Registered Nurse - Med Surg - In-Patient - Nights

SEARHC; Sitka (AK); On-site; USD 57,000 - 81,000; Full time

Benefits offered by this job

Retirement plan

Paid time off

Parental leave

Health insurance

Dental

Vision

Life insurance

Disability insurance

Job summary

SEARHC seeks an Acute Care Registered Nurse in Sitka, Alaska, to provide direct nursing care across the lifespan in an inpatient setting. You will perform assessments, implement interventions, and collaborate with interdisciplinary teams to ensure high-quality, culturally sensitive care.

Uphold nursing judgments, coordinate care, and document outcomes using EHRs. Must hold Alaska RN licensure with BLS/ACLS/PALS, and complete required competencies within specified timelines.

Qualifications

• Associate’s degree in Nursing from an accredited program.
• Current, unrestricted Registered Nurse license in Alaska or another U.S. state.
• BLS, ACLS, and PALS certifications required.
• Clinical competency within 3 months and every 3 years.
• High-Risk Competency within 3 months and yearly.

Responsibilities

• Provide comprehensive patient assessments and develop individualized plans of care.
• Implement and evaluate nursing interventions and patient responses.
• Administer medications and treatments per provider orders.
• Monitor changes in patient condition and escalate as needed.
• Deliver patient and family education related to care, medications, and discharge.

Skills

Clinical assessment

Interdisciplinary collaboration

Patient education

Nursing judgment

EHR proficiency

Education

Associate’s degree in Nursing

Tools

Electronic health records (EHR)

Job description

Pay Range

Pay Range:$41.66 - $58.69The 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 Acute 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 acuity in an inpatient 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.

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 the time of hire. Agency staff must have an active Alaska license.

Basic Life Support (BLS), Advanced Cardiac Life Support (ACLS), Pediatric Advanced Life Support (PALS) are all 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

:

Advanced Cardiovascular Life Support (ACLS) - American Heart Association, Basic Life Support (BLS) - American Heart Association, Clinical Competency Assessment - SEARHC, High Risk Competency - SEARHC, Pediatric Advanced Life Support (PALS) - American Heart Association, 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!