Emergency Department Registered Nurse Jobs in Texas
Emergency Department Registered Nurse jobs in Texas represent one of the most active hiring markets in the country, with sustained demand across major trauma centers, Level I and II hospitals, and large health systems serving urban and rural communities alike, at every level from new graduate to seasoned charge nurse. Houston, Dallas, and San Antonio anchor the bulk of openings, where systems like HCA Healthcare, Baylor Scott and White Health, and CHRISTUS Health maintain extensive emergency operations. The most consistently sought specialties include trauma nursing, pediatric emergency care, and critical care triage. Find a role that fits below and apply directly.
Find JobsOverview
Showing 5 of 158+ Emergency Department Registered Nurse jobs
At Houston Methodist, the Pharmacy Clinical Specialist position is responsible for performing advanced clinical pharmacy duties, enabling the delivery of optimal pharmacotherapy to patients and facilitating safe, efficacious, and pharmacoeconomically rational use of medications in the population(s) served. This position involves daily reactive and targeted proactive medication regimen reviews for patients within the designated area(s) of responsibility or populations served. The Pharmacy Clinical Specialist position supports the delivery of pharmacy managed protocols, formulary processes, and medication reconciliation activities while providing education to fellow pharmacists, nurses, and medical staff. Additional duties for this position include precepting pharmacy students and pharmacy residents on clinical patient care rotations within areas of responsibility and contributing to fulfilling the organization's mission to provide innovative, personalized, cost-effective pharmaceutical care in a culture dedicated to quality and safety.
Exempt
QUALIFICATIONS
EDUCATION
- Graduate of education program approved by the credentialing body for the required credential(s) indicated below in the Certifications, Licenses and Registrations section
EXPERIENCE
- Must have one of the following: Successful completion of an ASHP-accredited post-graduate year one (PGY1) residency training program or equivalent experience (i.e., three years of pharmacy experience per residency year); ASHP-accredited post-graduate year two (PGY2) or fellowship preferred Three years of clinical practice experience
- Meets HM standards of an ASHP-Qualified Residency Preceptor within one year of employment
LICENSES AND CERTIFICATIONS
Required
- PHRM - Pharmacist - State Licensure - Texas Department of Licensing and Regulation_PSV Texas Pharmacist License or eligible for Texas Pharmacist License within 90 days and
- PPC- Pharmacist Preceptor Cert - State Licensure - Texas Department of Licensing and Regulation_PSV within 90 days and
- BLS - Basic Life Support or Instructor (AHA) - American Heart Association within 90 days and
- ACLS - Advanced Cardiac Life Support or Instructor (AHA) - American Heart Association within 90 days and
- PALS - Pediatric Advanced Life Support or Instructor (AHA) - American Heart Association within 90 days
- IV Certification - Intravenous certification (Various) or
- Board of Pharmacy Specialty certification
KNOWLEDGE AND ABILITIES
- Demonstrates the skills and competencies necessary to safely perform the assigned job, determined through ongoing skills, competency assessments, and performance evaluations
- Sufficient proficiency in speaking, reading, and writing the English language necessary to perform the essential functions of this job, especially with regard to activities impacting patient or employee safety or security
- Ability to effectively communicate with patients, physicians, family members and co-workers in a manner consistent with a customer service focus and application of positive language principles
- Exhibits strong interpersonal, teamwork and leadership skills with all levels of the healthcare team and assures delivery of excellent customer service to all patients, visitors, physicians and co-workers; capable of assuming responsibility for coordinating the activities of a major pharmacy service area
- Demonstrates professional and technical competence in the selection, evaluation, utilization, and distribution of drugs and drug information and applies these to all patient groups, neonate to geriatric
- Operates at a proficient level with regards to one’s application of the principles of rational drug therapy including but not limited to: application of current evidence-based guidelines, novel and innovative clinical practices
- Knowledge of operational pharmacy practice and demonstrated record of experience providing fundamental clinical pharmacy services and demonstrated experience with direct patient care activities and interactions with nursing and medical staff members Competence in research in an area related to the practice of pharmacy and maintains active credentialing with HM Academic Institute as applicable to primary work assignment (refer to manager for details)
ESSENTIAL FUNCTIONS
PEOPLE ESSENTIAL FUNCTIONS
- Promotes a positive work environment and contributes to a dynamic, team-focused work unit that actively helps one another to achieve optimal department results. Collaborates with other health care professionals as needed for problem resolution and/or achievement of identified patient-specific goals.
- Serves as a rotation preceptor for students from affiliated colleges of pharmacy and PGY1 or PGY2 pharmacy residents, as well as being a mentor for staff pharmacists supporting clinical skill advancement.
SERVICE ESSENTIAL FUNCTIONS
- Processes all orders/requests accurately and efficiently, verifying appropriateness of all drugs in reference to the patient’s diagnosis, allergies, height and weight. Exercises good judgment in patient care decisions per performance standard and documents patient care activities and patient outcomes impacted by pharmaceutical care and clinical interventions.
- Provides patient-specific and non-patient specific drug information support regularly.
- Serves as a member on one or more Medical Staff Committees and actively contributes to accomplishing the goals of the committee.
QUALITY/SAFETY ESSENTIAL FUNCTIONS
- Collaborates with other health care professionals to manage patient’s drug therapy for maximal effectiveness while minimizing side effects, adverse drug reactions, toxicities, drug interactions, and incompatibilities using established internal and external guidelines.
- Provides pharmaceutical care at the fundamental to advanced level for patients within the designated practice area(s). Activities include, but are not limited to, proactive drug therapy reviews and monitoring, patient counseling, transitions of care management including medication acquisition process support, and management of pharmacist-based dosing protocols.
- Participates in quality management initiatives such as, but not limited to: medication use evaluations, adverse drug reaction and medication error reporting, clinical interventions, medication center reviews, and inventory management documentation and reporting.
FINANCE ESSENTIAL FUNCTIONS
- Contributes to the provision of pharmacoeconomically sound medication therapy by upholding HM Formulary standards in area(s) of responsibility and avoiding medication-related complications.
- Self-motivated to independently manage time; effectively prioritizing tasks for self and for others within the specialty area of focus.
GROWTH/INNOVATION ESSENTIAL FUNCTIONS
- Presents in-services for pharmacy, medical, nursing, and other staff members in area(s) of responsibility. Develops educational materials and provides educational programs for the pharmacy staff and other hospital personnel.
- Seeks opportunities to expand one’s learning beyond fundamental competencies with a focus on continual development as a Pharmacy Clinical Specialist.
- Contributes to the design, analysis and reporting of quality improvement program findings. Participates in research projects to advance organizational quality of care and the pharmacy profession. Submits research and scholarly work for publication, platform presentations, and/or poster presentations.
SUPPLEMENTAL REQUIREMENTS
-
WORK ATTIRE
- Uniform: No
- Scrubs: Yes
- Business professional: Yes
- Other (department approved): No
- Note that employees may be required to be on-call during emergencies (ie. Disaster, Severe Weather Events, etc) regardless of selection below.
- On Call* Yes
- May require travel within the Houston Metropolitan area Yes
- May require travel outside Houston Metropolitan area Yes
ON-CALL*
TRAVEL**
**Travel specifications may vary by department**
EDUCATION
- Graduate of education program approved by the credentialing body for the required credential(s) indicated below in the Certifications, Licenses and Registrations section
EXPERIENCE
- Must have one of the following: Successful completion of an ASHP-accredited post-graduate year one (PGY1) residency training program or equivalent experience (i.e., three years of pharmacy experience per residency year); ASHP-accredited post-graduate year two (PGY2) or fellowship preferred Three years of clinical practice experience
- Meets HM standards of an ASHP-Qualified Residency Preceptor within one year of employment
LICENSES AND CERTIFICATIONS
Required
- PHRM - Pharmacist - State Licensure - Texas Department of Licensing and Regulation_PSV Texas Pharmacist License or eligible for Texas Pharmacist License within 90 days and
- PPC- Pharmacist Preceptor Cert - State Licensure - Texas Department of Licensing and Regulation_PSV within 90 days and
- BLS - Basic Life Support or Instructor (AHA) - American Heart Association within 90 days and
- ACLS - Advanced Cardiac Life Support or Instructor (AHA) - American Heart Association within 90 days and
- PALS - Pediatric Advanced Life Support or Instructor (AHA) - American Heart Association within 90 days
- IV Certification - Intravenous certification (Various) or Board of Pharmacy Specialty certification
Company Profile:
Houston Methodist The Woodlands Hospital opened in June 2017. This 725,000-square-foot, full-service, acute-care hospital offers many of the same services as our flagship hospital in the Texas Medical Center. Also, on the beautiful hospital campus, located at the intersection of Interstate 45 and Texas State Highway 242, are two medical office buildings, which include a Breast Care Center; Cancer Center; infusion center; heart and vascular services; neurology; orthopedics and sports medicine; rehabilitation services; wellness services; an outpatient laboratory; and several other multispecialty physician practices. In January 2022, Houston Methodist The Woodlands opened Healing Tower — a $250 million expansion project that added 106 beds, focused on medical-surgical and women’s services, and provided nine operating rooms. The project also included the expansion of the endoscopy center, emergency department and diagnostic imaging department with an enhanced neurodiagnostic and interventional center.
Houston Methodist is an Equal Opportunity Employer.
At Houston Methodist, the Pharmacy Clinical Specialist position is responsible for performing advanced clinical pharmacy duties, enabling the delivery of optimal pharmacotherapy to patients and facilitating safe, efficacious, and pharmacoeconomically rational use of medications in the population(s) served. This position involves daily reactive and targeted proactive medication regimen reviews for patients within the designated area(s) of responsibility or populations served. The Pharmacy Clinical Specialist position supports the delivery of pharmacy managed protocols, formulary processes, and medication reconciliation activities while providing education to fellow pharmacists, nurses, and medical staff. Additional duties for this position include precepting pharmacy students and pharmacy residents on clinical patient care rotations within areas of responsibility and contributing to fulfilling the organization's mission to provide innovative, personalized, cost-effective pharmaceutical care in a culture dedicated to quality and safety.
Exempt
QUALIFICATIONS
EDUCATION
- Graduate of education program approved by the credentialing body for the required credential(s) indicated below in the Certifications, Licenses and Registrations section
EXPERIENCE
- Must have one of the following: Successful completion of an ASHP-accredited post-graduate year one (PGY1) residency training program or equivalent experience (i.e., three years of pharmacy experience per residency year); ASHP-accredited post-graduate year two (PGY2) or fellowship preferred Three years of clinical practice experience
- Meets HM standards of an ASHP-Qualified Residency Preceptor within one year of employment
LICENSES AND CERTIFICATIONS
Required
- PHRM - Pharmacist - State Licensure - Texas Department of Licensing and Regulation_PSV Texas Pharmacist License or eligible for Texas Pharmacist License within 90 days and
- PPC- Pharmacist Preceptor Cert - State Licensure - Texas Department of Licensing and Regulation_PSV within 90 days and
- BLS - Basic Life Support or Instructor (AHA) - American Heart Association within 90 days and
- ACLS - Advanced Cardiac Life Support or Instructor (AHA) - American Heart Association within 90 days and
- PALS - Pediatric Advanced Life Support or Instructor (AHA) - American Heart Association within 90 days
- IV Certification - Intravenous certification (Various) or
- Board of Pharmacy Specialty certification
KNOWLEDGE AND ABILITIES
- Demonstrates the skills and competencies necessary to safely perform the assigned job, determined through ongoing skills, competency assessments, and performance evaluations
- Sufficient proficiency in speaking, reading, and writing the English language necessary to perform the essential functions of this job, especially with regard to activities impacting patient or employee safety or security
- Ability to effectively communicate with patients, physicians, family members and co-workers in a manner consistent with a customer service focus and application of positive language principles
- Exhibits strong interpersonal, teamwork and leadership skills with all levels of the healthcare team and assures delivery of excellent customer service to all patients, visitors, physicians and co-workers; capable of assuming responsibility for coordinating the activities of a major pharmacy service area
- Demonstrates professional and technical competence in the selection, evaluation, utilization, and distribution of drugs and drug information and applies these to all patient groups, neonate to geriatric
- Operates at a proficient level with regards to one’s application of the principles of rational drug therapy including but not limited to: application of current evidence-based guidelines, novel and innovative clinical practices
- Knowledge of operational pharmacy practice and demonstrated record of experience providing fundamental clinical pharmacy services and demonstrated experience with direct patient care activities and interactions with nursing and medical staff members Competence in research in an area related to the practice of pharmacy and maintains active credentialing with HM Academic Institute as applicable to primary work assignment (refer to manager for details)
ESSENTIAL FUNCTIONS
PEOPLE ESSENTIAL FUNCTIONS
- Promotes a positive work environment and contributes to a dynamic, team-focused work unit that actively helps one another to achieve optimal department results. Collaborates with other health care professionals as needed for problem resolution and/or achievement of identified patient-specific goals.
- Serves as a rotation preceptor for students from affiliated colleges of pharmacy and PGY1 or PGY2 pharmacy residents, as well as being a mentor for staff pharmacists supporting clinical skill advancement.
SERVICE ESSENTIAL FUNCTIONS
- Processes all orders/requests accurately and efficiently, verifying appropriateness of all drugs in reference to the patient’s diagnosis, allergies, height and weight. Exercises good judgment in patient care decisions per performance standard and documents patient care activities and patient outcomes impacted by pharmaceutical care and clinical interventions.
- Provides patient-specific and non-patient specific drug information support regularly.
- Serves as a member on one or more Medical Staff Committees and actively contributes to accomplishing the goals of the committee.
QUALITY/SAFETY ESSENTIAL FUNCTIONS
- Collaborates with other health care professionals to manage patient’s drug therapy for maximal effectiveness while minimizing side effects, adverse drug reactions, toxicities, drug interactions, and incompatibilities using established internal and external guidelines.
- Provides pharmaceutical care at the fundamental to advanced level for patients within the designated practice area(s). Activities include, but are not limited to, proactive drug therapy reviews and monitoring, patient counseling, transitions of care management including medication acquisition process support, and management of pharmacist-based dosing protocols.
- Participates in quality management initiatives such as, but not limited to: medication use evaluations, adverse drug reaction and medication error reporting, clinical interventions, medication center reviews, and inventory management documentation and reporting.
FINANCE ESSENTIAL FUNCTIONS
- Contributes to the provision of pharmacoeconomically sound medication therapy by upholding HM Formulary standards in area(s) of responsibility and avoiding medication-related complications.
- Self-motivated to independently manage time; effectively prioritizing tasks for self and for others within the specialty area of focus.
GROWTH/INNOVATION ESSENTIAL FUNCTIONS
- Presents in-services for pharmacy, medical, nursing, and other staff members in area(s) of responsibility. Develops educational materials and provides educational programs for the pharmacy staff and other hospital personnel.
- Seeks opportunities to expand one’s learning beyond fundamental competencies with a focus on continual development as a Pharmacy Clinical Specialist.
- Contributes to the design, analysis and reporting of quality improvement program findings. Participates in research projects to advance organizational quality of care and the pharmacy profession. Submits research and scholarly work for publication, platform presentations, and/or poster presentations.
SUPPLEMENTAL REQUIREMENTS
-
WORK ATTIRE
- Uniform: No
- Scrubs: Yes
- Business professional: Yes
- Other (department approved): No
- Note that employees may be required to be on-call during emergencies (ie. Disaster, Severe Weather Events, etc) regardless of selection below.
- On Call* Yes
- May require travel within the Houston Metropolitan area Yes
- May require travel outside Houston Metropolitan area Yes
ON-CALL*
TRAVEL**
**Travel specifications may vary by department**
EDUCATION
- Graduate of education program approved by the credentialing body for the required credential(s) indicated below in the Certifications, Licenses and Registrations section
EXPERIENCE
- Must have one of the following: Successful completion of an ASHP-accredited post-graduate year one (PGY1) residency training program or equivalent experience (i.e., three years of pharmacy experience per residency year); ASHP-accredited post-graduate year two (PGY2) or fellowship preferred Three years of clinical practice experience
- Meets HM standards of an ASHP-Qualified Residency Preceptor within one year of employment
LICENSES AND CERTIFICATIONS
Required
- PHRM - Pharmacist - State Licensure - Texas Department of Licensing and Regulation_PSV Texas Pharmacist License or eligible for Texas Pharmacist License within 90 days and
- PPC- Pharmacist Preceptor Cert - State Licensure - Texas Department of Licensing and Regulation_PSV within 90 days and
- BLS - Basic Life Support or Instructor (AHA) - American Heart Association within 90 days and
- ACLS - Advanced Cardiac Life Support or Instructor (AHA) - American Heart Association within 90 days and
- PALS - Pediatric Advanced Life Support or Instructor (AHA) - American Heart Association within 90 days
- IV Certification - Intravenous certification (Various) or Board of Pharmacy Specialty certification
Company Profile:
Houston Methodist The Woodlands Hospital opened in June 2017. This 725,000-square-foot, full-service, acute-care hospital offers many of the same services as our flagship hospital in the Texas Medical Center. Also, on the beautiful hospital campus, located at the intersection of Interstate 45 and Texas State Highway 242, are two medical office buildings, which include a Breast Care Center; Cancer Center; infusion center; heart and vascular services; neurology; orthopedics and sports medicine; rehabilitation services; wellness services; an outpatient laboratory; and several other multispecialty physician practices. In January 2022, Houston Methodist The Woodlands opened Healing Tower — a $250 million expansion project that added 106 beds, focused on medical-surgical and women’s services, and provided nine operating rooms. The project also included the expansion of the endoscopy center, emergency department and diagnostic imaging department with an enhanced neurodiagnostic and interventional center.
Houston Methodist is an Equal Opportunity Employer.
See All 158+ Emergency Department Registered Nurse Jobs in Texas
Find roles in Texas that match your experience and apply in just a few clicks.
Find JobsEmergency Department Registered Nurse Jobs by City in Texas
Where Texas roles are concentrated, by current openings.
Emergency Department Registered Nurse Job Market in Texas
A snapshot from current Texas openings, updated as new roles post.
Who's Hiring
- HealthTrust Workforce Solutions32
- CHRISTUS Health25
- Houston Methodist14
- Texas Health Resources14
- Baylor Scott & White Health10
Top Industries Hiring
- Healthcare & Medical Services22
- Education1
- Insurance1
What Texas Employers Look For
The qualifications that appear most often in emergency department registered nurse jobs across Texas.
- Active Registered Nurse license issued or recognized by the Texas Board of Nursing
- Current BLS and ACLS certification required at time of hire
- Associate or Bachelor of Science in Nursing degree from an accredited program
- Minimum one to two years of emergency department or acute care nursing experience
- Certification in emergency nursing such as CEN preferred for most positions
- Proficiency with electronic health record systems including Epic or Meditech
Emergency Department Registered Nurse Jobs in Texas: Frequently Asked Questions
How do you become a emergency department registered nurse in Texas?
To become an emergency department registered nurse in Texas, you must earn an Associate Degree in Nursing or a Bachelor of Science in Nursing from an accredited program, pass the NCLEX-RN exam, and obtain an active RN license through the Texas Board of Nursing. Texas participates in the Nurse Licensure Compact, so compact-state license holders may practice without a separate Texas license. Most ED positions also require BLS and ACLS certification before your start date.
How much do emergency department registered nurses make in Texas?
Emergency department 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 emergency department registered nurses in Texas?
Employers hiring emergency department registered nurses in Texas right now include HealthTrust Workforce Solutions, CHRISTUS Health, and Houston Methodist, based on current listings on Migrate Mate as of August 2026. Texas's large integrated health systems operate dozens of emergency departments across the state, making them among the most consistent sources of full-time and per-diem openings year-round.
Which Texas cities have the most emergency department registered nurse jobs?
The most emergency department registered nurse openings in Texas are concentrated in Houston, Dallas, and Fort Worth. Houston's position as the state's largest metro, home to the Texas Medical Center and multiple major health systems, drives the highest volume, while Dallas and San Antonio generate consistent demand through their own network of trauma centers, community hospitals, and regional health system campuses serving large and fast-growing populations.
Are there remote emergency department registered nurse jobs in Texas?
Yes, but they're rare. Emergency department nursing is fundamentally a hands-on, bedside role, so the vast majority of positions require on-site presence in a clinical setting. About 0% of emergency department registered nurse openings tied to Texas are remote or hybrid as of August 2026, and those that do exist tend to involve triage-by-phone, telehealth triage coordination, or utilization review functions that draw on ED clinical expertise.
How can I get hired as a emergency department registered nurse in Texas with little or no experience?
The most realistic path for a new-grad or career-changer is applying to a structured nurse residency program. Baylor Scott and White Health, HCA Houston Healthcare, and CHRISTUS Health all run accredited new-graduate residency programs that include supervised ED rotations and are designed for nurses without prior emergency experience. Candidates with backgrounds in medical-surgical nursing, step-down units, or urgent care are especially competitive for these tracks. Earning your BLS and ACLS certifications before applying and pursuing the Trauma Nursing Core Course gives your application a measurable edge.
Where can I find and apply to emergency department registered nurse jobs in Texas?
You can find and apply to emergency department registered nurse jobs in Texas on Migrate Mate, which lists current Texas openings updated regularly. Search the listings to see roles that match your experience level, preferred metro, and shift preferences, then apply directly to the ones that fit.
See All 158+ Emergency Department Registered Nurse Jobs in Texas
Find roles in Texas that match your experience and apply in just a few clicks.
Find Jobs