Health Care Nurse

At Houston Methodist, the Registered Nurse (RN) II position is a licensed staff nurse, an experienced clinician who functions at the Competent to Proficient stage of Benner's model of clinical practice. The RN II provides professional nursing care to a diverse patient population, conducts nursing assessments, assists with exams and treatment, provides patient education, and maintains medical records. Direct patient care is delivered efficiently for patients with varied and complex needs.

This role communicates and collaborates with physicians and the interprofessional health‑care team to facilitate, coordinate, and maintain compassionate, efficient, quality care and achieve desired treatment outcomes. The RN II demonstrates clinical competence when providing care, using technology, administering medications, performing procedures and managing emergencies, acting as a patient and family advocate to monitor and maintain patient rights.

The RN II assumes leadership roles with progressive responsibility, including participation or leadership in unit and shared governance initiatives, serving as charge nurse or preceptor to students or new employees, and contributing to service line or hospital‑wide initiatives in partnership with management.

Graduate of an education program approved by the credentialing body for the required credential(s) indicated below in the Certifications, Licenses and Registrations section

Twelve months registered nurse experience in a healthcare environment

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)

NIHSTROKE - National Institute of Health Stroke Scale Certification (AHA) - American Heart Association within 4 months

ENPC - Emergency Nursing Pediatric Certification (ENA)

TNCC - Trauma Nursing Core Course or Instructor (ENA)

Uses therapeutic communication, which includes active listening and teaching, to establish a relationship with patients, families, and the interprofessional health‑care team to collaborate on the plan of care.

Contributes to teamwork by awareness of overall unit acuity, consistently offering assistance, and responding positively to requests for assistance.

Fosters healthy relationships in the work environment, seeks guidance from and offers guidance to the interprofessional health‑care team, and applies feedback to improve patient outcomes.

Implements staff education specific to patient populations and unit processes; Uses peer‑to‑peer accountability toward improvement of department score for turnover/retention/employee engagement on unit‑based scorecard.

Follows patient and family‑centered care standards as outlined in the Houston Methodist Professional Nursing Practice document. Conducts nursing assessments, assists with exams and treatment, and maintains medical records.

Develops, updates, and communicates plan of care, including discharge, 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.

Provides patient teaching based on learning needs, uses appropriate resources, incorporates planning for care after discharge, and consistently evaluates the patient’s comprehension.

Helps drive improvement of department score for patient satisfaction on unit‑based scorecard through peer‑to‑peer accountability to service standards.

Quality/Safety Essential Functions

Follows the standards of care related to the nursing process as outlined in the Houston Methodist Professional Nursing Practice document.

Adheres to standards related to regulatory requirements and professional practice; Provides and modifies care for complex patients and coordinates with the interprofessional team based on evaluation of the patient’s condition, supported by accurate documentation.

Improves quality and safety scores on the unit‑based scorecard through peer‑to‑peer accountability, reporting near misses, and collaborating with the interprofessional health‑care team.

Manages time effectively and documents care timely, minimizing incidental overtime, and prioritizing daily tasks.

Provides input into unit resource utilization including capital and operational budget needs.

Contributes to meeting department financial targets on unit‑based scorecard through decreasing length of stay, optimizing efficiency, and other areas according to department specifications.

Identifies and presents areas for innovation, efficiency, and improvement in patient care or unit operations using evidence‑based practice literature.

Offers innovative solutions through evidence‑based practice/performance improvement projects and shared governance activities.

Champions new care pathways or service line implementation to improve service to the community, identifies trends for improvement opportunities or practice changes, and supports initiatives.

Note that employees may be required to be on‑call during emergencies (e.g., Travel
Travel specifications may vary by department.

May require travel within the Houston Metropolitan area: May require travel outside Houston Metropolitan area: