Registered Nurse - PRN

Nexus Health Systems; San Antonio, Northern (TX, KY); Hybrid; USD 55,000 - 83,000; Part time

Job summary

Nexus Health Systems’ Nexus Neurorecovery Center in San Antonio, TX is seeking a Registered Nurse (RN) – PRN to join overnight coverage for adolescent residents with medical and behavioral health needs. The RN provides direct, high-quality nursing care within a multidisciplinary team, delivering holistic, patient-centered care in a safe residential setting.

Expect to collaborate with physicians, therapists, and social workers; administer meds, monitor status, educate residents and families, and

Qualifications

• ADN required; BSN preferred.
• Minimum 2 years experience in inpatient hospital or rehabilitation setting.
• 1–2 years pediatric nursing experience preferred.
• Experience with behavioral health and medically complex patients preferred.
• Current Texas RN license; BLS, ACLS, and PALS required.
• De-escalation training within 30 days of hire.

Responsibilities

• Provide direct, high-quality nursing care to adolescent residents with medical and behavioral health needs.
• Administer medications, treatments, and interventions per physician orders and nursing standards.
• Monitor patient status and identify changes requiring intervention or escalation.
• Collaborate with physicians, therapists, social workers, and behavioral health professionals to implement individualized care plans.
• Educate residents and families on medications, health conditions, and coping strategies.
• Ensure adherence to safety protocols, infection control standards, and documentation requirements.
• Accurately document patient care in accordance with regulatory and facility standards.

Education

Associate Degree in Nursing (ADN)

Bachelor of Science in Nursing (BSN)

Tools

Electronic Health Records

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.

Registered Nurse - PRN

PRN Professional San Antonio, TX, US

12 days ago Requisition ID: 2186

Registered Nurse (RN) – PRN

Nexus Neurorecovery Center | San Antonio, TX
Schedule: variable shifts available

About Nexus Neurorecovery Center – San Antonio

Nexus Neurorecovery Center is a female adolescent residential treatment center located in the heart of San Antonio. Our post-acute, community-like setting supports residents navigating mental and behavioral health challenges, along with co-occurring medical needs.

What we offer is different from any other residential treatment center. At Nexus, we focus on healing the whole person—mind, body, and spirit—within a safe, structured, and therapeutic environment. Our interdisciplinary teams partner closely with residents and families to help young individuals work toward meaningful recovery goals in a supportive residential setting. Mending minds is what we do.

Position Summary

The Registered Nurse (RN) provides direct, high-quality nursing care to adolescent residents with medical and behavioral health needs. Working overnight as part of a multidisciplinary treatment team, the RN delivers holistic, patient-centered care in accordance with the Texas Board of Nursing (BON) Nurse Practice Act, regulatory requirements, and Nexus Health Systems policies.

This role requires strong clinical judgment, critical thinking, patient advocacy, and the ability to support residents in a safe, structured, and therapeutic residential environment.

Job-Specific Responsibilities

Service

Supports and communicates the Mission, Vision, and Values of Nexus Health Systems

Upholds standards of conduct, ethical behavior, and corporate compliance

Maintains confidentiality and protects all PHI in compliance with HIPAA

Collaborates effectively with colleagues and interdisciplinary teams to ensure seamless care delivery

Demonstrates professionalism, integrity, and respect in all patient and staff interactions

Clinical Excellence

Provides nursing care to adolescent patients with medical and behavioral health diagnoses using evidence-based practices

Administers medications, treatments, and interventions per physician orders and nursing standards

Monitors patient status and identifies changes requiring intervention or escalation

Collaborates with physicians, therapists, social workers, and behavioral health professionals to implement individualized care plans

Provides crisis intervention and utilizes de-escalation techniques when appropriate

Educates residents and families on medications, health conditions, and coping strategies

Coordinates care for residents with co-occurring medical and behavioral health needs

Ensures adherence to safety protocols, infection control standards, and documentation requirements

Accurately documents patient care in accordance with regulatory and facility standards

Patient Experience & Advocacy

Advocates for residents to ensure individualized, compassionate, and comprehensive care

Promotes resident and family engagement in care planning and decision-making

Communicates proactively with families and caregivers, providing updates and addressing concerns

Demonstrates cultural sensitivity and respect for diverse patient populations

Quality Assurance & Compliance

Ensures compliance with all healthcare regulations, policies, and nursing standards

Promotes a culture of patient safety and identifies opportunities for improvement

Participates in quality improvement initiatives and best-practice implementation

Adheres to the Texas Nurse Practice Act and BON standards at all times

Professional Growth & Education

Completes all required annual education and competency validations

Maintains current knowledge of nursing standards, behavioral health trends, and best practices

Participates in continuing education and professional development activities

Engages in self-assessment, peer review, and staff education opportunities

Resource Stewardship

Uses medical supplies, medications, and equipment responsibly and efficiently

Supports accurate documentation for billing and regulatory compliance

Collaborates with the care team to deliver cost-effective, high-quality care

Performs other duties as assigned

Position Qualifications

Education

Associate Degree in Nursing (ADN) from an accredited nursing program required

Bachelor of Science in Nursing (BSN) preferred

Experience

Minimum of 2 years experience in an inpatient hospital or rehabilitation setting preferred

1–2 years of pediatric nursing experience preferred

Experience with behavioral health and/or medically complex patients strongly preferred

Skills

Strong clinical assessment and critical-thinking skills

Ability to manage acute medical issues and behavioral health situations

Effective communication with residents, families, and interdisciplinary teams

Proficient in de-escalation techniques and behavioral health support

Strong organizational skills and ability to prioritize in a dynamic environment

Competent in EHR systems and clinical documentation

Licensure & Certifications

Current Registered Nurse (RN) license in the State of Texas

BLS (AHA or Red Cross) – required

ACLS – required per unit standards

PALS – required per unit standards

De-escalation training within 30 days of hire

All certifications must remain current and in good standing