Registered Nurse RN Observation Clinical Decision

Work Schedule: 3 days per week, 7p-7a/Rotating Weekends

Accelerate your nursing career at HCA Houston Healthcare North Cypress and deliver high-efficiency, patient-centered care as an Observation Registered Nurse (RN). This dynamic role is intentionally designed to attract high-caliber Observation Unit, Clinical Decision Unit (CDU), Short-Stay, Rapid Assessment, Transitional Care, Medical-Surgical, Med-Surg, Medical-Telemetry, Telemetry, Tele, and Step-down RNs who excel in fast-paced environments with rapid patient turnaround. Operating within our dedicated observation and short-stay settings, you will manage comprehensive diagnostic care, rapid clinical assessments, continuous telemetry monitoring, and aggressive protocol-driven treatments for patients requiring focused 12-to-24-hour evaluations for conditions such as chest pain, syncope, dehydration, and post-procedural recovery. Our commitment to rapid, high-quality clinical outcomes is backed by elite national distinctions, including the Healthgrades Patient Safety Excellence Award™ (ranking us in the top 5% nationwide), America's 250 Best Hospitals Award™, and the American Heart Association’s Get With The Guidelines®–Stroke Silver Plus Quality Achievement Award. Additionally, our short-stay teams collaborate within a premier environment recognized through corporate honors like the HCA Healthcare Unit of Distinction Award for outstanding clinical nursing performance, providing an ideal setting to sharpen your assessment and diagnostic skills.

Job Summary and Qualifications

As an Observation Registered Nurse, you will be responsible for delivering high-quality, patient-centered care in line with the requirements of the department and the standards of practice for the relevant state and specialty. Collaborating with medical providers and the care team, you will provide personalized, comprehensive, and compassionate care, following established nursing models such as "Assess, Perform, Teach, and Manage." You will also act as an advocate for patients, families, and caregivers, embodying the organization's vision, mission, and values to ensure an outstanding patient experience and positive clinical outcomes.

What you will do in this role:

• Administer the nursing process to a designated group of patients, establishing accountability for direct care delivery and outcome evaluation.
• Assign and delegate patient care tasks to licensed and non-licensed staff based on patient acuity, clinical needs, and staff qualifications.
• Evaluate patient care outcomes, consult with interdisciplinary teams, and adjust treatment plans to ensure optimal service delivery.
• Participate actively in the case management process and cost containment efforts to optimize resource utilization.
• Maintain efficient, effective medical documentation while adhering to hospital policies, performance improvement activities, and professional conduct standards.
• Exhibit specialized, age-specific clinical competency when managing and treating geriatric patient populations.

What qualifications you will need:

• Graduate of an accredited diploma, associates, or baccalaureate degree registered nursing program.
• Bachelor’s Degree in Nursing preferred.
• Current Registered Nurse License in the State of Texas or Multi-State Compact License (Employees with RN Compact License are required to obtain Texas RN License within 90 days of hire date)
• Current BLS issued from American Heart Association required.
• 1 year of clinical Med-Surg experience as a licensed RN in a hospital setting required.

Benefits

HCA Houston Healthcare North Cypress, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:

• Comprehensive benefits for medical, prescription drug, dental, vision, behavioral health and telemedicine services
• Wellbeing support, including free counseling and referral services
• Time away from work programs for paid time off, paid family leave, long- and short-term disability coverage and leaves of absence
• Savings and retirement resources, including a 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service), Employee Stock Purchase Plan, flexible spending accounts, preferred banking partnerships, retirement readiness tools, rollover support and financial wellbeing counseling
• Education support through tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of Nursing
• Additional benefits for fertility and family building, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection and consumer discounts

Learn more about Employee Benefits

Note: Eligibility for benefits may vary by location.

"Nurses are essential to the delivery of healthcare and serve as its foundation. At HCA Healthcare, we are committed to equipping nurses with the tools and resources they need to deliver exceptional patient care, championing the profession, and supporting the advancement of nursing’s future."

Erica Rossitto, MBA/HCM, BSN, RN, NEA-BC
Senior Vice President and Chief Nurse Executive
HCA Healthcare

HCA Houston Healthcare North Cypress, a campus of HCA Houston Healthcare Kingwood, is a 165+ bed, general acute care hospital, founded in 2006 by local physicians who wanted to create a sophisticated, patient-friendly healthcare environment for their community. We strive to provide world-class healthcare to patients throughout Cypress, TX and Northwest Houston. HCA Houston North Cypress provides comprehensive services utilizing the latest in medical technology and equipment. We employ well-respected area physicians and aim to provide an upscale five-star hotel-like ambiance with the comfort of those we care for in mind. Our services include a 20+ bed unit ICU, robotic-assisted surgery, orthopedic care, joint replacement surgery, cancer care, advanced wound care services using hyperbaric medicine, advanced breast cancer screening and imaging, and much more. We are members of HCA Houston Healthcare, the most comprehensive family of hospitals in the region and part of the leading provider of healthcare in the country, HCA Healthcare. Together we are stronger, smarter and more accessible in providing the patient-centered care you need close to home.

HCA Healthcare has been recognized as one of the World’s Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.

If this opportunity is your next step in your career path, we encourage you to apply for our Registered Nurse Observation opening. We review all applications. Qualified candidates will be contacted by a member of our team. We are interviewing apply today!