Jobs in Leon Valley Texas

Introduction

At Fluor, we are proud to design and build projects that make a meaningful impact in the communities we serve. As part of our team, you will help deliver solutions with safety, quality, and integrity as core priorities.

Summary

The Construction Engineer supports field engineering activities for large infrastructure projects, providing technical expertise in planning, execution, and problem-solving during construction. This role works closely with project management, engineering, and construction teams to ensure design requirements, specifications, and project objectives are met safely and efficiently.

The position focuses on infrastructure related scopes such as civil works, earthworks, utilities, structural concrete, roads, bridges, drainage, and site development.

Job Requirements

• Bachelor’s degree in Engineering (Civil, Structural, Construction, or related) is required.
• Provide field engineering support to construction teams, including interpreting drawings, specifications, and design requirements.
• Support installation planning, sequencing, and work package development for infrastructure construction activities.
• Coordinate with engineering, construction supervision, subcontractors, and field teams to resolve technical issues.
• Assist with quantity tracking, progress measurement, and reporting for assigned scopes of work.
• Develop and review construction procedures, method statements, and technical documentation.
• Verify field installation aligns with engineering documents, quality requirements, and applicable codes.
• Participate in design reviews and provide constructability input.
• Support troubleshooting, field changes, and requests for information.
• Monitor construction activities to ensure adherence to safety and environmental standards.
• Maintain accurate records, logs, and engineering documentation supporting project execution.

Other Requirements

• Ability to work on active construction sites, including outdoor and heavy civil environments.
• Willingness to support extended site assignments as required by the project.
• Strong commitment to safety and Zero Harm principles.
• Ability to communicate and collaborate with multidisciplinary teams in fast paced project settings.
• Strong organizational and problem solving skills.

Preferred Qualifications

• Three to seven years of construction engineering experience, preferably on infrastructure or heavy civil projects.
• Experience in earthworks, grading, utilities, drainage, structural concrete, or transportation infrastructure.
• Experience working with major EPC or CM firms.
• Familiarity with construction management tools, field engineering software, and quality documentation systems.
• Knowledge of relevant codes, standards, and industry best practices for infrastructure construction.

"

""

Wage: Between $90-$127 an hour

Licensed Marriage and Family Therapist — Are you ready to launch or expand your private practice? Headway is here to help you start accepting insurance with ease, increase your earnings with higher rates, and start taking covered clients sooner. It’s all on one free-to-use platform, no commitment required.

About you

●      You’re a fully-licensed Marriage and Family therapist at a Master’s level or above with LMFT, LMFTS, or LCMFT licensure (accepted on a state by state basis), a valid NPI number, and malpractice insurance.

●      You’re ready to launch a private practice, or grow your existing business by taking insurance.

About Headway

Your expertise changes lives. Taking insurance makes it accessible to those who need it most. Every mental health provider who goes in-network with Headway supports people who’d otherwise be forced to choose between paying out of pocket, or not getting care at all. We make that process seamless — empowering you to accept insurance with ease, so you can do what you do best. So far, we’ve helped over 50,000 providers grow their practices, reaching countless people in need.

How Headway supports providers 

-       Start taking insurance, stress-free: Get credentialed for free in multiple states in as little as 30 days and start seeing covered clients sooner.

-       Built-in compliance: Stay compliant from day one with audit support and ongoing resources.

-       Expansive coverage: Work with the plans that most clients use, including Medicare Advantage and Medicaid.

-       Increase your earnings: Secure higher rates with top insurance plans through access to our nationwide insurance network.

-       Dependable payments: Build stability in your practice with predictable bi-weekly payments you can count on.

-       Built-in EHR features: Manage your practice in one place with real-time scheduling, secure client messaging, end-to-end documentation templates, built-in assessments, and more.

-       Free continuing education: Nurture your long-term professional goals and earn CEUs with complimentary courses on Headway Academy.

How Headway supports your clients

●      Increased access: Headway makes it easier for your clients to get the care they need at a price they can afford through insurance.

●      Instant verification: Clients can easily check their insurance status and get the care they need without disruption.

Please note: At this time, Headway can’t support mental health professionals that aren’t fully licensed. If your application was rejected for incomplete licensure, you’re welcome to reapply once you have a valid license. 

"

CHRISTUS Santa Rosa Hospital - Westover Hills (CSRH-WH) is a 150-bed hospital serving the fastest growing area of San Antonio. Specialized care includes orthopedic and surgical services, ICU, women's services, a newborn nursery, comprehensive cardiovascular care from diagnostics to open heart surgery, vascular lab, sleep center, emergency services, the CHRISTUS Weight Loss Institute, wound care, rehabilitation, and more. The campus also boasts an Outpatient Imaging Center and three medical plazas, one of which houses our CHRISTUS Santa Rosa Family Medicine Residency Program and CHRISTUS Santa Rosa Family Health Center.

Summary:

The Clinical Educator II plays a vital role in advancing clinical excellence through the design, delivery, and evaluation of clinical education and competency development. This role leads and supports onboarding, orientation, and ongoing professional development for clinical staff across diverse specialties. The educator applies adult learning principles, evidence-based practices, and innovative modalities - including simulation, eLearning, and microlearning - to foster a culture of continuous learning and clinical proficiency. The Clinical Educator II collaborates with clinical teams to ensure education initiatives meet regulatory standards, support safe patient care, and align with organizational goals. Serves as a subject matter expert and mentor to Clinical Educator I and other staff. Participates in and supports the strategic planning and quality improvement efforts of the education team.

Responsibilities:

• Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
• Conducts learning needs assessments to identify gaps in clinical knowledge, skills, and practice.
• Designs, develops, and leads education programs using contemporary teaching strategies and technologies.
• Facilitates onboarding and orientation for new clinical staff, ensuring smooth integration into practice environments.
• Coordinates and validate clinical competencies for new hires and existing staff, including annual skills assessments and regulatory requirements.
• Integrates simulation-based learning, case-based scenarios, and hands-on training to enhance clinical decision-making and critical thinking.
• Serves as a resource and mentor for preceptors, supporting their development and effectiveness in staff training.
• Promotes evidence-based practice and support staff in translating research into clinical application.
• Collaborates with interdisciplinary teams to support interprofessional education and shared learning experiences.
• Maintains documentation of educational activities, competency validations, and outcomes for compliance and quality improvement.
• Participates in committees and initiatives focused on clinical education, safety, and performance improvement.
• Evaluates program effectiveness and implements improvements.
• Serves as a resource for evidence-based practice and clinical standards.
• Responsible for other related duties as assigned.

Job Requirements:

Education/Skills

• Bachelor's of Science in Nursing (BSN) required; current enrollment considered with an expectation of completion within a defined timeframe
• Knowledge of adult learning principles, instructional design, and technology-enhanced learning tools (simulation, LMS, eLearning platforms)

Experience

• 2 years of clinical experience required
• Experience in education, preceptorship, or staff development preferred

Licenses, Registrations, or Certifications

• RN licensure in the state of employment or compact required
• ANCC Nursing Professional Development Certification (NPD-BC) preferred
• BLS required within 30 days of hire

In accordance with the CHRISTUS Health License, Certification and Registration Verification Policy, all Associates are required to obtain the required certifications for their respective positions within the designated time frame.

Work Schedule:

5 Days - 8 Hours

Work Type:

Full Time

Ready for a role that supports your unique calling in patient care and fits your life? At Methodist Hospital, you’ll find clear pathways to advance backed by our unmatched nationwide transfer policy that lets you grow your career when the time is right for you. With mentorship opportunities, clinical education courses, professional certification support, and educational assistance, you will have all the resources you need to build the career of a lifetime.  

Our Registered Nurses have access to a variety of resources to help you reach your goals including:

· A comprehensive orientation process

· Valuable mentorship from specialty specific educators

· Leadership development programs

· State-of-the-art units equipped with the latest technologies in patient care

What You Will Do In Your Role:

· You will consistently apply the nursing process, critical thinking skills, scientific judgment, technical skills and leadership to independently deliver safe nursing care to patients.

· You will collaborate with the patient care team to achieve quality patient outcomes

· You will provide communication, confidence, and professionalism as evidenced by active engagement in unit and organizational activities

· You will demonstrate team work, adaptability, and serving as a resource to the patient care team

· You will have accountability for delivering quality nursing care services and for promoting a positive image of nursing

What qualifications you will need: 

· Graduate of an accredited diploma, associates, or baccalaureate degree registered nursing program.

· Minimum of six (6) months of clinical experience as a licensed Registered Nurse

· 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

Methodist Hospital, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The 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 benefits may vary by location.

Methodist Hospital opened in 1963 as the first hospital in the now internationally acclaimed South Texas Medical Center. With over 900 beds, Methodist Hospital offers a broad range of specialties including cardiology, oncology, bone marrow transplants, emergency medicine, neurosciences, maternity care, gynecology and orthopedics. We are proud to be the largest provider of the lifesaving ECMO Program in San Antonio, are home to the largest robotics program in the world, and our Adult Blood Cancer and Stem Cell Transplant unit has become the first program to receive FACT Accreditation in North America.

As the flagship hospital, and most comprehensive medical care facility of Methodist Healthcare, we appreciate the support and recognition we receive from the community. We’ve recently been named the No.1 Best Regional Hospital by the U.S. News and World Report for 2019-20. We pride ourselves on providing the highest quality of care possible for our patients, which is proven by our consecutive Grade A Leapfrog Hospital Safety scores. In addition, Methodist Hospital not only received a Primary Stroke Center designation from The Joint Commission, but has also received a Comprehensive Stroke Center Certification from DNV GL Healthcare, designating the facility as offering the most advanced stroke treatment available in a given geographic area. For more information, please visit our website at and select Methodist Hospital under Locations.

"Nurses play a pivotal role and are the backbone of healthcare delivery. At HCA Healthcare, we are dedicated to ensuring nurses have necessary tools and resources to provide world-class patient care, advocating for the profession and helping to shape the future of nursing."

Sammie Mosier, DHA, MA, BSN, NE-BC

Senior Vice President and Chief Nursing Executive, HCA Healthcare

Join a family that cares about every stage in your career! We are interviewing candidates for our Surgical ICU Registered Nurse PRN 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.

USRC's greatest strength in being a leader in the dialysis industry is our ability to recognize and celebrate the differences in our diverse workforce. We strongly believe in recruiting top talent and creating a diverse and inclusive work climate and culture at all levels of our organization.

• 
  
• A Home Therapy nurse trains home hemo or peritoneal dialysis patients in-center and sometimes in the patient’s home.
  
• We Will Train - In-center hemodialysis, critical care, and home health are great backgrounds. 
  
• Work Schedule – Monday through Friday, 8am to 5pm; Modified schedules are possible based on patient caseload at the facility.
  
• Competitive on-call pay when placed in on-call rotation.
  
• Holidays – Home Training Nurses rarely work on a holiday.
  
• We lead the industry in clinical quality improvement, delivering amongst the best patient outcomes in the U.S. as measured by the CMS ESRD Quality Incentive Program.
  
• We remain an industry leader in home dialysis with 17% of dialysis treatments delivered in our patients' homes. 
  

The Home Therapy Registered Nurse, as qualified by federal and state regulations, provides patient training and ongoing support for all patients choosing a home dialysis modality.  This position is accountable for providing quality care to all patients and is committed to delivering superior customer service in all internal and external interactions.  
 
ESSENTIAL DUTIES AND RESPONSIBILITIES include the following.  Other duties and tasks may be assigned.

• 
  
• Knowledge of and comply with federal, state, local laws and regulations, including health care professionals practice act requirements as they pertain to home dialysis program and patient care requirements.
  
• Train patient (and/or care partner) in the practice of self-care Peritoneal Dialysis or Hemodialysis upon meeting federal and state regulations governing Registered Nurse qualifications.
  
• Conduct home visits to assess the patient's home environment per policy; initially and minimally annually thereafter.  Routinely evaluate patient performance and assess the home environment more frequently as needed to improve care.
  
• Communicate results of patient assessment, reassessment, and ongoing monitoring to the physician, team members, and others as appropriate to the individual needs of the patient.
  
• Document all nursing services in the Electronic Medical Record including but not limited to training sessions, routine and non-routine in-person interactions, and phone conversations.  Documentation should accurately reflect the patient status and nursing interventions and be written to ensure continuity of care.
  
• Participate in infection control monitoring, implementation, and recording as requested.
  
• Be familiar with emergency equipment and all emergency operational procedures.  Communicate and regularly review Emergency Preparedness procedures with all home patients, including but not limited to emergency disconnection from dialysis equipment, what to do and who to contact if displaced from home.
  
• Ensure clinic and patient supply inventory and usage is appropriate for patient prescriptions and place orders in timely manner to avoid fees and penalties.
  
• Continually seek to improve patient and quality outcomes through tracking and trending of program and patient performance, use of critical thinking skills and root cause analysis to improve patient and quality outcomes.  Assist in obtaining data for the continuous quality improvement activities.
  
• Obtain routine and non-routine laboratory tests as ordered and communicate critical lab values and urgent patient needs to the responsible physician or physician extender in a timely manner.
  
• Complete and document monthly review of patient medication profiles.  Administer medications as ordered by the physician.
  
• Responsible for performing on call nursing services, nights and weekends, on a rotational basis as needed or assigned.
  
• Flexible with staffing locations and hours to accommodate patient and USRC home program needs.
  
• Regular and reliable attendance is required for the position.
  

Home Hemodialysis Only:

• 
  
• Coordinate home evaluation with technical services department to ensure that the necessary electrical, plumbing and drainage requirements for proper equipment operation are met prior to patient acceptance into home program.
  
• Ensure required and appropriate water sampling is complete per policy and product requirements.  Monitor and report water sample and culture results.           
  

Salary / Compensation Statement

Compensation for the role will depend on several factors, including a candidate's experience, qualifications and skills. U.S. Renal Care offers a comprehensive total rewards package, which includes a 401k match, healthcare coverage, and a broad range of other benefits.

QUALIFICATIONS/REQUIREMENTS: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily.

Requirements include:

• 
  
• Current RN license in applicable state.  License must be maintained as current and in good standing. 
  
• 12 months of clinical experience in providing nursing care and 3 months of experience in the specific modality for which the nurse will provide home dialysis training, except in states with a more stringent requirement such as Texas, which requires at least 6 months experience in the specific home modality.
  
• Previous experience in providing nursing care to patients on maintenance dialysis preferred.
  
• CPR certification required prior to patient care assignment.
  
• Confirmation of ability to distinguish all primary colors.
  
• Must successfully complete the Home Therapy Nurse Orientation program and maintain annual demonstration of skills and competency applicable for the modality assigned.
  
• Demonstrated working knowledge of the English language and ability to communicate verbally and in writing.
  
• Must have basic computer skills; proficiency in all USRC clinical applications required within 90 days of hire.
  
• Must meet any practice requirement(s) for the applicable state.  
  
• Ability to meet minimum hiring standards which may include additional background clearances and orientation requirements if applicable to the program assigned to for employment.
  

U.S. Renal Care is an Equal Opportunity Employer/Disabled/Veteran.

All Full Time employees are eligible for the following benefits:
* Medical / Pharmacy
* Dental
* Vision
* Voluntary benefits
* 401k with employer match
* Virtual Care
* Life Insurance
* Voluntary Benefits
* PTO
All Part Time employees are eligible for the following benefits:
* 401k with employer match
* PTO

Essential Duties and Responsibilities include the following. Other duties and tasks may be assigned.

• 
  
• Demonstrate effective use of supplies and staff labor hours.
  
• May assist with billing log preparation and updates.
  
• Perform duties as assigned to meet the patient care or operational needs of the clinic
  
• Obtain blood samples for laboratory analysis as required to complete physician orders.
  
• Complete and document monthly review of patient medication profiles.
  
• Knowledge of and comply with applicable health care professionals practice act requirements.
  
• Perform duties at all times under the supervision of a Charge Nurse and within limitations established by and in accordance with company policy and procedures, applicable state and federal laws and regulations
  
• Maintain thorough, accurate, and appropriate documentation in the patient record of all treatments, activities, and communication with the patient, physician and other healthcare professionals to include progress reports.
  
• Report any significant information or change in patient condition to the Charge Nurse.
  
• Report machine problems to Biomedical Technician and Administrator.
  
• Participate in staff meetings as required. Attend in-service and continuing education offerings in compliance with company policy and procedure.
  
• Assist with staff training as requested.
  

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily.

Requirements include:

• 
  
• Current LVN/LPN license in applicable state. License must be maintained as current and in good standing.
  
• CPR certification required within 90 days of hire.
  
• Confirmation of ability to distinguish all primary colors.
  
• Previous dialysis experience preferred.
  
• Successful completion of USRC training program approved by the Medical Director, including demonstrated competency, within 8 weeks of hire.
  
• Demonstrated working knowledge of the English language and ability to communicate verbally and in writing.
  
• Must be able to organize time and tasks well.
  
• Must have basic computer skills; proficiency in all USRC clinical applications required within 90 days of hire.
  
• Must meet any practice requirement(s) for the applicable state.
  

All Full Time employees are eligible for the following benefits:
* Medical / Pharmacy
* Dental
* Vision
* Voluntary benefits
* 401k with employer match
* Virtual Care
* Life Insurance
* Voluntary Benefits
* PTO
All Part Time employees are eligible for the following benefits:
* 401k with employer match
* PTO

• Provide comprehensive nursing care using the nursing process, including assessment, diagnosis, planning, intervention, and evaluation
• Deliver care aligned with professional nursing standards and evidence-based practice
• Address increasingly complex emotional, cultural, psychological, and social needs of patients and families
• Administer medications and treatments according to established protocols while monitoring patient response
• Accurately document patient assessments, interventions, and outcomes
• Educate patients and families, assessing learning needs and connecting them with appropriate resources
• Collaborate with interdisciplinary care teams to ensure safe, coordinated care
• Delegate tasks appropriately to support patient care delivery

• Bachelor of Science in Nursing (BSN) preferred
• Minimum of 1 year of nursing experience in a related specialty preferred
• Prior experience in a perinatal or obstetric setting strongly preferred

• Active Registered Nurse (RN) license in the state of employment or compact license
• Basic Life Support (BLS) required
• Advanced Cardiac Life Support (ACLS) required
• Neonatal Resuscitation Program (NRP) certification required
• One of the following fetal monitoring certifications required:

• Completion of nursing orientation within the first 30 days of hire
• Structured preceptorship with trained clinical staff
• Successful completion of organizational and specialty-specific competency validation
• Ongoing annual competency verification

• Competitive health benefits
• Retirement savings plans
• Performance incentives
• Professional development opportunities
• PTO
• 401k

• Lead onboarding, implementation, and ongoing management of insurance programs with MGAs
• Build and maintain strong MGA relationships; monitor performance, compliance, and contractual adherence
• Oversee program agreements, regulatory filings, rate approvals, and form development
• Conduct quantitative and qualitative program reviews, including financial performance, risk assessment, and ROI analysis
• Define program structures and coordinate cross-functionally with product, actuarial, underwriting, IT, and accounting teams
• Track, analyze, and report program and claims performance to senior leadership, supporting audits and special projects as needed
• Bachelor’s degree in Business, Insurance, Risk Management, or a related field (MBA a bonus).
• 5+ years of experience in insurance program management, MGA operations, or a related field.
• Expertise in program implementation, regulatory compliance, and contract management.
• Technical: Advanced Excel skills (charts, tables, formulas), accounting knowledge, and data analytics expertise.
• Analytical: Strong quantitative and qualitative evaluation capabilities.
• Excellent communication and organizational skills for cross-departmental collaboration.
• Familiarity with statistical reporting, Schedule F penalties, and compliance standards.
• Ability to manage complex data sets, contracts, and program-specific requirements.

• ARM (Associate in Risk Management)
• CPCU (Chartered Property Casualty Underwriter)
• PMP (Project Management Professional)

• Provide preoperative and postoperative nursing care to patients undergoing surgical procedures.
• Administer medications as directed by physicians, monitor patients for adverse reactions, and adjust dosages as necessary.
• Develop and implement individualized care plans, ensuring that each patient's unique needs are met.
• Educate patients and their families about surgical procedures, postoperative care, medication use, and pain management strategies.
• Collaborate with the interdisciplinary healthcare team to coordinate patient care and ensure a seamless transition from the operating room to the recovery room.
• Utilize advanced pain management techniques to ensure patient comfort and improve recovery outcomes.
• Monitor patients' vital signs, respond to changes in patient condition, and initiate emergency interventions as necessary.
• Maintain accurate, detailed patient records, documenting all aspects of patient care, treatment plans, and outcomes.
• Ensure that all nursing activities are carried out in compliance with state and federal regulations, as well as institutional policies and procedures.

• Current TX State RN License.
• Bachelor's degree in Nursing (BSN) preferred.
• Minimum of 2 years of experience as an OR Registered Nurse.
• Excellent knowledge of medication administration, care planning, patient and family education, and postoperative nursing care.
• Advanced skills in pain management techniques.
• Strong critical thinking and problem-solving skills.
• Excellent communication and interpersonal skills, with the ability to educate patients and their families and collaborate effectively with a diverse healthcare team.
• Ability to work effectively in a high-stress, fast-paced environment.
• Commitment to patient safety and quality care.
• CPR/BLS certification.
• ACLS certification preferred.

• Comprehensive medical, dental, and vision insurance options for eligible employees
• Retirement savings plans (401(k) and/or 403(b)) with employer contributions, plus pension eligibility for certain roles
• Paid Time Off (PTO) program covering vacation, holidays, sick, and personal time
• Tuition reimbursement and continuing education support, including certifications and professional development
• Life insurance, short-term disability, and long-term disability coverage
• Health Savings Account (HSA) and Flexible Spending Account (FSA) options, depending on medical plan selection
• Employee wellness and assistance resources supporting work-life balance
• Mission-driven, nonprofit healthcare environment with an emphasis on compassionate, values-based care

• Provide direct nursing care to critically ill neonates, including those requiring ventilator support, CPAP/HFNC management, phototherapy management, and thermoregulation & incubator care.
• Perform and interpret diagnostic tests to monitor the health of neonates, and adjust care plans as necessary.
• Implement and manage neonatal resuscitation protocols as needed.
• Collaborate with a multidisciplinary team of healthcare professionals to formulate, implement, and evaluate a plan of care for each patient.
• Educate and support families, helping them understand their child's condition, treatment plan, and future care needs.
• Maintain accurate and timely EMR documentation, including clinical charting.
• Participate in emergency response and rapid stabilization efforts, ensuring the safety and wellbeing of all patients.
• Adhere to all hospital policies and procedures, as well as nursing best practices and standards of care.

• Registered Nurse (RN) license in good standing.
• A minimum of 2 years of experience as a NICU Nurse.
• Current certification in the Neonatal Resuscitation Program (NRP).
• Demonstrated proficiency in ventilator management, CPAP/HFNC management, phototherapy management, thermoregulation & incubator care.
• Excellent interpersonal skills, with a proven ability to provide family education & support.
• Experience with EMR documentation and clinical charting.
• Ability to respond quickly and effectively to emergencies, demonstrating sound judgement and rapid stabilization skills.
• A compassionate and patient-focused approach to nursing, with a strong commitment to providing the highest level of care to neonates and their families.