Registered Nurse Med Surge and Rehab

Presidential Staffing Solutions, LLC · Houston, TX Full Time

What About Senior Care? Less Hours. Ongoing Patient Relationships. Explore Senior Care Jobs →

Job Description

Benefits: 401(k) Competitive salary Health insurance Training & development CURRENTLY ONLY NIGHT SHIFT AVAILIABLE 7:30PM-8AM We are looking for RN's with experience in med-surge and rehab to work in nursing home settings CURRENTLY ONLY NIGHT SHIFT AVAILIABLE 7:30PM-8AM LTAC SNF Hospice Care all care in nursing home setting Key Responsibilities: Conduct comprehensive assessments of neurological and spinal cord injury patients. Develop and implement individualized care plans based on clinical findings. Manage and respond to neuro-related complications such as autonomic dysreflexia and spasticity. Educate Veterans and caregivers on condition management and rehabilitation techniques. Collaborate with interdisciplinary teams to coordinate holistic, Veteran-centered care. Document all nursing care and assessments accurately in VA electronic health records (CPRS). Participate in patient safety initiatives and quality improvement programs within the VA system. Schedule : Unlike ICU where it’s self-scheduling, the CLC will create the schedule for the LTC RNs 30 days in advance 12-hour shifts 3x Days 3x Nights Rotating Weekends and Holidays 36 hours per week Benefits/Perks Flexible Scheduling Competitive Compensation Careers Advancement Job Description : Long-Term Care (LTC) Registered Nurses (RNs) at a Veterans Affairs Medical Center (VAMC) provide compassionate, comprehensive nursing care to veterans with chronic illnesses, disabilities, or those in need of end-of-life care. These RNs typically work in Community Living Centers (CLCs), which function like skilled nursing or nursing home units within the VA system. Key Responsibilities: · Deliver direct patient care including assessments, medication administration, wound care, and monitoring of vital signs. · Develop and implement individualized care plans in collaboration with interdisciplinary teams. · Support patients with activities of daily living (ADLs), such as bathing, dressing, feeding, and mobility assistance. · Monitor changes in residents’ physical and mental health and promptly report concerns to the medical team. · Provide emotional support to veterans and their families, particularly in palliative and hospice care settings. · Maintain accurate documentation in accordance with VA policies and electronic health record standards. · Participate in quality improvement initiatives, infection control, and safety protocols. Schedule : Unlike ICU where it’s self-scheduling, the CLC will create the schedule for the LTC RNs 30 days in advance 12-hour shifts 3x Days 3x Nights Rotating Weekends and Holidays 36 hours per week RN Requirements : Must have BSN Must have at least one year of recent experience in LTC/SNF AHA BLS, VA will not accept non-AHA certifications. Qualifications Currently licensed Registered Nurse (RN) in state of employment Previous experience as a Registered Nurse is preferred Excellent interpersonal and client care skills Valid driver’s license First aid/CPR certification required

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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.