Registered Nurse - Night Shift

Registered Nurse (RN) – OvernightNexus Neurorecovery Center | San Antonio, TX Schedule: Thursday – Saturday | 7:00 PM – 7:00 AMAbout Nexus Neurorecovery Center – San AntonioNexus Neurorecovery Center is a female adolescent residential treatment center located in the heart of San Antonio. Our post-acute, community-like setting supports residents navigating mental and behavioral health challenges, along with co-occurring medical needs.What we offer is different from any other residential treatment center. At Nexus, we focus on healing the whole person—mind, body, and spirit—within a safe, structured, and therapeutic environment. Our interdisciplinary teams partner closely with residents and families to help young individuals work toward meaningful recovery goals in a supportive residential setting. Mending minds is what we do.Position SummaryThe Registered Nurse (RN) provides direct, high-quality nursing care to adolescent residents with medical and behavioral health needs. Working overnight as part of a multidisciplinary treatment team, the RN delivers holistic, patient-centered care in accordance with the Texas Board of Nursing (BON) Nurse Practice Act, regulatory requirements, and Nexus Health Systems policies.This role requires strong clinical judgment, critical thinking, patient advocacy, and the ability to support residents in a safe, structured, and therapeutic residential environment.Job-Specific ResponsibilitiesServiceSupports and communicates the Mission, Vision, and Values of Nexus Health SystemsUpholds standards of conduct, ethical behavior, and corporate complianceMaintains confidentiality and protects all PHI in compliance with HIPAACollaborates effectively with colleagues and interdisciplinary teams to ensure seamless care deliveryDemonstrates professionalism, integrity, and respect in all patient and staff interactionsClinical ExcellenceProvides nursing care to adolescent patients with medical and behavioral health diagnoses using evidence-based practicesAdministers medications, treatments, and interventions per physician orders and nursing standardsMonitors patient status and identifies changes requiring intervention or escalationCollaborates with physicians, therapists, social workers, and behavioral health professionals to implement individualized care plansProvides crisis intervention and utilizes de-escalation techniques when appropriateEducates residents and families on medications, health conditions, and coping strategiesCoordinates care for residents with co-occurring medical and behavioral health needsEnsures adherence to safety protocols, infection control standards, and documentation requirementsAccurately documents patient care in accordance with regulatory and facility standardsPatient Experience & AdvocacyAdvocates for residents to ensure individualized, compassionate, and comprehensive carePromotes resident and family engagement in care planning and decision-makingCommunicates proactively with families and caregivers, providing updates and addressing concernsDemonstrates cultural sensitivity and respect for diverse patient populationsQuality Assurance & ComplianceEnsures compliance with all healthcare regulations, policies, and nursing standardsPromotes a culture of patient safety and identifies opportunities for improvementParticipates in quality improvement initiatives and best-practice implementationAdheres to the Texas Nurse Practice Act and BON standards at all timesProfessional Growth & EducationCompletes all required annual education and competency validationsMaintains current knowledge of nursing standards, behavioral health trends, and best practicesParticipates in continuing education and professional development activitiesEngages in self-assessment, peer review, and staff education opportunitiesResource StewardshipUses medical supplies, medications, and equipment responsibly and efficientlySupports accurate documentation for billing and regulatory complianceCollaborates with the care team to deliver cost-effective, high-quality carePerforms other duties as assignedPosition QualificationsEducationAssociate Degree in Nursing (ADN) from an accredited nursing program requiredBachelor of Science in Nursing (BSN) preferredExperienceMinimum of 2 years experience in an inpatient hospital or rehabilitation setting preferred1–2 years of pediatric nursing experience preferredExperience with behavioral health and/or medically complex patients strongly preferredSkillsStrong clinical assessment and critical-thinking skillsAbility to manage acute medical issues and behavioral health situationsEffective communication with residents, families, and interdisciplinary teamsProficient in de-escalation techniques and behavioral health supportStrong organizational skills and ability to prioritize in a dynamic environmentCompetent in EHR systems and clinical documentationLicensure & CertificationsCurrent Registered Nurse (RN) license in the State of TexasBLS (AHA or Red Cross) – requiredACLS – required per unit standardsPALS – required per unit standardsDe-escalation training within 30 days of hireAll certifications must remain current and in good standing