Flex Team I RN - Med Surg

CommonSpirit Health · Houston, TX Full Time

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Job Description

Job Summary and Responsibilities As a Registered Nurse (RN) on our Float/Flex Team, you will be a pivotal healthcare professional, delivering compassionate, high-quality care that truly impacts our patients' well-being and recovery while presenting a positive attitude and being reliable, Every day, you will leverage your expertise to provide individualized, comprehensive care, making critical assessments, performing skilled procedures, and meticulously implementing patient care plans. You'll collaborate seamlessly within an interdisciplinary team, contributing to a dynamic environment focused on optimal patient outcomes. To thrive in this vital role, you will possess keen assessment skills, acute critical thinking, and a patient-first mindset, driven by a profound enthusiasm to help others. Your sense of urgency and dedication to excellence in a fast-paced environment will not only support patient recovery but also fuel your own career advancement. Utilizes the nursing process to ensure appropriate patient care is provided in a cost effective, quality driven, and patient focused manner. Collects pertinent social, psychological, developmental and spiritual data from the patient, significant others and other health care team members. Performs as ongoing assessment, formulates nursing diagnosis and goals, plans appropriate interventions, and evaluates the outcome of the interventions. Consistently documents in the patient and unit records according to written health system standards of care in order to meet legal and quality patient care requirements. Provides appropriate teaching and information to patients and families including information on Pain Management, Nutrition, Skin Integrity, Fall prevention, Diabetes, Disease Process, Smoking Cessation, and Discharge instructions Demonstrates commitment to the goals and values of the patient, Hospital, community and nursing profession through cost containment measures, maintaining confidentiality, appropriate ethical decision –making, and ensuring patient safety. Uses interventions substantiated by research as appropriate in the patient population, Participates in research activities, identifies opportunities for research, and collaborates with the Outcomes managers and department. Job Requirements Required Associate's Of Science Nursing and At least one (1) year of RN experience Demonstrated competence in Registered Nurse I performance expectations or meets experience requirements upon hire Registered Nurse: TX, upon hire and Basic Life Support - AHA BLS, within 14 days Where You'll Work St. Luke's Health–The Vintage Hospital is 106 bed facility that is nationally-recognized for providing high-quality, compassionate care to Northwest Houston communities including Willowbrook, Champions and Tomball. With the resources and expertise of the St. Luke’s Health system, St. Luke's-The Vintage offers the latest advancements in diagnostic and surgical services, including heart care, lung health and orthopedics. St. Luke’s Health is a member of CommonSpirit.

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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.