PACU Nurse Jobs in Texas
PACU Nurse jobs in Texas are among the most active in the country, concentrated in large acute-care hospital systems, trauma centers, and ambulatory surgery centers serving one of the nation's largest and fastest-growing state populations, with openings at every level from new graduate to senior clinical lead. The heaviest hiring is in Houston, Dallas, and San Antonio, where major employers such as HCA Houston Healthcare, Baylor Scott and White Health, and Methodist Health System maintain large perioperative programs. The highest demand is for nurses with cardiac, pediatric PACU, and orthopedic surgical recovery experience. Find a role that fits below and apply directly.
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INTRODUCTION
Strong staffing support when it matters most. Technology and tools that streamline patient monitoring and communication to help you work more efficiently. Robust supply chains to keep you fully equipped. Ongoing clinical education to improve your skills. As a Registered Nurse at HCA Healthcare, you’ll have all the staffing support, technology and resources you need to deliver safe, high-quality care—so you can focus on what you do best.
JOB SUMMARY AND QUALIFICATIONS
As the Float Pool PreOp/PACU Nurse, you will contribute to the company’s mission and vision by utilizing the nursing process in planning, executing, and evaluating the nursing care rendered preoperatively and postoperatively until your patient is dismissed from the facility.
What you will do in this role:
- You will rotate to other ambulatory surgery center facilities
- Prepare patient care area adequately before case and ensure availability of necessary equipment and supplies
- Initiate intravenous therapy as prescribed, utilizing aseptic technique utilizing appropriate IV start kit, catheter and fluid
- Ensure that medication is labeled appropriately
- Administer pre-operative medications as prescribed and utilize safety medication practices
- Monitor your patient until he/she is transferred to the OR
- Recognize signs and symptoms of your patient’s condition that indicate potential post procedure or anesthesia related complications and report to the anesthesiologist immediately
- Monitor and maintain proper intravenous intake and output
- Document patient assessment upon admission
- Check dressings and/or operative site and report abnormalities to the surgeon
- Assure that patient meets all discharge criteria
Qualifications you will need:
- Associate Degree in Nursing or RN Diploma or Higher degree in Nursing Required
- 1+ years of nursing experience in a clinical setting, preferably in PACU, ICU or Surgery
- Active RN license as required by state of employment
- BCLS Certification upon employment. ***online certification not acceptable
- ACLS required within 30-days of hire
- PALS if required by facility within 30-days of hire
BENEFITS
HCA Healthcare offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:
- 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
"Nurses are essential to the delivery of healthcare and serve as its foundation. At HCA Healthcare, we are committed to equipping nurses with the tools and resources they need to deliver exceptional patient care, championing the profession, and supporting the advancement of nursing’s future."
Erica Rossitto, MBA/HCM, BSN, RN, NEA-BC
Senior Vice President and Chief Nurse Executive
HCA Healthcare
If growth and continued learning is important to you, we encourage you to apply for our PreOp PACU Nurse - Float Pool opening. Our team will promptly review your application. Highly qualified candidates will be contacted for interviews. Unlock the possibilities 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 25 PACU Nurse Jobs in Texas
Find roles in Texas that match your experience and apply in just a few clicks.
Find PACU Nurse JobsPACU Nurse Jobs by City in Texas
Where Texas roles are concentrated, by current openings.
PACU Nurse Job Market in Texas
A snapshot from current Texas openings, updated as new roles post.
Who's Hiring
- Memorial Hermann Health System9

- Houston Methodist5

- Baylor Scott & White Health4

- CommonSpirit Health2

- Methodist Healthcare System2

Top Industries Hiring
- Healthcare & Medical Services22
- Human Resources1
- Non-Profit & Social Services1
What Texas Employers Look For
The qualifications that appear most often in PACU nurse jobs across Texas.
- Active RN 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 acute-care RN or perioperative nursing experience
- CPAN or CAPA certification preferred or required for senior-level positions
- Demonstrated experience monitoring post-anesthesia patients and managing airways
- Proficiency with electronic health record systems used in Texas surgical settings
PACU Nurse Jobs in Texas: Frequently Asked Questions
How do you become a pacu nurse in Texas?
To become a pacu nurse in Texas, you must first hold an active registered nurse license issued by the Texas Board of Nursing, which requires completing an accredited ADN or BSN program and passing the NCLEX-RN exam. Most Texas hospitals require at least one year of acute-care experience, often in an ICU or surgical unit, before moving into a PACU role. Earning the CPAN credential through the American Board of PeriAnesthesia Nursing strengthens your candidacy significantly.
How much do PACU nurses make in Texas?
PACU 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 pacu nurses in Texas?
Employers hiring pacu nurses in Texas right now include Memorial Hermann Health System, Houston Methodist, and Baylor Scott & White Health, based on current listings on Migrate Mate as of June 2026. Texas's large integrated health systems operate multiple surgical facilities across the state, meaning openings appear regularly at both flagship medical centers and regional community hospitals throughout the year.
Which Texas cities have the most pacu nurse jobs?
Houston, Cypress, and Denton have the highest concentration of pacu nurse openings in Texas. Houston's massive Texas Medical Center anchors demand in the south, while Dallas and San Antonio support large perioperative programs through their major health systems and Level I trauma centers, creating steady openings across both flagship hospitals and the growing network of suburban surgical facilities surrounding each metro.
Are there remote pacu nurse jobs in Texas?
Yes, but they're rare. PACU nursing is a hands-on, bedside role requiring direct patient monitoring in a clinical setting, so the vast majority of positions require on-site presence. About 0% of pacu nurse openings tied to Texas are remote or hybrid as of June 2026, and those limited exceptions typically involve administrative, education, or case management responsibilities layered onto a clinical background.
How can I get hired as a pacu nurse in Texas with little or no experience?
The most realistic entry path is applying to a nurse residency or perioperative fellowship program at a large Texas health system. Baylor Scott and White Health, HCA Houston Healthcare, and Methodist Health System all run structured new-graduate residencies that include surgical and post-anesthesia rotations. Starting in a medical-surgical or ICU role at a Texas hospital builds the patient assessment skills PACU hiring managers look for, and completing your ACLS certification before applying gives you a concrete edge.
Where can I find and apply to pacu nurse jobs in Texas?
You can find and apply to pacu nurse jobs in Texas on Migrate Mate, which lists current Texas openings from employers actively hiring in the state. Search the listings, find roles that match your experience and preferred location, and apply directly to the positions that fit.
See All 25 PACU Nurse Jobs in Texas
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