Jobs in Texarkana Texas

Summary:

The Computed Tomography (CT) Technologist will perform a wide variety of routine and advanced imaging procedures, will provide support for other imaging technologists as needed, and help to facilitate smooth and efficient patient flow. The CT Technologist will demonstrate flexibility by working other shifts and/or at other campuses as needed or required. The CT Technologist must be able to troubleshoot basic maintenance, participate in QA, and resolve issues related to image processing and the image archiving system. The Technologist is expected to participate in ongoing education, safety, and technical advances within their scope of licensure. The Technologist will adhere to, and maintain, the expected imaging competencies as outlined by management. Behavior and communication skills must align with the organization's mission, values, and culture.

Responsibilities:

• Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
• Demonstrates adherence to the Core Values of CHRISTUS Health.
• Maintains consistency with Administrative and Departmental policies with appropriate behavior, dress, attitude, attendance, confidentiality, professionalism, and reliability.
• Promotes staff growth, development, and employee engagement by collaborating with management, coworkers, and physicians to create an optimal work environment.
• Promotes exceptional physician satisfaction by providing meaningful assistance to radiologists and referring physicians.
• Performs all duties in a manner that protects the confidentiality of patients and does not solicit or disclose any confidential information unless it is necessary in the performance of assigned job duties.
• Appropriately adapt assigned patient assessment, treatment, and/or care methods to accommodate the unique physical, psychosocial, cultural, spiritual, age-specific, and other developmental needs of each patient served.
• Ensures compliance with all policies, procedures, and standards of care as deemed appropriate by State and Federal agencies, the hospital, and other regulatory entities.
• Performs examinations/procedures as needed to assist in patient throughput within the scope of the Manager’s license(s), certification(s), and/or documented competencies.
• Demonstrates flexibility by working other shifts and at other campuses as needed or required.
• Ensures completed exams are scanned and stored correctly in PACS.
• Ability to follow PACS downtime procedures as a PACS Superuser and escalate any problem(s) or issue(s) to the PACS administrator or Designee if needed.
• Troubleshoots and reports any equipment malfunctions to the Director/Manager and/or Biomedical personnel; does appropriate follow-up.
• Performs other duties as assigned.

Job Requirements:

Education/Skills

• Graduate of an accredited school of Radiology Technology or other accepted and approved equivalent required

Experience

• 1 year of CT experience in a hospital or clinical setting preferred
• Basic computer experience required

Licenses, Registrations, or Certifications

• One of the following primary modality certifications is required:
  • Radiography (R) by ARRT
  • Nuclear Medicine Technology by ARRT or NMTCB
• Computed Tomography (CT) by ARRT or NMTCB preferred
• State Licensure required
  • Texas: MRT by TMB
  • Louisiana: LRT (R), (N), or (F) by LSRTBE
• BLS required

Work Schedule:

10AM - 7PM 8 HR Shift

Work Type:

Full Time

Summary:

All pharmacists fill orders for drugs, monitor patient drug therapies and provide drug information. Pharmacists provide pharmacy services with compassion, excellence, and efficiency.

Responsibilities:

• Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.

Operational Duties and Responsibilities

• Prepares and dispenses drug orders per physician request according to established policies, procedures, and protocols.
• Interprets drug orders (verbal and written) and transcribes/verifies into computerized patient medication record accurately. Maintains, accurate, complete patient drug record.
• Compounds and dispenses pharmaceuticals including non-sterile and sterile products, chemotherapy and parenteral nutrition products accurately.
• Issues controlled substances to patient care areas and maintains records as required by law and institutional policies.
• Provides services efficiently and in a timely fashion.
• Maintains current pharmacist license. Ensures applicable CE records and licensure are maintained in department files. Attends staff meetings.
• Completes all competency/skills assessment requirements.
• Supervises and directs pharmacy support personnel. Verifies the daily activities of pharmacy technicians
• Ambulatory care Pharmacist: Provides ambulatory pharmaceutical care services utilizing approved protocols and/or collaborative agreement with other providers, including managing patient drug therapy, anticoagulation management, providing patient education, and preparing and/or overseeing the preparation and dispensing of medications. Performs duties in the clinical areas assigned such as but not limited to anticoagulation clinics, intensive medical home, transition of care, Discharge Medication reconciliation, etc.

Clinical Duties and Responsibilities

• Ensures safe, appropriate, cost-effective drug therapies for patients according to established policies, procedures, and protocols.
• Monitors drug therapy regimens for contraindications, drug-drug interactions, drug-food interactions, allergies and appropriateness of drug and dose.
• Assists with pharmacokinetics consult service and renal drug dosing per hospital protocol.
• Reads, extracts, and interprets information in patient medical records accurately.
• Detects and reports suspected adverse drug reactions accurately and in a timely manner.
• Sustains the hospital drug formulary, minimizing non-formulary procurements, utilizing therapeutic substitution protocols, and promoting rational drug therapy selection.
• Provides clinical consultation and clarification to practitioners as appropriate.
• Provides accurate, adequate, and timely drug information to the hospital’s professional staff.
• Provides drug education to patients and their families per institutional protocol.
• Participates in the quality improvement and medication use review activities of the department. Collects data, conducts monitors and inspections, and maintains logs, records and other documentation as assigned.
• Conducts designated interventions as defined in department Clinical Intervention activities (IV to PO, Renal Dosing, Pharmacokinetic dosing support, Anticoagulation). Baseline departmental standards for reporting interventions for clinical productivity as defined by departmental goals.
• Participates in antibiotic stewardship, opioid stewardship, and shortage management activities as assigned.
• Attends interdisciplinary rounds when assigned.
• Provides services efficiently and in a timely fashion.

Occupational Hazards

• Potential for exposure to hazardous and toxic substances (including chemotherapeutic, cytotoxic drugs and cleaning solutions), sticks or cuts by needles and other sharp items.
• Risk 0 exposure category.
• Potential for musculoskeletal injuries if proper lifting and carrying techniques are not used.
• Potential exposure to biologic material when participating in direct patient care activities (e.g., patient education, code attendance).

Job Requirements:

Education/Skills

• Doctor of Pharmacy or BS Pharmacy degree required

Experience

• Hospital experience preferred

Licenses, Registrations, or Certifications

• Pharmacy state licensure required within 60 days of start date
• BLS or ACLS is required
• PALS (for pediatric practice) is required

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:

PRN

Work Type:

Per Diem As Needed

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Looking for an exciting driving opportunity in the western region of America? System Transport is hiring experienced CDL-A flatbed truck drivers for all routes! We offer regional, local, dedicated, and OTR routes. As a driver, you will transport important goods and materials such as glass, steel, aluminum, building materials, machinery, coils, and specialty metals. We offer competitive pay packages and excellent benefits. Join our team and become America Proud, Flatbed Strong with System Transport. Don't wait, apply now!

• Driver Type:  Experienced CDL-A Truck Drivers
• Equipment Type:  Flatbed
• Route Type:  Regional, Dedicated, Local, and OTR (Over-The-Road) Routes Available
• Division:  Hiring in all Divisions!
• Terminal:  Spokane, WA | Fresno, CA | Phoenix, AZ | Ennis, TX | Denver, CO Works out of Mead, CO | Kansas City, MO
• Home Time:  Home time varies by division. Speak with a recruiter!

• Home Time:  Home time varies by division.
• System Transport offers many different route options for truck drivers.
• Which route is right for you? Speak with a recruiter, and we can find out together!

• Health Insurance
• Dental Insurance
• Vision Insurance
• Health savings account
• 401(k)
• 401(k) matching
• Life insurance
• Employee assistance program
• Transition Pay
• Orientation Pay
• Accrue 1 hour of sick time per 30 hours worked, then 1-9 years 80 hours PTO, 10+ years 120 hours PTO.
• And much more!

1.  Required:  Must have a valid Class A CDL
2.  Required:  Must be 21 years of age or older
3.  Required:  4+ months of driving experience required
4.  Required:  A safe driving record on the road.
5.  Required:  No more than 6 jobs in the last 3 years
6.  Prefer 1-year truck driving experience, but not necessary
7.  Required:  A Background Check is required
8.  Required:  A Clean Drug Test is required
9.  Required:  A Clean Clearinghouse result required
10.  Required:  For all flatbed driver opportunities, the driver must be physically able to lift a 90-pound tarp onto a 5-foot high platform twice. System Transport will test this during orientation, and flatbed drivers tarp about 70% of our loads. (this is required)

• OUR MODERN TRUCKS ARE METICULOUSLY MAINTAINED FOR YOUR SAFETY
  • Every tractor has a lane departure & forward collision warning system, hard brake monitoring, and a satellite communication device installed.
  • 24/7/365 road service staff & shops
  • If a truck needs repairs, it's not going out until it is 100% ready to hit the road again safely with you at the wheel. You can count on that!

• DRIVER PORTAL: SUPPORT 24/7
  • Award-winning app made for drivers by drivers.
  • Receive real-time updates and alerts, access your pay, current trip data, messages/notifications, available PTO, contact information, and so much more!

Looking for an exciting driving opportunity in the western region of America? System Transport is hiring experienced CDL-A flatbed truck drivers for regional and OTR routes. As a driver, you will be transporting important goods and materials such as glass, steel, aluminum, building materials, machinery, coils, and specialty metals. We offer competitive pay packages and excellent benefits. Join our team and become America Proud, Flatbed Strong with System Transport. Don't wait, apply now!

• Driver Type:  Experienced CDL-A Truck Drivers
• Equipment Type:  Flatbed
• Route Type:  OTR Route
• Division:  Division 265
• Terminal:  Ennis, TX
• Home Time:  3 weeks out with 3 days off

• Home Time:  3 weeks out with 3 days off
• Home time varies by division. This opportunity is for Division 265.
• System Transport offers many different route options for truck drivers.
• Which route is right for you? Speak with a recruiter, and we can find out together!

• Health Insurance
• Dental Insurance
• Vision Insurance
• Health savings account
• 401(k)
• 401(k) matching
• Life insurance
• Employee assistance program
• Transition Pay
• Orientation Pay
• Accrue 1 hour of sick per 30 hours worked, then 1-9 years 80 hours PTO, 10+ years 120 hours PTO.
• And much more!

1.  Required:  Must have a valid Class A CDL
2.  Required:  Must be 21 years of age or older
3.  Required:  4+ months of driving experience required
4.  Required:  A safe driving record on the road is required.
5.  Required:  No more than 6 jobs in the last 3 years
6.  Preferred:  1 year truck driving experience, but not necessary
7.  Required:  Background Check required
8.  Required:  Clean Drug Test required
9.  Required:  Clean Clearinghouse result required
10.  Required:  For all flatbed driver opportunities, the driver must be physically able to lift a 90-pound tarp onto a 5-foot high platform twice. System Transport will test this during orientation, and flatbed drivers tarp about 70% of our loads. (this is required)

• OUR MODERN TRUCKS ARE METICULOUSLY MAINTAINED FOR YOUR SAFETY
  • Every tractor has a lane departure & forward collision warning system, hard brake monitoring, and a satellite communication device installed.
  • 24/7/365 road service staff & shops
  • If a truck needs repairs, it's not going out until it is 100% ready to hit the road again safely with you at the wheel. You can count on that!

• DRIVER PORTAL: SUPPORT 24/7
  • Award-winning app made for drivers by drivers.
  • Receive real-time updates and alerts, access your pay, current trip data, messages/notifications, available PTO, contact information, and so much more!

Looking for an exciting driving opportunity in the western region of America? System Transport is hiring experienced CDL-A flatbed truck drivers for their regional division 295. As a driver, you will be transporting important goods and materials such as glass, steel, aluminum, building materials, machinery, coils, and specialty metals. We offer competitive pay packages and excellent benefits. Join our team and become America Proud, Flatbed Strong with System Transport. Don't wait, this offer is limited - apply now!

• Driver Type:  Experienced CDL-A Truck Drivers
• Equipment Type:  Flatbed
• Route Type:  Regional Route
• Division:  Division 295
• Terminal:  Spokane, WA
• Home Time:  Off most weekends for a 34-hour reset

• Home Time:  Off most weekends for a 34-hour reset
• Home time varies by division. This opportunity is for Division 295.
• System Transport offers many different route options for truck drivers.
• Which route is right for you? Speak with a recruiter, and we can find out together!

• Health Insurance
• Dental Insurance
• Vision Insurance
• Health savings account
• 401(k)
• 401(k) matching
• Life insurance
• Employee assistance program
• Transition Pay
• Orientation Pay
• Accrue 1 hour of sick per 30 hours worked, then 1-9 years 80 hours PTO, 10+ years 120 hours PTO.
• And much more!

1.  Required:  Must have a valid Class A CDL
2.  Required:  Must be 21 years of age or older
3.  Required:  A safe driving record on the road is required.
4.  Required:  No more than 6 jobs in the last 3 years
5.  Required:  4+ months of driving experience required
6.  Preferred:  1 year truck driving experience, but not necessary
7.  Required:  Background Check required
8.  Required:  Clean Drug Test required
9.  Required:  Clean Clearinghouse result required
10.  Required:  For all flatbed driver opportunities, the driver must be physically able to lift a 90-pound tarp onto a 5-foot high platform twice. System Transport will test this during orientation, and flatbed drivers tarp about 70% of our loads. (this is required)

• OUR MODERN TRUCKS ARE METICULOUSLY MAINTAINED FOR YOUR SAFETY
  • Every tractor has a lane departure & forward collision warning system, hard brake monitoring, and a satellite communication device installed.
  • 24/7/365 road service staff & shops
  • If a truck needs repairs, it's not going out until it is 100% ready to hit the road again safely with you at the wheel. You can count on that!

• DRIVER PORTAL: SUPPORT 24/7
  • Award-winning app made for drivers by drivers.
  • Receive real-time updates and alerts, access your pay, current trip data, messages/notifications, available PTO, contact information, and so much more!

Looking for an exciting driving opportunity in the western region of America? System Transport is hiring experienced CDL-A flatbed truck drivers for their regional division 295. As a driver, you will be transporting important goods and materials such as glass, steel, aluminum, building materials, machinery, coils, and specialty metals. We offer competitive pay packages and excellent benefits. Join our team and become America Proud, Flatbed Strong with System Transport. Don't wait, this offer is limited - apply now!

• Driver Type:  Experienced CDL-A Truck Drivers
• Equipment Type:  Flatbed
• Route Type:  Regional Route
• Division:  Division 295
• Terminal:  Spokane, WA
• Home Time:  Off most weekends for a 34-hour reset

• Home Time:  Off most weekends for a 34-hour reset
• Home time varies by division. This opportunity is for Division 295.
• System Transport offers many different route options for truck drivers.
• Which route is right for you? Speak with a recruiter, and we can find out together!

• Health Insurance
• Dental Insurance
• Vision Insurance
• Health savings account
• 401(k)
• 401(k) matching
• Life insurance
• Employee assistance program
• Transition Pay
• Orientation Pay
• Accrue 1 hour of sick per 30 hours worked, then 1-9 years 80 hours PTO, 10+ years 120 hours PTO.
• And much more!

1.  Required:  Must have a valid Class A CDL
2.  Required:  Must be 21 years of age or older
3.  Required:  A safe driving record on the road is required.
4.  Required:  No more than 6 jobs in the last 3 years
5.  Required:  4+ months of driving experience required
6.  Preferred:  1 year truck driving experience, but not necessary
7.  Required:  Background Check required
8.  Required:  Clean Drug Test required
9.  Required:  Clean Clearinghouse result required
10.  Required:  For all flatbed driver opportunities, the driver must be physically able to lift a 90-pound tarp onto a 5-foot high platform twice. System Transport will test this during orientation, and flatbed drivers tarp about 70% of our loads. (this is required)

• OUR MODERN TRUCKS ARE METICULOUSLY MAINTAINED FOR YOUR SAFETY
  • Every tractor has a lane departure & forward collision warning system, hard brake monitoring, and a satellite communication device installed.
  • 24/7/365 road service staff & shops
  • If a truck needs repairs, it's not going out until it is 100% ready to hit the road again safely with you at the wheel. You can count on that!

• DRIVER PORTAL: SUPPORT 24/7
  • Award-winning app made for drivers by drivers.
  • Receive real-time updates and alerts, access your pay, current trip data, messages/notifications, available PTO, contact information, and so much more!

If you're ready to explore the rewards and challenges of serving in today's highly-skilled U.S.

Customs and Border Protection, don't miss the live, three-day CBP Career Expo this March 24 – 26 in San Antonio, TX.

Our expansive, in-person hiring event is free and open to all, with registration required in advance.

Event hours will be: March 24 – 25, 2026, 9 AM – 8 PM CT March 26, 2026, 9 AM – 2 PM CT Recruiters will be on hand throughout the event to answer questions and provide valuable input, including resume tips.

Plus, to help accelerate your application process, CBP is also offering onsite application submission.

See what it takes to serve as part of the vital CBP mission, providing security for our nation's borders from those who threaten legitimate trade and travel, safety from harmful substances like fentanyl, and humanitarian aid to those in need.

We will be recruiting for mission-critical roles in both law enforcement and mission operations support.

Federal hiring regulations apply to all mission-critical positions.

At a minimum, U.S.

Citizenship is required.

Federal civil service is a great place to start building a career in law enforcement and learn about the qualifications you'll need to get your career started.

In addition: Border Patrol Agents that are Newly appointed can earn UP TO $60,000 IN INCENTIVES.

Conditions apply.

CBP Officers have UP TO $60,000 IN INCENTIVES available, paid $15,000 per year.

Location based.

Air Interdiction Agents and Marine Interdiction Agents can receive $10,000 incentive upon successful completion of academy.

Specific location and schedule details will be provided to all registered attendees in advance.

Register Today!

Summary:

Provides professional nursing care for clinic patients following established standards and practices. The Registered Nurse is able to provide leadership in all situations, including emergencies, utilizing concepts of critical thinking and creative problem solving to ensure positive outcomes. The incumbent of this position is able to delegate duties during an emergency situation in the office environment. Works collaboratively with providers within the team setting to facilitate quality care for the patient and should be familiar with the resources available in the community and the proper methods to refer patients to them.

Responsibilities:

• May perform the following tasks in accordance with established procedures and as prescribed by applicable licensure/certification:

Obtain/record vital signs; perform initial assessment on patient; coordinate patient transfer to hospital and/or discharge; give telephone orders; accept telephone test results; perform telephone triage; call in provider approved prescription refills; specimen collection including stool and urine midstream; catheterize patient; indwelling catheter urine collection; obtain throat culture; pregnancy testing; administer urine dip; obtain wound culture; perform snellen vision screening; eye injury management; administer optic/otic meds; assist with lumbar punctures; sputum collection; occult blood testing; assist with vaginal exam; teach crutch/cane walking; teach use of walker; apply Velcro splint; assist with plaster splint; apply moist heat and/or cold packs; administer enema; remove fecal impaction; administer oxygen; teach respiratory hygiene; administer chest physiotherapy; perform oral suction and/or infant suction bulb; wound care; apply sterile dressing; assist with circumcision; perform umbilical care; apply colloidal dressing; open sterile tray; apply topical medications; administer rectal and/or vaginal medications; give oral medications; and, give sublingual medications to adults and/or pediatric patients.

• May perform the following tasks only if appropriate training has been obtained:

Blood collection by lancet; pulse oximetry; incentive Spirometry; suture and/or staple removal; ear irrigation; administer breathing treatment; give allergy/insulin/immunization medications to adult and/or pediatric patients; give intramuscular and/or subcutaneous injections to adult and/or pediatric patients; give injections Z track to adult patients.

• May perform the following tasks after providing verification of completion of special training:

Blood collection venipuncture; audiometry exam; titmus vision screening; EKG; administer electrical stimulation; assist/process biopsies; administer IV push medications and/or add medications to IV fluid; draw blood from portocath; administer/monitor conscious sedation; administer radio contrast media by IV; assist endoscopy, start saline lock or IV fluids and monitor IV fluids.

• May perform radiology exams if approved per state law under "grandfather clause" and maintains current requirement.
• Attends required meetings and participates in committees as requested.
• Participates in professional development activities and maintains professional licensure and affiliations.
• Follows the CHRISTUS Health guidelines related to the Health Insurance Portability and Accountability Act (HIPAA), designed to prevent or detect unauthorized disclosure of Protected Health Information (PHI).
• Maintains strict confidentiality.
• Uses oral and written communication skills to effectively convey ideas in a clear, positive manner that is consistent with the CHRISTUS Mission.
• Maintains established CHRISTUS Health policies, procedures, objectives, quality assurance, safety, environmental and infection control.
• Implements job responsibilities in a manner that is consistent with the CHRISTUS Mission and Code of Ethics and supportive of CHRISTUS Health's cultural diversity objectives.
• Supports and adheres to CHRISTUS Health Service Guarantee.
• Performs other related work as required.

Requirements:

Education/Skills

• Graduate of an accredited school of nursing required.

Experience

• One year of professional nursing experience in a clinic setting preferred.

Licenses, Registrations, or Certifications

• Possession of a valid State Registered Nurse license required.
• BLS required.
• Current CPR certification.

Work Schedule:

8AM - 5PM Monday-Friday

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:

Per Diem As Needed

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:

Part Time

Summary:

Manages and coordinates activities of nursing personnel on evening and night shift to maintain continuity for around the clock patient care.

Responsibilities:

• Coordinating and monitoring the flow of patients between units; overseeing interfacility transfers, emergencies, and on call systems.
• Providing leadership, coaching, and mentoring to staff; providing supervision for assigned staff, including performance evaluations and problem solving
• Maintaining ongoing communications with patients, families and physicians concerning patient care and ensuring compliance with patient rights policies.
• Overseeing the performance and development of the nursing team and key staff.

CORE COMPETENCIES

• Nursing Assessment and Care- Level 2 - Working experience
  • Shares experiences with developing and implementing nursing care plans within a nursing specialty.
  • Describes the tools and procedures used for initial assessment and progress assessment.
  • Builds rapport with the patient and explains the condition and course of action effectively.
  • Discusses common care approaches and typical responses and adjustments to the care plan.
  • Monitors pain levels; communicates with patients and family on pain management alternatives.
• Clinical Risk Management- Level 2 - Working experience
  • Shares experiences with cases where a patient is judged to be more vulnerable because of risk factors.
  • Reviews specific preventive measures in own area.
  • Identifies key steps of a unit-specific clinical risk management process and associated procedures.
  • Makes use of organizational resources for risk avoidance and management.
  • Reviews and interprets risk assessments and clinical incident reports.
• Nursing Code of Ethics- Level 2 - Working experience
  • Describes experiences with situations involving ethical issues and associated resolutions.
  • Discusses the obligations, duties and responsibility of nurses to patients and society at large.
  • Identifies and communicates when medical or nursing ethics violations or unsafe conditions are observed.
  • Cites examples of unusual ethical concerns for patients, families and healthcare providers.
  • Reviews previous solutions and outcomes for ethical conflicts in own area or specialty. Health Teaching and Health Promotion- Level 2 - Working experience
  • Describes experiences working with patients on specific conditions, diseases and associated treatments.
  • Provides first-level response to patient and care giver questions and concerns.
  • Demonstrates self-care skills for patients and care givers to use once the patient is discharged.
  • Validates that patients and care givers understand treatments and medications.
  • Supplies the patient with tools and resources to improve health or prevent deterioration and disease.
• Clinical Decision Making and Judgment- Level 2 - Working experience
  • Shares experiences with own nursing judgement and lessons learned.
  • Identifies, obtains, and organizes clinical and patient information needed for assessment.
  • Reviews major tools, techniques and evidence used to identify alternatives.
  • Describes when and how to utilize the Emergency Severity Index to determine the urgency of care.
  • Discusses common patient's preferences and their impact on decision making.
• Nursing Resource Management- Level 2 - Working experience
  • Describes experiences with managing resources for own team and self.
  • Reviews common resource constraints and how they are dealt with.
  • Delegates, monitors and follows up on simple tasks.
  • Demonstrates the ability to apportion resources to different components of a task.
  • Seeks help if necessary; initiates requests or mobilizes the necessary resources.

FOUNDATIONAL COMPETENCIES

• Accuracy and Attention to Detail- Level 2 - Working experience
  • Processes limited amounts of detailed information with good accuracy.
  • Utilizes specific approaches and tools for checking and cross-checking outputs.
  • Develops and uses checklists to insure that information goes out error-free.
  • Accurately gauges the impact and cost of errors, omissions, and oversights.
  • Learns from mistakes and applies lessons learned.

• Planning and Organizing- Level 2 - Working experience
  • Creates action plans that ensure the accomplishment of responsibilities.
  • Breaks tasks into manageable steps that can be incorporated into a personal work plan.
  • Raises awareness of potential bottlenecks and disruptions to the schedule.
  • Monitors progress continuously and adjusts tactics for handling situations on a case by case basis.
  • Escalates concerns over competing or conflicting priorities.

TECHNICAL COMPETENCIES

• Clinical Policies and Standards- Level 2 - Working experience
  • 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.

Requirements:

Education/Skills

• Graduate of an accredited Registered Nursing program, Bachelor Degree required
• Master's Degree preferred
• Excellent customer service, negotiation and communication skills

Experience

• Minimum of 3 years clinical patient care experience in a relevant setting
• Minimum of 1 years of healthcare management experience, preferred

Licenses, Registrations, or Certifications

• RN Licensure in state(s) of employment
• Registered Nurse (RN) required
• BLS and ACLS
• ENPC or PALS preferred

Work Schedule:

PRN

Work Type:

Per Diem As Needed

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:

Per Diem As Needed

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