Clinical Nurse - Intermediate Care Unit

Salem Health; Salem (OR); On-site; USD 85,000 - 100,000; Full time

Job summary

Salem Health’s Intermediate Care Unit is seeking a qualified RN to provide high-level patient care in a 12-hour shift pattern from 7:00 pm to 7:30 am. The role includes advanced monitoring, collaboration with multiple specialties, and care from admission through discharge.

Candidates must have a BSN or BA with MSN (ADN/diploma RN accepted with agreement to complete BSN/MSN within three years) and an Oregon RN license, plus BLS and one year of nursing experience.

Qualifications

• Requires a BSN or BA with MSN; ADN/diploma RN also considered with commitment to complete BSN/MSN within three years.
• Basic Life Support (BLS) certification is required.
• Current unencumbered RN license in Oregon.
• One year of nursing experience is required.

Responsibilities

• Performs accurate, ongoing, age-appropriate assessments for each patient.
• Reports and consults pertinent data with the healthcare team and takes action.
• Delivers care based on the individualized patient care plan.
• Follows hospital policies for nursing skills.
• Collaborates with patients and families to address holistic needs and care plans.
• Adjusts care plans as patient condition evolves.
• Documents assessments, plans, interventions, and responses clearly.
• Maintains a safe unit environment following infection control policies.

Skills

BLS

Nursing assessment

Patient care

Infection control

Team collaboration

Education

BSN or BA with MSN

ADN or diploma RN with BSN/MSN completion agreement

Job description

Location:Salem Main Hospital, 890 Oak Street SE, Salem, OR 97301
Department:Intermediate Care Unit
Position Type:Full time, 36 hours/week, Non-Exempt
Schedule:7:00 pm - 7:30 am, 12 hour shifts, variable scheduled days

Your role with us

As part of the intermediate care unit (IMCU), you'll be working in a unit recognized with the Gold Beacon Award from the American Association of Critical Care Nurses (AACN), reflecting excellence in patient care. Here, you’ll manage a wide range of conditions including sepsis, heart failure, myocardial infarction, respiratory and renal failure, pneumonia, cardiac dysrhythmias, gastrointestinal bleeds, diabetic ketoacidosis, and drug overdoses.

Your scope of practice includes advanced procedures such as managing home ventilators for tracheostomy patients, initiating bi-pap/c-pap, performing cardioversions and transesophageal echocardiograms, and caring for patients post-angiogram or ablation. You’ll also handle cardiac IV medications, frequent vital sign monitoring, and conscious sedation.

Collaboration with diverse physicians and specialties is key to promoting positive outcomes. With a strong team culture, you’ll have the opportunity to develop a broad skill set and build meaningful relationships with patients who stay on the unit from admission through discharge.

What you'll do

• Performs accurate, ongoing, and age-appropriate assessments for each assigned patient.
• Reports and consults pertinent data with the healthcare team and takes appropriate action.
• Demonstrates competency in delivering care based on the individualized patient care plan.
• Follows Salem Health–West Valley Hospital policies and procedures for all nursing skills.
• Initiates and/or reviews care plans with patients and families to address holistic, age-specific needs.
• Adjusts care plans to reflect changes in the patient’s condition.
• Consistently documents assessments, plans, interventions, and patient responses accurately.
• Helps maintain a safe unit environment by following infection control policies, replacing sharps containers, removing broken equipment, and using proper lifting and transfer techniques.

Required qualifications

• Requires a Bachelor of Science (BSN) or Bachelor of Arts degree in nursing, or non-nursing bachelor's degree with a Master of Science in nursing (MSN). Candidates with an associate's degree in nursing (ADN) and graduates of a diploma RN program are also encouraged to apply;ADN applicants with less than five years of acute care experience will be required to sign an agreement committing to complete their BSN or MSN degree within three years of hire.
• Basic Life Support (BLS).
• Current unencumbered licensure to practice nursing as a Registered Nurse in the State of Oregon.
• One year of nursing experience.

Total rewards package

Salem Health's comprehensive benefits package prioritizes your mental and physical health, financial stability, family obligations, and professional growth.

Why Salem Health?

Salem Health is a Top Workplace in Oregon, known for fostering a supportive culture where your contributions truly matter. As an award-winning, independent health care system, we serve our region through Salem Hospital, multiple community clinics and West Valley Hospital, ensuring broad access to high-quality care.

We believe in empowering our teams. Through Lean principles, staff help drive innovation and solve real problems. We also invest in your growth with professional development, tuition assistance, and clear career pathways. At Salem Health, you’ll find more than a job, you’ll find purpose, connection, and room to thrive.

Salem Health Hospitals and Clinics is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, gender, gender identity, sexual orientation, age, national origin, disability, veteran status, genetic information, or any other status or condition protected by law.