Neonatal ICU Registered Nurse in Plano, TX

Vivian Health · Plano, TX Full Time
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Job Description

Join Medical City Plano's NICU as a Registered Nurse and advance your nursing practice in a specialized, evidence-based environment. This role offers the opportunity to provide compassionate care to neonates and their families while growing your professional expertise.

What You'll Do
  • Plan and provide goal-directed nursing care promoting patient health, safety and rights
  • Advocate for individual patients, families and communities in a Level 3 NICU
  • Practice autonomously utilizing evidence-based practices and care coordination
  • Support the mission, vision and values of Medical City Plano and Nursing Department
Requirements
  • Texas State RN License or compact license required
  • Graduate of accredited nursing school; BSN/MSN preferred
  • Minimum 2 years NICU experience required
  • Basic Cardiac Life Support within 30 days of start date
  • Neonatal Resuscitate and STABLE certifications within 90 days and 6 months
Benefits
  • Comprehensive medical, dental and vision coverage with low copays and free telemedicine
  • 401(k) plan with 100% match on 3-9% of pay based on years of service
  • Paid time off, paid family leave, and comprehensive disability coverage
  • Education assistance including tuition, student loans and certification support

This is a preview of the job listing. The full posting includes complete compensation details, benefits package, qualification requirements, and application instructions.

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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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