Registered Nurse - Acute Care - Per Diem

Guthrie; City of Cortland (NY); On-site; USD 55,000 - 75,000; Full time

Benefits offered by this job

Free On-Site Parking

Supportive, Team‑Focused Culture

Job summary

Guthrie Cortland Medical Center is seeking a per diem Registered Nurse for the Acute Care (Med/Surg) team. The unit is fast‑paced yet focused on teaching, with a caring environment and a patient‑centered care approach.

RNs collaborate with an LPN and a PCP to share patient load; roles emphasize safety, learning, and clinical excellence within Guthrie’s integrated health system. BLS is required; ACLS/PALS may be unit dependent; BSN preferred.

Qualifications

• Registered Nurse licensed in the state of employment; BSN preferred; BLS required; ACLS/PALS as unit needs; transition options from NLRN program available.

Responsibilities

• Assess, diagnose, plan, implement and evaluate patient care; coordinate care and plan of care updates.
• Advocate for ethical, holistic patient care and autonomy.
• Foster learning for patients, families, and staff.
• Ensure safety and quality; integrate best practices and evidence into nursing care.
• Engage in ongoing professional development and maintain licensure.
• Exercise leadership within the care team, delegating and coordinating care.
• Support educational program planning and presentations.
• Perform other duties as assigned.

Skills

Team collaboration

Patient‑centered care

Nursing assessment

Communication

Education

Registered Nurse license in state

BSN preferred

BLS certification

ACLS/PALS unit dependent

Job description

Join the Acute Care RN Team in a per diem capacity at Guthrie Cortland Medical Center! Why This Role & Guthrie? Our Acute Care (Med/Surg) department has been described by our staff as having a caring & comforting environment with an incredible team that feels like family. The department is fast-paced but has a strong focus on teaching and learning. Our RNs work on a Care Team with a LPN and a PCP sharing a patient load. Our team values collaboration, communication, and patient‑centered care. Nurses are respected clinical partners here, not task‑doers, and the work you do directly influences diagnostic quality and treatment outcomes.

At Guthrie, you’ll find:

• A collaborative, provider‑led Acute Care team
• Strong clinical leadership and interdisciplinary support
• A mission‑driven culture grounded in compassion and excellence
• The stability and resources of a large, integrated health system
• A role that supports longevity, growth, and work‑life balance

What Guthrie Offers You

• Stable, Predictable Scheduling compared to inpatient bedside roles
• Supportive, Team‑Focused Culture
• Free On‑Site Parking
• America's Greatest Workplaces in Healthcare 2026 - Newsweek

Who We Are

Guthrie Cortland Medical Center has proudly served the Cortland community for over a century, delivering high‑quality, patient‑centered care backed by modern technology and a deeply rooted culture of compassion. Our Acute Care team is a key part of that mission — providing critical diagnostic services that help patients live healthier, longer lives.

Job Summary

The Registered Nurse (RN) provides professional, comprehensive nursing care for patients in an acute care environment. Accountable for the delivery of coordinated, safe, compassionate, therapeutic, evidence‑ based quality care to patients and families, based on individual physical, emotional, and spiritual needs, and appropriate care strategies throughout the lifespan. Practices in accordance with the Nurse Practice Act in the state of employment, the American Nurses Association (ANA) Code of Ethics for Nurses, and the ANA scope and standards of practice. Essential functions and specific skills for the job are found in the unit specific onboarding checklist and in standards that are applicable to the specialty.

Education, License & Cert

• Registered Nurse in the State of Practice.
• BSN in Nursing preferred.
• Any previously agreed upon effective date for obtaining a Bachelor's degree in nursing between individuals and facilities will remain in effect, including those who transition to their position from the NLRN Program.
• Any contract with specific time frames for obtaining a bachelor’s degree in nursing will supersede the above point and will remain in effect.
• Specialty Certification is preferred
• BLS certification.
• ACLS is unit dependent.
• PALS is unit dependent

Experience

• The Registered Nurse must be a registered nurse currently licensed in the state of employment with at least one year of experience. Alternately, the Registered Nurse may have less than one year of experience if they have been transitioned to their position from the Newly Licensed Registered Nurse Residency (NLRN) Program.
• The Registered Nurse must meet the individual nursing unit specifications regarding educational requirements during employment.
• Must maintain BLS certification.
• ACLS is unit dependent.
• Specifications regarding educational requirements during employment are determined by the Nursing Department and Nursing Unit.

Essential Functions

1. Employs Nursing Professional Practice: Assesses, diagnoses, plans, implements, and evaluates patients' care. Develops updates and coordinates the patients' plan of care to achieve patient goals and to optimize outcomes and transitions across the continuum. Monitors, records, and communicates patient condition as appropriate. Performs and maintains the currency of essential competencies as required by a specific area of hire and population served.

2. Advocates: Effectively advocates for ethical and holistic care by partnering in care planning to promote the autonomy, dignity, rights, values, and beliefs of those we serve.

3. Facilitates Learning: Fosters a learning environment for patients/families, nursing, and other members of the healthcare team, including student; Facilities formal and informal learning for patients/families, nursing, other members of the healthcare team, and community.

4. Aligns Practice with Safety and Quality: Accountable for safety, identifies and corrects problems, and integrates evidence and best practice into nursing care; uses data and evidence to improve patient outcomes. Aligns patient safety, self‑ safety, and environmental safety as equally important for best outcomes.

5. Engages in Professional Development: Engages in ongoing professional development; practices at the top of license within the legal parameters of the Nurse Practice Act, the ANA Code of Ethics for Nurses, and specialty standards. Promotes a culture of inquiry that explores, integrates, and disseminates research and evidence‑ based practice.

6. Leader in Practice Setting & Community: demonstrates leadership as change agents using the collaborative leadership skills of advocacy, influence and innovation. In partnering with colleagues appropriately delegates, coordinates care, and collaborates with others as equal members of the inter‑ professional care team to integrate nursing knowledge. Models professional behaviors as a representative of the nursing profession.

7. Participates in the planning and presentation of educational programs.

8. It is understood that this description is not intended to be all‑ inclusive and that other duties may be assigned as necessary in the performance of the position.

Other Duties

• 1. Proficiency in Information Technology, such as electronic health records, communication systems, computers, and equipment necessary to perform essential functions of the position.
• 2. Skilled to work with a wide range of staff as part of an interdisciplinary team, including physicians, nurses, and ancillary staff.
• 3. Ability to use independent, critical judgment in all aspects of patient care delivery.
• 4. Demonstrated interpersonal skills that convey a positive and supportive attitude.
• 5. Ability to effectively manage multiple responsibilities, urgent responses, and challenging situations.

The pay range for this position is $40.00 - $54.12 per hour plus 15% per diem diff and other differentials!