Hospital - PreOp RN IV
The University of Texas at San Antonio
San Antonio, TX, USA
Posted on Feb 21, 2026
The PreOp RN IV is an expert-level practitioner who provides advanced clinical leadership and support within the PreOperative setting. This nurse serves as a unit resource and consults across departments to enhance patient readiness and safety. The RN IV leads in process improvement, staff education, and evidence-based practice to elevate nursing care and optimize patient outcomes in surgical preparation. This role functions as a clinical leader at UT Health San Antonio Multispecialty & Research Hospital.
Benefits Overview
UT Health San Antonio offers an excellent benefits package for its employees. Employees who work at least 20 hours a week, with an appointment of at least 4.5 months, are eligible for benefits.
Medical - UT SELECT Medical insurance is offered free for employees and administered by Blue Cross and Blue Shield of Texas. Family members can be added to the plan through payroll deduction. Employees and their dependents can also receive discounted copays and coinsurance when using UT Health Physicians, a network of 800 premier physicians including more than 100 specialists. Employees receive $50,000 of group term life insurance and $50,000 of basic accidental death and dismemberment insurance for free, with options to purchase additional employee and dependent coverage for both at group rates.
Dental - Three dental insurance plan options are available for employees and their families through Delta Dental Insurance Company, two PPOs and one dental HMO plan. Both PPO plans allow employees to choose any licensed dentist.
Vision - Fully insured Vision Care benefits are offered by Superior Vision Services. Two vision plan options that offer either standard or enhanced vision benefits.
Disability - Employees can enroll in the Disability Insurance which provides income if a non-work related illness or injury prevents you from working.
FSAs - Employees can enroll in flexible spending accounts (FSAs) to set aside money from earnings before taxes for qualifying dependent day care expenses or out-of-pocket health care expenses.
Retirement - Employees are eligible for either the Teacher Retirement System (TRS) or the Optional Retirement Plan (ORP). TRS is a defined benefit retirement plan which UT Health matches employee contributions. ORP is for eligible faculty staff employees. Voluntary retirement programs are also available to invest before- or after-tax dollars with the choice of five quality retirement plan providers.
Time Off - A generous leave program offers multiple paid leave options:
- Front-loaded Paid Time Off: 128 to 208 hours (16 to 26 days) of Paid Time Off based on years of service, given at the start of each fiscal year. PTO may be prorated in year one based on date of hire.
- Extended Illness Bank: 8 hours (1 day) accrued per month which can be used for illness or injury after one day of Paid Time Off is taken.
- Paid Family Leave: Up to 240 hours (6 weeks) to care for a spouse, child, or parent after 6 months of consecutive employment.
- Holidays: 12 set paid holidays each year.
Discounts - Employees enjoy a range of discounts on services, tickets, and gym membership.
EEO Statement
UT Health San Antonio is an equal employment opportunity and affirmative action employer. It is our policy to promote and ensure equal employment opportunity for all individuals without regard to race, color, religion, sex, gender identity, national origin, age, sexual orientation, disability, or veteran status.
Education:
- Bachelor's of Science in Nursing required
Certification/Licensure:
- Current Texas Board of Nursing (or Compact State) RN license; Or a Temporary Texas RN License (Permanent TX license within 90 days upon hire).
- American Heart Association Basic Life Support (BLS) certification, within 7 days of hire.
- Serves as a clinical resource for PreOp nurses, providing expert guidance on surgical prep, assessments, and workflow best practices.
- Assesses and anticipates patient and family education needs related to the surgical journey; develops educational materials.
- Facilitates interprofessional collaboration with surgeons, anesthesia, OR staff, and recovery teams.
- Leads competency and continuing education initiatives tailored to PreOp clinical needs.
- Supports preceptorship programs and orients new PreOp staff; evaluates learning outcomes.
- Leads safety audits and pre-surgical checklist compliance reviews.
- Assists with the design and implementation of improvement projects focused on case readiness, throughput, and patient experience.
- Participates in and drives evidence-based practice, serving as a lead for protocol updates or clinical trials in the PreOp area.
- Collaborates with Nurse Manager in performance reviews and goal setting for team development.
- Promotes positive staff engagement, retention, and contributes to recruitment initiatives.
- Contributes to hospital-wide education and research efforts, representing the PreOp perspective.
- Provides leadership coverage during times of increased volume or complexity.
- Uses EMR expertise to identify documentation improvement opportunities and train staff.
- Supports budgetary or space planning through input on resource needs and trends.
- Performs other job-related duties as assigned to support high-reliability surgical care.