RN - Clinical Manager (Operating Room) Split/Evening Shift Houston, Texas, 77074 Full time permanent onsite role. Salary - $89,000 to $134,000/ year with benefits from day1. Partial relocation assistance Must-Haves Must have an active RN Texas License, or active multi-state compact RN license, clear of stipulations or disciplinary actions. Must have BSN, BLS, & Minimum 2 years experience in an OR acute care experience. Must have 3 years of current OR management experience Must have an updated resume - job history dates and units worked in must be accurate Full Time Night Shift Availability Required Candidates must be available to work full time night shifts exclusively. Please note that no day shift positions, transfers, or promotional or Part time opportunities are currently available. Only applicants seeking night shift roles will be considered. Nice-To-Haves Must be able to communicate efficiently Job Description Job Description Summary This position is responsible for providing leadership to the department. Oversees daily operations, manages and develops departmental staff, collaborates with the interdisciplinary team in the delivery of patient care. Utilizes the nursing process to ensure the delivery of quality care to patients. Shift: Split/Evening Shift (The shift will be 2PM-10PM others 1pm-9pm, depending on need) Number of FTEs: 67 This position oversees evening, weekend and night shift staff which includes RN's, Techs, Coordinators and will be responsible for the neuro, plastics, ortho and ENT service lines. Minimum Qualifications Education: Bachelor of Science in Nursing degree from an accredited school of professional nursing required For clinical manager positions in Magnet-designated hospitals or hospitals in pursuit of Magnet designation, a minimum of a BSN is required at the time of hire or promotion Licenses/Certifications: Current State of Texas license or temporary/compact license to practice professional nursing Certified in Basic Life Support Professional certification in clinical area or management preferred Additional certifications may be required based on discipline and/or nursing unit requirements Experience / Knowledge / Skills: Three (3) or more years experience in clinical area of practice; and Minimum of one (1) year experience in a supervisory or management role Clinical Manager II: additional two (2) years experience (3 years total) in supervisory or management job Principal Accountabilities Manages the daily operations of a patient care department, including forecasting and ensuring adequate staffing, taking departmental calls, planning for continuity of care, serving in charge nurse role and providing direct patient care as needed. Collaborates with physicians, management team members, business partners, and customers to address strategic initiatives and organizational goals. Participates in a systemic, interdisciplinary, and ongoing evaluation of programs, process improvement, desired client-centered outcomes, and organizational outcomes. Considers the diverse needs of each patient through the entire continuum of care, provides and ensures the highest level o
This is a preview of the job listing. The full posting includes complete compensation details, benefits package, qualification requirements, and application instructions.
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.