Nurse II

apartment Texas Health and Human Services location_onKerrville, TX 78028, US

Join the Texas Health and Human Services Commission (HHSC) and be part of a team committed to creating a positive impact in the lives of fellow Texans. At HHSC, your contributions matter, and we support you at each stage of your life and work journey. Our comprehensive benefits package includes 100% paid employee health insurance for full-time eligible employees, a defined benefit pension plan, generous time off benefits, numerous opportunities for career advancement and more. Explore more details on the Benefits of Working at HHS webpage.

Functional Title: Nurse II
Job Title: Nurse II
Agency: Health & Human Services Comm
Department: PsychSecurity Direct Care
Posting Number: 11169
Closing Date: 02/10/2026
Posting Audience: Internal and External
Occupational Category: Healthcare Practitioners and Technical
Salary Group: TEXAS-B-22
Salary Range: $6,579.41 - $7,761.50
Pay Frequency: Monthly
Shift: Day
Additional Shift: Days (First); Evenings (Second); Nights (Third); Weekends
Telework: Not Eligible for Telework
Travel: Up to 5%
Regular/Temporary: Regular
Full Time/Part Time: Full time
FLSA Exempt/Non-Exempt: Exempt
Facility Location:
Job Location City: KERRVILLE
Job Location Address: 721 THOMPSON DR
Other Locations: Kerrville
MOS Codes: 290X,46AX,46FX,46NX,46PX,46SX,46YX,66B,66C,66E,66F,66G,66H,66N,66P,66R,66S,66T,66W

Brief Job Description:

Would you thrive in an environment where you learn and grow personally and professionally all while helping make a positive impact on people’s lives? Do you appreciate being around others like yourself who are dependable, trustworthy, hard workers who believe in the value of teamwork? HSCS is dedicated to building an atmosphere where employees feel valued and supported while providing specialized care for Texans in need. HSCS is comprised of nine psychiatric hospitals, one youth residential treatment facility, and thirteen state supported living centers. The psychiatric hospitals are a hub of excellence for forensic mental health and complex psychiatric care, with all facilities accredited by The Joint Commission. They provide state-of-the-art treatment that is recovery-oriented and science-based. If providing hope and healing through compassionate, innovative, and individualized care interests you, we welcome your application for the position below.

Under the direct supervision of the Nurse Administrator\Nurse Manager, observes, assesses, plans, intervenes and evaluates outcomes and documents all aspects of patient care. Possesses a unique knowledge regarding the patient population to be served. May coordinate scheduling within assigned areas. Provides primary proactive management for service area during assigned shift with a supportive but clear supervisory manner. Supervises, counsels, and evaluates other nursing staff. Collaborates with Nurse Coordinator, other Nurse Managers, and MH Supervisor/Specialist to ensure 24-hour continuity of care. Assumes duties of the Nurse Coordinator during absence. Is flexible in work schedule. Has broad latitude for initiative and independent judgment. Provides direct nursing care to individual patients as needed. Understands that duties, location of work and shift/pattern are subject to change as determined by the administration to meet the needs of the hospital. Must understand that duties may include exposure to blood or other potentially infectious materials.

Performs other duties as assigned. Other duties as assigned include but are not limited to actively participating and/or serving in a supporting role to meet the agency’s obligations for disaster response and/or recovery or Continuity of Operations (COOP) activation. Such participation may require an alternate shift pattern assignment and/or location.

This position may be eligible to earn additional pay for work performed on evenings, nights and/or weekends.

This position may also be eligible to earn additional pay for work performed on maximum security locations.

Essential Job Functions (EJFs):

Attends work on a regular basis and may be asked to work a specific shift schedule or, at times, even a rotating schedule, extended shift and/or overtime in accordance with agency leave policy and performs other duties as assigned.

Assess the health/mental status of the patient upon admission and/or transfer and on an ongoing basis and documents assessment, planning, intervention, and evaluation in patient record in order to determine priorities and plan therapeutic nursing care. Performs CPR/Heimlich techniques correctly and safely according to the specifications of the American Heart Association.

Provides direction and coordination of staffing and patient care activities on assigned units in a consultative manner with nurse administrators and staff nurses by addressing performance problems promptly and keeping accurate documentation of interventions.

Facilitates a smooth admission and/or transfer process during working hours in order to achieve the hospital mission by communicating with admissions staff, unit staff reviewing written documentation to ensure appropriate status and triage patients when needed.

Carries out medical staff orders and implements nursing interventions according to acceptable nursing care standards and hospital policies and procedures. Meets with unit nursing staff to inform and disseminate information.

Provides and documents individual/group teaching to patients regarding medications, illness, special treatment, etc. utilizing appropriate teaching/response methods for various age groups and cognitive levels to facilitate patient learning.

Implements special precautions as ordered, explain and document rights restrictions and implements restraint/seclusion procedures according to departmental policy and established nursing standards to maintain patient safety. Protect the patient from causing harm to self and/or others and uphold patient rights.

Participates in the client abuse and neglect process, assures patient safety, and meets patient needs, monitors, and implements Treatment Intervention Protection Strategies (TIPS). Follows all established protocols, policies, and procedures. Participates as the nursing representative in Performance improvement teams. Coordinates and administers effective utilization of nursing service personnel on assigned units.

Attends mandatory trainings, participates in on-going in-service and other education and training programs appropriate to the population/age group to meet the physical, psychosocial, and cultural needs of patients.

Knowledge, Skills and Abilities (KSAs):

Knowledge of recognized American Nurses Association Nursing Standards.

Knowledge of departmental policies and procedures.

Knowledge of the Nurse Practice Act.

Skills in supervisory and management techniques.

Skills and ability to perform CPR, agency approved aggression management and restraint techniques, and emergency care in a medical or psychiatric emergency.

Skills for positive interaction with patients, staff, families, and the public.

Ability to handle crisis situations calmly.

Ability to communicate effectively, verbally and in writing.

Registrations, Licensure Requirements or Certifications:

Licensed to practice as a registered nurse (RN) in the State of Texas (or state that recognizes reciprocity through the Nurse Licensure Compact).

Initial Screening Criteria:

Graduation from a Nursing Program accredited by the Texas Board of Nurse Examiners required.

At least six (6) months of experience as a practicing registered nurse is required.

At least six (6) months of experience as a practicing registered nurse in a health agency, hospital, or health-care facility is preferred.

Bachelor's Degree is preferred.

Additional Information:

Applicants must pass a fingerprint criminal background check, pre-employment drug screen, and registry checks including the Client Abuse/Neglect Reporting System (CANRS), Nurse Aid, Medication Aide and Employee Misconduct, List of Excluded Individuals/Entities (LEIE). Males between the ages of 18-25 must be registered with the Selective Service.

All applicants must be at least 18 years of age to be considered for employment at a state-operated facility. Waco Center for Youth applicants must be 21 years of age.

Flexibility in work hours may be required for this position. The position may be required to work overtime and/or extended hours.

Compliance with HHSC immunization policy and state hospital operating procedures related to immunizations is required. According to the Centers for Disease Control and Prevention, healthcare workers are considered to be at significant risk for acquiring or transmitting hepatitis B, measles, mumps, rubella, varicella (chicken pox), tetanus, diphtheria, pertussis (whooping cough), and influenza. All these diseases are vaccine preventable. As a result, state hospital policy requires employees be vaccinated according to their level of contact with individuals. In the event you choose to not be immunized for the influenza virus, you may be required to wear a mask and take other protective measures.

Review our Tips for Success when applying for jobs at DFPS, DSHS and HHSC.

Active Duty, Military, Reservists, Guardsmen, and Veterans:

Military occupation(s) that relate to the initial selection criteria and registration or licensure requirements for this position may include, but not limited to those listed in this posting. All active-duty military, reservists, guardsmen, and veterans are encouraged to apply if qualified to fill this position. For more information please see the Texas State Auditor’s Job Descriptions, Military Crosswalk and Military Crosswalk Guide at Texas State Auditor's Office - Job Descriptions.

ADA Accommodations:

In compliance with the Americans with Disabilities Act (ADA), HHSC and DSHS agencies will provide reasonable accommodation during the hiring and selection process for qualified individuals with a disability. If you need assistance completing the on-line application, contact the HHS Employee Service Center at 1-888-894-4747. If you are contacted for an interview and need accommodation to participate in the interview process, please notify the person scheduling the interview.

Pre-Employment Checks and Work Eligibility:

Depending on the program area and position requirements, applicants selected for hire may be required to pass background and other due diligence checks.

HHSC uses E-Verify. You must bring your I-9 documentation with you on your first day of work. Download the I-9 Form

Telework Disclaimer:

This position may be eligible for telework. Please note, all HHS positions are subject to state and agency telework policies in addition to the discretion of the direct supervisor and business needs.

Share this job

Related Jobs

Med-Surg

Telemetry

Full-time

Registered Nurse Med Surg Tele

apartment Methodist Healthcare System location_onFredericksburg, TX

Description Introduction Do you want to be appreciated daily? Our nurses are celebrated for being on the front line, empathetic for patients. At Methodist Hospital Hill Country our nurses set us apart from any other healthcare provider. We are seeking a Registered Nurse Med Surg Tele to join our healthcare family. Benefits Methodist Hospital Hill Country, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include: Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation. Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. Free counseling services and resources for emotional, physical and financial wellbeing 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service) Employee Stock Purchase Plan with 10% off HCA Healthcare stock Family support through fertility and family building benefits with Progyny and adoption assistance. Referral services for child, elder and pet care, home and auto repair, event planning and more Consumer discounts through Abenity and Consumer Discounts Retirement readiness, rollover assistance services and preferred banking partnerships Education assistance (tuition, student loan, certification support, dependent scholarships) Colleague recognition program Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence) Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income. Learn more about Employee Benefits Note: Eligibility for benefits may vary by location. At Methodist Hospital Hill Country, our nurses play a vital part. We know that every nurse’s path and purpose is unique. Do you want to create your own personal career path in nursing? HCA Healthcare is your career destination! Our scale makes it possible for nurses to create the career path that fits their life – for life – and empowers their passion for patient care. Apply today for our Registered Nurse Med Surg Tele opportunity. Job Summary and Qualifications The professional Registered Nurse (RN) is the patient and patient’s family advocate. He/she consistently applies and utilizes the nursing process, critical thinking skills, scientific judgment, technical skills and leadership to independently deliver safe nursing care to patients. The RN collaborates with the patient care team to achieve quality patient outcomes in alignment with the Hospital mission and Methodist Excellence goals. Communicates and utilizes interpersonal skills effectively and role models confidence and professionalism within nursing as evidenced by active engagement in unit and organizational activities. Demonstrates team work and adaptability and is a resource person to the patient care team. He/she is accountable for the quality of nursing care services delivered by self or others under their direction in accordance with the Texas Nurse Practice Act, hospital policies and procedures and the Texas Board of Nursing rules for delegated nursing tasks (Chapter 224). Promotes a positive image of nursing and demonstrates team work and adaptability through consistently following the standards of Methodist Excellence. Essential Job Functions: 1. Applies nursing judgment through a thorough, systematic approach of applying the nursing process to include: • Assessment: Conducts comprehensive, timely, and ongoing focused physical, psycho- social and pain assessments; includes assessment of patient education needs. • Planning: Utilizes the assessment, identifies problems, makes nursing diagnoses, formulates goals, teaching plans and outcomes to create an individualized plan of care. Identifies individual patient goals, readiness to learn and incorporates family into the plan of care. • Implementation: Prioritizes and implements a competent, prioritized and efficient nursing plan of care. • Evaluation/Reassessment: Consistently conducts timely evaluation, anticipates and recognizes changes in patient conditions, determines when reassessments are needed and adjusts the plan of care as necessary. Compares expected and achieved outcomes of nursing care utilizing the plan of care. 2. Collaborates with patient care team members on patient care plan; communicates timely and effectively with physicians and other members of the patient care team through verbal, written or electronic communication to coordinate and facilitate meeting patient needs. Incorporates consistent use of hand-off communication and SBAR communication methods. 3. Demonstrates critical thinking skills, scientific judgment, and organizational skills. Prioritizes tasks and adjusts priorities when necessary. Maintains an orderly, efficient and timely flow of patients. Recognizes and reports errors and unusual occurrences and analyze contributing factors. Initiates corrective action when appropriate. 4. Makes accurate, complete and timely entries into the patient medical record addressing all steps of the nursing process. Actively communicates with members of the healthcare team, patient and patient family. 5. Maintains current nursing knowledge to assure a safe working environment. Demonstrates practical application of all policies and procedures relative to safety and the pillars of Methodist Excellence to include: Applicable quality core measures, infection prevention, fall prevention, medication administration safety, hourly rounding, and AIDET principles. 6. Responsible to supervise tasks delegated to unlicensed personnel and accountable for tasks performed by unlicensed personnel according to the Texas BON rules for delegated nursing tasks (Chapter 224). What qualifications you will need: • Associate Degree in Nursing or RN Diploma Required • Bachelors Degree in Nursing Preferred • < 1 year applicable experience Required Founded in Fredericksburg, Texas, in 1971, Methodist Hospital | Hill Country is an award-winning healthcare organization that has gained a reputation for delivering remarkable care. The hospital has been named a Fortune/Merative Top 100 Hospital nine times in its history due to its excellent quality, outcomes, and experience results. The recipient of the prestigious Malcolm Baldrige Quality Award, Methodist Hospital | Hill Country is the largest employer in Gillespie County with more than 600 staff and 225 medical staff members. Methodist Hospital | Hill Country, formerly Hill Country Memorial Hospital, offers state-of-the-art services like the Restore Joint Replacement Center and an interventional cardiology program. HCA Healthcare has been recognized as one of the World’s Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated 3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses. "The great hospitals will always put the patient and the patients family first, and the really great institutions will provide care with warmth, compassion, and dignity for the individual." - Dr. Thomas Frist, Sr. HCA Healthcare Co-Founder Join a family that cares about every stage in your career! We are interviewing candidates for our Registered Nurse Med Surg Tele opening. Apply today and a member of our Talent Acquisition team will reach out. We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.

Home Health

Full-time

Registered Nurse Home Health

apartment Methodist Healthcare System location_onFredericksburg, TX

Description Introduction Methodist Hill Cntry Home Care is committed to investing in the latest technology enabling nurses to work more efficiently. Are you passionate about delivering patient-centered care? Submit your application for Registered Nurse Home Health position and spend more time at the bedside with the patient. Benefits Methodist Hill Cntry Home Care, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include: Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation. Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. Free counseling services and resources for emotional, physical and financial wellbeing 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service) Employee Stock Purchase Plan with 10% off HCA Healthcare stock Family support through fertility and family building benefits with Progyny and adoption assistance. Referral services for child, elder and pet care, home and auto repair, event planning and more Consumer discounts through Abenity and Consumer Discounts Retirement readiness, rollover assistance services and preferred banking partnerships Education assistance (tuition, student loan, certification support, dependent scholarships) Colleague recognition program Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence) Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income. Learn more about Employee Benefits Note: Eligibility for benefits may vary by location. You contribute to our success let us contribute to yours! Whether you choose to focus on bedside care, a leadership or C-suite role, shape business and operational outcomes, or work to deliver clinical excellence behind the scenes in data science, case management or transfer centers. Unlock your potential at Methodist Hill Cntry Home Care! Job Summary and Qualifications Provides coordinated skilled nursing care to patients of all age groups, in the home. Demonstrates accountability and responsibility in collaborating with the interdisciplinary team to establish and achieve patient goals and maintain high quality patient care. Performs in accordance with physician’s orders and under the supervision of the Clinical Manager. What you will do in this role : Assesses home care patients identifying physical, psychosocial and environmental needs as evidenced by documentation, clinical records, case conferences, team reports, call-in logs and on-site evaluations. Completes OASIS, assessment and visit paperwork according to agency policy. Assures clinical notes accurately indicate continuing communication and coordination of services with the physician, other interdisciplinary team members and patient/family/caregiver. Communicates significant findings, problems and changes to Clinical Manager and physician, and documents all findings, communications, and appropriate interventions. Supervises and provides clinical direction to home health aides and LPNs/LVNs to ensure quality and continuity of services provided. Responsible for participating in on-call rotation and emergency call according to agency policy. What qualifications you will need: Graduate of an accredited school of professional nursing Minimum of one or more years of home health, public nursing or acute hospital nursing experience Familiar with Medicare home health regulations, documentation requirements, ICD-10 coding and PPS (Strongly preferred) Reliable transportation and proof of valid automobile liability insurance Must have valid driver’s license Current BCLS Certification prior to providing patient care. Join a family that cares about every stage in your career! We are interviewing candidates for our Registered Nurse Home Health opening. Apply today and a member of our Talent Acquisition team will reach out. We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.

New Grad

Full-time

New Grad Registered Nurse

apartment Methodist Healthcare System location_onFredericksburg, TX

Description Introduction Do you want to join an organization that invests in you? At Methodist Hospital Hill Country , you come first! HCA Healthcare is committed to the growth and development of our future nurses! The HCA Nurse Residency Program is a year-long program designed to give you hands-on experience to help establish valuable clinical and critical thinking skills. As a Resident I Graduate Nurse you will be surrounded by a supportive community of nurse educators, experienced nurses, and fellow residents that promote learning, clinical application, and socialization, shepherding you through the transition from student nurse to registered nurse. Benefits We offer a total rewards package to support your health, life, career and retirement. Some available plans and programs include: Comprehensive benefits for medical, prescription drug, dental, vision, behavioral health and telemedicine services Wellbeing support, including free counseling and referral services Time away from work programs for paid time off, paid family leave, long- and short-term disability coverage and leaves of absence Savings and retirement resources, including a 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service), Employee Stock Purchase Plan, flexible spending accounts, preferred banking partnerships, retirement readiness tools, rollover support and financial wellbeing counseling Education support through tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of Nursing Additional benefits for fertility and family building, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection and consumer discounts Learn more about Employee Benefits Note: Eligibility for some benefits may vary by location. Job Summary and Qualifications The HCA Nurse Residency Program at Methodist Hospital Hill Country provides you with the tools necessary to succeed in today’s hospital environment. This paid program will assist you with the transition out of the classroom setting through a formalized series of learning experiences, including: Advanced clinical training in a specialty area. Monthly educational sessions. Preceptorship training with a facility preceptor. Measurement and evaluation of skills through hands-on simulations. Mentoring from experienced nurse leaders. Working collaboratively on an evidence-based practice project. The RN Resident coordinates and delivers high quality, patient-centered care in accordance with the nature and specific requirements of the department, and consistent with the scope and standards of practice for the relevant state and specialty. In collaboration with medical providers and other members of the care team, the RN Resident provides individualized, comprehensive, and compassionate care using established nursing models such as “Assess, Perform, Teach, and Manage.” The RN Resident serves as an advocate for patients, families and caregivers to support an unparalleled patient experience. What will you do in this role: Assess patient condition during admission and during each shift as scheduled, identifying and reporting any changes in patient status. Perform procedures, monitoring, or other functions as ordered by the medical provider(s). Document the administration of care in the patient medical record in a timely and thorough manner. Perform the administration of prescribed medications. Monitor patient for therapeutic response. Notify provider and intervene as appropriate in the event of an unintended response to medication. Perform exceptional care by responding promptly to patient requests. Strive to anticipate patient needs and resolve them proactively. Teach patients, families and caregivers about patient medical condition, patient status, treatment plan, medications and possible side effects, and follow-up measures. Translates complex medical terminology to ensure complete understanding. What qualifications you will need: Basic Cardiac Life Support (BLS) obtained within 30 days of employment Advanced Cardiac Life Support (ACLS) obtained within 1 year of employment Other Certifications maybe required during employment Associate or Bachelor’s degree in Nursing required Registered Nurse License or Graduate Nurse Permit in the State required No previous work experience needed Some travel maybe needed for training Founded in Fredericksburg, Texas, in 1971, Methodist Hospital | Hill Country is an award-winning healthcare organization that has gained a reputation for delivering remarkable care. The hospital has been named a Fortune/Merative Top 100 Hospital nine times in its history due to its excellent quality, outcomes, and experience results. The recipient of the prestigious Malcolm Baldrige Quality Award, Methodist Hospital | Hill Country is the largest employer in Gillespie County with more than 600 staff and 225 medical staff members. Methodist Hospital | Hill Country, formerly Hill Country Memorial Hospital, offers state-of-the-art services like the Restore Joint Replacement Center and an interventional cardiology program. HCA Healthcare has been recognized as one of the World’s Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated 3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses. "Bricks and mortar do not make a hospital. People do." - Dr. Thomas Frist, Sr. HCA Healthcare Co-Founder Would you like to unlock your potential with a leading healthcare provider dedicated to the growth and development of our colleagues? Join the Methodist Hospital Hill Country family! We will provide you with the tools and resources you need to succeed in our organization. If you are looking for an opportunity that provides satisfaction and personal growth, we promptly review all applications. Unlock the possibilities and apply today! We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.

ICU

Full-time

ICU Registered Nurse

apartment Trident Health System location_onFredericksburg, TX

Description Introduction Do you want to be appreciated daily? Our nurses are celebrated for being on the front line, empathetic for patients. At Methodist Hospital Hill Country our nurses set us apart from any other healthcare provider. We are seeking an ICU Registered Nurse to join our healthcare family. Benefits Methodist Hospital Hill Country, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include: Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation. Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. Free counseling services and resources for emotional, physical and financial wellbeing 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service) Employee Stock Purchase Plan with 10% off HCA Healthcare stock Family support through fertility and family building benefits with Progyny and adoption assistance. Referral services for child, elder and pet care, home and auto repair, event planning and more Consumer discounts through Abenity and Consumer Discounts Retirement readiness, rollover assistance services and preferred banking partnerships Education assistance (tuition, student loan, certification support, dependent scholarships) Colleague recognition program Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence) Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income. Learn more about Employee Benefits Note: Eligibility for benefits may vary by location. At Methodist Hospital Hill Country, our nurses play a vital part. We know that every nurse’s path and purpose is unique. Do you want to create your own personal career path in nursing? HCA Healthcare is your career destination! Our scale makes it possible for nurses to create the career path that fits their life – for life – and empowers their passion for patient care. Apply today for our ICU Registered Nurse opportunity. Job Summary and Qualifications The professional Registered Nurse (RN) is the patient and patient’s family advocate. He/she consistently applies and utilizes the nursing process, critical thinking skills, scientific judgment, technical skills and leadership to independently deliver safe nursing care to patients. The RN collaborates with the patient care team to achieve quality patient outcomes in alignment with the Hospital mission and Methodist Excellence goals. Communicates and utilizes interpersonal skills effectively and role models confidence and professionalism within nursing as evidenced by active engagement in unit and organizational activities. Demonstrates team work and adaptability and is a resource person to the patient care team. He/she is accountable for the quality of nursing care services delivered by self or others under their direction in accordance with the Texas Nurse Practice Act, hospital policies and procedures and the Texas Board of Nursing rules for delegated nursing tasks (Chapter 224). Promotes a positive image of nursing and demonstrates team work and adaptability through consistently following the standards of Methodist Excellence. About the Unit: 10 bed Medical/Surgical ICU Patient to Nurse ratio 2:1 Caring for general medical, vascular, some neurosurgical, and general surgery ICU patients Engaged & Supportive Leadership What You Will Do In Your Role: Conducts comprehensive, timely, and ongoing focused physical, psycho- social and pain assessments; includes assessment of patient education needs. Utilizes the assessment, identifies problems, makes nursing diagnoses, formulates goals, teaching plans and outcomes to create an individualized plan of care. Identifies individual patient goals, readiness to learn and incorporates family into the plan of care. Prioritizes and implements a competent, prioritized and efficient nursing plan of care. Consistently conducts timely evaluation, anticipates and recognizes changes in patient conditions, determines when reassessments are needed and adjusts the plan of care as necessary. Compares expected and achieved outcomes of nursing care utilizing the plan of care. Collaborates with patient care team members on patient care plan; communicates timely and effectively with physicians and other members of the patient care team through verbal, written or electronic communication to coordinate and facilitate meeting patient needs. Incorporates consistent use of hand-off communication and SBAR communication methods. Demonstrates critical thinking skills, scientific judgment, and organizational skills. Prioritizes tasks and adjusts priorities when necessary. Maintains an orderly, efficient and timely flow of patients. Recognizes and reports errors and unusual occurrences and analyze contributing factors. Initiates corrective action when appropriate. Makes accurate, complete and timely entries into the patient medical record addressing all steps of the nursing process. Actively communicates with members of the healthcare team, patient and patient family. Maintains current nursing knowledge to assure a safe working environment. Demonstrates practical application of all policies and procedures relative to safety and the pillars of Methodist Excellence to include: Applicable quality core measures, infection prevention, fall prevention, medication administration safety, hourly rounding, and AIDET principles. Responsible to supervise tasks delegated to unlicensed personnel and accountable for tasks performed by unlicensed personnel according to the Texas BON rules for delegated nursing tasks (Chapter 224). Supports the mission and vision of the Methodist Healthcare System. Understands and is committed to helping the Methodist Healthcare System and its associated facilities achieve its goals. Must learn and comply with System and facility safety policies and rules; must use appropriate safety equipment and procedures at all times; must immediately report all unsafe conditions to supervisors; must be familiar with all safety features of equipment, tools or materials encompassed by job duties; and must check with supervisors (prior to job performance) if there is a question as to the safe procedure to be used for any job function. Adheres to the MHS Code of Conduct and demonstrates ethical behavior as expected by our patients, colleagues and the community. Understands the personal obligation to report any activity that appears to violate applicable laws, rules regulations or the Code of Conduct itself. Recognizes and responds to crisis situations. Notifies appropriate individuals of actual or impending crisis. Incorporates patients cultural and spiritual beliefs into care by making appropriate referrals to chaplain, social services, case manager, etc. Documents pertinent data including assessment, interventions and evaluations. Participates in performance improvement activities of the hospital/unit. This may include data collection. Participation on a team or implementing recommendations identified through quality initiatives. Assists in providing education for staff through being a liaison and/or through preceptor ship. Assists coworkers willingly and shares information/resources with team members. Patient information is managed confidentially – including both written and electronic records. Ensures physical and auditory privacy. Completes other duties as assigned Practices and adheres to the “Code of Conduct” and “Mission and Value Statement.” What qualifications you will need: Graduate of an accredited diploma or associates, or baccalaureate degree registered nursing program required Minimum of six (6) months of clinical experience as a licensed Registered Nurse required Current Registered Nurse License in the State of Texas or Multi-State Compact License (Employees with RN Compact License are required to obtain Texas RN License within 90 days of hire date) Current American Heart Association BLS Certification required Advanced Cardiac Life Support (ACLS) preferred Founded in Fredericksburg, Texas, in 1971, Methodist Hospital | Hill Country is an award-winning healthcare organization that has gained a reputation for delivering remarkable care. The hospital has been named a Fortune/Merative Top 100 Hospital nine times in its history due to its excellent quality, outcomes, and experience results. The recipient of the prestigious Malcolm Baldrige Quality Award, Methodist Hospital | Hill Country is the largest employer in Gillespie County with more than 600 staff and 225 medical staff members. Methodist Hospital | Hill Country, formerly Hill Country Memorial Hospital, offers state-of-the-art services like the Restore Joint Replacement Center and an interventional cardiology program. HCA Healthcare has been recognized as one of the World’s Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated 3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses. "The great hospitals will always put the patient and the patients family first, and the really great institutions will provide care with warmth, compassion, and dignity for the individual." - Dr. Thomas Frist, Sr. HCA Healthcare Co-Founder Join a family that cares about every stage in your career! We are interviewing candidates for our ICU Registered Nurse opening. Apply today and a member of our Talent Acquisition team will reach out. We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.

ICU

Full-time

ICU Registered Nurse

apartment Methodist Healthcare System location_onFredericksburg, TX

Description Introduction Do you want to be appreciated daily? Our nurses are celebrated for being on the front line, empathetic for patients. At Methodist Hospital Hill Country our nurses set us apart from any other healthcare provider. We are seeking an ICU Registered Nurse to join our healthcare family. Benefits Methodist Hospital Hill Country, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include: Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation. Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. Free counseling services and resources for emotional, physical and financial wellbeing 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service) Employee Stock Purchase Plan with 10% off HCA Healthcare stock Family support through fertility and family building benefits with Progyny and adoption assistance. Referral services for child, elder and pet care, home and auto repair, event planning and more Consumer discounts through Abenity and Consumer Discounts Retirement readiness, rollover assistance services and preferred banking partnerships Education assistance (tuition, student loan, certification support, dependent scholarships) Colleague recognition program Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence) Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income. Learn more about Employee Benefits Note: Eligibility for benefits may vary by location. At Methodist Hospital Hill Country, our nurses play a vital part. We know that every nurse’s path and purpose is unique. Do you want to create your own personal career path in nursing? HCA Healthcare is your career destination! Our scale makes it possible for nurses to create the career path that fits their life – for life – and empowers their passion for patient care. Apply today for our ICU Registered Nurse opportunity. Job Summary and Qualifications The professional Registered Nurse (RN) is the patient and patient’s family advocate. He/she consistently applies and utilizes the nursing process, critical thinking skills, scientific judgment, technical skills and leadership to independently deliver safe nursing care to patients. The RN collaborates with the patient care team to achieve quality patient outcomes in alignment with the Hospital mission and Methodist Excellence goals. Communicates and utilizes interpersonal skills effectively and role models confidence and professionalism within nursing as evidenced by active engagement in unit and organizational activities. Demonstrates team work and adaptability and is a resource person to the patient care team. He/she is accountable for the quality of nursing care services delivered by self or others under their direction in accordance with the Texas Nurse Practice Act, hospital policies and procedures and the Texas Board of Nursing rules for delegated nursing tasks (Chapter 224). Promotes a positive image of nursing and demonstrates team work and adaptability through consistently following the standards of Methodist Excellence. About the Unit: 10 bed Medical/Surgical ICU Patient to Nurse ratio 2:1 Caring for general medical, vascular, some neurosurgical, and general surgery ICU patients Engaged & Supportive Leadership What You Will Do In Your Role: Conducts comprehensive, timely, and ongoing focused physical, psycho- social and pain assessments; includes assessment of patient education needs. Utilizes the assessment, identifies problems, makes nursing diagnoses, formulates goals, teaching plans and outcomes to create an individualized plan of care. Identifies individual patient goals, readiness to learn and incorporates family into the plan of care. Prioritizes and implements a competent, prioritized and efficient nursing plan of care. Consistently conducts timely evaluation, anticipates and recognizes changes in patient conditions, determines when reassessments are needed and adjusts the plan of care as necessary. Compares expected and achieved outcomes of nursing care utilizing the plan of care. Collaborates with patient care team members on patient care plan; communicates timely and effectively with physicians and other members of the patient care team through verbal, written or electronic communication to coordinate and facilitate meeting patient needs. Incorporates consistent use of hand-off communication and SBAR communication methods. Demonstrates critical thinking skills, scientific judgment, and organizational skills. Prioritizes tasks and adjusts priorities when necessary. Maintains an orderly, efficient and timely flow of patients. Recognizes and reports errors and unusual occurrences and analyze contributing factors. Initiates corrective action when appropriate. Makes accurate, complete and timely entries into the patient medical record addressing all steps of the nursing process. Actively communicates with members of the healthcare team, patient and patient family. Maintains current nursing knowledge to assure a safe working environment. Demonstrates practical application of all policies and procedures relative to safety and the pillars of Methodist Excellence to include: Applicable quality core measures, infection prevention, fall prevention, medication administration safety, hourly rounding, and AIDET principles. Responsible to supervise tasks delegated to unlicensed personnel and accountable for tasks performed by unlicensed personnel according to the Texas BON rules for delegated nursing tasks (Chapter 224). Supports the mission and vision of the Methodist Healthcare System. Understands and is committed to helping the Methodist Healthcare System and its associated facilities achieve its goals. Must learn and comply with System and facility safety policies and rules; must use appropriate safety equipment and procedures at all times; must immediately report all unsafe conditions to supervisors; must be familiar with all safety features of equipment, tools or materials encompassed by job duties; and must check with supervisors (prior to job performance) if there is a question as to the safe procedure to be used for any job function. Adheres to the MHS Code of Conduct and demonstrates ethical behavior as expected by our patients, colleagues and the community. Understands the personal obligation to report any activity that appears to violate applicable laws, rules regulations or the Code of Conduct itself. Recognizes and responds to crisis situations. Notifies appropriate individuals of actual or impending crisis. Incorporates patients cultural and spiritual beliefs into care by making appropriate referrals to chaplain, social services, case manager, etc. Documents pertinent data including assessment, interventions and evaluations. Participates in performance improvement activities of the hospital/unit. This may include data collection. Participation on a team or implementing recommendations identified through quality initiatives. Assists in providing education for staff through being a liaison and/or through preceptor ship. Assists coworkers willingly and shares information/resources with team members. Patient information is managed confidentially – including both written and electronic records. Ensures physical and auditory privacy. Completes other duties as assigned Practices and adheres to the “Code of Conduct” and “Mission and Value Statement.” What qualifications you will need: Graduate of an accredited diploma or associates, or baccalaureate degree registered nursing program required Minimum of six (6) months of clinical experience as a licensed Registered Nurse required Current Registered Nurse License in the State of Texas or Multi-State Compact License (Employees with RN Compact License are required to obtain Texas RN License within 90 days of hire date) Current American Heart Association BLS Certification required Advanced Cardiac Life Support (ACLS) preferred Founded in Fredericksburg, Texas, in 1971, Methodist Hospital | Hill Country is an award-winning healthcare organization that has gained a reputation for delivering remarkable care. The hospital has been named a Fortune/Merative Top 100 Hospital nine times in its history due to its excellent quality, outcomes, and experience results. The recipient of the prestigious Malcolm Baldrige Quality Award, Methodist Hospital | Hill Country is the largest employer in Gillespie County with more than 600 staff and 225 medical staff members. Methodist Hospital | Hill Country, formerly Hill Country Memorial Hospital, offers state-of-the-art services like the Restore Joint Replacement Center and an interventional cardiology program. HCA Healthcare has been recognized as one of the World’s Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated 3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses. "The great hospitals will always put the patient and the patients family first, and the really great institutions will provide care with warmth, compassion, and dignity for the individual." - Dr. Thomas Frist, Sr. HCA Healthcare Co-Founder Join a family that cares about every stage in your career! We are interviewing candidates for our ICU Registered Nurse opening. Apply today and a member of our Talent Acquisition team will reach out. We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.