RN - IMC

We are seeking an experienced Registered Nurse (RN) – Intermediate Care (IMC) to join our hospital-based progressive care team. This full-time, on-site position is based in New Braunfels, TX, with the flexibility to serve our San Marcos, TX location, and offers an opportunity for mid-to-senior level nurses to deliver high-acuity, evidence-based care.

As an IMC Registered Nurse, you will provide comprehensive care to patients transitioning from critical care or requiring close monitoring and advanced interventions. You will perform thorough patient assessments, manage cardiac telemetry monitoring, titrate vasoactive drips, and coordinate closely with physicians and interdisciplinary teams to support positive patient outcomes in a step-down and progressive care environment.

We offer a competitive pay range of $30 to $46 per hour, depending on experience, along with a sign-on bonus of up to $5,000. This is an excellent opportunity for seasoned RNs looking to advance their clinical expertise in a professional, collaborative setting.

• Provide direct intermediate and progressive care to patients with complex medical and cardiac needs
• Perform comprehensive patient assessments and ongoing clinical monitoring
• Monitor cardiac telemetry and respond promptly to changes in patient condition
• Titrate vasoactive medications and manage IV infusions per protocol and physician orders
• Administer medications and treatments safely and accurately
• Document patient care, assessments, and interventions thoroughly in the EHR
• Collaborate with physicians, pharmacists, and interdisciplinary team members to develop and update care plans
• Educate patients and families on diagnoses, treatment plans, and discharge instructions
• Ensure compliance with hospital policies, regulatory standards, and patient safety protocols
• Escalate concerns and participate in rapid response and emergency situations as needed

• Current, active Texas or Compact RN license
• Bachelor of Science in Nursing (BSN) preferred;
  Associate Degree in Nursing (ADN) accepted
• Current Basic Life Support (BLS) certification
• Current Advanced Cardiac Life Support (ACLS) certification
• Prior intermediate care or progressive care nursing experience
• Proficiency in cardiac telemetry monitoring and interpretation
• Experience titrating vasoactive drips and managing high-acuity medications
• Strong patient assessment and clinical decision-making skills
• Proficiency in EHR documentation and charting
• Preferred:
  Progressive Care Nursing Certification (PCCN)
• Preferred: NIH Stroke Scale (NIHSS) certification
• Preferred:
  Critical care nursing experience
• Preferred:
  Strong patient education and communication skills