Registered Nurse - FT - Nights - ER

HCA Healthcare, Inc.; Spruce Pine (NC); On-site; USD 68,000 - 90,000; Full time

Benefits offered by this job

Comprehensive benefits

Paid time off

401(k) with match

Tuition assistance

Student loan assistance

Life insurance

Job summary

Blue Ridge Regional Hospital in Spruce Pine, NC, part of Mission Health and an operating division of HCA Healthcare, Inc., seeks an experienced ER nurse to join its 24/7 ED. You will lead nursing care, perform assessments, implement interventions, and coordinate rapid stabilization and care.

Qualifications: ADN or BSN, NC RN license (eNLC may apply), BLS, 1 year ER experience. Benefits include comprehensive plans, retirement features, tuition and loan assistance, and growth within a rural

Qualifications

• RN license in NC; eNLC may apply; license must be obtained within 30 days of start date

Responsibilities

• Lead and coordinate ER nursing care using the nursing process.
• Document care and patient/family teaching.
• Collaborate with interdisciplinary team for rapid stabilization and care coordination.

Skills

Nursing

Critical thinking

Education

ADN

BSN

Job description

About Our Emergency Department at Blue Ridge Regional Hospital:

The Emergency Department at Blue Ridge Regional Hospital is part of Mission Health and provides 24/7 comprehensive critical care to the communities of Mitchell, Yancey, and Avery counties. As a designated Critical Access Hospital featuring 25 patient beds, our facility serves as a vital clinical anchor for the region, delivering rapid medical evaluation, stabilizing interventions, and life-saving care for acute injuries and sudden illnesses. Our emergency room offers full-scale diagnostic and treatment capabilities, utilizing an advanced on-site laboratory, multi-modality medical imaging, and dedicated critical care rooms. When severe medical crises require a higher tier of intervention, our department features direct, seamless access to the Mountain Area Medical Airlift (MAMA) helicopter system, ensuring 24/7 rapid critical air transport straight to Mission Hospital's Level II Trauma Center in Asheville. Our clinical team works with urgent, synchronized precision to create a highly responsive care environment where patient stabilization, accurate diagnostics, and efficient coordination are paramount.

What Sets Us Apart:

The Emergency Department at Blue Ridge Regional Hospital combines the specialized, high-stakes capabilities of an acute critical care facility with the supportive, tight-knit culture of a rural community hospital. What truly sets us apart is our agility and direct line to extensive regional resources. Because we manage a broad range of clinical presentations—from mountain recreation traumas to acute cardiac emergencies—our providers remain sharp, highly adaptable, and deeply collaborative. Working here means operating within a unified care network where emergency physicians, advanced practice providers, emergency nurses, and imaging technicians operate with real-time cohesion, allowing for immediate communication and meaningful professional connections that are often lost in massive, detached trauma hubs.

Why Join Blue Ridge Regional Hospital?

Joining our emergency team means stepping into a high-impact clinical environment that prioritizes clinical agility, clinical readiness, and professional collaboration. You’ll enjoy:

• A fast-paced, multi-disciplinary team environment where your triage skills, critical thinking, and decisive actions directly impact patient survival and recovery
• Direct connection to advanced health networks, giving you local clinical autonomy backed by the vast structural resources of Mission Health and HCA Healthcare
• Opportunities for advanced certifications and specialized career progression in emergency nursing, trauma management, and critical care infrastructure
• The professional fulfillment of serving as a definitive lifeline for a proud, resilient mountain community that relies heavily on our specialized, local care
• An exceptional location in Spruce Pine, North Carolina—offering a friendly, welcoming town vibe surrounded by the unmatched natural beauty of the Blue Ridge Mountains

Job Summary and Qualifications

Provides leadership which facilitates the delivery of professional nursing care for the comfort and well-being of patients. Utilizes the nursing process of assessment, planning, implementation, and evaluation, to provide, delegate, supervise and document care and teaching of patients and family. Implements medically prescribed interventions.

What qualifications you will need:

• Education: Associates Degree or Bachelor of Science in Nursing
• License: Must have and maintain current licensure as registered nurse with the North Carolina Board of Nursing. eNLC (Enhanced Nurse License Compact) license may apply, licensee should confirm with NCBON Registered Nurse must be obtained within 30 days of employment start date.
• Certification: BLS Healthcare Provider
• Experience: One year ER experience

Benefits

Blue Ridge Regional Hospital offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:

• Comprehensive benefitsfor medical, prescription drug, dental, vision, behavioral health and telemedicine services
• Wellbeing support, includingfree counselingand referral services
• Time away from workprograms for paid time off, paid family leave, long- and short-term disability coverage and leaves of absence
• Savings and retirement resources, including a 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service), Employee Stock Purchase Plan, flexible spending accounts, preferred banking partnerships, retirement readiness tools, rollover support and financial wellbeing counseling
• Educationsupport through tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of Nursing
• Additional benefitsfor fertility and family building, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection and consumer discounts

Learn more about Employee Benefits

Note:Eligibility for benefits may vary by location.

Blue Ridge Regional Hospital, a member of Mission Health, an operating division of HCA Healthcare, is a community hospital serving Mitchell, Yancey, lower Avery and upper McDowell counties. Located in Spruce Pine, North Carolina, Blue Ridge Regional Hospital is a Critical Access Hospital operating 25 beds. Blue Ridge Regional Hospital offers medical specialties including emergency services, prenatal and postnatal obstetrical care, wound clinic, cardiac stress testing, cardiac and pulmonary rehabilitation programs, nuclear medicine, 3D mammography, endoscopy services, critical care, rehabilitation services and fitness center, cancer services, orthopedics, general surgical services, pediatrics and family medicine, and walk-in, non-emergency care at Mission My Care Now Spruce Pine.

HCA Healthcare has been recognized as one of the World's Most Ethical Companies by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated 3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.

"The great hospitals will always put the patient and the patients family first, and the really great institutions will provide care with warmth, compassion, and dignity for the individual."

We are an equal opportunity employer.

We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.