RN PRN

Doctor's Choice Home Care & Hospice Texas · Pantego, TX Prn
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Job Description

We are seeking a Registered Nurse (RN) to provide skilled nursing care to patients in their homes on a per diem basis. This is a road warrior position requiring travel to multiple patient locations in the Arlington, TX area.

What You'll Do

  • Administer skilled nursing care to patients in their homes following physician orders and care plans
  • Counsel and educate patients, caregivers, and families on health and wellness topics
  • Communicate with physicians and healthcare practitioners regarding patient care coordination
  • Supervise Licensed Practical Nurses and Home Health Aides in patient care delivery
  • Participate in plan of care development and ongoing interdisciplinary patient assessments

Requirements

  • Current state RN licensure in Texas and CPR certification from AHA or Red Cross
  • Minimum two years nursing experience, preferably in home health settings
  • Valid driver's license, auto liability insurance, and reliable transportation for travel
  • High school diploma or GED and graduation from approved nursing school
  • Ability to lift 100 pounds, tolerate physical demands, and be on-call monthly

Working Conditions

  • Per diem position with 100% travel requirement between patient homes and office
  • Exposure to various environmental conditions, odors, blood, and body fluids
  • Considerable physical effort including kneeling, squatting, reaching, climbing, and lifting

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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