RN ICU

CHI; Bismarck (ND); On-site; USD 49,000 - 70,000; Full time

Benefits offered by this job

Sign-on bonus

Relocation assistance

Job summary

CHI St. Alexius Health in Bismarck, ND is seeking an experienced ICU Registered Nurse to deliver life-saving care to critically ill patients using advanced technology and clinical judgment.

You will supervise care per policy, perform meticulous assessments, and respond rapidly in a high-acuity environment while supporting patients and families with compassion.

Qualifications

• Nursing degree from an approved school of nursing.
• At least 1–2 years ICU/critical care experience preferred; equivalent acute care considered.
• Active RN license in North Dakota or a compact state, in good standing.
• Working knowledge of critical care nursing principles and life-sustaining technologies.
• BLS and ACLS certifications during orientation and ongoing recertification as required.
• Excellent oral and written communication; ability to maintain confidentiality.

Responsibilities

• Provide comprehensive nursing care for critically ill patients with life-threatening conditions and require continuous monitoring.
• Develop and manage individualized care plans for sepsis, respiratory failure, cardiac arrest, multi-organ dysfunction, or post-surgical complications.
• Perform advanced assessments and interpret lab results, ventilator settings, and hemodynamic data; adjust interventions accordingly.
• Collaborate with intensivists, hospitalists, therapists, case managers and other staff to ensure coordinated care.
• Manage advanced life-support equipment (ventilators, CRRT, vasoactive drips, IABP) safely and effectively.
• Communicate clearly and empathetically with patients and families, including end-of-life discussions when appropriate.

Skills

Critical Care ICU experience

ND compact license

BLS & ACLS

Strong communication

Confidentiality

Critical thinking

Education

Nursing degree

Tools

CRRT equipment

Job description

Job Summary And Responsibilities

Registered Nurse - Intensive Care Unit (ICU)

As our Intensive Care Unit (ICU) Registered Nurse, you will provide life-saving care to critically ill patients, managing complex, multi-system illnesses and injuries with advanced technology and expert clinical judgment. Every day you will perform meticulous assessments, implement sophisticated interventions, and continuously monitor unstable patients requiring the highest level of nursing care. You will be expected to supervise care according to policies, procedures, and the State Nurse Practice Act. To be successful in this role, you must be a highly skilled and resilient caregiver, adept at critical thinking, rapid decision-making, and providing compassionate support to both patients and their families in a high-acuity environment.

Registered Nurse - Intensive Care Unit (ICU)

As our Intensive Care Unit (ICU) Registered Nurse, you will provide life-saving care to critically ill patients, managing complex, multi-system illnesses and injuries with advanced technology and expert clinical judgment. Every day you will perform meticulous assessments, implement sophisticated interventions, and continuously monitor unstable patients requiring the highest level of nursing care. You will be expected to supervise care according to policies, procedures, and the State Nurse Practice Act. To be successful in this role, you must be a highly skilled and resilient caregiver, adept at critical thinking, rapid decision-making, and providing compassionate support to both patients and their families in a high-acuity environment.

Responsibilities

• Provide comprehensive nursing care for critically ill patients with life-threatening conditions, requiring continuous physiological monitoring, invasive and non-invasive life support, and complex medication regimens.
• Implement and manage individualized care plans for various critical illnesses and injuries, including but not limited to sepsis, respiratory failure, cardiac arrest, multi-organ dysfunction, and post-surgical complications.
• Perform advanced assessments, interpret complex diagnostic data (e.g., hemodynamic waveforms, lab results, ventilator settings), adjust interventions based on patient response, and swiftly recognize and respond to changes in patient condition.
• Collaborate effectively with intensivists, hospitalists, specialized therapists, case managers, and other healthcare professionals to ensure coordinated, holistic care and optimal outcomes for critically ill patients.
• Manage advanced life support equipment and technologies, including mechanical ventilators, continuous renal replacement therapy (CRRT), vasoactive drips, and intra-aortic balloon pumps, ensuring their safe and effective operation.
• Provide clear and empathetic communication to patients and their families, offering education, emotional support, and facilitating end-of-life discussions or decision-making in highly stressful situations.

THIS JOB OFFERS BOTH AN INCENTIVE AND RELOCATION:

We are offering a $17,500 Sign-On Bonus in addition to relocation to new hires who meet the eligibility requirements.

Union Work Agreement

Shift Type/Length: Rotating, 12 hour shifts

On Call Expectations: None

Weekend/Holiday Rotation: Every other weekend and every other holiday with anticipation to go every third weekend and holiday within 6 months to a year

Job Requirements

Required Qualifications

• Nursing Degree from an approved school of nursing
• At least 1-2 Years Of Critical Care (ICU) Nursing Experience highly preferred; equivalent acute care experience considered
• Active Registered Nurse license in good standing with the North Dakota Board of Nursing or Active Registered Nurse license in a compact state
• Working knowledge of critical care nursing principles, advanced physiological assessment, and management of life-sustaining technologies
• Basic Life Support (BLS) and Advanced Cardiovascular Life Support (ACLS) Certifications within the orientation period and meets re-certification as required
• Good communication skills necessary for constant communication, both oral and written, with patients, families, visitors, medical staff, and employees
• Accountable for own conduct and promotes and supports positive working relationships among staff, between other disciplines, departments, families, visitors, and patients
• Maintains confidentiality

Where You'll Work

Since 1885, CHI St. Alexius Health has been dedicated to leading health care in this region by enriching the lives of patients through the highest quality of care. We seek to continue our tradition of success and innovation with individuals dedicated to delivering the highest level of expertise and quality. Together we can continue to grow and support the legacy of CHI St. Alexius Health for many years to come.

CHI St. Alexius Health is a regional health network with a tertiary hospital in Bismarck, the system also consists of critical access hospitals (CAHs) in Carrington, Dickinson, Devils Lake, Garrison, Turtle Lake, Washburn and Williston and numerous clinics and outpatient services. CHI St. Alexius Health manages four CAHs in North Dakota - Elgin, Linton, and Wishek, as well as Mobridge Regional Medical Center in Mobridge, S.D. CHI St. Alexius Health offers a comprehensive line of inpatient and outpatient medical services, including: a Level II Trauma Center, primary and specialty physician clinics, home health and hospice services, durable medical equipment services, a fitness and human performance center and ancillary services throughout western and central North Dakota.

CHI St. Alexius Health is part of CommonSpirit Health, a nonprofit, Catholic health system dedicated to advancing health for all people. It was created in February 2019 through the alignment of Catholic Health Initiatives and Dignity Health. CommonSpirit Health is committed to creating healthier communities, delivering exceptional patient care, and ensuring every person has access to quality health care.

Pay Range

$35.38 - $50.69 /hour