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  3. Registered Nurse (RN), Inpatient - NICU Level 4, Neonatal Intensive Care Unit Level 4 (Nights)
TC

Registered Nurse (RN), Inpatient - NICU Level 4, Neonatal Intensive Care Unit Level 4 (Nights)

Texas Children's Hospital·Houston, Texas

Full Time·On Site·0-2 yrs·
Posted 6 days ago
Practice for this role

About the role

Provide high-quality nursing care to critically ill neonates in a Level 4 NICU, including assessment, planning, and implementation of complex medical and surgical care. Coordinate with an interdisciplinary team to manage patients with severe conditions such as respiratory distress and congenital anomalies.

We are searching for Staff Nurses for our NICU 4 Team! We are looking for someone who works well in a fast-paced setting. In this position you’ll provide quality nursing care to patients by assessing, planning, educating, implementing, and evaluating age appropriate care in a manner that incorporates family-centered principles and cost-effective care. We need someone who can collect and analyze data from the medical record in order to coordinate patient care.

Think you’ve got what it takes?

About our nicu 4

The purpose of the Newborn Center at Texas Children’s Hospital (TCH) is to provide the full spectrum of comprehensive care tending to the clinical and psychosocial needs of all neonates and their families. Texas Children’s Hospital NICU holds the distinct honor to be the first recognized Level IV NICU in The State of Texas and recognized in 2022 and 2024 as the #3 NICU in the country by US News.

NICU IV offers the highest possible level of specialized treatments as well as expert specialists for babies born prematurely or with unique health challenges.

It is located on the 4th floor of the West Tower and is an open pod unit with a few private isolation rooms.

The open pod unit fosters teamwork and collaboration amongst the nurses.

Babies admitted to this unit may have been born at the Pavilion for Women, transferred in from other departments in our hospital, or from hospitals across Texas and beyond.

A team of NICU-specialized nurses, providers, respiratory therapists, social workers, child life specialists, physical therapists, occupational therapists, speech therapists, music therapists, care coordinators, and pharmacists come together to care for our patients and families.

TCH NICU IV RN’s will be responsible for caring for critically ill neonates and infants requiring complex care and the highest level of support. Our teams provide complex medical and surgical care to patients with multiple diagnoses, including but not limited to respiratory distress, bronchopulmonary dysplasia, pulmonary hypertension, hypoxic-ischemic encephalopathy, gastroschisis, omphalocele, necrotizing enterocolitis, congenital heart disease, and other congenital anomalies such as conjoined twins.

We offer the latest cutting-edge standard in treatments and evidence-based practice in our Level IV NICU by embracing state-of-the-art technology to deliver the highest quality care. Continuous Renal Replacement Therapy (CRRT), Extracorporeal Membrane Oxygenation (ECMO), Total Body Cooling (TBC), and Peritoneal Dialysis (PD) are just some of the exemplars of specialized treatments we provide in our Level IV NICU.

Come join our one amazing team!

Qualifications

  • Bachelor's degree in nursing or other degree in nursing with acceptance or current enrollment in a BSN program and signed agreement
  • Current licensure with the Board of Nursing for the State of Texas or Nurse Licensure Compact and BLS certification are required
  • 9 months of professional nursing experience
  • The ability to demonstrate positive and appropriate interpersonal skills, good time and resource management skills, flexibility, strong oral and written communication skills, knowledge of unit-specific equipment, and knowledge of the nursing process, critical thinking skills, PALS, and interdisciplinary collaboration
  • Previous NICU or ICU experience highly preferred!

As part of our commitment to maintaining a safe and healthy workplace, all successful candidates will be required to undergo respiratory fit testing in compliance with occupational health and safety standards.

Responsibilities

  • Perform and document assessments of the patient/family including biophysical, psychosocial, developmental, cultural, spiritual, and environmental needs
  • Collect and analyze data from the medical record in order to coordinate patient care
  • Analyze situations, anticipate potential problems, and detect changes in patient status
  • Identify each patient’s needs pertaining to patient teaching, discharge planning, growth and development, nutritional screening, functional status, and pain management
  • Develop an individualized plan of care based upon the nursing assessment and re-prioritize and change as necessary
  • Determine which standards of care and practice apply to the patient and coordinate among other health team members as appropriate
  • Participate in interdisciplinary rounds and/or patient care conferences
  • Execute therapeutic physician or nurse interventions according to established standards
  • Evaluate and document the patient’s response to the care provided and recognize their progress towards the desired outcome
  • Identify actual/potential barriers to learning and utilize various teaching strategies to overcome them as appropriate
  • Maintain confidentiality concerning patient/family issues
  • Act as a resource in educating new employees/team members
  • Participate in achieving hospital/unit goals, structures, and priorities

Since 1954, Texas Children’s has been leading the charge in patient care, education and research to accelerate health care for children and women around the world. When you love what you do, it truly shows in the smiles of our patient families, employees and our numerous accolades such as being consistently ranked as the best children’s hospital in Texas, and among the top in the nation by U.S. News & World Report as well as recognition from Houston Business Journal as one of this city’s Best Places to Work for ten consecutive years.

Texas Children’s comprehensive health care network includes our primary hospital in the Texas Medical Center with expertise in over 40 pediatric subspecialties; the Jan and Dan Duncan Neurological Research Institute (NRI); the Feigin Tower for pediatric research; Texas Children’s Pavilion for Women, a comprehensive obstetrics/gynecology facility focusing on high-risk births; Texas Children’s Hospital West Campus, a community hospital in suburban West Houston; Texas Children’s Hospital The Woodlands, the first hospital devoted to children’s care for communities north of Houston; and Texas Children’s Hospital North Austin, the new state-of-the-art facility providing world-class pediatric and maternal care to Austin and Central Texas families. We have also created Texas Children’s Health Plan, the nation’s first HMO focused on children; Texas Children’s Pediatrics, the largest pediatric primary care network in the country; Texas Children’s Urgent Care clinics that specialize in after-hours care tailored specifically for children; and a global health program that is channeling care to children and women all over the world. Texas Children’s Hospital is affiliated with Baylor College of Medicine, one of the largest, most diverse and successful pediatric programs in the nation.

To join our community of 15,000+ dedicated team members, visit texaschildrenspeople.org [https://www.texaschildrenspeople.org/career/?job_id=414012] for career opportunities.

Texas Children’s is proud to be an equal opportunity employer. All applicants and employees are considered and evaluated for positions at Texas Children's without regard to mental or physical disability, race, color, religion, gender, national origin, age, genetic information, military or veteran status, sexual orientation, gender identity, marital status or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved.

Requirements

Requires a Bachelor's degree in nursing (or current enrollment), a valid Texas nursing license or Compact license, and BLS certification. Candidates must have at least 9 months of professional nursing experience, with NICU or ICU experience highly preferred.

  • bachelor degree
  • Time Management
  • Care Planning
  • Patient Assessment
  • Patient Education
  • Critical Care
  • Critical Thinking
  • Interdisciplinary Collaboration
  • BLS
  • PALS
  • Family-Centered Care
  • Medical Record Analysis
  • Neonatal Nursing

Posting details

Employment type
Full Time
Work arrangement
On Site
Experience
0-2 yrs
Location
Houston, Texas
Posted
Jul 22, 2026
Application
Employer website
TC

Hiring organization

Texas Children's Hospital

Texas Children’s Hospital is a world-class pediatric facility, nationally recognized as a top children’s hospital, and voted one of the best places to work in Houston for nine years running. We’re committed to creating a healthy community for children by providing the best...

IndustryHospitals and Health Care
TypeNonprofit
Size10,001+ employees
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Market context

Texas NICU RN roles stay competitive

Texas hospitals commonly seek NICU RNs because neonatal intensive care units need nurses who can manage high-acuity infants and collaborate closely with multidisciplinary teams. This role is competitive because employers often prefer NICU or ICU experience, along with a BSN, Texas RN licensure, and BLS certification. Review the AI-summarized requirements and benefits on this platform to save research time, then confirm your experience aligns with NICU-level expectations before applying.

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