Registered Nurse Clinical Decision Unit
Company: Methodist Hospital Metropolitan
Location: San Antonio
Posted on: January 6, 2026
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Job Description:
Job Description Description Introduction Do you currently have
an opportunity to make a real impact with your work? With over
2,000 sites of care and serving over 31.2 million patient
interactions every year, nurses at Methodist Hospital Metropolitan
have the opportunity to make a real impact. As a Registered Nurse
in the Clinical Decision Unit you can be a part of change. Benefits
Methodist Hospital Metropolitan, offers a total rewards package
that supports the health, life, career and retirement of our
colleagues. The available plans and programs include: -
Comprehensive medical coverage that covers many common services at
no cost or for a low copay. Plans include prescription drug and
behavioral health coverage as well as free telemedicine services
and free AirMed medical transportation. - Additional options for
dental and vision benefits, life and disability coverage, flexible
spending accounts, supplemental health protection plans (accident,
critical illness, hospital indemnity), auto and home insurance,
identity theft protection, legal counseling, long-term care
coverage, moving assistance, pet insurance and more. - Free
counseling services and resources for emotional, physical and
financial wellbeing - 401(k) Plan with a 100% match on 3% to 9% of
pay (based on years of service) - Employee Stock Purchase Plan with
10% off HCA Healthcare stock - Family support through fertility and
family building benefits with Progyny and adoption assistance. -
Referral services for child, elder and pet care, home and auto
repair, event planning and more - Consumer discounts through
Abenity and Consumer Discounts - Retirement readiness, rollover
assistance services and preferred banking partnerships - Education
assistance (tuition, student loan, certification support, dependent
scholarships) - Colleague recognition program - Time Away From Work
Program (paid time off, paid family leave, long- and short-term
disability coverage and leaves of absence) - Employee Health
Assistance Fund that offers free employee-only coverage to
full-time and part-time colleagues based on income. Learn more
about Employee Benefits Note: Eligibility for benefits may vary by
location. It is an exciting time to be a nurse at HCA Healthcare!
Come unlock your career potential and see how rewarding it can be
to reach your personal and professional goals. Help to advance the
practice of nursing and improve positive outcomes for your patients
as a (an) Registered Nurse Clinical Decision Unit. We want your
knowledge and expertise! Job Summary and Qualifications The
professional Registered Nurse (RN) is the patient and patient’s
family advocate. He/she consistently applies and utilizes the
nursing process, critical thinking skills, scientific judgment,
technical skills and leadership to independently deliver safe
nursing care to patients. The RN collaborates with the patient care
team to achieve quality patient outcomes in alignment with the
Hospital mission and Methodist Excellence goals. Communicates and
utilizes interpersonal skills effectively and role models
confidence and professionalism within nursing as evidenced by
active engagement in unit and organizational activities.
Demonstrates team work and adaptability and is a resource person to
the patient care team. He/she is accountable for the quality of
nursing care services delivered by self or others under their
direction in accordance with the Texas Nurse Practice Act, hospital
policies and procedures and the Texas Board of Nursing rules for
delegated nursing tasks (Chapter 224). Promotes a positive image of
nursing and demonstrates team work and adaptability through
consistently following the standards of Methodist Excellence.
???????Essential Job Functions: 1. ?Applies nursing judgment
through a thorough, systematic approach of applying the nursing
process to include: - ?Assessment: Conducts comprehensive, timely,
and ongoing focused physical, psycho- social and pain assessments;
includes assessment of patient education needs. - ?Planning:
Utilizes the assessment, identifies problems, makes nursing
diagnoses, formulates goals, teaching plans and outcomes to create
an individualized plan of care. Identifies individual patient
goals, readiness to learn and incorporates family into the plan of
care. - ?Implementation: Prioritizes and implements a competent,
prioritized and efficient nursing plan of care. -
?Evaluation/Reassessment: Consistently conducts timely evaluation,
anticipates and recognizes changes in patient conditions,
determines when reassessments are needed and adjusts the plan of
care as necessary. Compares expected and achieved outcomes of
nursing care utilizing the plan of care. 1. ?Collaborates with
patient care team members on patient care plan; communicates timely
and effectively with physicians and other members of the patient
care team through verbal, written or electronic communication to
coordinate and facilitate meeting patient needs. Incorporates
consistent use of hand-off communication and SBAR communication
methods. 1. ?Demonstrates critical thinking skills, scientific
judgment, and organizational skills. Prioritizes tasks and adjusts
priorities when necessary. Maintains an orderly, efficient and
timely flow of patients. Recognizes and reports errors and unusual
occurrences and analyze contributing factors. Initiates corrective
action when appropriate. 2. ?Makes accurate, complete and timely
entries into the patient medical record addressing all steps of the
nursing process. Actively communicates with members of the
healthcare team, patient and patient family. 3. ?Maintains current
nursing knowledge to assure a safe working environment.
Demonstrates practical application of all policies and procedures
relative to safety and the pillars of Methodist Excellence to
include: Applicable quality core measures, infection prevention,
fall prevention, medication administration safety, hourly rounding,
and AIDET principles. 1. ?Responsible to supervise tasks delegated
to unlicensed personnel and accountable for tasks performed by
unlicensed personnel according to the Texas BON rules for delegated
nursing tasks (Chapter 224). What qualifications you will need: •
Associate Degree in Nursing or RN Diploma Required • Bachelor's
Degree in Nursing Preferred • < 1 year applicable experience
Required Methodist Hospital Metropolitan houses 370 bed. We house
the largest emergency room in downtown San Antonio. Our women’s
pavilion is the only freestanding, center city facility dedicated
to the health of women and their newborn babies. We welcome nearly
3,000 newborns into the world each year. We are home to the
Methodist Weight Loss Center. We have been designated an American
Society for Metabolic Surgery Bariatric Surgery Center of
Excellence®. Our hospital has been recognized by Modern Healthcare
as a Best Place to Work in Healthcare. We are the first hospital in
San Antonio to achieve Pathway to Excellence designation. Methodist
Hospital Metropolitan has been recognized by Leapfrog for focus on
safety and quality. We received a Grade A Hospital Safety Score for
8 consecutive rating periods. We are proud to be an Accredited
Chest Pain Center by the American College of Cardiology and Primary
Stroke Center by the Joint Commission. We were the premier Texas
hospital to earn a Gold Seal of Approval for Sepsis Certification.
Join our accredited team today. "There is so much good to do in the
world and so many different ways to do it."- Dr. Thomas Frist, Sr.
HCA Healthcare Co-Founder Be a part of an organization that
leverages our size to make a real impact in our industry! Our
Talent Acquisition team is reviewing applications for our
Registered Nurse Clinical Decision Unit opening. Submit your
application today and help advance the practice of nursing. We are
an equal opportunity employer. We do not discriminate on the basis
of race, religion, color, national origin, gender, sexual
orientation, age, marital status, veteran status, or disability
status.
Keywords: Methodist Hospital Metropolitan, San Antonio , Registered Nurse Clinical Decision Unit, Healthcare , San Antonio, Texas