Registered Nurse - Long Term Care

Holland America-Princess (Holland America Dawson City Inn); Sitka (AK); On-site; USD 57,000 - 81,000; Full time

Benefits offered by this job

Retirement

Paid time off

Parental leave

Health insurance

Dental

Vision

Life insurance

Disability insurance

Job summary

SEARHC is seeking an on-site Registered Nurse to provide comprehensive nursing care across the lifespan in Southeast Alaska. You will perform assessments, plan and implement care, administer medications, and educate patients and families while maintaining safety and quality standards.

Strong clinical judgment, cultural sensitivity, and teamwork are essential. Alaska RN license and BLS are required, with competency milestones to meet within defined timelines.

Qualifications

• Associate degree in Nursing from an accredited program.
• Current, unrestricted Registered Nurse license in Alaska.
• Basic Life Support (BLS) certification required.
• Clinical competency within 3 months and every 3 years.

Responsibilities

• Performs comprehensive patient assessments and develops individualized plans of care.
• Implements and evaluates nursing interventions and patient responses.
• Administers medications and treatments safely and accurately per orders.
• Recognizes changes in patient condition and initiates escalation of care.
• Provides patient and family education related to care and discharge needs.
• Delivers culturally responsive, patient-centered care.

Skills

Clinical judgment

Communication skills

Team collaboration

Adaptability

Education

RN license Alaska

BLS certification

Job description

Pay Range

Pay Range: $41.66 - $58.69

The Registered Nurse (RN) provides professional nursing care across the lifespan in accordance with organizational standards, policies, and evidence-based practice. The RN utilizes the nursing process to assess, plan, implement, and evaluate patient care while delivering high-quality, culturally sensitive, and patient-centered services. The RN collaborates with providers and interdisciplinary teams to promote optimal patient outcomes, safety, and positive patient experience.

The Long-Term Care Registered Nurse provides direct nursing care to patients across the lifespan with acute, chronic, and post operative conditions across a broad range of diagnoses. This role requires strong clinical assessment skills, interdisciplinary collaboration, and the ability to manage fluctuating patient needs in a group setting. Must be competent in the use of all equipment in specialty. On call may be required.

SEARHC is a non-profit health consortium which serves the health interests of the residents of Southeast Alaska. We see our employees as our strongest assets. It is our priority to further their development and our organization by aiding in their professional advancement.

Working at SEARHC is more than a job, it’s a fulfilling career. We offer generous benefits, including retirement, paid time off, paid parental leave, health insurance, dental, and vision benefits, life insurance and long and short-term disability, and more.

Patient Care

• Performs comprehensive patient assessments and develops individualized plans of care.


• Implements and evaluates nursing interventions and patient responses.


• Administers medications and treatments safely and accurately per provider orders and policy.


• Recognizes changes in patient condition and initiates appropriate interventions or escalation of care.


• Provides patient and family education related to care, medications, and discharge needs.


• Delivers culturally responsive, patient-centered care.

Nursing Judgment & Clinical Decision-Making (Alaska BON-Aligned)

Consistent with the Alaska Board of Nursing scope of practice for Registered Nurses, nursing judgment is essential to the safe, effective, and accountable delivery of nursing care. The Registered Nurse independently applies critical thinking and professional judgment to:

• Perform and interpret comprehensive assessments and recognize significant changes in patient condition requiring nursing intervention or provider notification.


• Exercise independent nursing judgment in determining appropriate nursing actions, interventions, and priorities, and in identifying when consultation, collaboration, or escalation to a licensed independent provider is required.


• Develop, implement, evaluate, and revise individualized nursing plans of care based on patient needs, responses, preferences, and clinical circumstances, rather than relying solely on standardized protocols.


• Integrate clinical findings with ethical principles, cultural considerations, patient safety standards, and regulatory requirements when making nursing decisions.


• Accept accountability for nursing decisions, delegated tasks, and outcomes of nursing care in accordance with Alaska statutes, regulations, and organizational policy.

Care Coordination & Documentation

• Collaborates with providers and interdisciplinary team members to coordinate care.


• Facilitates referrals, follow‑up care, and continuity of services.


• Documents assessments, interventions, and outcomes accurately and timely in the electronic health record.


• Advocates for patient care and assists patients in navigating the healthcare system.

Quality, Safety & Compliance

• Practices within nursing scope of practice and adheres to regulatory, safety, and infection prevention requirements.


• Participates in quality and performance improvement activities.


• Maintains required competencies and certifications.


• Reports adverse events, near misses, and unsafe conditions per policy.

Teamwork & Professional Practice

• Demonstrates professionalism, accountability, flexibility, and teamwork.


• Provides appropriate guidance and delegation to ancillary staff.


• Supports orientation, mentoring, and education of staff, students, and peers.


• Floats to other departments or assignments as needed.

Qualifications

Education & Licensure

• Associate’s degree in Nursing from an accredited program.


• Current, unrestricted Registered Nurse license in the State of Alaska or other U.S. state required. Direct Hire must have applied for an Alaska nursing license at time of hire. Agency staff must have an active Alaska license.


• Basic Life Support (BLS) is required.


• Clinical competency required within 3 months and every 3 years.


• High Risk Competency required within 3 months and every year.

New Nursing Program Graduates

BLS required at the time of hire.

All certifications required for the area of practice must be obtained within six (6) months of hire (e.g., ACLS, PALS, NRP, TNCC, ENPC, as applicable).

Experienced Nurses - New to a Specialty Area

Experienced nurses entering a new specialty must obtain all required specialty‑specific and advanced certifications within six (6) months of hire (e.g., ACLS, PALS, NRP, TNCC, ENPC, based on practice area requirements).

Experienced Nurses

Nurses hired directly into a specialty area must provide evidence of current required certifications for the position at the time of hire (e.g., ACLS, PALS, NRP, TNCC, ENPC, as applicable to practice area).

Nurses with Float Areas

Nurses who float to areas other than their primary location must complete the required certifications for the highest level specialty in which they will provide care.

High‑Risk Competency

High‑risk competency validation is required for direct patient care nursing roles. The high-risk competencies are specific to the area of practice (e.g., proficiency in complex medical equipment, procedures, interventions, etc.). Competency will be assessed before ending initial preceptorship and no less than annually thereafter.

Knowledge, Skills & Abilities

• Knowledge of nursing principles, evidence-based practice, medication safety, and infection prevention.


• Strong clinical judgment, organization, prioritization, and communication skills.


• Ability to work independently and collaboratively in a fast‑paced environment.


• Proficiency with electronic health records and clinical systems.

Physical & Work Requirements

• Ability to lift, push, pull, and move up to 50 pounds.


• Ability to stand for extended periods and perform bending, stooping, and kneeling.


• Ability to work in a moderate-to-high noise clinical environment.

Safety Responsibility

Employees are responsible for complying with safe work practices, reporting injuries and unsafe conditions, and cooperating in safety investigations.

Required Certifications

• Basic Life Support (BLS) - American Heart Association, Clinical Competency Assessment - SEARHC, High Risk Competency - SEARHC, Registered Nurse License - State of Alaska - Alaska State Board of Nursing

If you like wild growth and working with happy, enthusiastic over-achievers, you'll enjoy your career with us!