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Ensign Services
Harlingen, Texas

Respiratory Therapist

Respiratory TherapistFull-Time

Compensation

Pay not listed

The week · per this posting · weekdays assumed

Ask the employer about the pay range, the work setting, call expectations and time off.

Posted 1mo ago

Job Description

  • Golden Palms Rehabilitation and Retirement
  • Come join our team and start making a difference!
  • All duties and responsibilities shall be performed as set forth in our established policies and procedures.

Adheres to and assures compliance with Code of Conduct, Resident Rights, facility policies and procedures and all applicable rules, regulations and standards as set by Federal, State and regulating bodies.

Interpret, organize and implement physician, nurse practitioner, or licensed medical professional orders directing resident care.

Assist and continually monitor residents for proper position of airways, oxygenation, and respiratory stability.

Successfully collaborate and initiate coordination of respiratory services with other resident services to ensure the continuity of the resident’s total regimen of care.

Participate and cooperate with all aspects of facility needs and initiatives.

Perform necessary duties such as completing medical forms, reports, evaluations, studies, charting, and any other necessary documents as required or requested.

Initiate and be clinically responsible for the administration of respiratory therapies as prescribes to include but no limited to:

  • Ventilator management, assessment, cleaning, weaning and maintenance
  • Tracheostomy maintenance, cleaning, replacement, and assurance of airway.
  • Tracheal, NT, OT suction.
  • Accurately obtain, document and report all pertinent vital signs
  • Review and revise patient respiratory care plans as necessary
  • Fully assess and document complete respiratory assessment upon admit and on a continual basis, while on shift.
  • BiPap/CPAP management, assessment, weaning and maintenance.
  • SVN, LVN, MDI, and continuous cool/heated aerosol administration

Inform Respiratory Director of any new admissions, discharges, and change of condition of any resident on skilled respiratory therapy services, and report any change of condition to appropriate nursing staff, and IDT team and physicians as clinically appropriate.

Complete, review, and ensure all respiratory therapy notes and charting are informative and descriptive of the respiratory care services being provided and that response to care is documented.

  • Ensure that any resident unable to call for assistance is checked frequently.
  • Follow all facility infection control precautions and safety regulations including, but not limited to, personal protective equipment, dress code, and any other infection control precautions.
  • Report to director any medication, medical supply, equipment needs necessary to perform your job functions.
  • Immediately report any unsafe, malfunctioning or questionable equipment in use by the department.
  • For benefit details check us out here ensignbenefits.com
  • Benefits eligibility for some benefits dependent on full time employment status.

Disclaimer: Pay rates are competitive and determined by various factors. Please note that any rates labeled as "estimated" are provided by third-party job boards and may not accurately reflect the actual pay rates.

EOE disability veteran

Key Responsibilities

The Respiratory Therapist is responsible for implementing physician orders, monitoring resident respiratory stability, and performing specialized therapies such as ventilator and tracheostomy management. They must also document all care, collaborate with the interdisciplinary team, and ensure facility safety and infection control standards are met.

Requirements

The role requires a qualified professional capable of managing complex respiratory equipment and performing clinical assessments upon admission and throughout the shift. Candidates must be able to interpret medical orders, maintain accurate patient records, and communicate changes in resident conditions to the medical staff.

Qualifications

Education
Professional certificate or licensure
Experience
2+ years of experience

Key Skills

Tracheostomy careAirway managementBiPap managementSuctioningVital signs monitoringPatient care planningMedical documentation

Respiratory Therapy Career Context

Of the 50 active Respiratory Therapy listings this role was benchmarked against, 2% are remote, 54% have no call, 48% require no weekends.

Respiratory Therapy pay on WeekdayDoc is up 1.8% vs. the prior quarter (through Sep 2026).

The cost-of-living index for Texas is 97.1 (US average = 100; BEA Regional Price Parities (2024)). 57.7% of Texas clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

Location & Logistics

Texas has no state income tax, which can significantly increase take-home pay compared to high-tax states.

Top Respiratory Therapist Jobs

36 matches · ranked by pay

Salary Distribution25 jobs

8
<$95k
10
$95k-110k
3
$110k-125k
4
$125k-140k

Annual compensation range

Benefits & Perks22 jobs

401k / retirement match
82%
Sign-on bonus
45%
Relocation assistance
14%
PSLF eligible
14%
Loan repayment
9%

Share of similar jobs offering each benefit

#1

Respiratory Therapist

Sutter Health · Sacramento, California

$47.68-$66.75/hr
#2

Respiratory Therapist II

Marian Regional Medical Center · Santa Maria, California

$52.03-$64.05/hr
#3

Respiratory Therapist – CRT/RRT

$45.05 - $63.70/hr
#4

Respiratory Therapist II

$41.41-$62.92/hr
+ 34 more · ranked by pay

Work-life snapshot

median 3.0this job 3.0
Better work-life than 50% of Respiratory Therapy listings

Listing-based score, 0–10, across 3,913 comparable listings. Shaded area = the share scoring below this one.

Living in Harlingen

Typical 3-bedroom home value
$219k
Typical market rent
$1,158/mo
Residents’ average commute
18 min
Metro price indexU.S. average = 100
86.0
State income tax
None
Sources & methodology

Sources: Zillow home values (Aug 2026), Zillow market rents (Aug 2026), U.S. Census ACS 2024 five-year.

BEA 2024 · Brownsville-Harlingen, TX metro prices. Housing figures are city-level.

City-level figures. Not a cost-of-living guarantee.

Ensign Services logo

About Ensign Services

Hospitals and Health Care
San Juan Capistrano, California
1,001-5,000 employees

Benefits & Perks

Benefits eligibility for full-time employees
Competitive pay