What are the responsibilities and job description for the RN Nurse Supervisor, 211, Grant Funded Employees position at City of Laredo?
Municipal Tuberculosis Prevention and Control Program Nurse 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 and Responsibilities
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. Minimum Productivity and Accountability Standards 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. Competencies for Successful Performance of Job Duties Knowledge of:
Nursing and public health. TB transmission, diagnosis, treatment monitoring, DOT contact investigations, LTBI and infection control; TB manual, DSHS forms/standing orders and NEDS. Supervision, employee relations, budgeting, procurement, grant compliance, public administration, emergency response, office software, outreach, and health communication. Modern office procedures and methods including computers and applicable software English grammar, spelling, and punctuation The principles and practices of employee supervision Public administration principles Public health and healthcare delivery systems Accounting and budget management Social media use, basic promotion and marketing strategy, and awareness campaign strategies Basic grant writing techniques and technical writing Emergency management and public health response functions
Skills And Abilities
Organization and time management Performing a variety of duties, often changing from one task to another of a different nature Basic auditing Conflict resolution Public speaking and delivering presentations Effective communication, both orally and in writing Establishing and maintaining effective working relationships Meeting schedules and deadlines of the work Maintaining the confidentiality of information and professional boundaries Leading quality improvement practices Implementing program services and evaluating effectiveness of program Designing, managing, and executing 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
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. Minimum Productivity and Accountability Standards 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. Competencies for Successful Performance of Job Duties Knowledge of:
Nursing and public health. TB transmission, diagnosis, treatment monitoring, DOT contact investigations, LTBI and infection control; TB manual, DSHS forms/standing orders and NEDS. Supervision, employee relations, budgeting, procurement, grant compliance, public administration, emergency response, office software, outreach, and health communication. Modern office procedures and methods including computers and applicable software English grammar, spelling, and punctuation The principles and practices of employee supervision Public administration principles Public health and healthcare delivery systems Accounting and budget management Social media use, basic promotion and marketing strategy, and awareness campaign strategies Basic grant writing techniques and technical writing Emergency management and public health response functions
Skills And Abilities
Organization and time management Performing a variety of duties, often changing from one task to another of a different nature Basic auditing Conflict resolution Public speaking and delivering presentations Effective communication, both orally and in writing Establishing and maintaining effective working relationships Meeting schedules and deadlines of the work Maintaining the confidentiality of information and professional boundaries Leading quality improvement practices Implementing program services and evaluating effectiveness of program Designing, managing, and executing 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