Registered Nurse - RN - Home Health

Act for Health · Houston, TX Full Time
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What About Senior Care? Less Hours. Ongoing Patient Relationships. Explore Senior Care Jobs →

Job Description

Professional Case Management is hiring Registered Nurses to provide in-home healthcare services to patients in Texas. Create your own schedule while delivering rewarding one-on-one patient care in clients' homes.

What You'll Do

  • Provide in-home healthcare services to help clients maintain health and quality of life
  • Build meaningful one-on-one relationships with patients in the comfort of their homes
  • Promote personal safety and maintain a safe environment for all clients
  • Practice nursing with respect for individual, cultural, and spiritual differences
  • Maintain compliance with agency policies and procedures

Requirements

  • Graduate of a state-approved school of professional nursing
  • Current, unrestricted RN license in Texas
  • Current CPR certification and TB test on file
  • Strong communication and interpersonal skills
  • Minimum one year RN experience in acute care setting preferred; new graduates encouraged with paid mentorship

Benefits

  • Flexible scheduling โ€” create the schedule that works for you
  • Medical, dental, and vision insurance coverage
  • Health Savings and Flexible Spending Accounts available

This is a preview of the job listing. The full posting includes complete compensation details, benefits package, qualification requirements, and application instructions.

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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 $48.00/hr ($99,840/yr). The typical range is $39.37 – $55.77/hr (25th–75th percentile).

Entry Level (10th) $74,859/yr
Houston Median $99,840/yr
Experienced (90th) $130,437/yr
vs. National Median +2.3%

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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