Pediatric Registered Nurse - Intermediate Care

Registered Nurse (RN) – Intermediate Care / Inpatient Rehabilitation Nexus Children’s Hospital – Shenandoah, TXBring Your Pediatric ICU or IMU Experience to Specialized Inpatient Rehabilitation

Nexus Children’s Hospital – Shenandoah is seeking a Registered Nurse with a strong background in pediatric intensive care (PICU), pediatric intermediate care (IMU), or pediatric step‑down nursing to join our inpatient rehabilitation team.

Pediatric ICU or IMU experience is highly preferred. We are looking for nurses who bring strong assessment skills, confidence caring for medically complex pediatric patients, and the ability to recognize subtle changes in condition and respond quickly.

In this role, you will apply those skills in an inpatient rehabilitation environment, helping patients maintain medical stability while rebuilding function, developing independence, and progressing toward their recovery goals.

Position Summary

The Intermediate Care RN provides comprehensive, evidence-based nursing care to patients with complex medical, neurological, developmental, and behavioral needs in an inpatient rehabilitation setting. Patients may have traumatic brain injuries, seizure disorders, neurodevelopmental disabilities, autism spectrum disorders, and other conditions requiring vigilant monitoring and coordinated care. The RN integrates skilled medical care with rehabilitation goals, individualized behavioral support, and trauma‑informed practices.

This

position is especially well suited for nurses with PICU or pediatric IMU experience who want to remain involved in complex patient care while supporting patients throughout their rehabilitation journey.

Key Responsibilities Provide Skilled Care for Medically Complex Patients

• Perform comprehensive initial and ongoing assessments, with close attention to neurological, respiratory, cardiovascular, and overall medical status.
• Recognize subtle changes in patient condition, initiate appropriate nursing interventions, and promptly escalat[e] concerns.
• Apply clinical skills developed in pediatric ICU, IMU, or step‑down settings to support patient safety and medical stability.
• Administer medications, IV therapies, enteral therapies, blood products, and other prescribed treatments according to orders, facility policies, and validated competencies.
• Provide care involving airway management, seizure management, wound care, and other complex medical needs.
• Respond to medical emergencies and initiate interventions according to established protocols.

Support Rehabilitation and Functional Recovery

• Incorporate individualized rehabilitation goals into daily nursing care.
• Collaborate with physical, occupational, and speech therapy teams to support safe participation in treatment and reinforce recovery strategies.
• Assist with mobility, positioning, daily living activities, and patient education in accordance with the plan of care.
• Monitor pain, activity tolerance, medical status, and behavior that may affect rehabilitation progress.
• Help prevent falls, pressure injuries, infections, and other complications that can interrupt recovery.

Deliver Developmentally Appropriate and Family‑Centered Care

• Adapt nursing care to each patient’s age, developmental level, communication needs, and medical condition.
• Use therapeutic communication, trauma‑informed approaches, and individualized behavioral support strategies.
• Partner with families and caregivers throughout treatment, education, and discharge preparation.
• Promote patient dignity, comfort, safety, and increasing independence.

Coordinate Care and Maintain Clinical Standards

• Collaborate with physicians, advanced practice providers, therapists, behavioral health clinicians, pharmacists, case managers, and direct care staff.
• Maintain accurate, timely…