Registered Nurse - NICU - Seasonal PRN

HCA Healthcare•Fort Worth, TX

3d•Onsite

About The Position

Medical City Alliance is hiring a seasonal PRN Registered Nurse to provide care in its Level III Neonatal Intensive Care Unit (NICU) in Fort Worth, Texas. The nurse is responsible for decisions and actions within the scope of nursing practice, promoting a safe and therapeutic environment, maintaining competence, following facility policies and standards, and supervising other staff as designated. The nurse provides care and treatment for neonatal patients from birth through their NICU stay and discharge. This includes attending high-risk deliveries in delivery rooms and operating rooms; managing ventilators; caring for and maintaining central and peripheral IVs; administering medications; supporting feeding strategies; and providing discharge teaching. The nurse follows unit protocols to deliver safe care and maintain an infection-free environment, supports patients’ families, and works with multidisciplinary teams to resolve patient needs. The role also involves measuring outcomes against care goals, making or recommending adjustments, and complying with infection-control, medication, controlled-substance, nursing, and regulatory standards. The seasonal program runs from September 20, 2026, through April 3, 2027. Seasonal nurses must work at least 72 hours per pay period, four weekend shifts per four-week schedule period, and two holiday shifts during the 32-week program. Nurses may be asked to float to a nearby facility with an emergency staffing need. Shifts may vary according to departmental needs. Seasonal staff are PRN employees, are subject to first call-off, have no guaranteed hours, and are not eligible for extra-shift bonuses. Nurses in the program have one opportunity to pass the clinical competency evaluation. Current FT/PT and PRN employees, and current HWS employees, are not eligible for the 2026–27 seasonal program. The listed pay is $65 per hour. Medical City Alliance is part of HCA Healthcare and serves communities in the Fort Worth area. Benefit eligibility may vary by location and position.

Requirements

Associate’s degree required.
BSN required within three years of employment; a BSN is preferred.
Registered Nurse license eligible to practice in the State of Texas required.
Current BLS certification from an HCA-approved vendor required.
NRP certification from an HCA-approved vendor required.
At least one year of Level III NICU experience is preferred.
Complete the S.T.A.B.L.E. course within six months of hire if there is no evidence of previous attendance.
Complete the Cardiac S.T.A.B.L.E. course within six months of hire if there is no evidence of previous attendance.
Work a minimum of 72 hours per pay period during the seasonal period.
Work four weekend shifts during each four-week schedule period.
Work two holiday shifts during the 32-week program.
Pass the clinical competency evaluation; only one opportunity is provided.
Current FT/PT and PRN employees are not eligible for the 2026–27 seasonal program.
Current employees of HWS are not eligible for the seasonal program.

Nice To Haves

Membership in a professional nursing organization is encouraged.
Specialty certification is encouraged.

Responsibilities

Provide nursing care and make decisions and take actions within the domain of nursing practice.
Promote a safe and therapeutic environment for patients and care providers.
Maintain specialized nursing knowledge and skills, demonstrate competence, and follow facility policies, procedures, and standards.
Supervise other staff as designated within the department.
Assure quality of care by following therapeutic standards, measuring outcomes against patient-care goals, and making or recommending necessary adjustments.
Follow standards of care set by the state board of nursing, state nurse practice act, and other governing agencies.
Resolve patient problems and needs using multidisciplinary team strategies.
Follow infection-control policies and protocols, medication administration and storage procedures, and controlled-substance regulations.
Care for and treat neonatal patients from birth through their NICU stay and discharge.
Attend high-risk deliveries in delivery rooms and operating rooms.
Manage ventilators and care for and maintain central and peripheral IVs.
Administer medications, support feeding strategies, and provide discharge teaching.
Follow unit protocols and guidelines to deliver safe care and maintain an infection-free environment for neonates.
Provide supportive care to NICU patients’ families.
Meet seasonal program scheduling requirements, including minimum hours, weekend shifts, and holiday shifts.
Float to another facility in a close geographical area when asked to address an emergency staffing need.
Pass the clinical competency evaluation in the program’s single available attempt.

Benefits

Comprehensive medical, prescription drug, dental, vision, behavioral health, and telemedicine plans.
Wellbeing support, including free counseling and referral services.
Time-away programs that include paid time off, paid family leave, disability coverage, and leaves of absence.
Savings and retirement resources, including a 401(k) plan with a 100% match on 3% to 9% of pay, based on years of service.
Employee Stock Purchase Plan and flexible spending accounts.
Preferred banking partnerships, retirement readiness tools, rollover support, and financial wellbeing counseling.
Tuition assistance, student loan assistance, certification support, dependent scholarships, and a partnership with Galen College of Nursing.
Fertility and family-building benefits and adoption assistance.
Life insurance and supplemental health protection plans.
Auto and home insurance, legal counseling, identity theft protection, and consumer discounts.