Registered Nurse II Emergency Department

Houston Methodist · Houston, TX Full Time
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Job Description

We hold ourselves and the careers we build to a higher standard. At Houston Methodist, nurses develop their skills through a wide range of educational programs, collaborate with physicians to provide the best care and build upon a world-class reputation for excellence in patient care, education and research. We hold ourselves - and the careers we build - to a higher standard. Our growing, inclusive health care system offers: Superior practice settings High safety standards Professional development & nursing education Meaningful collaboration with physicians Unparalleled support Requirements Bachelor of Science degree or higher from an accredited School of Nursing Twelve months registered nurse experience in a healthcare environment Texas RN license or temporary TX RN license, should obtain permanent license within 90 days. Compact license acceptable according to current Board of Nursing requirements American Heart Association Basic Life Support (BLS) Other credentials and certifications as defined by unit/service line I CARE VALUES INTEGRITY We are honest and ethical in all we say and do. COMPASSION We embrace the whole person and respond to emotional, ethical and spiritual concerns as well as physical needs. ACCOUNTABILITY We hold ourselves accountable for our actions. RESPECT We treat every individual as a person of worth, dignity and value. EXCELLENCE We strive to be the best at what we do and a model for others to emulate. Fast Facts | Houston Methodist Willowbrook Hospital 358 operating beds 20 operating rooms 1,171 affiliated physicians 2,300 employees 21,717 inpatients 230,466 outpatients 62,932 emergency room visits Hear From Our Chief Nursing Executive, Nicole Twine Nicole Twine, PhD, APRN, ACNP-BC, NE-BC Vice President & Chief Nursing Officer Houston Methodist Willowbrook Hospital "At Houston Methodist Willowbrook Hospital, we are a close-knit family committed to Leading Medicine in our community. I take a personal interest in meeting with all our new hires to ensure they have the resources they need to help drive our mission to provide unparalleled safety, quality, service and innovation to our patients and their families. We recognize our nursing staff as the backbone of our hospital and take every opportunity to reward their hard work and provide guidance for growth and development to advance their careers." About Houston Methodist Willowbrook Hospital Since 2000, Houston Methodist Willowbrook Hospital has been serving Northwest Houston residents. Houston Methodist Willowbrook Hospital is a comprehensive acute care facility and has been named a Magnet recognized health care facility by the American Nurses Credentialing Center's (ANCC) Magnet Recognition Program(R). With 358 operating beds, 20 operating rooms and more than 2,300 employees, Houston Methodist Willowbrook Hospital provides comprehensive, personalized care for patients in Champions, Tomball, Magnolia, Spring and Cypress. Awards and Distinctions AACN Silver Beacon Award - Medical ICU - American Association of Critical-Care Nurses (AACN) Chest Pain Center Accreditation - Society of Chest Pain Centers ISO 9001 Certification - DNV GL Accredited Pulmonary Rehabilitation Program - American Association of Cardiovascular and Pulmonary Rehabilitation Breast Imaging Center of Excellence - American College of Radiology Recognized Diabetes Education Program - American Diabetes Association Magnet(R) Recognition - American Nurses Credentialing Center Gold Beacon Award for Excellence - Surgical ICU - American Association of Critical-Care Nurses (AACN) Primary Stroke Center - The Joint Commission Patient Safety Excellence Award(tm) - Healthgrades(R) Houston Methodist is an Equal Opportunity Employer.

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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 โ€” 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 โ€” 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 โ€” 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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