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Registered Nurse Occupational Health - Employee Health Services

CHRISTUS Children's

San Antonio, Texas

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RN

Posted Aug 8, 2026 · Last seen active Aug 10, 2026

What this might mean for you

CHRISTUS Children's is a specialty hospital, so the case mix runs deep rather than wide. It's a day shift — the full-speed version of the unit, with every specialist in the building.

What the posting states

Shift
Days

About this role

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Summary Responsible for the overall facilitation of daily operations and functions of assigned campus Occupational Health Department, including but not limited to: new hire and annual health screens, immunizations, Tuberculosis screening, work injury and return to work facilitation. Promotes a safe and healthy organizational work force and work environment. Responsibilities Performs pre-hire health assessments and screening tests to ensure fitness for duty, including detailed medical history, Tuberculosis screening, and arrangements for appropriate laboratory tests. In accordance with Associate Health policies and procedures, interprets and evaluates historical data, laboratory reports and screening tests to accurately determine current health status, vaccine needs, etc. Administers annual tuberculosis testing for all Associates and others as required. Conducts appropriate follow-up of positive results and ensures compliance with CDC recommendation and OSHA requirements. Provides post-exposure surveillance for Associates exposed to tuberculosis, needle sticks and other exposures to infectious disease. Reviews charts and information to determine if HIV testing is necessary. In accordance with policy and Federal law, counsels Associates for pre and post -HIV testing. Provides follow-up care in accordance with established protocol and in consultation with physician. Provides accurate documentation and maintains Associate Health records and ensures confidentiality of all Associate records. Sees Associates who become ill or are injured at work. Works with the Occupational Health Representative to facilitate Associate workplace injuries or exposures in accordance with the CHRISTUS Health Texas Occupational Injury Assistance Plan (TOIAP). Evaluates Associate health status and determines eligibility to return to work, refers to Emergency Department or sends Associate home if appropriate. Sees Associates returning to work after a Leave of Absence or illness and issues the appropriate return to work clearance. Provides all Associates and other designated populations immunization for vaccine preventable diseases such as MMR, Hepatitis B, TDAP, Varicella, & Influenza, as required by state law and policy. Provides proper follow-up with Associates to ensure compliance. Records all vaccination information in accordance with policy and Federal and state law. Works collaboratively with other Occupational Health staff to develop and recommend Associate Health policies and procedures, forms and other improvement processes. May serve as a member of the Infection Control Committee and Safety Committee. Maintains professional currency and relevance by reading professional literature, committee participation and continuing education. Consults with Regional Occupational Health Manager as needed on matters relating to health assessment findings or fitness for duty concerns, ADAAA issues, Associate illnesses, return to work issues or regulatory compliance matters such OSHA, CDC, Texas Department of Health Services, or TJC and any other matters of concern. Demonstrates competence to perform responsibilities in a manner that meets the age-specific and developmental needs of individuals served by department Appropriately adapts individual assessment, treatment and/or care methods to accommodate the unique physical, psychosocial, cultural, age-specific and other developmental needs of individuals served. Performs other duties as assigned. Requirements Education/Skills Graduate of an accredited school of nursing with current State RN license. Demonstrable experience with PC, Excel and Word or similar word processing system required. Experience with needles, syringes, blood pressure cuffs, stethoscope and other medical equipment is required. Demonstratable knowledge of applicable Centers for Disease Control and Prevention recommendations, OSHA regulations and The Joint Commission standards as related to Associate Health Associate. Attention to detail and accuracy necessary. Ability to work within deadlines and handle multiple tasks required. Ability to maintain confidentiality required. Experience A minimum of two years of clinical nursing experience in Medical-Surgical nursing, Emergency Care or Family Practice is required. Experience in Occupational Health, Employee Health, Public Health and/ or Worker’s Compensation is preferred. Licenses, Registrations, or Certifications Current Registered Nurse licensure required Occupational Health Nurse certification (COHN) desirable Work Schedule 8AM - 5PM Monday-Friday Work Type Full Time

Skills for this role

pre-hire health assessmentsscreening teststuberculosis screeningimmunization administrationmedical history takinglaboratory test interpretationpost-exposure surveillanceHIV testing and counselingworkplace injury managementreturn to work evaluationdocumentation and record keepingvaccination administration

Certifications

COHN

Requirements

  • Current State RN license
  • Education/Skills

About the employer

CHRISTUS Children's logo
CHRISTUS Children's
Specialty Hospital

You would step into San Antonio's first freestanding children's hospital — the downtown CHRISTUS Children's campus built on the old Santa Rosa Infirmary ground — where care units run as private rooms with space for a parent to sleep and…

Magnet® recognized

What reviewers appreciate

  • Year-long residency with trained preceptors, mentors, de-briefers, skills labs, and cohort support
  • $10,000 sign-on listed for the February 2025 new-grad residency cohort
  • Magnet designation and Gold Level Beacon awards in both PICU and NICU

What reviewers flag

  • Children's RN reported pay raises are hard to obtain
  • System-level feedback described only about 2% raises per year (not Children's-specific)
  • Base pay figures are not clearly posted in the sources used here
supportivepediatricresidency-guidedfaith-basedacademicresource-backed

Living in San Antonio, TX

San Antonio blends rich Tex-Mex culture, historic missions, and a laid-back river city feel. The famous River Walk winds through downtown, while the Pearl District offers trendy dining and lofts. With no state income tax, major hospital systems, and warm weather year-round, it's an affordable, welcoming spot for nurses seeking authentic South Texas charm.

Map showing the location of San Antonio, TX
San Antonio, TX on the map · © Mapbox © OpenStreetMap· Open the live map
Metro price level · San Antonio area
94.7
5% below the national average
Median gross rent
$1,324/mo
rent and tenant-paid utilities

U.S. Bureau of Economic Analysis · 2024 metro Regional Price Parities · Census ACS 2024

Browse open roles in San Antonio

Worth asking

The posting doesn’t answer these. Good ones to ask a recruiter or in the interview.

  • Can you walk me through the base pay range and differentials?
  • What should I expect for weekend, holiday, call, and rotation?
  • What orientation, preceptor time, and ongoing unit support are included?
  • How are patient load, floating, and staffing support handled day to day?
Open the full posting report

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