Registered Nurse - Night Shift
Job Description
Registered Nurse (RN) – Overnight
Nexus Neurorecovery Center | San Antonio, TX
Schedule: Thursday – Saturday | 7:00 PM – 7:00 AM
About Nexus Neurorecovery Center – San Antonio
Nexus 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 Summary
The 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 Responsibilities
Service
Supports and communicates the Mission, Vision, and Values of Nexus Health Systems
Upholds standards of conduct, ethical behavior, and corporate compliance
Maintains confidentiality and protects all PHI in compliance with HIPAA
Collaborates effectively with colleagues and interdisciplinary teams to ensure seamless care delivery
Demonstrates professionalism, integrity, and respect in all patient and staff interactions
Clinical Excellence
Provides nursing care to adolescent patients with medical and behavioral health diagnoses using evidence-based practices
Administers medications, treatments, and interventions per physician orders and nursing standards
Monitors patient status and identifies changes requiring intervention or escalation
Collaborates with physicians, therapists, social workers, and behavioral health professionals to implement individualized care plans
Provides crisis intervention and utilizes de-escalation techniques when appropriate
Educates residents and families on medications, health conditions, and coping strategies
Coordinates care for residents with co-occurring medical and behavioral health needs
Ensures adherence to safety protocols, infection control standards, and documentation requirements
Accurately documents patient care in accordance with regulatory and facility standards
Patient Experience & Advocacy
Advocates for residents to ensure individualized, compassionate, and comprehensive care
Promotes resident and family engagement in care planning and decision-making
Communicates proactively with families and caregivers, providing updates and addressing concerns
Demonstrates cultural sensitivity and respect for diverse patient populations
Quality Assurance & Compliance
Ensures compliance with all healthcare regulations, policies, and nursing standards
Promotes a culture of patient safety and identifies opportunities for improvement
Participates in quality improvement initiatives and best-practice implementation
Adheres to the Texas Nurse Practice Act and BON standards at all times
Professional Growth & Education
Completes all required annual education and competency validations
Maintains current knowledge of nursing standards, behavioral health trends, and best practices
Participates in continuing education and professional development activities
Engages in self-assessment, peer review, and staff education opportunities
Resource Stewardship
Uses medical supplies, medications, and equipment responsibly and efficiently
Supports accurate documentation for billing and regulatory compliance
Collaborates with the care team to deliver cost-effective, high-quality care
Performs other duties as assigned
Position Qualifications
Education
Associate Degree in Nursing (ADN) from an accredited nursing program required
Bachelor of Science in Nursing (BSN) preferred
Experience
Minimum of 2 years experience in an inpatient hospital or rehabilitation setting preferred
1–2 years of pediatric nursing experience preferred
Experience with behavioral health and/or medically complex patients strongly preferred
Skills
Strong clinical assessment and critical-thinking skills
Ability to manage acute medical issues and behavioral health situations
Effective communication with residents, families, and interdisciplinary teams
Proficient in de-escalation techniques and behavioral health support
Strong organizational skills and ability to prioritize in a dynamic environment
Competent in EHR systems and clinical documentation
Licensure & Certifications
Current Registered Nurse (RN) license in the State of Texas
BLS (AHA or Red Cross) – required
ACLS – required per unit standards
PALS – required per unit standards
De-escalation training within 30 days of hire
All certifications must remain current and in good standing