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Nexus Health Systems
Shenandoah, Texas

Respiratory Therapist RRT - PRN

Respiratory TherapistIncludes callPer Diem

Compensation

Pay not disclosed

Listing transparency1 of 6 stated

Ask the employer about the pay range, the work setting and weekend coverage.

Employment & setting
Per Diem
Call expectations
Includes call
Weekends
Not specified
Posted 1h ago · Verified live

Job Description

Registered Respiratory Therapist (RRT)

Nexus Children’s Hospital – Shenandoah | Shenandoah, TX

Nexus Children’s Hospital – Shenandoah is seeking a Registered Respiratory Therapist to care for pediatric patients with complex respiratory and medical needs, including patients requiring intensive care and mechanical ventilation. In this role, you will assess respiratory status, deliver ordered treatments, respond to changes in patient condition, and work closely with physicians, nurses, patients, and families.

What You’LL Do

  • Assess patients on admission, develop respiratory care plans, and evaluate their response to treatment.
  • Provide therapeutic and diagnostic respiratory care, including ventilator management and assessment of arterial blood gases, EKGs, and chest X-rays.
  • Administer ordered respiratory medications and treatments.
  • Recognize changes in patient condition and respond effectively in emergencies, including when another respiratory therapist is not immediately available.
  • Educate patients and families and participate in care conferences and discharge planning.
  • Communicate patient progress, concerns, and shift handoffs to the care team.
  • Complete accurate clinical documentation, treatment records, quality controls, and equipment checks.
  • Follow infection prevention practices, professional standards, and applicable regulations.
  • Serve as the lead or on-call therapist when the department director is unavailable and provide coverage at the Woodlands campus when required.

Qualifications

  • Graduate of an accredited respiratory therapy program.
  • Current Respiratory Care Practitioner license in Texas.
  • Current American Heart Association Basic Life Support (BLS) certification.
  • Three years of experience as a Registered Respiratory Therapist, including experience appropriate to the patient population and level of care. Mechanical ventilation experience is required.
  • Intubation skills preferred.
  • American Heart Association Advanced Life Support and Pediatric Advanced Life Support (PALS) certifications preferred.
  • Ability to obtain Nexus-approved Behavioral Intervention Certification within 90 days of hire and maintain it annually.

Bring your respiratory care expertise to a team supporting children and families through complex medical needs. Apply to join Nexus Children’s Hospital – Shenandoah.

Key Responsibilities

Assess pediatric patients, develop and evaluate respiratory care plans, and provide therapeutic and diagnostic care, including ventilator management and ordered treatments. Respond to emergencies and changes in patient condition, educate families, coordinate with the care team, maintain clinical records and equipment, and provide lead or campus coverage when needed.

Qualifications

Education
Professional certificate or licensure
Experience
2+ years of experience

Certifications

PALS (preferred)

Key Skills

Respiratory AssessmentRespiratory Care PlanningArterial Blood Gas AssessmentEKG AssessmentChest X-Ray AssessmentRespiratory Medication AdministrationEmergency ResponsePatient and Family EducationCare Coordination

Respiratory Therapy Career Context

Of the 50 active Respiratory Therapy listings this role was benchmarked against, 2% are remote, 70% have no call, 46% require no weekends.

Respiratory Therapy pay on WeekdayDoc is up 1.5% vs. the prior quarter (through Aug 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

24 matches · ranked by pay

Salary Distribution19 jobs

3
<$95k
9
$95k-110k
4
$110k-125k
3
$125k-140k

Annual compensation range

Benefits & Perks15 jobs

401k / retirement match
67%
CME allowance
27%
Sign-on bonus
20%
Relocation assistance
13%
Loan repayment
7%

Share of similar jobs offering each benefit

#1

Respiratory Therapist

Sutter Health · Sacramento, California

$47.68-$66.75/hr
#2

Respiratory Therapist

Northwell · Terryville, New York

$80k-$136k
#3

RRT - Registered Respiratory Therapist

$58-$63/hr
#4

Respiratory Therapist 1

$34.2-$55.75/hr
+ 22 more · ranked by pay

Work-life snapshot

3.0/ 10
Listing-based score
  • Includes call

Living in Shenandoah

Typical 3-bedroom home value
$544k
Typical market rent
$1,980/mo
Residents’ average commute
40 min
State income tax
None
Sources & methodology

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

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