Registered Nurse (RN) - CPCU

Texas Children's Medical Center · Houston, TX Full Time

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Job Description

Description We are searching for Registered Nurses for our Cardiac Patient Care/Step Down Unit within the 1 Heart Center designated by U.S. News and World Report. We care for individuals with congenital heart disease throughout their lifespan. We provide dynamic and specialized nursing care to support these patients within our family centered care model. Do you have an interest in Cardiac Nursing? We have a place for you! Apply today to learn more about what we have to offer! 48 Step Down/Acute care beds VADs, Drip management, Discharge Newborn to adolescents OPEN to nurses with acute care experience Minimum Qualifications Bachelor’s degree in nursing, associate’s degree, or technical diploma in nursing with acceptance or current enrollment in a BSN program and signed agreement or an associate’s degree in a related field accepted by the Texas Board of Nursing for the purposes of obtaining and maintaining an RN license required or must be currently enrolled in a nursing bridge program working toward an MSN with a verified BSN-equivalency or a signed agreement. 9 months experience in nursing (minimum) RN License by Texas Board of Nursing or Nurse License Compact CPR – Basic Life Support from the American Heart Association Responsibilities: Performs and documents assessment of the patient/family including biophysical, psychosocial, developmental (age-appropriate), culture, spiritual, and environmental needs in an organized and systematic manner Analyzes situations, anticipates potential problems, and detects changes in patient status. Re-prioritizes and updates plan of care based on new information and changes to the patient’s condition; communicates this information to other health care team members and documents in the medical record. Participates in interdisciplinary rounds and/or patient care conferences and documents in the medical record. Assists patients/family in implementing their role in the plan of care as appropriate. Assess patient family learning needs capabilities, preferences, and readiness to learn prior to teaching. Demonstrates positive and effective interpersonal skills when dealing with patients/families, visitors, peers, and other health care team members. Administers and documents medications and treatments in a timely manner. Demonstrates willingness and ability to acquire new knowledge and utilize new skills needed to improve individual, team, and organizational performance. Participate in unit performance improvement initiatives "As part of our commitment to maintaining a safe and healthy workplace, all successful candidates will be required to undergo respiratory fit testing in compliance with occupational health and safety standards. "

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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.