Registered Nurse (RN)
New Horizons Ranch & Center, Inc.
Brownwood, TX
At New Horizons the Nurse is responsible for Keeping Kids First by providing oversight and guidance to the Ranch, one of our Residential Treatment Centers to assure medical well-being. The RN ensures services are consistent with the program’s service standards by delivering trauma-informed and family-engaged care. The RN collaborates with physicians, behavioral health staff, and direct care staff to support the overall treatment plan and improve health outcomes for youth with complex emotional, behavioral, and medical needs. The Nurse is expected to obtain a thorough knowledge of the New Horizons’ Philosophy of Keeping Kids First and its Treatment Model; while demonstrating a commitment to continue to review, practice and operate within it. Keeping Kids First requires that every decision and action be motivated by and geared toward meeting the highest need of the individual kid. New Horizons will not tolerate anyone who is not committed to keeping kids safe from abuse, neglect and exploitation. Duties and Responsibilities
*Based on experience, educational background and specialized skills Working Conditions Residential treatment setting with frequent interaction with youth who may display behavioral challenges. Must be able to respond quickly to medical emergencies. May require evening, weekend, or on-call availability. New Horizons offers:
- Follow the New Horizons’ Employee Handbook.
- Coordinate with physicians, psychiatrists, therapists, and families to support holistic treatment planning.
- Contribute to the development of expert knowledge on quality improvement frameworks.
- Monitor physical health, respond to medical emergencies, and provide direct nursing interventions as needed.
- Administer medications and maintain accurate medication administration records in compliance with state and federal regulations.
- Review children’s initial medical records upon admission for any follow-up needed.
- Conduct Psychotropic medication training in accordance with State guidelines and New Horizons policy.
- Routinely and regularly review medication administration practices
- Review medication orders to verify dosages.
- As applies – administer tests or vaccines for children.
- Serve as an agency healthcare professional for all state mandated medication error reporting.
- Ensure all care is trauma-informed, developmentally appropriate, and culturally responsive.
- Participate in multidisciplinary team meetings and assist in the completion of health-related portions of assessments and ongoing service plans.
- Train direct care staff in first aid, CPR, infection control, and safe medication practices.
- Complete the necessary documentation for the position; and
- Other duties as assigned or identified by the Program Administrator, COO or CEO
- Provides 24-hour a day, on-call coverage.
- Current license as a Registered Nurse (RN) in the State of Texas, in good standing.
- Applicants must be at least twenty-one (21) years of age.
- Minimum 3 years’ experience in the healthcare field.
- Applicants must have the ability to operate various office equipment.
- Applicants must live in or near the Goldthwaite area or are willing to commute every day
- Applicants must have insight and an understanding of cultural diversity and have the ability to work with diverse populations.
- Applicants must pass a criminal background check, drug screen, and tuberculosis screening.
- Applicants must demonstrate effective oral and written communication skills, including proper telephone manners, as well as excellent organizational skills.
- Applicants must have functional numerical skills, and an understanding of statistics related to medications and general medical documents.
- Must demonstrate strong leadership, planning, organization, and problem-solving skills.
- Applicants must demonstrate the ability to fulfill the technological requirements of the position, including: a working knowledge of Windows operating system including XP to the most current edition, Microsoft Word and Excel, email and electronic communications and effective Internet browsing in regard to information gathering, and research.
- Ability to maintain confidentiality and comply with HIPAA and agency standards.
- Knowledge of trauma-informed care, child and adolescent development, and psychotropic medications.
*Based on experience, educational background and specialized skills Working Conditions Residential treatment setting with frequent interaction with youth who may display behavioral challenges. Must be able to respond quickly to medical emergencies. May require evening, weekend, or on-call availability. New Horizons offers:
- A team environment focused on support, accountability and maintain a safe environment where we Keep Kids First
- 100% Paid Employee Health Insurance Premiums
- Retirement and Flexible Spending Account
- Paid Time Off
- I understand that a background check, a drug screen test and a TB test are conditions of my employment, and before employment begins, I must these results on file as well as three (3) character references.
- I understand I must have at least a Class ‘C’ Driver’s license and must complete a New Hire information packet.
- If I accept an offer of employment, I hereby authorize New Horizons Ranch and Center, Inc. to conduct a criminal background check at any time during my employment with New Horizons Ranch and Center, Inc. I understand that if a criminal charge is found at any time, it could result in the termination of employment with New Horizons Ranch and Center, Inc.
- Established in 1971, New Horizons has been assisting kids and families throughout Texas in our residential treatment facilities, therapeutic foster homes, and youth and family counseling programs.
- New Horizons' team strives to Keep Kids First in all decision making and program services in order to help our kids and families succeed.
- Our mission is to create an environment where kids, families and staff can heal and grow through caring relationships, unconditional love and acceptance.
- For more information, visit
Posted 2025-09-10
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