RN Nurse Supervisor, (B276099-1), 211, Grant Funded Employees

This position is grant funded. Therefore, it is solely dependent of availability of grant funds. 

Supervises nursing personnel and daily operations of the municipal Tuberculosis (TB) Prevention and Control Program. Provides clinical nursing supervision and program administration for suspected and confirmed TB disease, TB infection, contact investigations, directly observed therapy (DOT), surveillance, and infection prevention. Ensure patient-centered, timely, safe, and documented services in accordance with the current Texas Tuberculosis Manual, DSHS standing delegation orders, applicable laws, grant requirements, City policies, and Medical Director orders. Oversees staffing, performance, financial operations, and coordination with regional, state, and binational partners. 

ESSENTIAL DUTIES & RESPONSIBILITIES

The intent of this job description is to provide a representative summary of the major duties and responsibilities performed by employees in this job. Employees may be requested to perform job-related tasks other than those specifically presented in this description.

• Supervises, directs, and evaluates assigned staff; recommends hiring, disciplinary and termination actions as authorized; assigns and prioritize work; develops schedules, reviews leave and payroll, facilitates training, resolves employee concerns, completes performance appraisals, and serves as liaison to management.
• Leads daily TB clinic operations and triages workload; highest priority to infectious active TB treatment, suspected infectious cases, and urgent contact investigations; schedules lower-risk community screening when essential services are covered.
• Oversees nursing case management for all assigned suspected and confirmed TB cases: initial assessment, risk and symptom review, individualized care plans, adherence support, monitoring for adverse reactions, clinical follow-up, referrals, and treatment completion in collaboration with the Medical Director.
• Ensures prescribed DOT or approved video DOT is planned, performed, documented, and escalated for missed doses or interruptions in accordance with Texas DSHS standards, orders, and patient-specific treatment plans; personally, provides authorized nursing services when needed.
• Coordinates sputum collection, laboratory testing, imaging, bacteriology follow-up, specimen handling, and prompt communication of critical results to the treating clinician; monitors isolation status and clinical decisions without independently authorizing release from isolation.
• Initiates and supervises infectious-period assessment, patient interviews, identification and prioritization of household, workplace, school, congregate-setting and other contacts; tracks testing, medical evaluation, withdraw-period follow-up, and indicated treatment or referrals. 
• Oversees TB infection (LTBI) evaluations and treatment monitoring, targeted testing, and follow-up of referrals, including high-risk and medically vulnerable populations, consistent with medical orders and program priorities.  
• Ensures timely TB reporting and complete, accurate data entry and reconciliation in Texas NEDSS, the City electronic health record, required DSHS forms, case registers, contact investigation records, and grant reports; maintains confidentiality and secure records.
• Coordinates isolation and airborne infection prevention procedures, respirator/PPE practices, room ventilation/negative-pressure checks, exposure response, and staff safety training; escalates deficiencies and service interruptions promptly.
• Coordinates complex cases including drug-resistant TB, pediatric cases, nonadherence, hospital discharge, cross-jurisdictional transfers, and Laredo-Nuevo Laredo binational referrals with DSHS, consultants, and appropriate agencies.
• Ensures medication and clinical supply inventory, proper storage, reconciliation, expiration monitoring, purchasing controls, and accountability for grant-supported materials.
• Performs complex program budget, expense and financial oversight; develops and monitors budgets, recommends adjustments, oversees monthly financial reports, vouchers, purchasing and accounts payable, and ensures authorized fees, invoices and cash transactions follow City policy.
• Establishes partnerships with hospitals, laboratories, clinics, employers, schools, community organizations, Texas DSHS and binational TB programs; oversees risk-based outreach, education, public presentations and appropriate awareness efforts.
• Collaborates in public health emergency response, interdepartmental initiatives, outbreak investigations, departmental committees, and quality improvement; conducts routine chart and program audits and implements corrective action.
• Ensures continuity planning during staff shortages, cross-training within licensure and standing orders, and immediate escalation when minimum nursing coverage is unavailable; does not assign nursing-only duties to unlicensed personnel.
• Will be required to drive a City vehicle for city business use.
• Performs other duties as assigned.

• 100% of newly reported suspected infectious TB cases receive triage and documented escalation to the clinical team; urgent reports received after hours follow the Department's approved coverage/referral protocol.
• 100% of active TB patients have an assigned RN case manager, current individualized care plan, documented treatment monitoring, and a scheduled DOT plan; missed DOT encounters are investigated by the next business day.
• At least 90% of prioritized named contacts complete an appropriate initial evaluation within locally adopted investigation timelines; 100% of contacts needing window-period follow-up remain on a tracking list until resolved. 
• At least 95% of required case, laboratory, contact and treatment records are complete and updated within two business days of information receipt, subject to state deadlines that take precedence.
• 100% of active cases and open high-priority contact investigations receive a documented weekly supervisory review; 100% of overdue actions have an assigned owner and corrective plan.
• 100% of monthly grant and program reports are submitted by required deadlines; complete monthly reconciliation of medications/supplies and financial activity with documented exception resolution.

Knowledge of:

• Knowledge of nursing and public health.
• Knowledge of TB transmission, diagnosis, treatment monitoring, DOT contact investigations, LTBI and infection control; TB manual, DSHS forms/standing orders and NEDS. 
• Knowledge of supervision, employee relations, budgeting, procurement, grant compliance, public administration, emergency response, office software, outreach, and health communication. 
• Knowledge of modern office procedures and methods including computers and applicable software
• Knowledge of English grammar, spelling, and punctuation
• Knowledge of the principles and practices of employee supervision 
• Knowledge of public administration principles
• Knowledge of public health and healthcare delivery systems
• Knowledge of accounting and budget management 
• Knowledge of social media use, basic promotion and marketing strategy, and awareness campaign strategies
• Knowledge of basic grant writing techniques and technical writing
• Knowledge of emergency management and public health response functions 

Skills and Abilities:

• Skill in organization and time management 
• Skill in performing a variety of duties, often changing from one task to another of a different nature
• Skill in basic auditing 
• Skill in conflict resolution 
• Skill in public speaking and delivering presentations
• Ability to communicate effectively, both orally and in writing 
• Ability to establish and maintain effective working relationships 
• Ability to meet schedules and deadlines of the work
• Ability to maintain the confidentiality of information and professional boundaries
• Ability to lead quality improvement practices
• Ability to implement program services and evaluate effectiveness of program
• Ability to design, manage, and execute a program budget

WORK ENVIRONMENT/CONDITIONS AND PHYSICAL DEMANDS

Physical Effort Requirements

Position will have the following exposures

• Office or similar indoor environment, relatively free from unpleasant environmental conditions or hazards.
• Occasional exposure to unpleasant environmental conditions and/or hazards. Occasional outside work.
• Frequent exposure to unpleasant environmental conditions and/or hazards. Majority of work performed outside or with exposure to risk.
• Exerting up to 10 pounds of force occasionally, a negligible amount of force frequently, and/or constantly having to lift, carry, push, pull, or otherwise move objects, including the human body. Sedentary work involves sitting most of the time. Jobs are sedentary if walking and standing are required only occasionally, and all other sedentary criteria are met.
• Exerting up to 35 pounds of force occasionally, up to 20 pounds of force frequently, and/or up to 20 pounds of force constantly having to move objects.

Work Environment Locations 

Position will require the employee to work in the following types of work environments
 
 Never

• Construction site

Seldom

• Confined space 
• Vehicles

Sometimes

• Outdoor environment
• Street environment (near moving traffic)

Frequently

Exposures 

Position will require the employee to be exposed to the following environmental elements

Never

• Extreme cold (below 32 degrees)
• Extreme heat (above 100 degrees)

Seldom

Often

• Communicable diseases

Travel

Position will require the employee to travel

Never:

• International travel

Sometimes:

• Local travel
• Regional travel
• National travel

Required Education and Experience

• Bachelor’s degree from an accredited* college or university in Nursing or a related field
• At least one (1) year of experience in public health, healthcare administration, or related experience

Foreign Education: 

• Applicants who have completed education outside of the United States must submit a foreign credential evaluation completed by a professional credential evaluation agency that is a member of the National Association of Credential Evaluation Services (NACES) or the Association of International Credential Evaluators (AICE). The evaluation must verify the U.S. equivalency of the degree and identify the comparable U.S. degree level. Applicants are responsible for obtaining and submitting the required evaluation documentation.

Note: The City of Laredo is not responsible for any fees associated with obtaining a foreign credential evaluation or educational equivalency documentation.

• Registered Nurse License from the State of Texas is required
• Valid Texas Driver License. If applicant holds an out-of-state license, a State of Texas Driver License must be obtained within 6 months of employment.

The following Licenses and/or Certifications must be obtained after employment. Continued employment is contingent on successfully obtaining required certification(s) and/or license(s) within the specified period of time indicated from the time of hire.

• Valid CPR certification must be obtained within six (6) months of employment

City of Laredo is an Equal Opportunity/Affirmative Action/Pro Disabled and Veteran Employer. We welcome differences in the form of gender, race, ethnicity, disability, geography, socioeconomic status, age, politics, religion, philosophy, sexual orientation, or gender identity. All applicants who share this goal are encouraged to apply. Must be able to function in a principle-based organization that has a culture built on character and core values.