Mixed Acuity unit RN - Nights

CHS Career Site; Kirksville (MO); On-site; USD 60,000 - 80,000; Full time

Job summary

The CHS Career Site is seeking a Registered Nurse to join the Med/Surg/PCU unit in a fast-paced, supportive setting. You will provide patient-centered care across multiple levels, collaborating with physicians and an interdisciplinary team to ensure high-quality outcomes and compassionate support for patients and families.

Ideal candidates bring 0–2 years of acute care experience or student rotations, RN licensure, and a commitment to safety, documentation, and ongoing professional development

Qualifications

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

Responsibilities

• Coordinates and delivers high-quality, patient-centered care in accordance with organizational policies and the nursing process.
• Conducts thorough patient assessments and documents findings accurately, reporting changes to the care team.
• Administers prescribed medications, monitors for side effects, and documents administration.
• Assists physicians during procedures within the scope of competency.
• Collaborates with the healthcare team to develop, implement, and evaluate individualized care plans.

Skills

Nursing process

Patient assessment

Medication administration

Interdisciplinary collaboration

Documentation & compliance

Job description

Med/Surg | PCU Step-Down | Observation | Swing Bed

Our Mixed Acuity Unit provides a fast-paced but supportive environment where nurses care for a diverse medical and surgical patient population across multiple levels of care. This unit offers strong teamwork, manageable workloads, and excellent opportunities for skill development.

Unit Structure

4th Floor: 21-bed Mixed Med/Surg & PCU Step-Down
3rd Floor: 12-bed Observation, Extended Recovery & Swing Bed

Patient Population

Common diagnoses include CHF, COPD, Afib, sepsis, GI bleeds, SBO, post-op orthopedic cases (hips/knees), and cardiac stents.

Why Nurses Love This Unit

• Broad clinical exposure with strong RN, LPN, and PCT support
• Community-focused care with a small-town, family-centered feel
• Engaged leadership that trusts and supports nursing staff
• Patients who truly know and appreciate their caregivers

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.
• 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.