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Nurses

Registered Nurse- Definitive Observation Unit

Prime Healthcare logoPrime Healthcare~$45–$65/hrtypicalAdded 2d agoStill open, checked every night

Open in 1 location

Prime Healthcare posts this job as separate openings, each with its own application: the unit, shifts, schedule and pay can differ between them.

How this pay compares

This posting does not state an hourly rate. Open registered nurse jobs in Texas post a median of $46.51 an hour, the middle half $41.50–$52.50, across 1,009 jobs that state their pay. Registered nurses employed in Texas earn a median of $46.14 an hour (source: BLS Occupational Employment and Wage Statistics), according to the Bureau of Labor Statistics (May 2025) (source: BLS Occupational Employment and Wage Statistics).

Registered nurses in Texas: pay by town and employer

The Registered Nurses & LPNs job market: pay, applicant demand and hiring, researched nightly

Visa sponsorship record

From 1 October 2025 to 30 June 2026, the US Labor Department certified 1 H-1B application from Prime Healthcare for registered nurses, offering a median $58.96 an hour (the low end of each application's wage range). That is the employer's record, not a promise for this job: ask its recruiter whether this one sponsors a visa. Green cards for registered nurses are on the Labor Department's Schedule A and are filed with USCIS directly, so this record holds almost none of any employer's. Every employer that sponsors registered nurses.

Medicare rating of Mission Regional Medical Center

Medicare gives Mission Regional Medical Center 4 of 5 stars (Jul 2026; Texas's hospitals average 3.4). 75% of its patients said their nurses always communicated well (the middle US hospital: 79%). Patients' ratings of their care, not employees' of the job. Its other hospitals · Texas hospitals by rating.

What this hospital paid

By Mission Regional Medical Center's report to Medicare, its registered nurse hours averaged $47.01 an hour in 2022 pay periods, its own and contract staff together, before benefits, against $54.99 an hour across Texas's hospitals. An average over every such hour, not this job's pay: the posting states its own. What Texas hospitals pay nurses.

Nurse Corps loan repayment

Mission Regional Medical Center is in a county HRSA designates a mental health HPSA (score 14) as a whole. A hospital located in a HPSA can count as a Critical Shortage Facility, where a registered nurse can apply for HRSA's Nurse Corps Loan Repayment Program: 60% of qualifying nursing loans repaid for two years of full-time service, 25% more for a third. Awards are competitive and HRSA decides each one. Every hospital hiring in a Nurse Corps shortage area.

Public Service Loan Forgiveness

Medicare lists Mission Regional Medical Center as owned by a non-profit body, and Prime Healthcare also runs for-profit hospitals, so which entity employs you decides whether the work counts toward PSLF. The federal PSLF Help Tool confirms an employer by the EIN on your W-2. Every PSLF-eligible hospital hiring.

What Texas law says about nurse staffing and overtime

  • Nurse staffing committee or plan: Texas hospitals must keep a nurse staffing committee, at least 60 percent direct care nurses, that recommends the nurse staffing plan. Tex. Health & Safety Code § 257.004(a) (source: Tex. Health & Safety Code § 257.004(a))
  • Limits on mandatory overtime: Hospitals may not require nurses to work mandatory overtime or use on-call time as a substitute, with exceptions for disasters, declared emergencies, unforeseen events and procedures in progress (covers registered and vocational nurses in hospitals). Tex. Health & Safety Code § 258.003 (source: Tex. Health & Safety Code § 258.003)

Every state's nurse staffing law, in its own words

Registered nurse and LPN jobs in our research

  • How long these jobs stay listed: Still listed at 7 days 81.0%
  • Applicant demand per open job on this site (1.00x is the average job): Index 0.45x · Clicks 134
  • How often these jobs state their pay: Jobs stating any pay 54.7% · Stating an hourly rate 33.9%

From every open job we read and every apply click on this site, as of 9 Nov 2026. Every figure for Registered nurse and LPN jobs

About the job

Bonus Amount

10,000

Bonus Information

Sign-On Bonus Available for Qualified Candidates. Eligibility and payout terms apply. Details discussed during the interview process.

Overview

Employment Type: Full Time

Shifts Available: Days

Hours: 12-hour shifts

Location: Mission Regional Medical Center – Mission, TX

We are seeking a Definitive Observation Unit Registered Nurse (DOU RN) , also referred to as an Observation Unit Nurse, Acute Observation Registered Nurse or DOU RN. The DOU RN provides specialized nursing care to patients who require short-term observation, typically ranging from several hours up to 24-48 hours. Their role focuses on closely monitoring patients with acute but stable conditions to determine if they need full hospital admission or can be safely discharged.

Mission Regional Medical Center is a 297-bed, non-profit hospital that provides inpatient and outpatient hospital services to the people of the Rio Grande Valley. Rated one of the top hospitals in the country for clinical excellence in many services including maternity and orthopedic care, Mission Regional Medical Center has been offering quality healthcare, close to home, for over 60 years. For more information visit www.missionrmc.org.

Responsibilities

Responsibilities Section

  • Conduct frequent assessments of patients’ vital signs, symptoms, and overall condition to detect any changes or complications
  • Administer medications and treatments as ordered, ensuring timely and accurate delivery
  • Collaborate with physicians, nurse practitioners, and other healthcare team members to implement and update individualized care plans
  • Educate patients and families about their condition, treatment plan, and discharge instructions
  • Document patient care, clinical observations, and communication accurately in the medical record
  • Coordinate diagnostic tests and procedures and monitoring results to support clinical decision-making
  • Ensure a safe, clean, and comfortable environment for patients during their observation stay
  • Facilitate timely transitions of care, whether discharge or admission to an inpatient unit

Qualifications

EDUCATION, EXPERIENCE, TRAINING

  • Current and valid state RN License.2. Current BLS certificate upon hire and maintain current.3. Current ACLS certificate 30 days upon hire and maintain current preferred.4. Previous Acute Care hospital experience preferred.5. Ventilator Management experience preferred.6. Bachelor of Science in Nursing (BSN) preferred.

#LI-JJ3

Employment Status

Full Time

Shift

Days

Equal Employment Opportunity

Company is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to applicable law), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. The Company also prohibits harassment of applicants or employees based on any of these protected categories. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf

From Prime Healthcare's job posting for Mission, TX, checked 9 Nov 2026. The employer's own page is the final word on requirements and availability.

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About Prime Healthcare

Prime Healthcare hires nurses, nursing assistants and imaging techs in 15 states.

Hires in 15 statesPay on its listings: 25% of its open jobs state an hourly rate

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