Contract Neurosurgery Coding Jobs in Texas (NOW HIRING)

Job Overview
Title: Registered Nurse - Orthopedic Medical Surgical (Ortho Trauma & Total Joint Replacement)
Department: Med/Surg - 3 North A (Orthopedic Unit)
Type: Travel Contract - 13 Weeks
Schedule: Night Shift | 3x12-Hour | 7:00 PM - 7:00 AM | 36 Hours/Week
Start Date: August 24, 2026
Job Description
Summary:
UT Health Tyler is seeking an experienced Orthopedic Medical Surgical Registered Nurse to join the 3 North A Orthopedic Unit. This 36-bed acute care unit specializes in Orthopedic Trauma and Total Joint Replacement patients while also caring for a variety of medical-surgical patients requiring orthopedic and post-operative care. The ideal candidate will have strong orthopedic nursing skills, experience caring for trauma patients, and the ability to work efficiently in a fast-paced acute care environment.
Responsibilities:

• Provide comprehensive nursing care to orthopedic, trauma, and medical-surgical patients.
• Assess, monitor, and manage patients following orthopedic trauma, fractures, and total joint replacement surgeries.
• Perform ongoing patient assessments and develop individualized nursing care plans.
• Administer medications, IV therapies, blood products, and pain management therapies, including PCA.
• Perform peripheral IV insertion, PICC line management, central line blood draws, and peripheral line care.
• Monitor patients for post-operative complications and changes in orthopedic or neurological status.
• Care for patients with spinal cord injuries, traumatic brain injuries, and other orthopedic-related conditions.
• Provide wound care, surgical drain management, colostomy/ileostomy care, and feeding tube management as needed.
• Deliver respiratory care including oxygen therapy, HFNC, oral suctioning, and tracheostomy care.
• Participate in Rapid Response and Code Teams when necessary.
• Accurately document patient care using Epic EMR.
• Collaborate with physicians, therapists, case managers, and interdisciplinary healthcare teams to ensure high-quality patient care.

Key Requirements:

• Minimum 2 years of recent acute care Medical Surgical RN experience.
• Orthopedic Trauma and Total Joint Replacement experience is required.
• Previous travel nursing experience preferred.
• Experience using Epic EMR is required.
• Ability to work 12-hour night shifts.
• Strong orthopedic assessment and post-operative patient management skills.
• Comfortable caring for trauma and orthopedic surgical patients.

Qualifications
Education:

• Graduate of an accredited School of Nursing.
• Associate Degree in Nursing (ADN) required; BSN preferred (if applicable per facility standards).

Experience:

• Minimum 2 years of recent Medical Surgical RN experience in an acute care hospital.
• Recent Orthopedic Trauma and Total Joint Replacement experience required.
• Previous travel nursing experience preferred.
• Trauma Level I or Trauma Level II hospital experience preferred.

License:

• Active Registered Nurse (RN) license.
• Current AHA BLS certification required.
• ACLS preferred.
• NIH Stroke Scale (NIHSS) preferred.

Skills:
Required

• Epic EMR
• Orthopedic Trauma
• Total Joint Replacement
• Med/Surg Nursing
• IV Therapy
• Peripheral IV Starts
• Blood Product Administration
• Central Line Blood Draws
• PICC Line Management
• Peripheral Line Care
• Phlebotomy
• Heparin Administration
• PCA Pump Management
• Oxygen Administration
• High Flow Nasal Cannula (HFNC)
• Tracheostomy Care
• Colostomy/Ileostomy Care
• Feeding Tube Management
• Spinal Cord Injury Care
• Isolation Precautions
• Wound Care/Wound Vac
• Surgical Drain Management
• Pre/Post Hemodialysis Management
• Renal Failure Patient Care
• Rapid Response/Code Team Participation

Preferred

• ACLS
• NIHSS
• Trauma Level I Experience
• Trauma Level II Experience
• BiPAP/CPAP Management
• Chest Tube (Emerson/PleurEvac)
• Interpretation of Arterial Blood Gases (ABGs)
• Pre/Post Thoracic Surgery
• Cerebrovascular Accident (Stroke) Care
• Pre/Post Neurosurgery
• Traumatic Brain Injury Care
• Insulin Drips/Management
• Peripheral Nerve Block Catheters
• Remote Telemetry Monitoring

Recruiter Notes (Important)

• Unit: 3 North A - Orthopedic Medical Surgical Unit.
• Specialty Focus: Orthopedic Trauma and Total Joint Replacement (Required).
• Unit Size: 36 beds.
• Charting System: Epic (Required).
• Travel Experience: Preferred.
• Trauma Level I or II experience: Preferred.
• Shift: Nights | 3x12 | 7:00 PM-7:00 AM.
• Contract Length: 13 Weeks.
• Start Date: August 24, 2026.

Candidate Must Have

• Minimum 2 years of recent acute care Med/Surg RN experience.
• Recent Orthopedic Trauma experience.
• Recent Total Joint Replacement experience.
• Epic EMR experience.
• Current AHA BLS certification.
• Strong post-operative orthopedic patient management skills.

Local Traveler Restriction
Do NOT submit candidates who reside in the following Texas counties:
Henderson, Anderson, Cherokee, Rusk, Panola, Smith, Gregg, Van Zandt, Wood, Upshur, Camp, Hopkins, Franklin, Titus, or Morris.
Ideal Candidate Profile

• Experienced Medical Surgical RN with a strong orthopedic background.
• Recent experience caring for orthopedic trauma and total joint replacement patients.
• Comfortable managing post-operative orthopedic cases, surgical drains, wound care, spinal injuries, and complex medical-surgical patients.
• Epic EMR proficiency and previous travel nursing experience are highly preferred.
• Experience in a Trauma Level I or II hospital is a strong advantage.