Houston Hospice is recruiting for Full and Part-time Admission RNs. At Houston Hospice, we believe that the heart of our organization are the people who work here. Since 1980, we’ve grown to become the oldest and largest independent nonprofit hospice in the Greater Houston area. What truly defines us is our commitment to walking alongside patients and their families during some of life’s most tender moments. Our mission is simple: to provide uncompromising, compassionate, end-of-life care to patients of all ages and their families. Serving the 13 counties that surround the Houston area, we are committed to being the highest quality hospice provider wherever we serve. We focus on caring, not curing. Our approach is grounded in teamwork and trust by bringing together skilled healthcare professionals who all share a common purpose: to bring those on our service comfort, dignity, and peace. Whether care is provided in a family’s home, in a long-term care facility, or in our IPU in the Texas Medical Center, our team is dedicated to meeting patients where they are, both physically and emotionally. Our doctors and nurses are experts in easing pain and managing complex symptoms of life-limiting illnesses. The work we do allows our patients and families to focus on what matters most: being together. Summary: We are seeking a candidate to provide full-cycle admission process to potential patients and families. This includes providing hospice education, consent documentation, comprehensive nursing assessment, and development/implementation of initial plan of care. Qualifications: Graduate of an accredited school of nursing with a current Texas license as a Registered Nurse. Current certification in basic life support. Excellent organizational skills to handle a variety of tasks simultaneously. Effective interpersonal skills. Excellent communication skills, both oral and written. Ability to accommodate multi-faith beliefs and backgrounds of patients/families. Ability to function as part of an inter-disciplinary team. Ability to travel to multi-work locations during workday. Must have reliable, insured vehicle and valid Texas Driver’s license. Duties/Responsibilities: Communicate with staff, physicians, referral sources and prospective clients regarding hospice services and appropriate admission criteria. Handle initial physical and emotional assessment of the patient/family upon admission and reviews the hospice concept with them. Develop a detailed, written POC for each patient admitted in conjunction with the IDG, patient, family and attending physician. Explain to patient and family what items hospice pays including a review of the medications list. Instruct patient/family about appropriate techniques for care of the patient. Complete all consents and legal documents accurately and concisely. Communicate with PCM, patient DME, HHS and medication needs. Establish the Home Chart with appropriate documents. Communicate to the IDT report on new admissions and prioritizes needs. Participate in orientation of staff and continued education of medical students, nursing students, and other health care professionals including community as appropriate. Assist with routine visits if no admissions are scheduled for the day. Document professionally, accurately, timely and according to established standards. Understand and adhere to organizational privacy practices and compliance programs. Assists in providing service that fosters the organization’s mission, values, vision and goals. Perform other job related duties as required and/or requested by management. IND123
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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.