Emergency Room RN Jobs in Texas
Emergency Room RN jobs in Texas represent one of the most active nursing markets in the country, with consistent demand from large hospital systems, Level I trauma centers, and freestanding emergency departments serving the state's fast-growing urban population, at every level from new graduate to senior charge nurse. Houston, Dallas, and San Antonio anchor the bulk of hiring, where systems like HCA Healthcare, Baylor Scott and White Health, and Texas Health Resources maintain extensive emergency operations. The most in-demand specialties are trauma nursing, pediatric emergency care, and critical care triage. Find a role that fits below and apply directly.
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Do you have the PRN career opportunities as a Seasonal Emergency Room RN PRN you want with your current employer? We have an exciting opportunity for you to join Medical City McKinney which is part of the nation's leading provider of healthcare services, HCA Healthcare.
Medical City McKinney
SEASONAL Registered Nurse Emergency Room
PRN rate: $62/hour
Seasonal program runs from 9/20/26-4/3/27
PROGRAM REQUIREMENTS
- All seasonal RNs are required to work a minimum of 72 hours per pay period during the seasonal period.
- Within a close geography, you may be asked to float to another facility that has an emergent staffing need.
- Four (4) weekend shifts are required each 4 week schedule period.
- During the course of the 32-week period, the employee is required to work two (2) holiday shifts (defined by Department Manager or designee).
- Seasonal Staff are PRN status employees and are subject to first call-off. There are no guaranteed hours by the hospital.
- Seasonal Staff will not be eligible for extra shift bonuses (D1/CND or D2/ECD)
- Registered Nurses who are in the Seasonal program will have one opportunity to pass the clinical competency evaluation. Current FT/PT & PRN employees are not eligible to join the Seasonal program for 2026
- -27 with the exception of RNs that participated in the Seasonal program in the previous year.
- Current employees of HWS are not eligible for the seasonal program.
- Shifts may vary based on the needs of the department.
Job Summary and Qualifications
The Registered Nurse coordinates and delivers high quality, patient-centered care in accordance with the nature and specific requirements of the department, and consistent with the scope and standards of practice for the relevant state and specialty. In collaboration with medical providers and other members of the care team, the RN provides individualized, comprehensive, and compassionate care using established nursing models such as “Assess, Perform, Teach, and Manage.” The RN serves as an advocate for patients/families/caregivers and models a commitment to the organization’s vision/mission/values to support an unparalleled patient experience and clinical outcomes that contribute to overall departmental performance.
- Assesses patient pain regularly to promote effective pain management, including reassessments after appropriate intervention.
- Performs procedures, monitoring, or other functions as ordered by the medical provider(s). Documents the administration of care in the patient medical record in a timely and thorough manner.
- Performs exceptional care by responding promptly to patient requests. Strives to anticipate patient needs and resolve them proactively.
- Teaches patients/families/caregivers about patient medical condition, patient status, treatment plan, medications and possible side effects, and follow-up measures. Translates complex medical terminology to ensure complete understanding.
- Teaches patients/families/caregivers about any non-medicinal follow-up measures, such as healthy diet and exercise, disease prevention, and/or other lifestyle changes. Prepares patients and families/caregivers for future self-management.
What qualifications you will need:
- Advanced Cardiac Life Spt
- Basic Cardiac Life Support
- PALS Pediatric Adv Life Supt
- Trauma Nursing Core Course
- (RN) Registered Nurse
- BSN required
- 2+ years ER Trauma experience required
Benefits
Medical City McKinney, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include some or all of the following:
- Comprehensive benefits for medical, prescription drug, dental, vision, behavioral health and telemedicine services
- Wellbeing support, including free counseling and referral services
- Time away from work programs for paid time off, paid family leave, long- and short-term disability coverage and leaves of absence
- Savings and retirement resources, including a 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service), Employee Stock Purchase Plan, flexible spending accounts, preferred banking partnerships, retirement readiness tools, rollover support and financial wellbeing counseling
- Education support through tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of Nursing
- Additional benefits for fertility and family building, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection and consumer discounts
Learn more about Employee Benefits
Note: Eligibility for benefits may vary by location and position.
Medical City McKinney opened its doors more than 90 years ago. We are a 285+ bed acute care hospital. We serve the residents of McKinney and northern Collin County. Our main campus is a Level III Trauma Center. We provide emergency services at our main campus and at Medical City ER Stonebridge. We have cardiovascular and neurological services. We offer general surgery, orthopedics and women's services. Additionally, a Level II neonatal intensive care unit and behavioral health services. Medical City McKinney is a Primary Stroke Center. We are also a stroke rehabilitation center. We are certified by The Joint Commission for total hip and total knee replacement. We are a part of the Medical City network of hospitals. Patients are ensured access to medical experts and advanced healthcare innovations across the network.
HCA Healthcare has been recognized as one of the World’s Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.
"Bricks and mortar do not make a hospital. People do."- Dr. Thomas Frist, Sr.
HCA Healthcare Co-Founder
If you are looking for an opportunity that provides satisfaction and personal growth, we encourage you to apply for our Seasonal Emergency Room RN PRN opening. We review all applications. Qualified candidates will be contacted for interviews. Unlock the possibilities and apply today!
We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status
See All 142+ Emergency Room RN Jobs in Texas
Find roles in Texas that match your experience and apply in just a few clicks.
Find Emergency Room RN JobsEmergency Room RN Jobs by City in Texas
Where Texas roles are concentrated, by current openings.
Emergency Room RN Job Market in Texas
A snapshot from current Texas openings, updated as new roles post.
Who's Hiring
- Medical City Healthcare19

- Voyage Health14V
- HCA Houston Healthcare13

- Emerus10

- Methodist Healthcare System10

Top Industries Hiring
- Healthcare & Medical Services
- Non-Profit & Social Services
What Texas Employers Look For
The qualifications that appear most often in emergency room RN 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
- Minimum one to two years of emergency department or acute care experience preferred
- Completion of an accredited ADN or BSN nursing program from an accredited institution
- Triage experience and familiarity with Emergency Severity Index scoring systems
- Certification in Emergency Nursing (CEN) preferred for mid-level and senior positions
Emergency Room RN Jobs in Texas: Frequently Asked Questions
How do you become a emergency room rn in Texas?
To become an emergency room rn in Texas, you must first earn a nursing degree from an accredited ADN or BSN program, then pass the NCLEX-RN exam to obtain your Registered Nurse license through the Texas Board of Nursing. Texas participates in the Nurse Licensure Compact, so nurses licensed in other compact states can practice without obtaining a separate Texas license. After licensure, most employers expect current BLS and ACLS certifications before your first shift in the ED.
How much do emergency room RNs make in Texas?
Emergency room RNs 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 room rns in Texas?
Employers hiring emergency room rns in Texas right now include Medical City Healthcare, Voyage Health, and HCA Houston Healthcare, based on current listings on Migrate Mate as of August 2026. Texas's large integrated health systems and the dense network of freestanding emergency centers across the state make it one of the highest-volume markets for ED nursing openings nationwide.
Which Texas cities have the most emergency room rn jobs?
Houston, San Antonio, and Fort Worth lead Texas for emergency room rn openings, reflecting the concentration of major hospital systems and Level I trauma centers serving the state's largest urban populations. Demand in smaller metros like El Paso and Fort Worth is driven by regional health systems that serve large catchment areas without the same depth of competing employers found in Houston or Dallas.
Are there remote emergency room rn jobs in Texas?
Yes, but they're rare. Emergency room nursing is fundamentally hands-on bedside work, so the vast majority of openings require in-person attendance in a clinical setting. About 0% of emergency room rn openings tied to Texas are remote or hybrid as of August 2026, and those positions are almost exclusively in adjacent areas such as telephone triage, nurse advice lines, or care coordination roles that draw on ED experience.
How can I get hired as a emergency room rn in Texas with little or no experience?
The most realistic entry path is applying to a formal new-graduate nurse residency program, which large Texas health systems like Baylor Scott and White Health, Texas Health Resources, and Memorial Hermann run specifically for nurses without clinical experience. These structured programs rotate new graduates through the emergency department alongside experienced nurses before independent practice. Completing clinical rotations in an ED during nursing school, obtaining your CEN preparation coursework early, and holding current ACLS certification before applying all strengthen a new-grad application significantly.
Where can I find and apply to emergency room rn jobs in Texas?
You can find and apply to emergency room rn jobs in Texas on Migrate Mate, which lists current openings tied to this role and state. Search the listings below to see what is available right now, find the roles that fit your experience and location, and apply directly to each one.
See All 142+ Emergency Room RN Jobs in Texas
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