RN Hospital / Emergency Room (Full Time)

Job Title State Hospital Step Down RN
Location Scurry, TX 75158
Position Type Full Time
Salary $75,000.00 - $85,000.00 per year
Travel Requirements Road Warrior: 20% to 100% per day; all counties within NTBHA Catchment area (Dallas, Ellis, Hunt, Kaufman, Navarro, Rockwall)
Role Summary The Registered Nurse (RN) provides direct and indirect nursing care to individuals served in NTBHA’s State Hospital Step-Down Program, ensuring alignment with the Texas Nursing Practice Act and board standards. The RN works collaboratively with behavioral health staff, case managers, and medical providers, and may have on‑call responsibilities and occasional evening or weekend support.
Responsibilities Complete comprehensive assessments to determine if admission to the program is appropriate.
Accurately and completely report and document the individual’s status, including signs and symptoms, nursing care rendered, physician or prescriber orders, administration of medications and treatments, and individual’s response(s) and contacts with other care team members concerning significant events.
Provide on‑call support for after‑hours, non‑emergency medical events to determine whether on‑site intervention is necessary and to transport individuals for triage or treatment, following appropriate procedures for visits to emergency departments, clinics, or hospital admissions.
Immediately contact or assist in contacting 9-1-1 for possible life‑threatening emergencies, and follow up until the event is resolved and complete all required documentation.
Collaborate with the care team to evaluate all active medications and treatments.
Understand the rationale for and effects of medications and treatments and provide medication education to each individual when medications are prescribed or changed.
Administer medication injections.
Work with insurance companies, pharmacies, and/or Patient Assistance Programs to ensure that individuals receive their medications as prescribed and in a timely manner.
Maintain cooperative working relationships with all agency staff and community partners.
Maintain client confidentiality.
Participate as an integral member of the interdisciplinary team to support stabilization, recovery, and safe transition planning.
Use a personal computer and possess advanced Microsoft Office Suite skills (Outlook, Word, Excel, PowerPoint) and the ability to become familiar with company‑specific programs and software.
Duties and projects may be assigned or changed to meet business needs.
Qualifications Current Texas RN license in good standing.
Experience working in behavioral health, crisis, or residential settings preferred.
Strong assessment, critical thinking, and communication skills.
Ability to respond effectively in crisis situations.
Expert knowledge of medications used in the treatment of mental illness.
Ability to adhere to established policy and procedures.
Benefits 457(b) plan
Paid time off
Health, dental and vision insurance
Health savings account
Flexible spending account
Tuition reimbursement

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