Registered Nurse (RN) – ED Observation / Float-Rochester, NY

HiredFirst; City of Rochester (NY); On-site; USD 120,000 - 130,000; Full time

Job summary

HiredFirst seeks an experienced RN for the Emergency Department Observation Unit/Float Pool in Rochester, NY 14642. This fast-paced unit handles short-term observation to determine admission versus discharge, with high patient turnover and diverse acuity levels.

Observation unit features 20-27 patient turnover daily and ~27-hour average length of stay, with 24/7 provider coverage and a mix of observation and boarded patients. This role requires flexibility and strong clinical skills.

Qualifications

• Active New York State RN license.
• Minimum 2 years Med/Surg experience.
• Telemetry experience required.
• BLS certification (AHA) required.

Responsibilities

• Provide care for patients in observation and ED boarding status.
• Monitor and assess patients for changes in condition.
• Administer medications and treatments per protocol.
• Collaborate with interdisciplinary teams for patient care planning.
• Support safe discharge or transition to inpatient admission.

Skills

Telemetry experience

Med/Surg experience

BLS (AHA)

Education

New York State RN License

Job description

Registered Nurse (RN) - ED Observation / Float

Location: Rochester, NY 14642
Pay: $2,300 - $2,500 per week
Start Date: 04/13/2026
Contract: Through 07/11/2026 (option to extend)
Schedule: Rotating Days/Evenings/Nights, weekends, holidays, on-call/callback as needed
Openings: 1

Position Overview:

We are seeking an experienced RN for the Emergency Department Observation Unit / Float Pool. This fast-paced unit provides care for patients requiring short-term observation to determine admission versus discharge, with a high patient turnover and diverse acuity levels.

Observation unit with 20-27 patient turnover daily

Average length of stay: ~27 hours

24/7 provider coverage

Mix of observation and admitted boarding patients

Fast-paced, high-acuity environment

Key Responsibilities:

• Provide care for patients in observation and ED boarding status
• Monitor and assess patients for changes in condition
• Administer medications and treatments per protocol
• Collaborate with interdisciplinary teams for patient care planning
• Support safe discharge or transition to inpatient admission

Schedule & Additional Info:

• Rotating shifts (Days, Evenings, Nights)
• Weekends, holidays, on-call, and callback required
• May float based on unit needs

Requirements (Must Have):

• Active NY State RN License (required)
• Minimum 2 years Med/Surg experience
• Telemetry experience required
• BLS (AHA required)

Preferred Qualifications:

• NIHSS certification (preferred)
• Experience in observation or ED settings

Why This Opportunity:

• Gain experience in a high-turnover, fast-paced observation unit
• Exposure to a wide range of patient conditions
• Strong clinical decision-making environment