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Prime Healthcare Services

Neonatal Registered Respiratory Therapist

Company : Prime Healthcare Services

Location : Mission, TX, 78572

Job Type : Full Time

Date Posted : 31 December 2025

Overview

We are seeking a Registered Respiratory Therapist III, sometimes referred to as a Neonatal Registered Respiratory Therapist (NICU-RRTIII) or Neonatal Respiratory Care Practitioner (NICU-RCP). The Registered Respiratory Therapist III is an advanced-level respiratory care practitioner who specializes in treating critically ill newborns, often in a Neonatal Intensive Care Unit (NICU). The Registered Respiratory Therapist role combines expert clinical skills, advanced respiratory interventions, and mentorship or leadership duties within the respiratory care team. 

Employment Type: Full-time 

Hours: 12-hour shifts 

Location: Mission Regional Medical Center - Mission, TX

Here are some of the benefits of working at Prime Healthcare: 

  • Health, dental, and vision insurance options 
  • Paid vacation, sick time and holidays 
  • Bereavement leave, FMLA and other leave options 
  • Employer 401K options 
  • Tuition reimbursement options  
  • Life, disability, and other insurance options 
  • Many other amazing benefits 

Responsibilities

Essential Duties and Responsibilities (includes, but not limited to): 

  • Neonatal Respiratory Care: Deliver advanced respiratory therapy and manage ventilator settings for premature and critically ill newborns, including interventions like mechanical ventilation, CPAP, and surfactant administration 
  • Emergency & Critical Intervention: Assist with neonatal resuscitation, intubation, and transport while working closely with NICU teams in high-risk, life-support situations 
  • Diagnostic Testing & Monitoring: Perform and interpret blood gas analysis and other diagnostics while continuously assessing and adjusting respiratory therapies based on clinical data 
  • Leadership & Mentoring: Act as a mentor and clinical resource for junior staff, precept new hires, and support the development of NICU respiratory protocols 
  • Collaboration & Documentation: Partner with NICU care teams to create personalized care plans and ensure accurate documentation of all respiratory treatments and patient responses 

Qualifications

Before we go any further, we do have some deal-breakers. You must have:  

  • Must be a graduate of JRCTE approved program for Respiratory Therapy, two year program preferred.
  • Associate Degree or Bachelor of Science degree preferred.
  • High School Diploma or equivalent is required
  • CREDENTIALS / CERTIFICATIONS

  • Registered Respiratory Therapist (RRT) by the NBRC or be a CRT with a minimum of two (2) years previous NICU experience.
  • May be CRT or RRT that has completed an NICU orientation at the facility NICU under the guidance of the NICU Coordinator.
  • Must be currently licensed by the State as a Respiratory Care Practitioner.
  • Possess a Perinatal /Pediatric Specialty Certificate from NBRC (preferred).
  • Must have current certification in BCLS.
  • Must have current certification in NRP.
  • Must have PALS and ACLS certification upon hire.
  • Additional credentials are preferred (CPFT, RPFT, ACCS etc.).
  • Additional Required Knowledge, Skills & Abilities: 

    EXPERIENCE / KNOWLEDGE

  • Must have two (2) years general experience providing respiratory care in a acute care hospital under medical direction.
  • Must have two (2) years clinical experience providing neonatal respiratory care in an autonomous / expanded role in a level II or level III NICU or have completed a training program at The facility NICU.
  • Must be able to communicate in a knowledgeable and articulate manner with physicians and nurses regarding patient status and care.
  • Must be able to work with other hospital personnel in a professional and tactful manner.
  • Must be able to deal with the public (including the patient's visitors) in a professional manner as they relate to the questions or concerns regarding the patients condition or status of care.
  • Must be able to professionally complete all required paperwork (patient records, charting, policy/procedure, evaluations and billing etc.).
  • Employment Status

    Full Time

    Shift

    Nights

    Equal Employment Opportunity

    Company is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to applicable law), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. The Company also prohibits harassment of applicants or employees based on any of these protected categories. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf

     

    Full benefits at Prime Healthcare: https://www.primehealthcare.com/careers/benefits/  

    #LI-OZ1

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    Frequently asked questions

    Neonatal Registered Respiratory Therapists specialize in supporting critically ill newborns, often in NICUs, using advanced respiratory interventions like mechanical ventilation and surfactant therapy. This focus on neonatal care requires specialized certifications and skills beyond general respiratory therapy roles.

    Achieving an advanced clinical status generally involves holding RRT credentials, specialized neonatal certifications such as the perinatal/pediatric specialty from NBRC, plus extensive NICU experience. These credentials enable autonomous decision-making in high-risk neonatal respiratory care.

    Daily tasks include managing ventilator settings for premature infants, assisting in neonatal resuscitation, performing blood gas analyses, and mentoring junior respiratory therapists. Collaboration with NICU teams to create tailored respiratory care plans is also a core duty.

    In Mission, TX, employers highly value NBRC certifications like the RRT credential and neonatal-focused certificates such as perinatal/pediatric specialty. Additionally, current certifications in NRP, BCLS, PALS, and ACLS are often mandatory for neonatal respiratory therapists.

    The Rio Grande Valley, including Mission, TX, shows growing demand for specialized NICU respiratory therapists due to expanding healthcare facilities. However, competition can be moderate as the role requires niche neonatal experience and advanced certifications, narrowing the candidate pool.

    Prime Healthcare Services offers tuition reimbursement and leadership opportunities, fostering growth for Neonatal RRTs. Their environment encourages mentorship roles and ongoing education, helping therapists expand clinical expertise and advance within neonatal respiratory care.

    Prime Healthcare emphasizes comprehensive benefits, mentorship, and a collaborative NICU environment. Therapists engage in advanced neonatal interventions and leadership roles, supported by structured training and a culture valuing clinical excellence unique to their Mission, TX facility.

    In Mission, TX, Neonatal Registered Respiratory Therapists typically earn between $55,000 and $70,000 annually, slightly below the national average due to regional cost of living. However, benefits packages at employers like Prime Healthcare often enhance overall compensation.

    Night shifts can involve managing critical emergencies with limited staff, requiring heightened vigilance and rapid decision-making. Adapting to the local healthcare culture and balancing personal well-being during long hours are additional challenges in Mission’s NICU environment.

    Mentorship is a key component at Prime Healthcare, where experienced Neonatal RRTs guide new hires through NICU protocols and complex respiratory therapies. The organization offers formal preceptorship programs, fostering skill development and leadership within the respiratory care team.

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