Registered Nurse (RN) - Dialysis

Atrium Health; Monroe (NC); On-site; USD 70,000 - 95,000; Full time

Job summary

Atrium Health is seeking an experienced registered nurse to join a small, collaborative unit in North Carolina. The role emphasizes evidence-based care, teamwork, and high-quality patient outcomes.

The ideal candidate has 2+ years in nursing with ICU/KDU experience, holds an active RN license, and may have a BSN. Expect on-site shifts, on-call rotation, and a strong commitment to professional development and patient safety.

Qualifications

• RN license to practice in the state(s) where services are provided.
• BLS certification required; additional certifications may be required based on specialty.
• Typically requires 1 year of clinical nursing experience.

Responsibilities

• Participate in governance, quality initiatives, and evidence-based practice improvements.
• Utilize the nursing process to assess, plan, implement, and evaluate care with patient/family involvement.
• Monitor patient conditions, adjust care plans, and collaborate with the care team.
• Maintain a culture of safety and ensure timely, accurate EHR documentation.
• May float to other units as needed within the service area.

Skills

Clinical judgment

Critical thinking

Time management

Communication

Interpersonal skills

Team collaboration

EHR proficiency

Education

RN license

BSN preferred

Job description

This close-knit department consists of a small, collaborative team of four nurses and one technician who work closely together to provide high-quality patient care. The unit operates from 7:00 AM to 7:00 PM and can accommodate up to four patients at a time, typically staffed by either two nurses or one nurse and one technician. Team members participate in an on-call rotation and work rotating holidays. The supportive culture emphasizes teamwork, engagement, and mutual support, making it an excellent environment for clinicians who thrive in a highly collaborative setting.

Ideal Candidate

Ideal Candidate will have at least 2 years of nursing experience, along with strong ICU and/or extensive Kidney Dialysis Unit (KDU) experience.

Major Responsibilities

• Engages in unit councils, professional governance, and quality initiatives to improve care processes and apply evidence-based practices.
• Utilizes the nursing process to assess, plan, diagnose, implement, and evaluate nursing care, engaging patients and families through the continuum of care.
• Monitors patient conditions, adjusts care plans, mobilizes resources, and collaborates with the care team to influence care outcomes.
• Upholds and promotes a culture of safety.
• Continuously evaluates patient, team, and unit outcomes, taking action as needed.
• May administer medications, treatments, and therapies safely and according to clinical protocols and procedures.
• Demonstrates effective communication, feedback, and conflict resolution, fostering team collaboration and appropriate delegation.
• Pursues professional development, completes required education, and maintains certifications.
• Adhere to the ANA Code of Ethics and practices ethical decision-making, respects interdisciplinary roles, and contributes to integrated, unbiased patient care.
• Appropriate delegation to other Registered Nurses, Licensed Practical Nurses, and unlicensed assistive personnel (i.e., nurse aides, credentialed medical assistants, etc.).
• Maintains accurate, timely EHR documentation.
• May be required to float to other units, departments, care areas, or facilities within the designated service area to meet patient care needs.
• Must be able to demonstrate knowledge and skills necessary to provide care appropriate to the age of the patients served. Must demonstrate knowledge of the principles of growth and development over the life span and possess the ability to assess data reflective of the patient's status and interpret the appropriate information needed to identify each patient's requirements relative to his/her age-specific needs, and to provide the care needed as described in the department's policies and procedures. Age-specific information is developed further in the departmental job standards

Minimum Job Requirements

Education

Graduate of a Board of Nursing approved nursing education program.

Certification / Registration / License

• Basic Life Support (BLS). Additional education, training, certifications, or experience may be required based on specialty.
• Active registered nurse (RN) multi-state compact and/or single-state license with privileges to practice in the state(s) where the RN is providing client nursing services

Note: Licensed nurses practicing via telehealth/telenursing/virtual modalities are required to be licensed or hold the privilege to practice in the state(s) where the client(s) is/are located. Licensed nurses are responsible and accountable for knowing, understanding, and practicing in compliance with the laws, rules, regulations, and standards of practice of the state(s) where the client(s) is/are located.

Experience

Typically requires 1 year of experience in clinical nursing.

Knowledge / Skills / Abilities

• Strong clinical judgment and critical thinking.
• Time management, prioritization and problem-solving skills.
• Excellent communication and interpersonal skills.
• Ability to work in a fast-paced, dynamic environment.
• Proficiency in operating computer functions (e.g., E-mail, electronic records, digital platforms etc.) clinical, aviation, maintenance, communications, and administrative departments.

Physical Requirements And Working Conditions

• Must be able to sit, stand, walk, lift, squat, bend, reach above shoulders, and twist frequently throughout the workday.
• Must be able to lift and support the weight of 35 pounds in handling patients, medical equipment, and supplies.
• Must be able to: push/pull with 30 lbs. of force and perform a sliding transfer of 150 lbs. with a second person present.
• Must have functional speech, vision, hearing, and touch with ability to use fine hand manipulation skills for IV insertion and other procedures/functions.
• Maneuver foot pedals on carts or machines.
• Perform physical safety interventions such as patient restraint and verbal de-escalation, if needed.
• May be exposed to chemical and hazardous waste as well as blood and body fluids and communicable disease. Therefore, protective clothing and equipment must be worn as necessary.
• Must be able to respond quickly to changes in patient and/or unit conditions.
• Physical Abilities Testing may be required.
• Additional department specific physical requirements may be identified for unique responsibilities within the department by the nurse leader.

Preferred Job Requirements

Education

Bachelor of Science degree in Nursing (BSN)

This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties.