36 Best side Jobs in Waco, Texas (July 2026)

Part-Time RN Nurse Coordinator - Adolescent Residential Treatment Facility

4 days ago

Waco

Job Description Job Type: Part-time Hours: Approximately 24–30 hours per week Location: Waco, TX 76710 Work Setting: In person Schedule: Flexible daytime hours with some availability needed around admissions, appointments, documentation deadlines, and regulatory needs License Required: Active Texas RN license We are seeking a highly organized, clinically sound, and detail-oriented Registered Nurse to serve as a Part-Time RN Nurse Coordinator for a therapeutic residential treatment facility serving adolescent girls with complex trauma, emotional dysregulation, abuse, exploitation, disrupted attachment, and related behavioral health needs. This is not a traditional hospital or high-volume bedside nursing role. The RN Nurse Coordinator supports the medical and regulatory integrity of the program by completing nursing assessments, coordinating resident healthcare needs, overseeing medication-related processes, supporting staff medication-pass competency, documenting in the EHR, and helping ensure compliance with applicable HHSC, COA, CARF, T3C, and facility standards. The ideal candidate is clinically competent, organized, documentation-focused, comfortable working in a behavioral health/residential treatment environment, and able to balance resident care with regulatory follow-through. Key Responsibilities Complete full nursing assessments for residents during admission. Review pre-admission medical documentation, including physical exams, immunizations, medication records, psychological evaluations, treatment history, allergy information, and other relevant health records. Confirm insurance information prior to admission and identify any medical access issues that may need to be addressed before or shortly after placement. Identify required medical, dental, vision, psychiatric, medication management, laboratory, allergy, follow-up, or specialty appointments based on pre-admission paperwork, resident needs, facility policy, and applicable regulatory standards. Schedule, coordinate, and track required appointments to ensure timely completion and continuity of care. Review medication lists, medication administration records, prescriptions, allergies, diagnoses, and treatment orders for accuracy, completeness, and potential concerns. Provide nursing oversight for resident medications, treatments, medical needs, and health-related documentation. Teach designated staff medication-pass responsibilities, including medication administration procedures, documentation expectations, medication purpose, common side effects, interactions, treatment orders, and when to escalate concerns. Provide resident education regarding prescribed medications, treatment compliance, side effects, health needs, hygiene, nutrition, wellness, and other age-appropriate medical topics. Enter nursing notes, assessments, medical updates, resident education, and relevant health documentation into the facility’s EHR system. Communicate with physicians, psychiatrists, pharmacies, dentists, vision providers, insurance providers, caseworkers, probation officers, caregivers, and other authorized parties as appropriate. Support the development and maintenance of resident health records in accordance with facility policy and applicable regulatory standards. Monitor and follow up on medication refills, pharmacy issues, prior authorizations, missed appointments, medical recommendations, and treatment orders. Review incident reports, behavioral concerns, medication concerns, injury reports, or illness reports when nursing follow-up is required. Provide guidance to leadership and direct care staff regarding resident medical concerns, medication issues, health precautions, and appointment follow-up. Participate in treatment team communication, admission planning, discharge planning, and case consultation as needed. Support infection control practices, communicable disease response, health screenings, and general wellness procedures. Maintain confidentiality and comply with HIPAA, facility privacy standards, licensing requirements, and applicable healthcare documentation expectations. Regulatory and Training File Responsibilities Because nursing duties may vary in intensity from week to week, this role also supports regulatory readiness and staff training file integrity. Review employee training files to confirm required trainings, signatures, acknowledgments, certifications, credentials, and documentation are complete and properly maintained. Identify missing, incomplete, expired, or inconsistent training documentation. Conduct follow-up with employees to obtain missing signatures, verify completed trainings, collect required documentation, and support file correction. Track training completion and assist leadership in maintaining compliance with HHSC, COA, CARF, T3C, and facility standards. Support audit readiness by helping ensure employee files and health-related records are accurate, complete, organized, and inspection-ready. Assist with quality assurance activities related to medical documentation, medication processes, staff training records, appointment tracking, and regulatory compliance. Qualifications Active Registered Nurse license in the State of Texas required. Experience in behavioral health, residential treatment, adolescent health, psychiatric nursing, foster care, juvenile justice, community health, school nursing, or trauma-informed care preferred. Experience working with adolescents, vulnerable youth, or individuals with emotional or behavioral health needs strongly preferred. Strong understanding of medication administration, medication documentation, treatment orders, side effects, interactions, and escalation protocols. Ability to teach medication-pass responsibilities and health-related procedures to designated non-nursing staff within facility policy and regulatory expectations. Strong documentation skills and comfort using an electronic health record system. Excellent attention to detail and ability to maintain organized, audit-ready files. Ability to review records carefully and identify missing, inconsistent, or incomplete documentation. Strong communication skills with residents, staff, leadership, healthcare providers, families, caseworkers, probation officers, and external partners. Ability to maintain professional boundaries in a residential treatment environment. Ability to work independently while collaborating with clinical, medical, administrative, and direct care teams. Current CPR and First Aid certification required or ability to obtain within 30 days. Valid Texas driver’s license preferred. Ability to pass comprehensive background checks, including FBI, DFPS, HHSC, and abuse/neglect registry checks. Preferred Experience Residential treatment center experience. Psychiatric or behavioral health nursing experience. Experience with adolescent females, trauma survivors, foster care youth, juvenile justice-involved youth, or human trafficking/exploitation survivors. Experience with HHSC licensing, COA, CARF, T3C, Medicaid, or other regulatory/accreditation standards. Experience reviewing employee training files, staff credentials, healthcare documentation, or compliance records. Experience with medication administration training, medication audits, infection control, quality assurance, or clinical documentation review. Work Environment This role is based in a secured residential treatment facility. Residents do not have unsupervised access to leave the premises and are supported in a structured therapeutic environment. The RN Nurse Coordinator must be comfortable working around youth who may experience emotional dysregulation, trauma responses, behavioral escalation, self-harm risk, defiance, impulsivity, or difficulty with authority and boundaries. This position requires professionalism, discretion, emotional regulation, strong boundaries, and a high level of documentation accuracy. Schedule Approximately 24–30 hours per week. Schedule may vary based on resident admissions, appointment needs, medical follow-up, documentation deadlines, audit preparation, and facility needs. Some flexibility is required to support admissions, urgent medical follow-up, regulatory deadlines, and coordination with outside providers. This role requires a direct, professional communication style. The RN Nurse Coordinator must be able to give clear instructions, correct documentation gaps, reinforce medication-pass expectations, and follow up with staff in a firm but respectful manner.

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