RN- Critical Care Stepdown Unit -Per Diem

1810 Wentworth-Douglass Hospital; Dover (DE); On-site; USD 53,000 - 73,000; Part time

Job summary

1810 Wentworth-Douglass Hospital is seeking an experienced registered nurse for a 21-bed unit. You will provide high‑quality patient care, collaborate with a multidisciplinary team, and support continuous learning and clinical leadership.

The role requires RN licensure and a BSN is preferred or in progress; BLS certification is required. Per diem night shifts offer opportunities for mentorship and professional growth within a Magnet‑recognized environment.

Qualifications

• Graduate of accredited nursing program with RN licensure.
• RN licensure required; BLS certification required (AHA/ARC).
• BSN preferred or enrollment in BSN program.

Responsibilities

• Assess and plan patient care tailored to population served.
• Follow policies and standards; communicate data clearly (handoffs, written).
• Delegate and supervise team within scope of practice.
• Collaborate and communicate patient data to the care team.
• Develop and integrate teaching plans for patient care and staff education.
• Participate in unit-specific competencies and quality improvement initiatives.

Skills

Clinical judgment

Systems thinking

Clinical inquiry

Team collaboration

Education

RN program completion

BSN preferred

Job description

Site: Wentworth-Douglass Hospital Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham.

Job Summary: Looking for a safe supportive environment to care for patients and build your career? Here is your opportunity to expand your nursing experience, preparing you for a higher acuity unit in a Magnet recognized hospital with the lowest RN to patient ratios in the greater seacoast area!

Benefits of working on this 21 bed unit include:

• 3:1 RN ratio for IMCU patients
• 4:1 RN ratio for med/surg tele patients
• Pharmacist on the unit
• Designated clinical educator and a house wide night shift clinical educator
• Inpatient clinical coach
• Day/Night Clinical practice leader
• Resource RN with minimal patient assignment
• Designated LNA's per shift
• Leadership support

Qualifications

1. CLINICAL JUDGMENT

• o Appropriately assesses, plans, implements and evaluates patient care, specific to population served
• o Follows policies/procedures, clinical practice standards pertinent to care, including emergency situations
• o Matches formal knowledge with clinical events to make decisions
• o Demonstrates the ability to provide competent, effective care
• o Seeks validation for clinical decisions, integrates input from other clinicians for decision making
• o Prioritizes and organizes work appropriately to effectively meet patient needs
• o Appropriately delegates to and supervises team members based on assessment of competencies, within scope of practice to ensure appropriate implementation of care
• o Collaborates & communicates relevant patient data to appropriate persons clearly and effectively, both orally and in writing (e.g. handoffs)
• o Effectively develops teaching plan and regularly integrates teaching into patient care

2. SYSTEMS THINKING

• o Recognizes available resources/tools for meeting patient/family needs
• o Completes assignments in an efficient and timely manner, requesting and utilizing resources appropriately
• o Documents patient assessment, plan, interventions and response in accordance with applicable policies and procedures
• o Communicates with Nurse Manager/ or designee about availability and management of supplies, system equipment and personnel resources at unit/department level
• o Demonstrates contribution to unit-based programs and strategies to monitor and continuously improve the quality of patient care
• o Optimizes use of staff (overtime, agency, skill mix, etc.) based on unit census and patient acuity

3. CLINICAL INQUIRY

• o Shows commitment to learning new knowledge and skills to enhance service to patients/ families and achieve organizational goals
• o Implements and validates practices based upon current nursing evidence
• o Advances the profession by assisting in clinical education and orientation of other staff and students; may function as preceptor for new staff
• o Uses available resources to answer questions in regards to best practices, reflects upon practices on an ongoing basis
• o Identifies opportunities for improvement in processes of care and other improvements at a unit level
• o Actively participates in the collection and use of data and/or evaluation relative to unit-based performance improvements

4. UNIT SPECIFIC RESPONSIBILITIES

• o Participates in selection of and completes all unit-specific competencies
• o Articulates Nursing Sensitive Indicators and quality goals for unit and describes role in accomplishing expectations; describes role and participates in quality improvement initiatives.

Experience Minimum Required

• • Graduate of accredited nursing program with RN licensure.

Education Minimum Required

• • RN program completion

Education Preferred/Desired

• • BSN or enrollment in BSN program

Licensure and/or Certifications Required

• • Registered Nursing License
• • AHA or ARC BLS

Additional Job Details (if applicable)

Remote Type Onsite Work Location 789 Central Avenue Scheduled Weekly Hours 0 Employee Type Per Diem Work Shift Night (United States of America) Pay Range $38.71 - $53.29/Hourly Grade WDHRN2

At Mass General Brigham, we believe in recognizing and rewarding the unique value each team member brings to our organization. Our approach to determining base pay is comprehensive, and any offer extended will take into account your skills, relevant experience if applicable, education, certifications and other essential factors. The base pay information provided offers an estimate based on the minimum job qualifications; however, it does not encompass all elements contributing to your total compensation package. In addition to competitive base pay, we offer comprehensive benefits, career advancement opportunities, differentials, premiums and bonuses as applicable and recognition programs designed to celebrate your contributions and support your professional growth.

EEO Statement

1810 Wentworth-Douglass Hospital is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran’s Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at (857)-282-7642.

Mass General Brigham Competency Framework

At Mass General Brigham, our competency framework defines what effective leadership “looks like” by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline.

Combat disease. Hold a hand. Help people. Impact the world.

Mass General Brigham is a passionate, welcoming community where minds meet caring hearts.

Come be a part of the world’s most powerful force in medicine, where every role is important in changing lives.

Are you ready? Our history includes New England hospitals founded over 200 years ago, some of the first and most prestigious hospitals in the world. Built on the legacy of two leading academic medical centers, we’re more than a system—we’re leaders in the practice of medicine. Mass General Brigham is committed to serving the community. We are dedicated to enhancing patient care, teaching and research, and taking a leadership role as an integrated health care system. We recognize that increasing value and continuously improving quality are essential to maintaining excellence.