Pediatric Registered Nurse - Night Shift

Nexus Children's Hospital - The Woodlands; Town Center (TX); On-site; USD 85,000 - 110,000; Full time

Job summary

Nexus Children's Hospital - The Woodlands in The Woodlands, TX seeks a Pediatric Registered Nurse for night shift to provide comprehensive, patient-centered nursing care across our pediatric programs. The RN collaborates with an interdisciplinary team to support medical stability, behavioral regulation, and individualized treatment goals in a structured environment.

Under Nursing Leadership, you will lead direct care, conduct assessments, and develop care plans while guiding Patient Care

Qualifications

• Current Registered Nurse (RN) license in the State of Texas is required.
• BLS certification required upon hire.
• ACLS and PALS certifications required within 45 days of hire.
• De-escalation training required within 30 days of hire.
• Minimum of one year of nursing experience in an acute care, pediatric, behavioral health, or neurodevelopmental setting preferred.

Responsibilities

• Deliver direct nursing care in accordance with physician orders and Texas Nurse Practice Act.
• Conduct comprehensive nursing assessments including medical status and behavioral presentation.
• Develop, implement, and evaluate individualized nursing care plans for medical, behavioral, and neurodevelopmental needs.
• Administer medications and therapies, monitor effectiveness and adverse reactions.
• Identify condition changes and communicate promptly to physicians and leadership.
• Support nutrition plans, activity, and daily routines with the treatment team.
• Use de-escalation and trauma-informed approaches to support safety and regulation.
• Provide leadership to PCA staff and ensure safe care practices and treatment plan adherence.
• Coordinate with physicians, therapists, social workers, and other team members to ensure integrated care.
• Educate patients and families on medications, health needs, and care strategies.
• Maintain accurate documentation and participate in quality improvement and safety initiatives.

Skills

Clinical judgments

Nursing assessment

Crisis intervention

Trauma-informed care

Communication & documentation

Interdisciplinary collaboration

Patient safety & compassion

Education

TX RN license

BLS certification

ACLS certification

PALS certification

De-escalation training

Job description

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process.

Pediatric Registered Nurse - Night Shift

Full Time Professional Spring, TX, US

Registered Nurse (RN)

Nexus Children's Hospital - The Woodlands
Location: The Woodlands, TX

About Us

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

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

We also provideneurodevelopmental 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

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

Working under the supervision of Nursing Leadership, the RN delivers safe, compassionate, evidence-based care while supporting medical stability, behavioral regulation, and individualized treatment goals. This role collaborates closely with an interdisciplinary team and provides guidance to direct care staff to maintain a safe, structured, therapeutic environment.

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. We offer:

Competitive pay and comprehensive benefits.

Opportunities for professional development and advancement.

A supportive, team-oriented environment.

Meaningful work with specialized patient populations.