Registered Nurse RN Pediatric Home Health - West Texas
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Job Description
PALS Home Health is seeking a Registered Nurse to provide in-home private-duty nursing care for medically dependent children ages 0-20 in West Texas. Join a mission-driven organization committed to improving the lives of special needs children and families in a safe, warm, and loving environment.
What You'll Do
- Provide exceptional nursing services including medications as prescribed by physicians
- Monitor health, safety, and potential abuse or neglect situations within patient homes
- Submit accurate documentation after each shift and maintain HIPAA compliance
- Support parents with health-related questions and maintain medical supplies
- Maintain consistent attendance and uphold company policies and procedures
Requirements
- Current, unrestricted nursing license from Texas State Board of Nursing
- One year of relevant experience preferred but not required
- Must be available for various work days and hours (20-24 PRN, 40 full-time)
- Possess problem-solving, professional, passionate, and adaptable attributes
Benefits
- Medical, dental, vision, and life insurance coverage
- Flexible scheduling with sign-on bonus and employee referral bonuses
- Paid orientation, in-home training, and continuous training opportunities
- 24/7 administrative support and company-sponsored social events
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).
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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