Staff - Charge Nurse (RN) - Long Term Acute Care

Company: Baylor Scott & White Health
Location: Heidenheimer
Posted on: October 28, 2025

Job Description:

Staff - Charge Nurse (RN) - Long Term Acute Care at Baylor Scott & White Health summary: The Staff Charge Nurse (RN) in Long Term Acute Care at Baylor Scott & White Health coordinates comprehensive patient care in a specialized hospital unit, focusing on complex medical conditions such as pulmonary disease, wound care, and dialysis. The role involves clinical judgment, staff supervision, patient advocacy, and collaboration with interdisciplinary teams to deliver evidence-based nursing care. The nurse ensures patient safety, facilitates learning, and participates in quality improvement while supporting professional development within a compassionate healthcare environment. Baylor Scott & White Health is seeking a Long Term Acute Care Charge Nurse (RN) for a nursing job in Temple, Texas. Job Description & Requirements Specialty: Long Term Acute Care Discipline: RN Duration: Ongoing 40 hours per week Shift: 8 hours, days Employment Type: Staff Baylor Scott & White Continuing Care Hospital Job Title: RN Charge Location: Temple, TX Shift: Full-Time, Days Department: Long-Term Acute Care/ICU Long Term Acute Care: Vent Weaning, Pulmonary Disease, Cardiopulmonary Disease, Complex Wound Care, Neuromuscular Diseases, GI Disease, Postoperative Complications, Kidney Disease (including dialysis), Post-Trauma. Patient Ratios: For ICU 2-3 to 1 nurse, Med-Surg 4-5 to 1 nurse with support of non-licensed staff and unit clerk Department Specifics: Average length of stay for patients: 25 days, Number of beds: 25 beds, Wound care team, 24-hour respiratory therapy team The best of both worlds in one hospital unit-ICU (Ventilators; Drips; Procedures at bedside)/Med-Surg. Opportunity to learn and grow on the same team, one hospital. CCH is like a small family. Staff and inter-disciplinary teams know and care for each other. We work hard but have fun at the same time. Every decision made is in the best interest of staff and the patients. JOB SUMMARY The Registered Nurse (RN) Charge is a licensed professional who uses the BSWH nursing professional practice model to coordinate patient care delivery by the health care team. In the capacity of Charge Nurse, works in the best interests of BSWH and accepts increased responsibility to support and carry out BSWHs mission and goals. Using the nursing process, the RN assesses the patient, identifies nursing diagnoses based on responses to health problems, develops and implements an individualized plan of care, and evaluates the patient's response. The RN promotes safe passage for their patients by using knowledge of patient needs and the healthcare environment to assist patients to transition through the healthcare encounter without any preventable complications or delays. The RN delegates interventions to health care personnel based on the Texas Nursing Practice Act, each patient's condition and the competencies of the employee. The Charge Nurse holds nurses accountable for providing appropriate care including, where appropriate, taking disciplinary or other corrective action with support from the designated manager. The Charge RN is to be used only for hospital inpatient and outpatient departments with 24X7 staffing which include those departments with on-call staffing on the off shifts. Examples of hospital inpatient and outpatient procedural areas: GI Lab, Pain Management, Dialysis, Infusion Centers and IV Services. ESSENTIAL FUNCTIONS OF THE ROLE Clinical Judgment: Using clinical reasoning, conducts accurate clinical assessments according to practice standards. Identifies and prioritizes patient and family needs. Develops, implements and evaluates the nursing plan of care. Modifies plan to meet clinical outcomes. Responsibly directs employees and, where appropriate, addresses their grievances and concerns and/or recommends and meaningfully participates in decisions on those matters. Clinical Inquiry: Systematically evaluates the quality and effectiveness of nursing practice, including, but not limited to, nursing sensitive indicators. Supports evidence-based practice changes through research utilization and experiential learning. Participates in quality/performance improvement initiatives. Words and actions are congruent and holds others accountable for the same. Caring Practices: Creates a compassionate, supportive, safe and therapeutic environment for patients, families and staff. Develops therapeutic relationships with patient and family and maintains appropriate boundaries. Manages both emotional and physical pain with the aim of promoting comfort and healing and preventing unnecessary suffering. Response to Diversity: Recognizes, appreciates and incorporates a patient's and family's unique differences, such as culture, spiritual beliefs, gender, race, ethnicity, lifestyle, socioeconomic status, age, and values, into an individualized plan of care. Advocacy and Moral Agency: Preserves and protects the confidentiality, autonomy, dignity and rights of patient and family and represents their concerns. Creates an individualized plan that accurately reflects patient and family values and goals. Identifies and helps resolve ethical and clinical concerns. Facilitation of Learning: Facilitates learning for patients and families, nursing staff, other members of the health care team and community; integrating appropriate education throughout the continuum of care to help them participate and/or make informed decisions about their health care and treatments, including health promotion and disease prevention. Assesses and documents learning needs and outcomes. Collaboration: Works collaboratively and interdependently with colleagues and community to develop and implement an integrated plan of care. Open and sensitive to all team members' unique contributions. Delegates tasks and care to appropriate staff and ensures timely follow-up. Effectively implements changes in the department. Makes and modifies staffing assignments and clearly communicates thereof. Systems Thinking: Uses strategies and available resources for problem-solving for patients, family and staff. Recognizes that resources are limited and considers factors related to safety, effectiveness and efficiency in planning and delivering patient care. Professionalism: Improves nursing practice and the work environment through participating in shared governance and decision-making processes and meaningfully recognizing the contributions of others. Participates in the staffing process from education and planning to evaluation. Identifies personal goals and commits to ongoing professional growth through continuing education, networking with professional colleagues, membership and involvement in professional nursing organizations, self-study, professional reading, certification and seeking advanced degrees. Contributes to the professional development of peers, colleagues and others. Provides feedback on performance for staff growth and development and annual evaluation. Demonstrates commitment to community service. KEY SUCCESS FACTORS Knowledge and understanding of nursing and patient care standards and procedures. Knowledge of laws, rules and regulations; standards and guidelines of certifying and accrediting bodies; hospital and department/unit standards, protocols, policies and procedures governing the provision of nursing care applicable to the area of assignment. Knowledge of medical terminology; principles and practices of health promotion, risk reduction, illness and disease prevention and management; medications and drugs, common dosages, their physical and physiological effects, and possible adverse reactions. Knowledge of medical and professional nursing ethics and patient privacy rights. Must be able to communicate thoughts clearly, both verbally and in writing. Interpersonal skills to interact with a wide-range of constituencies. Must have critical thinking and problem-solving skills. Ability to observe changes in the medical condition of patients and effectively communicate these changes to other nursing staff members and physicians/providers. Ability to provide age-specific, quality, patient-centered care to all patients through the nursing process and standards of nursing practice with sensitivity and respect for the diversity of human experience and to develop, evaluate, implement and, as necessary, modify a patient care plan to meet the needs of individual patients. General computer skills, including but not limited to: Microsoft Office, information security, scheduling and payroll systems, electronic medical documentation, and email. BENEFITS Our competitive benefits package includes the following - Immediate eligibility for health and welfare benefits - 401(k) savings plan with dollar-for-dollar match up to 5% - Tuition Reimbursement - PTO accrual beginning Day 1 Note: Benefits may vary based upon position type and/or level QUALIFICATIONS - EDUCATION - Grad of an Accredited Program - MAJOR - Nursing - MAJOR - Nursing - MAJOR - Nursing - EXPERIENCE - 2 Years of Experience - CERTIFICATION/LICENSE/REGISTRATION - Registered Nurse (RN) Basic Life Support (BLS): BLS or BLS within 30 days of hire or transfer. Baylor Scott & White Health Job ID 25017138. About Baylor Scott & White Health As the largest not-for-profit health system in the state of Texas, Baylor Scott & White promotes the health and well-being of every individual, family and community it serves. It is committed to making quality care more accessible, convenient and affordable through its integrated delivery network, which includes the Baylor Scott & White Health Plan, Baylor Scott & White Research Institute, the Baylor Scott & White Quality Alliance and its leading digital health platform – MyBSWHealth. Through 51 hospitals and more than 1,100 access points, including flagship academic medical centers in Dallas, Fort Worth and Temple, the system offers the full continuum of care, from primary to award-winning specialty care. Founded as a Christian ministry of healing more than a century ago, Baylor Scott & White today serves more than three million Texans. Benefits Holiday Pay Continuing Education 401k retirement plan Wellness and fitness programs Employee assistance programs Medical benefits Dental benefits Vision benefits Benefits start day 1 Life insurance Discount program Keywords: registered nurse, charge nurse, long term acute care, ICU nursing, patient care coordination, ventilator management, wound care, pulmonary disease, dialysis nursing, nursing supervision

Keywords: Baylor Scott & White Health, Temple , Staff - Charge Nurse (RN) - Long Term Acute Care, Healthcare , Heidenheimer, Texas