Nurse Manager; Behavioral Health

Nurse Manager – Permian Basin Behavioral Health Center – Midland, TX

Signet Health is recruiting 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.

• 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.

• 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.

• 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.

• 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 – hand hygiene, PPE, isolation protocols, and environmental safety.

• 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.

• 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.

• 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.

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

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

• 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…