Alternate Nurse Supervisor (RN)Market competitive pay rate

Collage Nursing and Home Care Partners · Houston, TX Part Time
$118352 – $118352 / year
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Job Description

Alternate Nurse Supervisor (RN) Full-Time position Organization: Collage Home & Community Location: Houston, Texas (within licensed service area) Market competitive pay rate, with clear advancement and raises tied to performance and tenure. Position Overview Collage Home & Community is seeking an experienced Registered Nurse (RN) to serve as an Alternate Nurse Supervisor supporting our Texas Licensed Home Health Services (LHHS) operations. This role is designed to initially begin as PRN and is expected to ramp quickly to a full-time position as new clients are onboarded and patient census grows. The Alternate Nurse Supervisor plays a critical role in ensuring continuity of RN supervision, clinical quality, and regulatory compliance. This position provides backup coverage to the Nurse Supervisor and supports day-to-day clinical operations in a growing, compliance-driven home and community-based care program. Role Structure (Important) Initial Status: PRN (flexible scheduling) Expected Transition: Full-time as census and service volume increase Ramp Trigger: Growth in skilled nursing and CNA-supervised cases Coverage Role: Backup and support to the Nurse Supervisor to ensure uninterrupted RN oversight This role is ideal for an RN seeking flexibility initially with a clear path into a long-term leadership position. Key Responsibilities Clinical Supervision & Coverage Serve as the Alternate Nurse Supervisor, ensuring RN supervision continuity when the Nurse Supervisor is unavailable Provide clinical supervision of RNs, LVNs, and Certified Nurse Assistants (CNAs) as assigned Ensure CNA services are appropriately assigned, delegated, and supervised by nursing under Texas LHHS requirements Assessment & Care Planning Conduct or oversee patient assessments as delegated Assist with the development, review, and revision of physician-ordered plans of care Monitor patient progress and identify changes in condition requiring skilled intervention Compliance & Quality Assurance Support compliance with Texas Health & Safety Code Chapter 142 and 26 TAC Chapter 558 Maintain accurate, timely, and complete clinical documentation Participate in audits, surveys, and quality improvement activities Report incidents, adverse events, and clinical concerns according to agency policy Collaboration & Growth Support Partner with intake, operations, and leadership to support safe onboarding of new clients Assist in scaling clinical workflows as census grows Serve as a clinical resource to field staff and leadership Qualifications Current, unrestricted Registered Nurse (RN) license in the State of Texas Minimum of 2 years of professional nursing experience Home health, community-based, rehab, or complex care experience preferred Strong clinical assessment, documentation, and communication skills Familiarity with Texas home health regulations preferred Current CPR certification Valid Texas driver’s license and reliable transportation What We Offer PRN flexibility with a defined and realistic path to full-time employment Opportunity to step into a growing clinical leadership role Exposure to medically complex and meaningful patient care Supportive, mission-driven organization focused on quality and compliance Ideal Candidate Profile This role is well suited for an RN who: - Enjoys clinical leadership and supervision - Wants flexibility initially with rapid growth potential - Is comfortable serving as backup leadership during scale-up - Values regulatory compliance and high-quality patient care How to Apply Qualified candidates are encouraged to apply by submitting a resume and brief introduction outlining relevant experience and interest in a PRN-to-full-time clinical leadership role. Collage Home & Community is an equal opportunity employer.

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What Most Job Listings Don’t Tell You

General overview for this role type — specific duties and requirements vary by employer.

Nursing roles in senior living are fundamentally different from hospital nursing. Most positions involve building long-term relationships with the same residents over months or years rather than cycling through new patients every shift. Facilities in the Houston area typically require an active Texas RN or LVN license, current CPR/BLS certification, and many prefer at least one year of geriatric or long-term care experience.

Shift patterns vary widely — some facilities run traditional 8-hour shifts (day, evening, night), while others use 12-hour rotations. Weekend and holiday coverage is almost always part of the schedule. The nurse-to-resident ratio in assisted living is generally more favorable than in hospitals, but you will likely be the highest-level clinical staff on the floor during your shift, which means more autonomy and more responsibility for clinical judgment calls.

What to Expect in This Role Day-to-Day

Based on typical senior living facilities in the Houston area.

A typical shift starts with medication pass and resident assessments. You will review overnight notes from the previous shift, check vitals for residents on your watch list, and coordinate with CNAs on any changes in condition. Mid-shift usually involves documentation, family communication, and working with physicians on care plan updates — often by phone or telehealth rather than in-person rounds.

Depending on the facility, you may also handle admissions paperwork, manage wound care, supervise medication techs, and respond to emergencies. The documentation load in senior living is significant — state surveys and compliance requirements mean thorough charting is non-negotiable. Many nurses in this setting say the most rewarding part is knowing their residents personally and being able to notice subtle changes that a rotating hospital nurse might miss.

Houston Area Salary Data

According to the Bureau of Labor Statistics, Registered Nurse positions in the Houston metro area earn a median wage of $47.02/hr ($97,802/yr). The typical range is $38.29 – $50.95/hr (25th–75th percentile).

Entry Level (10th) $69,368/yr
Houston Median $97,802/yr
Experienced (90th) $125,320/yr
vs. National Median +4.5%

Source: Bureau of Labor Statistics, Occupational Employment & Wage Statistics (Houston-Pasadena-The Woodlands, TX Metro Area). Salary data provided by Houston Senior Living Guide.

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