Jobs in Nash Bowie County, TX

Summary:

The competent Nurse, in the same or similar clinical setting, practices independently and demonstrates an awareness of all relevant aspects of a situation. Provides routine and complex care, with the ability to on long-range goals or plans. Continues to develop the ability to cope with and manage contingencies of clinical nursing. Makes appropriate assignments and delegates to other care providers as a means to help manage the clinical situation.

Responsibilities:

• Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
• Consistent with the ANA Scope and Standards of Practice, provides nursing care utilizing the nursing process, including assessment, diagnosis, planning, intervention and evaluation for assigned patients.
• Addresses increasingly complex psychological, emotional, cultural, and social needs of patient and families in accordance with their level of practice.
• Using the appropriate protocol, administers medications and treatments; monitors for side-effects and effectiveness of the treatment prescribed.
• Documents patient history, symptoms, medication, and care given.
• Assess learning needs and provides education to patients, family members and/or care givers; identify issues and resources.

Job Requirements:

Education/Skills

• Bachelor of Science Degree in Nursing, preferred

Experience

• 1 year of experience in the related nursing specialty preferred

Licenses, Registrations, or Certifications

• BLS required
• RN License in state of employment or compact

Work Schedule:

7AM - 7PM

Work Type:

Full Time

Summary:

The competent Nurse, in the same or similar clinical setting, practices independently and demonstrates an awareness of all relevant aspects of a situation. Provides routine and complex care, with the ability to on long-range goals or plans. Continues to develop the ability to cope with and manage contingencies of clinical nursing. Makes appropriate assignments and delegates to other care providers as a means to help manage the clinical situation.

Responsibilities:

• Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
• Consistent with the ANA Scope and Standards of Practice, provides nursing care utilizing the nursing process, including assessment, diagnosis, planning, intervention and evaluation for assigned patients.
• Addresses increasingly complex psychological, emotional, cultural, and social needs of patient and families in accordance with their level of practice.
• Using the appropriate protocol, administers medications and treatments; monitors for side-effects and effectiveness of the treatment prescribed.
• Documents patient history, symptoms, medication, and care given.
• Assess learning needs and provides education to patients, family members and/or care givers; identify issues and resources.

Job Requirements:

Education/Skills

• Bachelor of Science Degree in Nursing, preferred

Experience

• 1 year of experience in the related nursing specialty preferred

Licenses, Registrations, or Certifications

• BLS required
• RN License in state of employment or compact

Work Schedule:

7PM - 7AM

Work Type:

Full Time

Summary:

The competent Nurse, in the same or similar clinical setting, practices independently and demonstrates an awareness of all relevant aspects of a situation. Provides routine and complex care, with the ability to on long-range goals or plans. Continues to develop the ability to cope with and manage contingencies of clinical nursing. Makes appropriate assignments and delegates to other care providers as a means to help manage the clinical situation.

Responsibilities:

• Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
• Consistent with the ANA Scope and Standards of Practice, provides nursing care utilizing the nursing process, including assessment, diagnosis, planning, intervention and evaluation for assigned patients.
• Addresses increasingly complex psychological, emotional, cultural, and social needs of patient and families in accordance with their level of practice.
• Using the appropriate protocol, administers medications and treatments; monitors for side-effects and effectiveness of the treatment prescribed.
• Documents patient history, symptoms, medication, and care given.
• Assess learning needs and provides education to patients, family members and/or care givers; identify issues and resources.

Job Requirements:

Education/Skills

• Bachelor of Science Degree in Nursing, preferred

Experience

• 1 year of experience in the related nursing specialty preferred

Licenses, Registrations, or Certifications

• BLS required
• RN License in state of employment or compact

Work Schedule:

7PM - 7AM

Work Type:

Full Time

Summary:

The competent Nurse, in the Medsurg, Telemetry, and Intermediate Care clinical setting, practices independently and demonstrates an awareness of all relevant aspects of a situation. Provides routine and complex care, in accordance with patient treatment plans. Continues to develop the ability to cope with and manage contingencies of clinical nursing. Makes appropriate assignments and delegates to other care providers as a means to help manage the clinical situation.

Responsibilities:

• Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
• Meets expectations for flexibility of assignment within the ministry.
• Proactively provide assignment availability on a regular basis.
• Able to be assigned to more than one unit.
• Consistent with the ANA Scope and Standards of Practice, provides nursing care utilizing the nursing process, including assessment, diagnosis, planning, intervention and evaluation for assigned patients.
• Addresses increasingly complex psychological, emotional, cultural, and social needs of patient and families in accordance with their level of practice.
• Using the appropriate protocol, administers medications and treatments; monitors for side-effects and effectiveness of the treatment prescribed.
• Documents patient history, symptoms, medication, and care given.
• Assess learning needs and provides education to patients, family members and/or care givers; identify issues and resources.

CORE COMPETENCIES

Standard I: Utilizes the Nursing Process

• Uses critical thinking skills to assess the basic physical, psychosocial, social, cultural, spiritual, and development needs of patient and families.
• Communicates findings to appropriate healthcare team members.
• Develops and uses a specific plan of care and modifies it to meet individual patient needs using evidence-based practice.
• Implements patient care and therapeutic procedures; monitors and documents progression of treatment and teaching goals.
• Evaluates the care and treatment(s) provided to the patient and the patient response to the care and treatment(s).
• Performs timely reassessment and documentation.
• Must be able to perform unit-specific competencies based on the specific patient care need for the designated unit's patient population.

Standard II. Patient Throughput & Patient Flow Process

• Anticipates and plans for admission/discharge/transfer needs to facilitate patient flow.
• Utilizes appropriate systems of communication and tools to facilitate the discharge process.
• Coaches on tools and techniques for checking, cross checking and validating orders to ensure accuracy.

Standard III. Unit Operations

• Plans, directs, and evaluates the overall nursing care and functions in a particular nursing unit during an assigned shift.
• Demonstrates good stewardship in proper use and maintenance of equipment and Supplies.
• Assesses departmental staffing needs; actively participates in resourcing efforts.
• Educates and trains others on the operations, ethics, and regulations within the industry.

Standard IV. Safe Practice/Quality Care/Regulations

• Incorporates patient safety practices/guidelines to promote a safe environment resulting in positive patient outcomes.
• Demonstrates accountability for nursing research and quality improvement activities.
• Provides evidence-based nursing care.
• Communicates patient information effectively across the continuum of care.
• Educates and trains others on the operations, ethics, and regulations within the industry.
• Knowledge of federal, state and local healthcare-related laws and regulations; ability to comply with these in healthcare practices and activities.

TECHNICAL COMPETENCIES

Clinical Policies and Standards

• Follows a specific set of standards and associated clinical procedures.
• Analyzes policy and standards documentation and ensures organizational compliance.
• Provides feedback for improvement of procedures.
• Assists in the development and implementation of specific procedures.
• Works with control and monitoring mechanisms, tools and techniques.

Health Information Documentation

• Shares experiences with maintaining paper and electronic patient documentation.
• Walk through the steps and procedures for receiving, validating and updating patient records.
• Describes the flow of information between various stations or units.
• Discusses the functions, features and document flow of electronic documentation.
• Transcribes verbal orders; explains techniques for ensuring their accuracy.
• Explains health information documentation best practices and their rationale across health care practices.

Medical Equipment

• Describes experience with basic medical equipment used in own unit or facility.
• Uses standard diagnostic tools and techniques to resolves common equipment problems.
• Educates patients about the appropriate use of home medical equipment.
• Ensures that all equipment and related supplies are in proper working order prior to use to ensure patient safety.
• Inspects, troubleshoots and evaluates incoming equipment.

Medical Order Processing

• Shares experiences with processing medical orders for one or more groups of patients or conditions.
• Describes functions and features of the system used to enter, validate, update and forward medical orders.
• Discusses common errors, their sources and procedures for correcting.
• Explains considerations for entering and following standing orders.
• Differentiates between standing orders and preprinted orders and considerations for each.

Patient Chart Reading and Interpretation

• Describes experiences in reading and interpreting patient charts for patients on unit and under own care.
• Reviews patients' charts for completion and accuracy; identifies and alerts to mistakes or omissions.
• Recognizes unexpected readings and alerts nursing or medical staff.
• Relates examples of mis-readings or misinterpretations and lessons learned.
• Reviews, discusses and validates own interpretation with others.

Patient Safety

• Shares experiences with ensuring safety for one or more patient groups or settings.
• Explains key features of safety guidelines and procedures for those groups and settings.
• Listens and responds to safety inquiries from patients and family members.
• Recognizes and addresses physiological and psychological signs of problems.
• Describes considerations for patients who can cause to harm to self, versus harm to others.
• Utilizes appropriate systems to document misses and near misses, participates in immediate investigating, analysis and reporting in real-time.

Job Requirements:

Education/Skills

• Bachelor of Science Degree in Nursing, preferred

Experience

• Minimum of 2 years of combined experience required in Medsurg/Telemetry and Intermediate Care
• 5 years of experience preferred

Licenses, Registrations, or Certifications

• BLS required
• ACLS required
• RN License in state of employment or compact required
• PALS required at CHRISTUS Children's Hospital

Work Schedule:

7PM - 7AM

Work Type:

Full Time

Summary:

A Registered Nurse First Assistant (RNFA) is a nursing professional who renders direct patient care as part of the preoperative role by functioning as first assistant to the surgeon, and who assesses, plans, implements, coordinates, monitors and evaluates patient care activities.

Responsibilities:

• Practices an expanded role of preoperative nursing and has acquired knowledge and skills and judgment necessary to assist the surgeon through organized instruction and supervised practice.
• Interprets diagnostic studies, promotes positive health behaviors and skills through education and counseling.

Requirements:

• Graduate of an accredited school of nursing
• Completion of an approved/accredited RNFA course, including the completion of the required internship hours
• Two-five years experience in the operating room. Proficient in preoperative nursing practice as both scrub and circulating nurse with diversified operating room experience
• Current Texas State RN license
• CPR-(American Heart Association)
• BLS
• ACLS within 6 months of hire/transfer date Certified as a preoperative nurse (CNOR) required

Work Schedule:

8AM - 5PM Monday-Friday

Work Type:

Full Time

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

Summary:

Provides care under the supervision of a physician or registered nurses for clinic patients, according to established standards and practices. Performs various lab procedures when necessary and in accordance with competency.

Responsibilities:

• Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
• Under the direction of the physician; performs basic patient care duties including, but not limited to, obtaining vital signs, weighing patients, and collecting specimens [including phlebotomy (specific to site). Assists provider(s) in examination and treatment of patients and with procedures. Assist with patient flow through the clinic.
• Answers phone/records phone messages, and assists provider(s) with patient related calls.
• Assists in scheduling test appointment, results and pre-certification.
• Documents any information related to patient.
• Assists provider(s) with medication refills.
• Administers medications/immunizations according to provider order.
• Cleans and restocks exam rooms. Cleans equipment in accordance with policy. Orders stock supplies from supply department (specific to site maintains sterile technique and utilizes universal protocol.
• Performs routine clerical duties assigned, including but not limited to locating patient charts, filing and the completion of routine forms.
• Attends/completes required meetings and in-service training and performs other duties as assigned.

Requirements:

• Graduate from an accredited school of practical nursing or vocational nursing
• LVN License in state of employment or compact
• BLS

Work Schedule:

8AM - 5PM Monday-Friday

Work Type:

Full Time

Summary:

Provides care under supervision of physician or registered nurses for clinic patients, according to established standards and practices. Performs various lab procedures when necessary and in accordance with competency.

Responsibilities:

• Meets the expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
• Under the direction of the physician; performs basic patient care duties including, but not limited to, obtaining vital signs, weighing patients, and collecting specimens [including phlebotomy (specific to site).
• Assists provider(s) in examination and treatment of patients and with procedures. Assist with patient flow through the clinic.
• Answers phone/records phone messages, and assists provider(s) with patient related calls.
• Assists in scheduling test appointment, results and pre-certification.
• Documents any information related to patient.
• Assists provider(s) with medication refills.
• Administers medications/immunizations according to provider order.
• Cleans and restocks exam rooms. Cleans equipment in accordance with policy. Orders stock supplies from supply department (specific to site maintains sterile technique and utilizes universal protocol.
• Performs routine clerical duties assigned, including but not limited to locating patient charts, filing and the completion of routine forms.
• Attends/completes required meetings and in-service training and performs other duties as assigned.
• Will float to other departments.

Requirements:

• CERT
• LVN License in state of employment or compact
• BLS

Work Schedule:

8AM - 5PM Monday-Friday

Work Type:

Full Time

Summary:

A Registered Professional Dialysis Nurse is responsible for the delivery of safe, high-quality patient care through the processes of assessment, diagnosis, planning, implementation, and evaluation. This role actively participates in the development and implementation of individualized care plans for each patient, providing both direct and indirect care throughout the dialysis treatment process, including pre- and post-treatment assessments and the administration of prescribed medications.

In addition, the Registered Professional Dialysis Nurse ensures the safe and efficient operation of dialysis equipment and supplies in accordance with hospital and departmental policy, applying principles of stewardship to minimize waste, optimize use of resources, and preserve the integrity of supplies and equipment. Documentation in the medical record must be accurate, timely, and reflective of both patient outcomes and prudent resource management. By combining clinical excellence with responsible stewardship, this role supports the delivery of high-value, sustainable dialysis care.

Responsibilities:

• Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
• Demonstrates appropriate hand hygiene, use of PPE, and facility hygiene, including cleaning and disinfection of work surfaces and equipment—pre-treatment, intra-treatment, and post-treatment.
• Operates all available dialysis equipment and supplies based on safety, effectiveness, and cost in accordance with organizational policy to provide expected patient outcomes; documents in the medical record and records change appropriately.
• Follows policy and procedure in performance of water treatment procedures and testing; properly demonstrates electrolyte addition to acid concentrate per physician order.
• Provides documented pre- and post-dialysis nursing assessments that include but are not limited to: patient weight and fluid removal calculations, lung sounds and presence of edema, vital signs, review of current labs, and assessment and care of the dialysis access.
• Obtains pre- and post-dialysis lab specimens per physician order and organizational policy.
• Initiates, monitors, and terminates each dialysis treatment per organizational policy and procedure.
• Follows organizational policy and procedure in response to dialysis-related complications, emergencies, and technical issues. Nurses are required to obtain approval from leadership identified per organizational policy, for lab culture collection from dialysis catheters via the House Supervisor prior to specimen collection.
• Follows organizational policy and procedure in the administration of all medications during dialysis, including as-needed (PRN) medications, blood and blood products, and erythropoiesis-stimulating agents (ESAs).
• Ensures patients are transported in a timely manner to and from dialysis treatments to minimize delays in care and maintain treatment schedules. Nurses should transport patients themselves when necessary to prevent delays in care or to ensure timely discharge.
• Participates in the development and implementation of an individualized plan of care for each patient.
• Verifies the safety of each dialysis treatment by performing and documenting required equipment safety checks, including acid and bicarb expiration dates and chlorine/chloramine testing before every treatment and Minncare residual testing as needed.
• Responsible for accurately entering charges for each patient they provide care for, ensuring timely and complete documentation of billable services in accordance with departmental procedures.
• Manages time so that workflow is efficient and consistent.
• Perform other duties as assigned.

Job Requirements:

Education/Skills

• Associate's degree in nursing required
• Bachelor's degree in Science in Nursing (BSN) preferred

Experience

• 1 year of dialysis experience required
• 1 year of acute clinical experience as a registered nurse preferred
• Intensive Care Unit (ICU), Critical Care Unit (CCU), Emergency Room (ER), or Medical Surgical (Med Surg) experience is preferred
• Clinical patient care experience in a relevant setting preferred

Licenses, Registrations, or Certifications

• RN license in the state of employment or compact required
• BLS required
• ACLS required
• PALS required at CHRISTUS Children's Hospital

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:

7AM - 7PM

Work Type:

Per Diem As Needed

Summary:

A Registered Professional Dialysis Nurse is responsible for the delivery of safe, high-quality patient care through the processes of assessment, diagnosis, planning, implementation, and evaluation. This role actively participates in the development and implementation of individualized care plans for each patient, providing both direct and indirect care throughout the dialysis treatment process, including pre- and post-treatment assessments and the administration of prescribed medications.

In addition, the Registered Professional Dialysis Nurse ensures the safe and efficient operation of dialysis equipment and supplies in accordance with hospital and departmental policy, applying principles of stewardship to minimize waste, optimize use of resources, and preserve the integrity of supplies and equipment. Documentation in the medical record must be accurate, timely, and reflective of both patient outcomes and prudent resource management. By combining clinical excellence with responsible stewardship, this role supports the delivery of high-value, sustainable dialysis care.

Responsibilities:

• Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
• Demonstrates appropriate hand hygiene, use of PPE, and facility hygiene, including cleaning and disinfection of work surfaces and equipment—pre-treatment, intra-treatment, and post-treatment.
• Operates all available dialysis equipment and supplies based on safety, effectiveness, and cost in accordance with organizational policy to provide expected patient outcomes; documents in the medical record and records change appropriately.
• Follows policy and procedure in performance of water treatment procedures and testing; properly demonstrates electrolyte addition to acid concentrate per physician order.
• Provides documented pre- and post-dialysis nursing assessments that include but are not limited to: patient weight and fluid removal calculations, lung sounds and presence of edema, vital signs, review of current labs, and assessment and care of the dialysis access.
• Obtains pre- and post-dialysis lab specimens per physician order and organizational policy.
• Initiates, monitors, and terminates each dialysis treatment per organizational policy and procedure.
• Follows organizational policy and procedure in response to dialysis-related complications, emergencies, and technical issues. Nurses are required to obtain approval from leadership identified per organizational policy, for lab culture collection from dialysis catheters via the House Supervisor prior to specimen collection.
• Follows organizational policy and procedure in the administration of all medications during dialysis, including as-needed (PRN) medications, blood and blood products, and erythropoiesis-stimulating agents (ESAs).
• Ensures patients are transported in a timely manner to and from dialysis treatments to minimize delays in care and maintain treatment schedules. Nurses should transport patients themselves when necessary to prevent delays in care or to ensure timely discharge.
• Participates in the development and implementation of an individualized plan of care for each patient.
• Verifies the safety of each dialysis treatment by performing and documenting required equipment safety checks, including acid and bicarb expiration dates and chlorine/chloramine testing before every treatment and Minncare residual testing as needed.
• Responsible for accurately entering charges for each patient they provide care for, ensuring timely and complete documentation of billable services in accordance with departmental procedures.
• Manages time so that workflow is efficient and consistent.
• Perform other duties as assigned.

Requirements:

Education/Skills

• Associate's degree in nursing required
• Bachelor's degree in Science in Nursing (BSN) preferred

Experience

• 1 year of dialysis experience required
• 1 year of acute clinical experience as a registered nurse preferred
• Intensive Care Unit (ICU), Critical Care Unit (CCU), Emergency Room (ER), or Medical Surgical (Med Surg) experience is preferred
• Clinical patient care experience in a relevant setting preferred

Licenses, Registrations, or Certifications

• RN license in the state of employment or compact required
• BLS required
• ACLS required
• PALS required at CHRISTUS Children's Hospital

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:

3 Days - 12 Hours

Work Type:

Full Time