in Oklahoma, using state and federal funds to procure services for eligible residents. It distributes funds to purchase care, monitors costs, enforces quality standards, and builds partnerships to improve access and outcomes. It differs from private payers by being a government agency that coordinates public funding and policy for vulnerable populations, focusing on cost containment and public accountability. Its goal is to provide accessible, high-quality, publicly funded health care for Oklahoma residents in a fiscally responsible way while continually improving purchasing strategies and partnerships.

Company size
201-500
Company stage
Grant
Total funding
$4.2M
Headquarters
Oklahoma City, OK
Founded
1953

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