Registered Nurse (RN), Inpatient - NICU Level 3, Neonatal Intensive Care Unit Level 3 (Nights)

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

Description We are searching for Staff Nurses for our Pavilion for Women NICU Team! We are looking for someone who works well in a fast-paced setting. In this position you’ll provide quality nursing care to patients by assessing, planning, educating, implementing, and evaluating age appropriate care in a manner that incorporates family-centered principles and cost-effective care. We need someone who can collect and analyze data from the medical record in order to coordinate patient care. Think you’ve got what it takes? ABOUT OUR PFW NICU The purpose of the Newborn Center at Texas Children’s Hospital (TCH) is to provide the full spectrum of comprehensive care tending to the clinical and psychosocial needs of all neonates and their families. Texas Children’s Hospital NICU holds the distinct honor of being the first recognized Level IV NICU in The State of Texas and was recognized in 2024 as the 3 NICU in the country by US News. PFW NICU offers the highest possible level of specialized treatments as well as expert specialists for babies born prematurely and with unique health challenges. It is located on the 7th & 8th floor of the Pavilion for Women Tower and is a private room unit with a transition area. The private bed unit fosters teamwork and collaboration amongst the nurses. Babies admitted to this unit are born in the Pavilion for Women Labor and Delivery unit or may have transferred in from other facilities. A team of NICU-specialized nurses, providers, respiratory therapists, social workers, child life specialists, physical therapists, occupational therapists, speech therapists, music therapists, care coordinators, and pharmacists come together to care for our patients and families. TCH PFW NICU RN’s will be responsible for caring for critically ill neonates and infants requiring complex care and the highest level of support. Our teams provide complex medical and surgical care to patients born at 22 weeks or greater with multiple diagnoses, including but not limited to respiratory distress requiring Bubble CPAP, NIPPV, High-Frequency Oscillatory Ventilation, and Jet Ventilation. We utilize simulation-driven evidence-based practices, utilizing the latest technology to provide robust, quality patient care. Come join our one amazing team! QUALIFICATIONS Bachelor's degree in nursing or other degree in nursing with acceptance or current enrollment in a BSN program and signed agreement Current licensure with the Board of Nursing for the State of Texas or Nurse Licensure Compact and BLS certification are required 9 months of professional nursing experience The ability to demonstrate positive and appropriate interpersonal skills, good time and resource management skills, flexibility, strong oral and written communication skills, knowledge of unit-specific equipment, and knowledge of the nursing process, critical thinking skills, PALS, and interdisciplinary collaboration Previous NICU or ICU experience highly preferred! 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

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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 $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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