Pediatric Registered Nurse - Night Shift

Nexus Health Systems; Spring (TX); On-site; USD 70,000 - 95,000; Full time

Benefits offered by this job

Competitive pay

Benefits

Professional growth

Team environment

Meaningful work

Job summary

Nexus Health Systems' Nexus Children’s Hospital – The Woodlands in The Woodlands, TX seeks a Registered Nurse (RN) to provide patient-centered care across specialized programs for patients with complex medical, behavioral, and neurodevelopmental needs.

The role involves direct nursing care, assessments, care plans, medication administration, and collaboration with a multidisciplinary team. Jump Start Program focus includes PWS and obesity in youth and neurodevelopmental care for older patients.

Qualifications

• Current Registered Nurse (RN) license in the State of Texas.
• BLS certification required upon hire.
• ACLS and PALS certifications required within 45 days of hire.
• De-escalation training required within 30 days of hire.

Responsibilities

• Deliver direct nursing care in accordance with physician orders, facility policies, and the Texas Nurse Practice Act.
• Conduct comprehensive nursing assessments, including patients’ medical status, behavioral presentation, communication needs, and responses to treatment.
• Develop, implement, and evaluate individualized nursing care plans that address medical, behavioral, and neurodevelopmental needs.
• Administer medications, treatments, and therapeutic interventions safely and accurately, monitoring for effectiveness and adverse reactions.
• Recognize changes in patient condition and promptly communicate concerns to physicians and Nursing Leadership.
• Support prescribed nutrition plans, physical activity, and daily routines in collaboration with the treatment team.
• Adapt care and communication to each patient’s developmental level, sensory needs, and ability to express discomfort or distress.
• Use de-escalation techniques, trauma-informed approaches, and individualized behavioral strategies to support patient safety and emotional regulation.
• Provide leadership and guidance to Patient Care Assistant (PCA) staff, reinforcing safe care practices, teamwork, and consistent implementation of treatment plans.
• Collaborate with physicians, therapists, behavioral health professionals, dietitians, social workers, and other team members to coordinate care.
• Educate patients, families, and caregivers on medications, health needs, and care strategies within the scope of nursing practice.
• Maintain accurate, timely documentation of assessments, interventions, patient responses, and progress.
• Participate in quality improvement, infection prevention, and patient safety initiatives.

Skills

Clinical judgement

Individualized care

Crisis intervention

Trauma-informed care

Interdisciplinary communication

Patient safety

Education

Texas RN license

BLS certification

ACLS certification within 45 days

PALS certification within 45 days

De-escalation training within 30 days

Job description

Registered Nurse (RN)

Nexus Children’s Hospital – The Woodlands

Location: The Woodlands, TX

Nexus Children’s Hospital – The Woodlands provides specialized inpatient care for patients with complex medical, behavioral, and neurodevelopmental needs.

Through our Jump Start Program, we serve children, adolescents, and young adults with Prader-Willi Syndrome (PWS) and childhood obesity, combining structured nutrition, physical activity, and behavioral support to promote improved health and greater independence.

We also provide neurodevelopmental care for patients ages 16 and older, including individuals with autism spectrum disorder and intellectual and developmental disabilities who require a structured inpatient environment and coordinated medical and behavioral support.

At Nexus, we bridge medical and behavioral healthcare to help patients build skills, improve stability, and achieve their fullest potential.

Position Summary

The Registered Nurse (RN) provides comprehensive, patient-centered nursing care across our specialized programs, supporting patients with complex medical, neurodevelopmental, and psychiatric needs.

Key Responsibilities

• Deliver direct nursing care in accordance with physician orders, facility policies, and the Texas Nurse Practice Act.
• Conduct comprehensive nursing assessments, including patients’ medical status, behavioral presentation, communication needs, and responses to treatment.
• Develop, implement, and evaluate individualized nursing care plans that address medical, behavioral, and neurodevelopmental needs.
• Administer medications, treatments, and therapeutic interventions safely and accurately, monitoring for effectiveness and adverse reactions.
• Recognize changes in patient condition and promptly communicate concerns to physicians and Nursing Leadership.
• Support prescribed nutrition plans, physical activity, and daily routines in collaboration with the treatment team.
• Adapt care and communication to each patient’s developmental level, sensory needs, and ability to express discomfort or distress.
• Use de-escalation techniques, trauma-informed approaches, and individualized behavioral strategies to support patient safety and emotional regulation.
• Provide leadership and guidance to Patient Care Assistant (PCA) staff, reinforcing safe care practices, teamwork, and consistent implementation of treatment plans.
• Collaborate with physicians, therapists, behavioral health professionals, dietitians, social workers, and other team members to coordinate care.
• Educate patients, families, and caregivers on medications, health needs, and care strategies within the scope of nursing practice.
• Maintain accurate, timely documentation of assessments, interventions, patient responses, and progress.
• Participate in quality improvement, infection prevention, and patient safety initiatives.

Qualifications

Education & Licensure

• Current Registered Nurse (RN) license in the State of Texas.
• BLS certification required upon hire.
• ACLS and PALS certifications required within 45 days of hire.
• De-escalation training required within 30 days of hire.

Experience

• Minimum of one year of nursing experience in an acute care, post-acute, pediatric, behavioral health, or neurodevelopmental setting preferred.
• Experience caring for patients with autism spectrum disorder, intellectual and developmental disabilities, PWS, or complex medical and psychiatric conditions strongly preferred.

Skills & Abilities

• Strong clinical judgment, critical thinking, and nursing assessment skills.
• Ability to provide individualized care to patients with varying developmental levels and communication abilities.
• Knowledge of crisis intervention, de-escalation, and trauma-informed care.
• Ability to maintain a calm, consistent approach in a structured therapeutic environment.
• Effective communication, documentation, and interdisciplinary collaboration skills.
• Commitment to patient dignity, safety, and compassionate care.

Why Join Nexus?

At Nexus Health Systems, You’ll Be Part Of a Mission-driven Team That Connects Medical And Behavioral Healthcare To Support Meaningful Progress For Patients And Their Families.

• Competitive pay and comprehensive benefits.
• Opportunities for professional development and advancement.
• A supportive, team-oriented environment.
• Meaningful work with specialized patient populations.