Charge Registered Nurse II - Extended Waiting
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Job Description
Join Houston Methodist as a Charge Registered Nurse II and lead our clinical team with compassion and expertise. This leadership role combines bedside nursing with mentoring, quality improvement, and unit management responsibilities.
What You'll Do
- Provide direct nursing care to diverse patient populations while conducting assessments and maintaining medical records
- Coach and mentor department staff in clinical practice, professional development, and interprofessional communication
- Lead unit governance activities, assess practice improvement opportunities, and coordinate education initiatives
- Model patient and family-centered care standards while driving department service and quality scores
- Oversee shift operations including staff allocation, patient safety, resource utilization, and emergency response
Requirements
- Graduate of approved nursing education program and current RN licensure in Texas
- 24 months of clinical nursing experience with demonstrated progressive leadership skills
- Current BLS, ACLS, and NIHSTROKE certifications (within 4 months); Magnet and NVCRISIS certifications preferred
- Proficient English communication skills, strong assessment and problem-solving abilities, and expertise in electronic medical records
- Ability to work independently, exercise clinical judgment, and function at the Competent to Proficient practice level
What to Know
- Non-exempt position requiring uniforms/scrubs and on-call availability during emergencies
- Travel within Houston Metropolitan area may be required
- Houston Methodist Willowbrook Hospital is a Magnet-recognized, faith-based health system
This is a preview of the job listing. The full posting includes complete compensation details, benefits package, qualification requirements, and application instructions.
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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).
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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