PRN Registered Nurse-Beaumont Area

VALOR HOSPICE · HOUSTON, TX Prn
$184025 – $184025 / year
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Job Description

Description Primary functions are to administer nursing care for patients of all ages in their place of residence and to coordinate care with the Interdisciplinary Group/Team, patients, families, and referring agency. Assumes the responsibility for, and participates in, the coordination of care. Essential Functions: Initial and ongoing comprehensive assessments of the impact of the terminal disease on the patients physical, functional, psychosocial, and environmental needs as evidenced by documentation, clinical record, case conference, team report, evaluations, and ADLs, (i.e., risk for grief, cultural and spiritual, verbal, and non-verbal). Applies specific criteria for admission and re-certification to hospice care to establish appropriate levels of care and the patient’s eligibility. Implements/develops/documents the plan of care to ensure quality and continuity of care and recommend revisions to the plan, as necessary. Consults with and educate the patient and family regarding disease process, self-care techniques, end-of-life care, nutrition, and dietary needs. Prioritize any needs with the members of the IDG/T. Provide training to other staff as needed. Determines scope and frequency of services needed based on acuity and patient/family needs. Assess the ability of the care giver to meet the patient’s immediate needs upon admission and throughout care. Initiates appropriate preventive and rehabilitative nursing procedures. Applies concepts of infection control and standard precautions in coordinating and performing patient care activities to prevent contamination and transmission of disease. Provides clinical directions to the Hospice Aide and LPN/LVN to ensure quality and continuity of service provided. Prepares clinical and progress notes that demonstrate progress toward established goals. Ensure continuity of quality patient care delivered with appropriate documentation. Informs physician and other personnel of changes in the patient’s needs and outcomes of intervention, while evaluating patient and family response to care. Monitors assigned cases to ensure compliance with requirements of third party payors. Demonstrates commitment and professional growth and competency by participating in the Hospice sponsored inservice programs and maintaining or improving competency. Participates in the Hospice’s QAPI program. Promotes the Hospice’s philosophy and administrative policies. Performs on-call responsibilities and provides on-call services to patients and their families as assigned. Provides effective communication to patients, family, team members, and other health care professionals. Qualifications Education: Graduate from an accredited Diploma, Associate, or Baccalaureate School of Nursing. Licensure: Current state license as a Registered Nurse (RN) and/or in accordance with the Board of Nurse Examiners rules for Nurse Licensure Compact. Current driver’s license. Experience: Two (2) years experience as a registered nurse in a clinical care setting. Hospice experience preferred. Skills: Nursing skills as defined as generally accepted standards of practice. Good interpersonal skills. Specialized skills preferred in palliation and end-of-life. Must read, write and comprehend English. Transportation: Reliable transportation and valid auto liability insurance.

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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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