ICU Night Full time

Community Health Systems; Kirksville (MO); On-site; USD 70,000 - 100,000; Full time

Benefits offered by this job

Sign-on bonus

Student loan repayment

Health benefits

401(k) match

Tuition reimbursement

Paid time off

Job summary

Community Health Systems in Kirksville, MO seeks a Registered Nurse for our 10-bed ICU to provide patient-centered, high-acuity care using established protocols and collaborative teamwork.

You will monitor patients, administer medications, operate ventilators and monitors, and participate in life-saving interventions with a supportive multidisciplinary team. We offer competitive pay, a $20,000 sign-on bonus, up to $20,000 student loan repayment, and comprehensive benefits.

Qualifications

• 0–2 years of clinical nursing experience in an acute care setting required.
• ICU experience preferred.
• Ability to work in a high-acuity environment.

Responsibilities

• Coordinate and deliver high-quality, patient-centered ICU care.
• Administer prescribed medications and monitor for side effects.
• Operate ventilators and critical care equipment.
• Assist procedures (central lines, advanced life support) as competent.
• Collaborate with physicians and care teams to develop care plans.
• Maintain documentation and compliance with safety and infection control.
• Respond to medical emergencies and participate in code team activities.
• Provide patient and family education.
• Maintain attendance and comply with policies.
• Engage in professional development and quality improvement.

Skills

Critical care

Patient assessments

Team collaboration

CPR/ACLS

Education

RN license

BLS/ACLS certifications

Tools

Ventilators

Monitors

Infusion pumps

Central line management

Job description

Our 10-bed ICU provides high-acuity, patient-centered care in a close-knit environment where teamwork and clinical excellence are essential. Nurse-to-patient ratios are 1:2 or 1:3 based on acuity, allowing nurses to deliver focused, hands-on critical care.
Patient Population & Clinical Experience
Nurses in the ICU manage complex, high-acuity cases, including:
Septic shock, DKA, respiratory failure
CHF and atrial fibrillation
Stroke patients (including TNK administration)
Ventilator management
Cardiac catheterization patients with stents
Advanced Therapies & Devices
Arterial lines, temporary pacemakers
Balloon pumps and Impella support
Swan-Ganz catheters
Why Nurses Choose This ICU
Highly experienced team with many nurses serving 20+ years
Strong “family” culture built on trust, collaboration, and mutual support
Leadership that values autonomy, teamwork, and clinical confidence
Opportunity to maintain strong critical care skills in a smaller, highly supportive setting

We Invest in Experience. We Reward Excellence.
With newly increased pay rates across all experience levels, we offer a total compensation package that reflects the value you bring to patient care.
What You Can Expect:
Up to $20,000 Sign-On Bonus
Up to $20,000 Student Loan Repayment

Medical, Dental, and Vision benefits starting the first month after hire
401(k) with 50% match up to 6%
$5,000 Tuition Reimbursement
Paid Time Off

Job Summary

The Registered Nurse (RN) provides patient-centered care through the nursing process of assessment, diagnosis, planning, implementation, and evaluation. This role is responsible for coordinating and delivering high-quality care based on established clinical protocols and physician/provider orders. The RN collaborates with physicians, nurses, and other healthcare professionals to ensure effective patient care and desired outcomes, while maintaining a supportive and compassionate environment for patients and their families.

Essential Functions

• Coordinates and delivers high-quality, patient-centered care in accordance with organizational policies, protocols, and the nursing process.
• Conducts thorough patient assessments and documents findings accurately, reporting changes in condition to the appropriate care team members.
• Utilizes knowledge of human growth and development to provide age-appropriate care and education.
• Administers prescribed medications, monitors for side effects, and documents administration in accordance with standards of practice.
• Assists physicians during procedures within the scope of documented competency and skill level.
• Collaborates with the healthcare team to develop, implement, and evaluate individualized care plans based on patient assessments and needs.
• Responds to medical emergencies and participates in life-saving interventions, such as CPR and code team activities, as appropriate.
• Advocates for the rights and needs of patients, ensuring their voices are heard and respected in care planning and delivery.
• Provides patient and family education on medical conditions, treatment plans, and post-discharge care, ensuring understanding and adherence to instructions.
• Implements and adheres to infection control protocols to prevent the spread of healthcare-associated infections.
• Monitors and operates medical equipment (e.g., IV pumps, monitors, ventilators) as needed for patient care and safety.
• Promotes patient safety by adhering to National Patient Safety Goals and maintaining a clean, safe environment for patients and staff.
• Participates in audits, chart reviews, and compliance checks to ensure adherence to standards of practice and regulatory requirements.
• Demonstrates responsible decision-making in planning, delegating, and providing care based on patient needs and organizational policies.
• Documents patient care and education thoroughly and promptly in the medical record.
• Engages in professional development to maintain clinical competency and understanding of current nursing standards and regulations.
• Participates in performance improvement initiatives, including data collection and process development, to enhance patient outcomes and care delivery.
• Critical Care RN:
  • Administers medications and other treatments as prescribed, including intravenous medications and therapies.
  • Manages complex medical equipment, including ventilators, monitoring devices, and other life-support systems.
  • Performs procedures such as inserting central lines, managing tracheostomies, and providing advanced cardiac life support.
• Performs other duties as assigned.
• Maintains regular and reliable attendance.
• Complies with all policies and standards.

Qualifications

• 0-2 years of experience in a clinical nursing role or student clinical rotations in an acute care setting required

Knowledge, Skills and Abilities

• Strong knowledge of the nursing process and clinical nursing practices.
• Ability to perform thorough patient assessments and communicate findings effectively.
• Proficient in administering medications and monitoring for side effects.
• Effective communication and interpersonal skills to collaborate with interdisciplinary teams.
• Strong organizational skills and attention to detail in documenting patient care.
• Knowledge of safety standards, infection control, and quality improvement initiatives.

Licenses and Certifications

• RN - Registered Nurse - State Licensure and/or Compact State Licensure required
• BCLS - Basic Life Support required
• ACLS - Advanced Cardiac Life Support preferred
• PALS - Pediatric Advanced Life Support preferred
• NRP - Neonatal Resuscitation preferred
• Refer to facility or unit-specific guidelines for additional requirements.

INDNUR

To apply, please email