Inpatient RN

Community Healthcare Of Texas · Burleson, TX Full Time
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Job Description

Community Healthcare of Texas has provided hospice and palliative care services since 1996. Our mission is to provide compassionate care for individuals living with serious illnesses while supporting their loved ones who care for them. Community Healthcare of Texas is currently recruiting for an Inpatient RN. POSITION SUMMARY IPU RN/Case Manager assesses patients' physical, psychosocial, and spiritual condition and determines and/or revises the plan of care; provides palliative nursing care. ESSENTIAL FUNCTIONS Complete an initial, comprehensive, and ongoing comprehensive assessment of the patient and family to determine hospice needs. Provides a complete physical assessment and history of current and previous illness(es) Provide emotional support for patients and families/caregivers while instructing in end-of-life care/issues Assess and evaluate patient’s status by writing and initiating plan of care. Regularly re-evaluating patient and family/caregiver needs, and participating in revising the plan of care as necessary Develop a care plan that establishes goals, based on nursing diagnosis, and incorporate hospice nursing actions. Include the patient and the family in the planning process Case manage total plan of care of patient/support persons by assessing conditions, coordinating with team members, communicating with IDG, and supervising CNA's Complete, maintain, and submit accurate and relevant clinical notes regarding patient’s condition and care given. Record pain/symptom management changes/outcomes as appropriate Communicate with the physician regarding the patient’s needs and report changes in the patient’s condition; obtains/receives physicians’ orders as required Work in cooperation with the family/caregiver and hospice interdisciplinary group to meet the emotional needs of the patient and family/caregiver Document nursing care and significant interactions with patients at the time of visit; support team members Administer medications and treatments as prescribed by the physician Participate in follow-up with bereaved families with various types of contact Discharge patients and coordinate transfer, including instructing patients/caregivers in follow-up care Manage multiple patients and their support persons simultaneously in crisis with acute symptoms including pharmacolog Manage assigned patients equally, regardless of severity, contagion, or complexity of diagnosis Responsible for ensuring and assisting in providing a safe and clean environment for patients and families Assist in housekeeping needs that are compliant with infection control procedures and policies. QUALIFICATIONS Registered Nurse licensed by the State of Texas required One year nursing experience required Hospice/ Home Health experience preferred Proficient skill using a computer is required; Microsoft Office Suite experience preferred Must be comfortable/confident making independent decisions regarding patient care Able to manage multiple tasks regarding immediate patient care Reasonable Accommodations Statement To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Reasonable Accommodations may be made to enable qualified individuals with disabilities to perform essential functions.

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What Most Job Listings Don’t Tell You

General overview for this role type — specific duties and requirements vary by employer.

Nursing roles in senior living are fundamentally different from hospital nursing. Most positions involve building long-term relationships with the same residents over months or years rather than cycling through new patients every shift. Facilities in the DFW area typically require an active Texas RN or LVN license, current CPR/BLS certification, and many prefer at least one year of geriatric or long-term care experience.

Shift patterns vary widely — some facilities run traditional 8-hour shifts (day, evening, night), while others use 12-hour rotations. Weekend and holiday coverage is almost always part of the schedule. The nurse-to-resident ratio in assisted living is generally more favorable than in hospitals, but you will likely be the highest-level clinical staff on the floor during your shift, which means more autonomy and more responsibility for clinical judgment calls.

What to Expect in This Role Day-to-Day

Based on typical senior living facilities in the DFW area.

A typical shift starts with medication pass and resident assessments. You will review overnight notes from the previous shift, check vitals for residents on your watch list, and coordinate with CNAs on any changes in condition. Mid-shift usually involves documentation, family communication, and working with physicians on care plan updates — often by phone or telehealth rather than in-person rounds.

Depending on the facility, you may also handle admissions paperwork, manage wound care, supervise medication techs, and respond to emergencies. The documentation load in senior living is significant — state surveys and compliance requirements mean thorough charting is non-negotiable. Many nurses in this setting say the most rewarding part is knowing their residents personally and being able to notice subtle changes that a rotating hospital nurse might miss.

DFW Area Salary Data

According to the Bureau of Labor Statistics, Registered Nurse positions in the DFW metroplex area earn a median wage of $48.76/hr ($101,421/yr). The typical range is $39.25 – $53.19/hr (25th–75th percentile).

Entry Level (10th) $73,403/yr
DFW Median $101,421/yr
Experienced (90th) $129,709/yr
vs. National Median +4.0%

Source: Bureau of Labor Statistics, Occupational Employment & Wage Statistics (Dallas-Fort Worth-Arlington, TX Metro Area). Salary data provided by DFW Senior Living Guide.

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