RN Staff Nurse Jobs in Texas
RN Staff Nurse jobs in Texas represent one of the most active nursing markets in the country, with sustained demand across large academic medical centers, community hospitals, and Level I trauma systems, from new graduates through experienced staff nurses. Houston, Dallas, and San Antonio lead hiring, where systems like HCA Healthcare, Baylor Scott & White Health, and UT Health anchor thousands of staff nurse positions. Critical care, med-surg, and emergency nursing consistently see the highest volume of open requisitions across the state. Find a role that fits below and apply directly.
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INTRODUCTION
At Houston Methodist, the Sr Staff Registered Nurse (RN) position is responsible for functioning as an advanced clinician at the Proficient level according to Benner's model of clinical practice. The Sr Staff RN position provides professional direct patient nursing care to a diverse patient population, which may include patients with varied and complex needs, and is considered an expert in a specialty. Besides conducting nursing assessments, assisting with exams and treatment and maintenance of medical records, this position assists in coaching and mentoring department staff in areas of clinical and professional practice. Role modeling compassionate communication with physicians and the interprofessional health care team, the Sr Staff RN position assumes leadership responsibilities with high level contributions in the department and across the institution. Responsibilities for this position may include but are not limited to leading department clinical activities, assessing department needs related to practice and improvement opportunities, serving as a clinical resource for department staff and coordinating department education in partnership with management.
FLSA STATUS
Non-exempt
QUALIFICATIONS
Education
Bachelor’s degree or higher from an accredited school of nursing OR Associate’s degree from an accredited school of nursing with an additional two years of nursing experience (in addition to the minimum experience requirements listed below)
Experience
Three years of nursing experience
One year in specialty preferred
LICENSES AND CERTIFICATIONS
Required
RN - Registered Nurse - Texas State Licensure - Texas Board of Nursing
PSV Compact Licensure – Must obtain permanent Texas license within 60 days (if establishing Texas residency)
BLS - Basic Life Support or Instructor (AHA) - American Heart Association
SKILLS 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
Strong assessment, organizational and problem-solving skills as evidenced by capacity to prioritize multiple tasks and role components
Ability to function independently and exercise judgment in interactions with physicians, interprofessional care team and patients and their families
Acts as effective change agent
Uses therapeutic communication to establish a relationship with patients, families and interprofessional team to collaborate on the plan of care
Uses critical thinking skills and clinical judgment to work autonomously as defined by the Nurse Practice Act
Demonstrates proficient time management skills
Working knowledge of Microsoft products including Outlook
ESSENTIAL FUNCTIONS
PEOPLE ESSENTIAL FUNCTIONS
Identifies staff development opportunities for professional growth of colleagues, provides coaching to meet identified goals. Acts as a model and coaches staff in effective verbal, non-verbal and written communication, which includes active listening and teaching. Provides oversight for new employee preceptorships.
Collaborates to foster healthy relationships in the work environment such as mitigation of conflict. Advocates for a balanced workload, promotes positive behaviors, and peer-to-peer accountability.
Improves nurse satisfaction by serving as a role model and mentor, facilitating teamwork with RNs, non-licensed and interprofessional staff. Drives improvement of department scores for employee engagement, i.e., peer-to-peer accountability.
SERVICE ESSENTIAL FUNCTIONS
Role models the patient and family-centered care standards, as outlined in the Houston Methodist Professional Nursing Practice document. Mentors others regarding specialty populations. Audits plan of care.
Develops, updates, and communicates plan of care, including discharge/disposition, in partnership with the patient, family and interprofessional health care team, using the nursing process. Prioritizes care based on the patient’s needs, abilities, and preferences. Advocates on patient/family’s behalf to identify and resolve clinical and ethical concerns. Develops appropriate resources and supports department practices and guidelines.
Develops and implements effective patient teaching strategies based on learning needs; uses appropriate resources, incorporating planning for care after discharge/disposition. Consistently evaluates the patient’s comprehension and adapts teaching methods accordingly.
Drives department activities to improve department score for patient satisfaction, through peer-to-peer accountability to service standards.
QUALITY/SAFETY ESSENTIAL FUNCTIONS
Models the standards of care related to the nursing process, as outlined in the Houston Methodist Professional Nursing Practice document. Provides care as the staff nurse leader to complex patients and leads the interprofessional health care team in implementing plan of care. Anticipates/prevents and recognizes/resolves early declines in patient condition and emergent situations. Manages assignment of complex patients and other department demands. Identifies areas of practice improvements with research-based evidence to achieve quality measures and patient safety outcomes, supported by accurate documentation and patient teaching.
Models the standards related to regulatory requirements and professional practice as outlined in the Houston Methodist Professional Nursing Practice document. Role models highly developed assessment, clinical documentation, leadership, and analytical skills; integrates and contributes to professional practice standards, policies, procedures, protocols and leads improvements in patient safety-related processes at department or service line level. Contributes to development of service line and clinical standards and guidelines.
Partners on initiatives to improve quality and safety scores, through peer-to-peer accountability, reporting near misses and identifying solutions by collaborating with the interprofessional team. Role models situational awareness, using teachable moments to improve safety.
FINANCE ESSENTIAL FUNCTIONS
Models independent time management effectively and prioritization of daily tasks, minimizing incidental overtime. Actively participates in the stewardship and efficient utilization of resources and needs including capital and operational budget needs.
Implements department strategies to achieve financial target and mentors others to do the same through timely documentation of care, optimizing efficiency, minimizing incidental overtime, and other areas according to department specifications.
GROWTH/INNOVATION ESSENTIAL FUNCTIONS
Identifies opportunities for practice changes and performance improvement. Investigates and incorporates evidence-based practices which are presented to department and leadership. Supports change initiatives and adapts to unexpected changes.
Champions new care pathways or service line implementations to improve care to the community. Identifies trends for improvement opportunities or practice changes and supports initiatives. Researches the change and presents options to appropriate clinical leadership.
Expands individual nursing knowledge and coaches staff to grow in knowledge, abilities, skills, and attitudes. Ensures own career discussions occur with appropriate management. Serves as the clinical resource. Develops and disseminates, as appropriate, informational/educational resources and programs designed to improve quality and professional practice. Completes and updates My Development plan on an ongoing basis.
SUPPLEMENTAL REQUIREMENTS
WORK ATTIRE
+ Uniform: No
+ Scrubs: Yes
+ Business professional: No
+ Other (department approved): No
ON-CALL
* Note that employees may be required to be on-call during emergencies (ie. Disaster, Severe Weather Events, etc) regardless of selection below.
+ On Call No
TRAVEL
Travel specifications may vary by department
+ May require travel within the Houston Metropolitan area Yes
+ May require travel outside Houston Metropolitan area No
Company Profile:
Houston Methodist Specialty Physician Group is an integral part of Houston Methodist’s overall strategy to become one of the nation’s leading academic medical centers. Established as a nonprofit corporation certified by the Texas State Board of Medical Examiners, the Specialty Physician Group enables physicians to maintain autonomy with respect to clinical practice while growing their practice within an academic environment.
Houston Methodist is an Equal Opportunity Employer.
INTRODUCTION
At Houston Methodist, the Sr Staff Registered Nurse (RN) position is responsible for functioning as an advanced clinician at the Proficient level according to Benner's model of clinical practice. The Sr Staff RN position provides professional direct patient nursing care to a diverse patient population, which may include patients with varied and complex needs, and is considered an expert in a specialty. Besides conducting nursing assessments, assisting with exams and treatment and maintenance of medical records, this position assists in coaching and mentoring department staff in areas of clinical and professional practice. Role modeling compassionate communication with physicians and the interprofessional health care team, the Sr Staff RN position assumes leadership responsibilities with high level contributions in the department and across the institution. Responsibilities for this position may include but are not limited to leading department clinical activities, assessing department needs related to practice and improvement opportunities, serving as a clinical resource for department staff and coordinating department education in partnership with management.
FLSA STATUS
Non-exempt
QUALIFICATIONS
Education
Bachelor’s degree or higher from an accredited school of nursing OR Associate’s degree from an accredited school of nursing with an additional two years of nursing experience (in addition to the minimum experience requirements listed below)
Experience
Three years of nursing experience
One year in specialty preferred
LICENSES AND CERTIFICATIONS
Required
RN - Registered Nurse - Texas State Licensure - Texas Board of Nursing
PSV Compact Licensure – Must obtain permanent Texas license within 60 days (if establishing Texas residency)
BLS - Basic Life Support or Instructor (AHA) - American Heart Association
SKILLS 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
Strong assessment, organizational and problem-solving skills as evidenced by capacity to prioritize multiple tasks and role components
Ability to function independently and exercise judgment in interactions with physicians, interprofessional care team and patients and their families
Acts as effective change agent
Uses therapeutic communication to establish a relationship with patients, families and interprofessional team to collaborate on the plan of care
Uses critical thinking skills and clinical judgment to work autonomously as defined by the Nurse Practice Act
Demonstrates proficient time management skills
Working knowledge of Microsoft products including Outlook
ESSENTIAL FUNCTIONS
PEOPLE ESSENTIAL FUNCTIONS
Identifies staff development opportunities for professional growth of colleagues, provides coaching to meet identified goals. Acts as a model and coaches staff in effective verbal, non-verbal and written communication, which includes active listening and teaching. Provides oversight for new employee preceptorships.
Collaborates to foster healthy relationships in the work environment such as mitigation of conflict. Advocates for a balanced workload, promotes positive behaviors, and peer-to-peer accountability.
Improves nurse satisfaction by serving as a role model and mentor, facilitating teamwork with RNs, non-licensed and interprofessional staff. Drives improvement of department scores for employee engagement, i.e., peer-to-peer accountability.
SERVICE ESSENTIAL FUNCTIONS
Role models the patient and family-centered care standards, as outlined in the Houston Methodist Professional Nursing Practice document. Mentors others regarding specialty populations. Audits plan of care.
Develops, updates, and communicates plan of care, including discharge/disposition, in partnership with the patient, family and interprofessional health care team, using the nursing process. Prioritizes care based on the patient’s needs, abilities, and preferences. Advocates on patient/family’s behalf to identify and resolve clinical and ethical concerns. Develops appropriate resources and supports department practices and guidelines.
Develops and implements effective patient teaching strategies based on learning needs; uses appropriate resources, incorporating planning for care after discharge/disposition. Consistently evaluates the patient’s comprehension and adapts teaching methods accordingly.
Drives department activities to improve department score for patient satisfaction, through peer-to-peer accountability to service standards.
QUALITY/SAFETY ESSENTIAL FUNCTIONS
Models the standards of care related to the nursing process, as outlined in the Houston Methodist Professional Nursing Practice document. Provides care as the staff nurse leader to complex patients and leads the interprofessional health care team in implementing plan of care. Anticipates/prevents and recognizes/resolves early declines in patient condition and emergent situations. Manages assignment of complex patients and other department demands. Identifies areas of practice improvements with research-based evidence to achieve quality measures and patient safety outcomes, supported by accurate documentation and patient teaching.
Models the standards related to regulatory requirements and professional practice as outlined in the Houston Methodist Professional Nursing Practice document. Role models highly developed assessment, clinical documentation, leadership, and analytical skills; integrates and contributes to professional practice standards, policies, procedures, protocols and leads improvements in patient safety-related processes at department or service line level. Contributes to development of service line and clinical standards and guidelines.
Partners on initiatives to improve quality and safety scores, through peer-to-peer accountability, reporting near misses and identifying solutions by collaborating with the interprofessional team. Role models situational awareness, using teachable moments to improve safety.
FINANCE ESSENTIAL FUNCTIONS
Models independent time management effectively and prioritization of daily tasks, minimizing incidental overtime. Actively participates in the stewardship and efficient utilization of resources and needs including capital and operational budget needs.
Implements department strategies to achieve financial target and mentors others to do the same through timely documentation of care, optimizing efficiency, minimizing incidental overtime, and other areas according to department specifications.
GROWTH/INNOVATION ESSENTIAL FUNCTIONS
Identifies opportunities for practice changes and performance improvement. Investigates and incorporates evidence-based practices which are presented to department and leadership. Supports change initiatives and adapts to unexpected changes.
Champions new care pathways or service line implementations to improve care to the community. Identifies trends for improvement opportunities or practice changes and supports initiatives. Researches the change and presents options to appropriate clinical leadership.
Expands individual nursing knowledge and coaches staff to grow in knowledge, abilities, skills, and attitudes. Ensures own career discussions occur with appropriate management. Serves as the clinical resource. Develops and disseminates, as appropriate, informational/educational resources and programs designed to improve quality and professional practice. Completes and updates My Development plan on an ongoing basis.
SUPPLEMENTAL REQUIREMENTS
WORK ATTIRE
+ Uniform: No
+ Scrubs: Yes
+ Business professional: No
+ Other (department approved): No
ON-CALL
* Note that employees may be required to be on-call during emergencies (ie. Disaster, Severe Weather Events, etc) regardless of selection below.
+ On Call No
TRAVEL
Travel specifications may vary by department
+ May require travel within the Houston Metropolitan area Yes
+ May require travel outside Houston Metropolitan area No
Company Profile:
Houston Methodist Specialty Physician Group is an integral part of Houston Methodist’s overall strategy to become one of the nation’s leading academic medical centers. Established as a nonprofit corporation certified by the Texas State Board of Medical Examiners, the Specialty Physician Group enables physicians to maintain autonomy with respect to clinical practice while growing their practice within an academic environment.
Houston Methodist is an Equal Opportunity Employer.
See All 11 RN Staff Nurse Jobs in Texas
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Find RN Staff Nurse JobsRN Staff Nurse Jobs by City in Texas
Where Texas roles are concentrated, by current openings.
RN Staff Nurse Job Market in Texas
A snapshot from current Texas openings, updated as new roles post.
Who's Hiring
Top Industries Hiring
- Healthcare & Medical Services
What Texas Employers Look For
The qualifications that appear most often in RN staff nurse jobs across Texas.
- Active RN license issued or recognized by the Texas Board of Nursing
- Associate or bachelor of science degree in nursing from an accredited program
- Current BLS certification required before first clinical shift
- ACLS certification required for critical care, telemetry, and emergency placements
- Minimum one year of acute care bedside experience preferred for most openings
- Demonstrated proficiency with electronic health record systems such as Epic or Cerner
RN Staff Nurse Jobs in Texas: Frequently Asked Questions
How do you become a rn staff nurse in Texas?
You must earn an associate or bachelor of science degree in nursing from an accredited program, then pass the NCLEX-RN exam and apply for licensure through the Texas Board of Nursing. Texas participates in the Nurse Licensure Compact, so nurses licensed in other compact states can practice in Texas without obtaining a separate Texas license. Most Texas hospital systems require licensure to be active before the first scheduled shift.
How much do RN staff nurses make in Texas?
RN staff 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 rn staff nurses in Texas?
Employers hiring rn staff nurses in Texas right now include Houston Methodist, Optum, and Grayson County, Texas, based on current listings on Migrate Mate as of October 2026. Texas's large integrated health systems maintain ongoing staff nurse pipelines across multiple campuses and service lines, meaning openings appear year-round rather than only during seasonal surges.
Which Texas cities have the most rn staff nurse jobs?
Houston, Lahey, and Tyler have the most rn staff nurse openings in Texas. Houston drives the highest volume thanks to the Texas Medical Center, the largest medical complex in the world, while Dallas and San Antonio support large concentrated hospital systems and growing suburban facilities that expand the regional demand well beyond each city's core.
Are there remote rn staff nurse jobs in Texas?
Yes, but they're rare. Bedside staff nursing is an inherently hands-on role, so fully remote positions are limited. About 20% of rn staff nurse openings tied to Texas are remote or hybrid as of October 2026, and those tend to be telephone triage, utilization review, or case management positions rather than traditional floor nursing assignments.
How can I get hired as a rn staff nurse in Texas with little or no experience?
The most realistic entry path is a new-graduate nurse residency program, and Texas has some of the country's largest. HCA Healthcare, Baylor Scott & White Health, and UT Southwestern Medical Center all run structured residency cohorts designed specifically for nurses without hospital experience. Applying to med-surg or telemetry units is the most common starting point, and candidates who hold an active Texas Board of Nursing license and a current BLS certification before applying move through screening faster than those still completing requirements.
Where can I find and apply to rn staff nurse jobs in Texas?
You can find and apply to rn staff nurse jobs in Texas on Migrate Mate, which lists current Texas openings from employers actively hiring right now. Find roles that fit your experience and preferred location, then apply directly to the employers that interest you.
See All 11 RN Staff Nurse Jobs in Texas
Find roles in Texas that match your experience and apply in just a few clicks.
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