Healthcare Residential Supervisor


Date Posted:
Job Code:
Irving Residential Facility
United States of America




Laugh, create, give, and love. These are just a few of the positive words of affirmation that describe the culture at Centre for Neuro Skills (CNS).  We work together as a team and continually inspire each other to lead positive change, learn, and grow.  Our commitment to research, innovation, and advances in technology drives us to reach for what could be possible.  Every day is a new day to smile, do, and change. We are passionate about our work and making a difference in the lives of our patients and their families.

CNS is an experienced and respected provider of post-acute rehabilitation programs, and offers intensive modified inpatient, outpatient, residential, and assisted living rehabilitation programs for individuals recovering from all types of brain injury.  CNS helps people recovering from brain injury find hope, independence and a meaningful life - and you can play a key role. 

Shifts:  AM (7:00am - 3:30pm); PM (3:00pm - 11:30pm); Overnight (11:00pm - 7:30am).  Weekends required.

The Residential Rehabilitation Shift Supervisor supervises and supports Neuro Rehabilitation Specialists (NRS) in the administration of patient treatment programs.  Work is full time and may be mornings, afternoons, evenings, overnights and/or split in this 24-hour/7-day per week residential facility.  Work is primarily at the residential site but may also be at the clinic(s), and in the community.  The residential site may be a home and/or an apartment complex which may have two stories; if two stories, the top story is accessible by one flight of stairs.

A high degree of accuracy in documentation and observation, adaptability to a variety of situations, strong organizational and communication skills, decision making and an ability to evaluate situations as they occur is needed for this position.

CNS offers a competitive salary and benefits, including paid time off, extended sick leave, health/dental/life insurance, paid holidays, 401(k), etc.

Minimum Requirements




1.  Conducts rounds of patient apartments to monitor, assist, offer advice, and handle any questions concerning patient programs or behavior.  Requires walking, climbing stairs, telephone use, writing, charting, computer use and verbal or written communication.

a.  Reviews with staff their performance in programs and provides relevant training directly to staff.  Reviews documentation and provides feedback to the staff as needed.  Must be able to demonstrate appropriate procedures of implementation.  Must have visual auditory and hearing ability observe patient and staff interactions and teach techniques.  Requires ability to detect and identify the need for training.

b. Assigns any necessary additional work assignments to NRS=s.  (This takes up approximately 75% of time worked.) 

2.  Identifies patient family concerns and addresses or refers the concerns as required.  Requires ability to handle stressful situations in a professional and effective manner, ability to make decisions and communicate effectively.

3.  Reviews and remains current on all patient programs and progress.  Obtains working knowledge of patient programs before they are implemented.  Requires ability to read and handle progress notes, computer, program binders and other charting.

4.  Prepares and presents NRS performance evaluations.  Administers counseling reports as needed.  Documents call-ins for next shift and makes arrangements for proper number of employees to cover shift.  Addresses excessive employee absences and tardies in a timely manner.  Requires ability to communicate over the telephone, by computer and in writing.

5.  Performs apartment receptionist duties as needed, i.e., during lunch, breaks, etc.  Performs duties of NRS when staffing dictates.  Relieves NRS=s for breaks. May require timekeeping and payroll duties on a regular basis. May require preparation and assignment of staff schedule. May require collection and review of staff mileage logs.  May require scheduling of CNS vehicle maintenance. Requires abilities to perform these job duties as indicated in the various job descriptions.

6.  Supervises emergency evacuations and drills.  Prepares necessary reports of such events and ensures appropriate documentation of such events. Coordinates treatment for patient and employee injuries and completes the necessary paperwork.

7.  Conducts medication checks at designated times as needed to assist nursing and medication aides.  Performs medication counts of controlled medications each shift as needed.

8.  In California, is a Mandated Abuse Reporter.  Completes training, including viewing DOJ video, Your Legal Duty, and corresponding materials, etc.

9.  Performs bed, bath, toilet and chair transfers without assistance for patients up to 150 pounds, up to 20 times per shift utilizing approved transfer techniques.  Transfer techniques include standing, walking, stooping, bending, kneeling, squatting, lifting, carrying, pushing and pulling.  Patients requiring moderate to maximum assistance and weighing over 150 pounds are lifted and/or transferred by two persons. 

10.  Provides for the safety of patients, visitors, staff and self when interacting with patients who may have behavioral outbursts, which can include yelling, exiting, hitting, kicking, biting, spitting, scratching, and throwing objects. 

a. Must be able to recognize patient escalation, via verbal, physical and visual cues. 

b. Must be able to attempt to verbally and physically de-escalate patient using Behavior Modification techniques according to each patient's program, which may include Professional Assault Crisis Training (Pro-ACT) such as evasive self-defense (ability to get out of the way) and controlling self-defense (restraints). 

c. Physical intervention and restraints can include calling for help, lifting, standing, walking, running, stooping, bending, kneeling, squatting, pivoting, carrying, pulling, pushing and assisting with the restraint of patients weighing up to 150 pounds or more.      

d. Completes CNS Incident reports.

11.  Uses special medical equipment as required by each patient. May clean and maintain such equipment, including but not limited to wheelchairs, AFO=s, gastric feeding tubes, and condom catheters, at any given time according to the outline of each patient's program.

12.  Maintains professional and ethical relationships with staff, patients, patient families, and other visitors.

13.  Attends staff meetings, in-services, and all scheduled shifts.  Conducts daily change of shift meetings covering clinic issues, program updates, patient activity from shift(s), outings, safety concerns, training, role plays, etc. at the residential site.

14.  Comprehends and follows instructions:

a.  Maintain attention and concentration for necessary periods

b. Apply common sense understanding and carry out instructions (written, oral or diagrammatic)

c.  Adapt to situations requiring the precise attainment of set limits, tolerances or standards

15.  Performs simple and repetitive tasks:

a.  Ask simple questions or request assistance when needed

b.  Perform routine, concrete, organized activities

c.  Remember locations and work procedures

d.  Make decisions based on simple sensory data

16.  Maintains work pace appropriate to given work load:

a.  Perform activities on schedule, maintain regular attendance, and be punctual within specified tolerance

b.  Complete normal workday and/or week, perform at a consistent pace without excessive rest periods

17.  Performs complex or varied tasks:

a.  Synthesize, coordinate and analyze data

b.  Perform job requiring precise attainment of set limits, tolerances or standards

18.  Relates to other people beyond giving and receiving instructions:

a.  Can get along with co-workers or peers without exhibiting behavioral extremes

b.  Maintain open door policy to encourage active, empathetic listening

c.  Perform work activities requiring negotiating, instructing, supervising, persuading or speaking with others

d.  Respond appropriately to criticism from a supervisor and/or other staff member(s)

19.  Effectively influences people on a consistent basis:

a.  Convince or redirect others

b.  Understand the meaning of words and use them effectively

c.  Interact appropriately with people which includes the provision of appropriate internal and external customer service

20.  Makes generalizations, evaluations or decisions without immediate supervision:

a.  Recognize potential hazards and observe appropriate precautions

b.  Understand and remember detailed instructions

c.  Make independent decisions or judgments based on sensory data or known guidelines

21.  Accepts and carries out responsibility for direction, control and planning:

a.  Set realistic goals or make plans independently of others

b.  Negotiate, instruct or supervise people

c.  Respond appropriately to changes in the work setting

22.  Must abide by Residential dress code.


1. Generates janitorial, maintenance or safety requests.  Periodically takes inventory of apartment contents.  Periodically updates lists of patients' belongings.

2.  Transports patients as needed using own or company vehicle requiring transfer and driving abilities.

3. Works in conjunction with CNS Innovations Program Coordinators and Residential Treatment Coordinators on patient programs.

4. Performs other duties as assigned.


1.  High school graduation or G.E.D. required.  Must be at least 18 years of age.

2.  Demonstrated knowledge and skill in the performance of NRS duties required.

3.  Must maintain CPR, First Aid, TB clearance, and Pro-ACT Certifications.

4.  Clear driving record.

5. Experience in which potential administrative and supervisory competence has been demonstrated is required.  Must have completed introductory period.