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Posted August 23, 2026

Registered Nurse Med Surge and Rehab

Presidential Staffing Solutions, LLC
Houston, TX, US Full Time
49USD - 53USD per hour

Job Description

Job Description
Benefits:
  • 401(k)
  • Competitive salary
  • Health insurance
  • Training & development

**CURRENTLY ONLY NIGHT SHIFT AVAILIABLE 7:30PM-8AM**
We are looking for RN's with experience in med-surge and rehab to work in nursing home settings CURRENTLY ONLY NIGHT SHIFT AVAILIABLE 7:30PM-8AM
  • LTAC
  • SNF
  • Hospice Care
  • all care in nursing home setting

Key Responsibilities:
  • Conduct comprehensive assessments of neurological and spinal cord injury patients.
  • Develop and implement individualized care plans based on clinical findings.
  • Manage and respond to neuro-related complications such as autonomic dysreflexia and spasticity.
  • Educate Veterans and caregivers on condition management and rehabilitation techniques.
  • Collaborate with interdisciplinary teams to coordinate holistic, Veteran-centered care.
  • Document all nursing care and assessments accurately in VA electronic health records (CPRS).
  • Participate in patient safety initiatives and quality improvement programs within the VA system.

Schedule:
  • Unlike ICU where it’s self-scheduling, the CLC will create the schedule for the LTC RNs 30 days in advance
    • 12-hour shifts
      • 3x Days
      • 3x Nights
    • Rotating Weekends and Holidays
    • 36 hours per week

Benefits/Perks
  • Flexible Scheduling
  • Competitive Compensation
  • Careers Advancement
Job Description:
Long-Term Care (LTC) Registered Nurses (RNs) at a Veterans Affairs Medical Center (VAMC) provide compassionate, comprehensive nursing care to veterans with chronic illnesses, disabilities, or those in need of end-of-life care. These RNs typically work in Community Living Centers (CLCs), which function like skilled nursing or nursing home units within the VA system.
Key Responsibilities:
· Deliver direct patient care including assessments, medication administration, wound care, and monitoring of vital signs.
· Develop and implement individualized care plans in collaboration with interdisciplinary teams.
· Support patients with activities of daily living (ADLs), such as bathing, dressing, feeding, and mobility assistance.
· Monitor changes in residents’ physical and mental health and promptly report concerns to the medical team.
· Provide emotional support to veterans and their families, particularly in palliative and hospice care settings.
· Maintain accurate documentation in accordance with VA policies and electronic health record standards.
· Participate in quality improvement initiatives, infection control, and safety protocols.

Schedule:
  • Unlike ICU where it’s self-scheduling, the CLC will create the schedule for the LTC RNs 30 days in advance
    • 12-hour shifts
      • 3x Days
      • 3x Nights
    • Rotating Weekends and Holidays
    • 36 hours per week

RN Requirements:
  • Must have BSN
  • Must have at least one year of recent experience in LTC/SNF
  • AHA BLS, VA will not accept non-AHA certifications.

Qualifications
  • Currently licensed Registered Nurse (RN) in state of employment
  • Previous experience as a Registered Nurse is preferred
  • Excellent interpersonal and client care skills
  • Valid driver’s license
  • First aid/CPR certification required

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