At Memorial Hermann, we pursue a common goal of delivering high quality, efficient care while creating exceptional experiences for every member of our community. When we say every member of our community, that includes our employees. We know that when our employees feel cared for, heard and valued, they are inspired to create moments that exceed expectations, while prioritizing safety, compassion, personalization and efficiency. If you want to advance your career and contribute to our vision of creating healthier communities, now and for generations to come, we want you to be a part of our team. Job Summary FULL TIME, NIGHT SHIFT ONLY LOCATION: CHILDREN'S MEMORIAL HERMANN TMC Our neonatal critical care services at Children’s Memorial Hermann Hospital, located in the Texas Medical Center, include a 118 bed Level IV Neonatal Intensive Care Unit (NICU), the highest level of care available for premature and critically ill newborns, as designated by the Texas Department of State Health Services (DSHS). Through our affiliation with the physicians at McGovern Medical School at UTHealth, Children’s Memorial Hermann Hospital provides premature or critically ill patients with a full range of pediatric medical and surgical sub-specialists with 24/7 access to neonatologists. Collaborates with the physician and healthcare team in the delivery of patient care, utilizing the nursing process. Provides professional nursing care to patients, including conducting nursing assessments, assisting with exams and treatment, patient education, and maintenance of medical records. MHHS hires RNs based on years of experience groupings (i.e. newly licensed RN [working under the supervision of RN clinical preceptor], less than 1 year, 1-3 years, 3 to 10 and 10). Job Description Minimum Qualifications Education: Graduate of an accredited School of Professional Nursing; Bachelors of Nursing preferred Licenses/Certifications: Current State of Texas license or temporary/compact license to practice professional nursing Certified in Basic Life Support Additional certifications may be required based on discipline and/or nursing unit requirements Experience / Knowledge / Skills: RN I RN II = 1-3 years RN III = 3-10 years RN IV = 10 years Principal Accountabilities Delivers safe and appropriate care to patients, according to the nursing skills inventory and the age and needs of the patient/population served. Coordinates the planning for the delivery of nursing care with an interdisciplinary team and administers appropriate clinical decisions in the delivery of patient care. Collaborates with, directs, and may delegate to the healthcare team in the attainment of positive outcomes based on data, research, evidence, and professional standards of care. Coordinates treatment plans; develops/implements discharge and/or transfer plans. Participates in a systemic, interdisciplinary, and ongoing evaluation of programs, process improvement and desired client-centered outcomes. Considers the diverse needs of each patient through the entire continuum of care, providing and ensuring the highest level of service according to established service standards, optimizing the patient experience. Adheres to all regulatory and Texas Board of Nursing standards. Ensures safe care to patients, staff and visitors; adheres to all Memorial Hermann policies, procedures, and standards, within budgetary specifications, including time management, supply management, productivity and quality of service. Promotes individual professional growth and development by meeting requirements for mandatory/continuing education and skills competency; supports department-based goals which contribute to the success of the organization; may serve as preceptor, mentor and resource to less experienced staff. Demonstrates commitment to caring for every member of our community by creating compassionate and personalized experiences. Models Memorial Hermann’s service standards by providing safe, caring, personalized and efficient experiences to patients and colleagues. Performs other duties as assigned.
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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.