Hospital - Oncology Charge RN (Days, Full Time)

UT Health San Antonio•San Antonio, TX

About The Position

The Oncology Charge Nurse fosters an environment for managing and delivering safe patient care in a hospital setting. In addition to clinical nursing duties, the charge nurse serves as a role model, coach, mentor, and clinical resource for department personnel, helping develop their skills and knowledge. The nurse provides care to a diverse patient population and models compassionate communication with physicians and the interprofessional healthcare team. The role also assumes leadership responsibilities with high-level contributions across the institution. The charge nurse coordinates care and staffing throughout the shift, promotes patient- and family-centered care, supports patient flow and progression, and helps ensure accurate and timely care plans and documentation. The role addresses patient safety, quality, service, regulatory, financial, and operational goals; participates in continuous improvement and shared governance; supports staff development and engagement; and responds to patient-care issues and emergencies. A Bachelor of Science in Nursing is required. Applicants must hold a current Texas Board of Nursing or Compact State RN license, or a temporary Texas RN license with a permanent Texas license obtained within 90 days of hire. American Heart Association Basic Life Support certification is required within seven days of hire.

Requirements

  • Bachelor of Science in Nursing.
  • Current Texas Board of Nursing or Compact State RN license, or a temporary Texas RN license with a permanent Texas RN license obtained within 90 days of hire.
  • American Heart Association Basic Life Support (BLS) certification within seven days of hire.

Responsibilities

  • Foster staff engagement by listening to and acknowledging feedback, making equitable decisions, explaining rationale, and supporting organizational goals.
  • Anticipate staff needs and proactively offer assistance; model interprofessional communication and assist with staff stress management as needed.
  • Promote staff retention and effective team dynamics through fair leadership, problem-solving, coaching, and staff development.
  • Coach staff in efficient communication and in including patients and families in the care team and care plan.
  • Provide input into staff performance reviews; mentor and serve as a resource to unit staff; oversee students, new employees, and preceptorships.
  • Identify organizational conflict and use appropriate tools to resolve concerns, complaints, or disputes involving patients, families, physicians, and healthcare team members.
  • Lead patient- and family-centered care standards; mentor staff regarding specialty populations and audit plans of care.
  • Practice in accordance with cultural diversity and inclusion principles and conduct leader rounding with patients, families, and staff to improve care.
  • Collaborate with other departments to address patient-process issues and drive service standards and patient satisfaction improvements.
  • Model nursing-process standards and participate in improving nurse-sensitive quality indicators and patient safety goals.
  • Coordinate nursing care and staffing throughout the shift based on patient acuity, staff skill, and safety needs.
  • Model regulatory and professional practice standards and facilitate patient flow through the department and continuum of care.
  • Ensure care plans are accurate and timely and coach staff to address documentation deficiencies.
  • Work with OAs and bed management to support timely patient placement.
  • Recognize and respond to situations such as rapid response/CERT events and emergency codes, determining an appropriate plan of action.
  • Participate in quality and safety initiatives through peer accountability, reporting near misses, identifying solutions, and collaborating with the interprofessional team; model situational awareness and assist with audits.
  • Implement strategies for financial targets and monitor measures including documentation, length of stay, efficiency, and overtime.
  • Attend daily care coordination rounds, facilitate patient progression, and ensure follow-up on concerns identified by the team.
  • Manage productivity according to the staffing grid and provide input on unit resource utilization, capital needs, and operating budget needs.
  • Oversee shift-by-shift resource utilization.
  • Identify and implement practice or operational changes, lead or participate in unit projects and shared governance, and seek evidence-based practices for presentation to shared governance and leadership.
  • Support change initiatives and adapt to unexpected changes.
  • Expand nursing knowledge and coach staff to develop their knowledge, abilities, and skills; serve as a clinical resource.
  • Develop and disseminate informational and educational resources or programs to improve quality and professional practice.
  • Perform other job-related duties as assigned.

Benefits

  • UT SELECT medical insurance offered free for employees; family members may be added through payroll deduction.
  • $50,000 group term life insurance and $50,000 basic accidental death and dismemberment insurance at no cost, with options to purchase additional coverage.
  • Three dental insurance plan options through Delta Dental.
  • Two vision plan options through Superior Vision Services.
  • Optional disability insurance providing income if a non-work-related illness or injury prevents work.
  • Flexible spending accounts for qualifying dependent-care or healthcare expenses.
  • Eligibility for the Teacher Retirement System or Optional Retirement Plan, with voluntary retirement programs also available.
  • Front-loaded paid time off of 128 to 208 hours annually based on years of service, subject to proration in the first year.
  • Extended Illness Bank accrual of eight hours per month, usable for illness or injury after one day of PTO is taken.
  • Paid family leave of up to 240 hours after six months of consecutive employment.
  • Twelve paid holidays each year.
  • Discounts on services, tickets, and gym membership.
© 2026 Teal Labs, Inc
Privacy PolicyTerms of Service