Clinical Registered Nurse Jobs in Texas
Clinical Registered Nurse jobs in Texas are among the most active in the country, with strong demand running from new-graduate bedside roles through senior clinical positions across hospital systems, outpatient clinics, surgical centers, and long-term care. Houston, Dallas, and San Antonio anchor the largest share of openings, where major systems like HCA Houston Healthcare, Baylor Scott and White Health, and Methodist Health System consistently hire across specialties. Critical care, med-surg, and emergency nursing see the most consistent postings statewide. Find a role that fits below and apply directly.
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General Summary: The Clinical Manager maintains the quality of client care in accordance with the Agency’s objectives and policies, through planning, coordination, and implementation and evaluation of the home health services provided. This position also directs and manages the field staff of the Agency while coordinating care with the interdisciplinary team, patient/family and referring Agency.
Patient Population: All patients assigned to the provider numbers in the employee’s area of responsibility.
Essential Functions:
- Promote /exemplify Company mission, vision and values at all times.
- Coordinate and schedule the daily work load of the office while utilizing Agency personnel to their fullest capacity.
- Provide daily supervision of field nurses and Home Health Aides to ensure the quality of services and maintenance of standards.
- Review and investigate the clinical content, diagnoses, medical history, medications, fee status and other procedures from the records of clients.
- Direct staff toward the appropriate use of community resources.
- Appraise staff performance during their probationary period and annually with the Director of Clinical Services, provides the teaching and counseling necessary to enhance the delivery of services and the professional development of nursing and health aide staff.
- Identify and evaluate client needs and appropriateness of home care by reviewing the initial intake screening form before assignment of direct care staff.
- Participate in community related functions as necessary.
- Assist with the orientation of new professional staff to familiarize them with Agency policies and procedures.
- Take client visits in the home setting as needed.
- Participate in audits, U.R. interdisciplinary team conferences and represents Agency in the community as requested.
- Review each clinician’s schedule for recertification, discharges, and aide supervisory visits.
- Review weekly schedule submitted by clinician for changes or updates.
- Perform other duties as directed by Area DOCS/ DOCS.
- May be requested by Area DOCS/ DOCS to backup other clinical staff when necessary.
This description is a general statement of required essential functions performed on a regular and continuous basis. It does not exclude other duties as assigned.
Supervises: Designated Field Staff
Requirements:Experience:
- Minimum 2 years of experience as a registered nurse in a Home Health Agency.
- 1 year of management experience.
Skills:
- Nursing skills as defined as generally accepted standards of practice.
- Excellent interpersonal skills and ability to communicate verbally and in writing effectively.
- Demonstrates proven decision making skills.
- If required to make visits, Hepatitis profile.
- Must read, write and comprehend English.
Education:
- Graduate of an accredited Diploma, Associate or Baccalaureate School of Nursing.
Licensure/Certification:
- Current driver’s license in good standing. It is the responsibility of the employee to renew their driver’s license before it expires in order to continue employment.
- Current State professional license as an RN in any/all applicable states.
- Current CPR
Physical Requirements:
- Prolonged sitting required in an office environment which involves minimal and occasional lifting of medical supplies and charts.
- If visiting patients, prolonged standing and walking required, with the ability to bend, stoop, reach and move client weight up to 250 pounds as well as carry up to 30 pounds.
- The ability to access clients’ homes which may not be routinely wheelchair accessible is required.
- Hearing, eyesight and physical dexterity must be sufficient to perform a physical assessment of the client’s condition and to perform client care.
- Ability to handle stressful situations in a calm and courteous manner at all times.
- Requires working under some stressful conditions to meet deadlines and Agency needs.
Environmental/Working Conditions:
- Performs duties in an office environment during Agency operating hours.
- Ability to work flexible schedule.
- Ability to travel locally.
- Some exposure to unpleasant weather.
- If required to make patient visits, may work in patients home in various conditions; possible exposure to blood and bodily fluids and infectious diseases.
See All 195+ Clinical Registered Nurse Jobs in Texas
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Find JobsClinical Registered Nurse Jobs by City in Texas
Where Texas roles are concentrated, by current openings.
Clinical Registered Nurse Job Market in Texas
A snapshot from current Texas openings, updated as new roles post.
Who's Hiring
- Enhabit Home Health & Hospice19

- Fresenius Medical Care13

- Methodist Healthcare System12

- HCA Houston Healthcare8

- Ascension7

Top Industries Hiring
- Healthcare & Medical Services23
- Education2
- Technology & Software2
What Texas Employers Look For
The qualifications that appear most often in clinical registered nurse jobs across Texas.
- Active Registered Nurse license issued or recognized by the Texas Board of Nursing
- Associate or bachelor's degree in nursing from an accredited program
- Current BLS certification required before start date
- Minimum one year of clinical nursing experience in an acute care setting
- Strong EMR proficiency, with Epic experience preferred by most large Texas systems
- ACLS or specialty certification required for ICU, ED, and cardiac unit positions
Clinical Registered Nurse Jobs in Texas: Frequently Asked Questions
How do you become a clinical registered nurse in Texas?
You become a clinical registered nurse in Texas by completing an accredited associate or bachelor's degree in nursing and passing the NCLEX-RN exam, then applying for licensure through the Texas Board of Nursing. Texas participates in the Nurse Licensure Compact, so nurses already licensed in a compact state can work in Texas under that multistate license without obtaining a separate Texas license. Most large Texas hospital systems require licensure before your first day.
How much do clinical registered nurses make in Texas?
Clinical registered nurses in Texas earn a median of about $95,970 a year, based on May 2025 Bureau of Labor Statistics wage data, ranging from around $67,120 for the lowest 10% to over $127,950 for the top 10%. Pay rises with experience, specialty, and employer.
Which companies hire clinical registered nurses in Texas?
Employers hiring clinical registered nurses in Texas right now include Enhabit Home Health & Hospice, Fresenius Medical Care, and Methodist Healthcare System, based on current listings on Migrate Mate as of August 2026. Texas's size and the presence of major integrated health systems across multiple metros means hiring stays active year-round rather than spiking only during seasonal surges.
Which Texas cities have the most clinical registered nurse jobs?
San Antonio, Dallas, and Houston have the most clinical registered nurse openings in Texas. Houston leads because of its dense concentration of large hospital systems and the Texas Medical Center, while Dallas and San Antonio drive volume through major regional networks and a fast-growing suburban patient population that keeps outpatient and acute care facilities consistently staffed.
Are there remote clinical registered nurse jobs in Texas?
Yes, but they're rare. Clinical registered nursing is a hands-on, bedside role that requires in-person patient care, so fully remote positions make up a small share of the market. About 33% of clinical registered nurse openings tied to Texas are remote or hybrid as of August 2026, and those positions are almost entirely in telephonic triage, case management, or utilization review rather than direct clinical care.
How can I get hired as a clinical registered nurse in Texas with little or no experience?
The most realistic entry path is a new-graduate nurse residency program, which large Texas systems including Baylor Scott and White Health, HCA Houston Healthcare, and UT Southwestern run specifically for nurses with limited clinical hours. These year-long programs provide structured mentorship and count as your first year of experience. Candidates with a completed BSN, an active Texas RN license, and any clinical internship completed during school are consistently prioritized for these cohorts over those who wait to apply.
Where can I find and apply to clinical registered nurse jobs in Texas?
You can find and apply to clinical registered nurse jobs in Texas on Migrate Mate, which lists current Texas openings across hospitals, health systems, outpatient clinics, and specialty facilities. Search the listings, find roles that fit your experience and preferred location, and apply directly to the ones that match.
See All 195+ Clinical Registered Nurse Jobs in Texas
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