A community hospital system in San Antonio, Texas is recruiting an experienced Registered Nurse for its Labor & Delivery unit. This bedside RN role offers the opportunity to provide direct patient care across the full L&D spectrum — from antepartum monitoring through delivery and immediate newborn stabilization — within a large, established health system operating 65 hospitals and approximately 510 outpatient centers nationwide. The position is well-suited to a nurse who values structured orientation, clear competency pathways, and a team-centered care environment in one of Texas's largest and most dynamic metropolitan areas.
Perks and Benefits
- Employment within a large, financially established health system with broad organizational resources and career development support
- Structured orientation period with defined competency milestones and supported certification timelines
- Employer-supported pathway to required certifications (AHA BLS, ACLS, NRP, AWHONN Fetal Heart Monitoring, S.T.A.B.L.E.) completed during orientation
- Access to system-wide career development tools and internal advancement pathways
- Equal opportunity employer with reasonable accommodation policies for qualified individuals
- E-Verify participating employer
Practice Highlights
- Dedicated Labor & Delivery unit with antepartum monitoring responsibilities integrated into the RN scope
- Nursing care assignments matched to individual nurse competencies under minimal supervision
- Newborn stabilization responsibilities supported by S.T.A.B.L.E. and NRP certification requirements, indicating a Level 2 Nursery on-site
- Fetal heart monitoring is a core clinical competency — novice RNs complete GNOSIS Introduction to Fetal Heart Monitoring within 30 days and AWHONN Intermediate Fetal Heart Monitoring within 8 months of orientation; experienced L&D RNs (more than one year of experience) are expected to hold or obtain AWHONN Advanced Fetal Heart Monitoring within 90 days of hire
- ACLS and NRP certifications required within 60 days of hire, reflecting a unit that manages high-acuity obstetric and neonatal emergencies
- Part of a health system platform that includes hospital-based physicians, outpatient surgery centers (USPI), and revenue cycle/value-based care infrastructure (Conifer Health Solutions)
- System spans 65 hospitals with top-tier medical specialists and tailored community service lines
Qualifications
- Graduate of an accredited school of nursing required; Bachelor of Science in Nursing (BSN) preferred
- Active Texas State Registered Nurse license required at time of hire
- Minimum of two years in acute care preferred; previous clinical nursing experience strongly preferred
- Active healthcare provider BLS (ARC or AHA) required on hire; AHA Healthcare Provider BLS must be obtained within 60 days if not already AHA-credentialed
- AHA ACLS required within 60 days of hire or transfer into the L&D role; completion before end of orientation period is strongly encouraged
- AHA NRP required within 60 days of hire or transfer into L&D (also required for any nurse floated into the unit); completion before end of orientation is strongly encouraged
- Fetal Heart Monitoring: novice RNs complete GNOSIS within 30 days and AWHONN Intermediate within 8 months; experienced L&D RNs must hold or obtain AWHONN Advanced Fetal Heart Monitoring within 90 days of hire
- S.T.A.B.L.E. Level 2 Nursery certification required — proof of prior completion accepted, or must be obtained within 6 months of hire (renewal not required)
- Compliance with applicable federal, state, and local vaccination requirements; religious or medical exemptions considered with required follow-up testing per applicable law
About the Community
San Antonio is the second-largest city in Texas and the seventh-largest in the United States, offering nurses an exceptional quality of life at a cost of living well below comparable major metros. The city is home to a rich cultural heritage, a thriving culinary scene, the iconic River Walk, and world-class attractions including the Alamo and Six Flags Fiesta Texas. Outdoor recreation, warm weather year-round, strong public and private school options, and easy access to the Texas Hill Country make San Antonio a compelling destination for clinicians relocating from higher-cost markets or seeking a vibrant urban environment with genuine community character.