RN - Family Care

St. Charles Health System Inc.; Madras (OR); On-site; USD 63,000 - 95,000; Full time

Job summary

Registered Nurse - Primary Care at St. Charles Health System provides patient- and family-centered care in a primary care setting at Madras, Oregon. The RN assesses, plans, implements, and documents nursing care as part of the care team, adhering to organizational policies and standards of practice.

Preferred candidates hold a BSN, current Oregon RN license, and BLS certification, with a minimum of one year of nursing experience. Schedule is 40 hours weekly, First Shift at the Family Care Clinic.

Qualifications

• Required: As required by licensure.
• Preferred: Bachelor of Science in Nursing.

Responsibilities

• Assesses patient physical, psychological, social, spiritual, educational, developmental, cultural needs.
• Reviews patient history and diagnostics with patient/family and documents within required timeframes.
• Calculates dosages and administers medications as ordered by physicians.
• Documents all aspects of patient care and communicates status to the care team.
• Participates in creating a healing environment and collaborates with staff to ensure high-quality care.

Education

Bachelor of Science in Nursing

Job description

Job Details

• Pay range: $46.00 - $69.00
• Location: Family Care Clinic - Madras, Oregon
• Employer: St. Charles Health System
• Job Description Title: Registered Nurse - Primary Care
• Reports To: Primary Care Clinical Supervisor
• Department: St. Charles Health System
• Date last reviewed: August 2026

Vision

Creating America’s healthiest community, together

Mission

In the spirit of love and compassion, better health, better care, better value

Values

Accountability, Caring, Teamwork, and Safety

Department Summary

St. Charles Health System encompasses practices in three Central Oregon counties and numerous specialties including family care, obstetrics, gynecology, pediatrics, immediate/urgent care, cardiology, pulmonology, rheumatology, general surgery, cancer care, and sleep medicine. We encourage collaboration between clinical and non-clinical staff to assure we are providing our community with comprehensive and compassionate health care.

Position Overview

The Registered Nurse - Primary Care provides quality patient and family centered care as a member of the health care team in accordance with St. Charles Health System’s mission, philosophy, policies, and procedures. The Registered Nurse applies standards for professional nursing practice and focuses clinical care to enhance the experience for patients, families, and others. This position assesses, plans, implements, evaluates, and documents nursing care of patients in accordance with organizational policies and in accordance with standards of professional nursing practice utilizing the framework for professional nursing practice and development. The Registered Nurse is accountable for the quality of nursing services delivered by self or others who are under their direction. This position utilizes specialized knowledge, judgment, and nursing skills necessary to assess data and plan, provide and evaluate care appropriate to the physical and developmental age of the patient. This position may provide direct nursing care to primary care patients, as a member of a primary care team, at one or more SCHS Primary Care clinics. This position does not directly manage any other caregivers.

Essential Functions and Duties

• Assesses patient physical, psychological, social, spiritual, educational, developmental, cultural, and disposition planning needs.
• Reviews patient history, information and physical with patient/family and assures completion within appropriate timeframe.
• Reviews diagnostics and laboratory data and reports abnormal results to the physician and other appropriate caregivers.
• Completes assessment and reassessments according to patient need and care team plan of care.
• With care team, formulates and implements a plan of care, including follow-up planning, utilizing assessment data and patient, family, and health team input.
• Ensures goals for patient are realistic, measurable, and developed in conjunction with the patient and family.
• Provides care based on physician orders and the nursing plan of care, in compliance with policies and procedures, standards of care, and regulatory agency requirements.
• Delegates appropriately and provides nursing supervision in the provision of care to patients by other members of the care team as appropriate.
• Promotes continuity of care by accurately and completely communicating to other caregivers the status of patient.
• Evaluates the patient’s and family's response to care and teaching and revises the plan of care as needed.
• Evaluates patient progress towards goals and expected outcomes in collaboration with the care team members.
• Documents assessment, planning, implementation, and evaluation in the patient record.
• Documentation is timely and reflects objective and subjective data, nursing interventions and patient’s response to treatment.
• Notes physician orders accurately and in a timely manner.
• Provides care based on the best evidence available.
• May participate in the education, role development, and orientation of other personnel as requested.
• May participate in precepting and mentoring of new staff.
• This position may supervise staff and workflow as requested.
• Participates in creating a healing environment that supports all aspects of the care environment and the wholeness of each individual, patient and caregiver.
• Participates in creating intentional relationships and demonstrates focus attitudes and behaviors that enhance the care experience.
• Provides a therapeutic presence in service to others by purposefully responding to the needs of patients in a caring way, including introducing oneself and explaining role in patient’s care, asking the patient his or her preferred name, sitting with the patient to determine his or her care goals, active listening, and communicating effectively and appropriately through touch, eye contact, etc.
• Provides and maintains a safe environment for caregivers, patients, and guests.
• Documents all patient care with proficiency in compliance with hospital policies, procedures, and regulatory agencies.
• Calculates dosages and administers medications accurately in accordance with St. Charles Health System policies and procedures for medication administration.
• Develops cultural competence and provides appropriate care to patients and family members who belong to diverse cultural backgrounds.
• Supports the vision, mission, and values of the organization in all respects.
• Supports Value Improvement Practice (VIP- Lean) principles of continuous improvement with energy and enthusiasm, functioning as a champion of change.
• Provides and maintains a safe environment for caregivers, patients, and guests.
• Conducts all activities with the highest standards of professionalism and confidentiality.
• Complies with all applicable laws, regulations, policies, and procedures, supporting the organization’s corporate integrity efforts by acting in an ethical and appropriate manner, reporting known or suspected violation of applicable rules, and cooperating fully with all organizational investigations and proceedings.
• Delivers customer service and/or patient care in a manner that promotes goodwill, is timely, efficient, and accurate.
• May perform additional duties of similar complexity within the organization, as required or assigned.

Education

• Required: As required by licensure.
• Preferred: Bachelor of Science in Nursing.

Licensure/Certification/Registration

• Required: Current license to practice as a registered nurse in the State of Oregon by the OR State Board of Nursing. AHA Basic Life Support for Healthcare Provider certification.
• Preferred: Ambulatory Care Nurse – Board Certified (AMB-BC).

Experience

• Required: N/A
• Preferred: Minimum one (1) year nursing experience.

Personal Protective Equipment

Must be able to wear appropriate Personal Protective Equipment (PPE) required to perform the job safely.

Physical Requirements

• Continually (75% or more): Standing and walking, keyboard operation, use of clear and audible speaking voice and the ability to hear normal speech level.
• Frequently (50%): Sitting, lifting/carrying/pushing, or pulling 1-25 pounds. The use and operation of a motor vehicle for Home Health and Wound Caregivers.
• Occasionally (25%): Bending, stooping/kneeling/crouching, climbing ladder/stepstool (varies by area), reaching overhead, lifting/carrying/pushing, or pulling 25-50 pounds, grasping/squeezing, ability to hear whispered speech level.
• Rarely (10%): Climbing stairs.
• Never (0%): Climbing ladder/stepstool (varies by area), operation of a motor vehicle.
• Exposure to Elemental Factors Rarely (10%): Wet/slippery area, chemical solution.
• Never (0%): Heat, cold, noise, dust, vibration, uneven surface.
• Blood-Borne Pathogen (BBP) Exposure Category Risk for Exposure to BBP

Schedule

Weekly Hours: 40 Caregiver Type: Regular Shift: First Shift (United States of America)

Is Exempt Position? No Job Family: NON CONTRACT RN SCMG CLINICS Scheduled Days of the Week: Monday-Friday Shift Start & End Time: 0700-1730

About the Employer

St. Charles Health System is a private, nonprofit organization, dedicated to providing high-quality care and the latest in health care technology to the communities it serves. Headquartered in Bend, Ore., St. Charles is an integrated delivery system, with a strong focus on population health, that provides a full range of evidence-based health care services within a 32,000-square-mile area in Central and Eastern Oregon. The health system owns and operates a trauma level II, tertiary referral center in Bend, a trauma level III, type B rural hospital in Redmond, and trauma level IV critical access hospitals in both Prineville and Madras. As the largest employer in Central Oregon, St. Charles Health System and St. Charles Medical Group care for our communities in more than two dozen outpatient clinics and in more than 20 specialty areas of medicine.