RN Labor and Delivery

CHI; Bismarck (ND); On-site; USD 48,739 - 69,830; 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 Registered Nurse for Labor and Delivery. The role focuses on caring for laboring mothers, monitoring fetal well-being, and guiding families through childbirth.

You will collaborate with obstetricians, anesthesiologists, neonatologists, and lactation consultants to ensure safe deliveries and smooth postpartum transitions, while adhering to hospital policies and high standards of care.

Qualifications

• Nursing degree from an approved school of nursing.
• At least two years of recent Labor & Delivery experience, or Mother/Baby/Postpartum considered.
• Active RN license in North Dakota or compact state.
• BLS and ACLS certifications within orientation and recertification as required.

Responsibilities

• Provide comprehensive nursing care for laboring mothers and continuous fetal monitoring.
• Develop and implement individualized obstetric care plans including vaginal deliveries, C-sections, and pain management.
• Recognize obstetric emergencies and intervene promptly.
• Collaborate with obstetricians, anesthesiologists, neonatologists, and lactation consultants.
• Educate and support families through childbirth and postpartum care.
• Document all labor and delivery care accurately per hospital policies.

Skills

Nursing care

Patient communication

Obstetric care

Emotional resilience

Education

Nursing degree

Job description

Registered Nurse - Labor and Delivery (L&D)

As our Labor and Delivery (L&D) Registered Nurse, you will help expectant mothers navigate the miraculous, and sometimes challenging, journey of childbirth, ensuring safe deliveries and healthy beginnings for both mother and baby. Every day you will assess, plan, implement, and evaluate individual patient care for women in labor, during delivery, and in the immediate postpartum period, focusing on maternal and fetal well‑being. 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 skilled in delivering comprehensive, compassionate care in a fast‑paced and emotionally charged environment while adhering to established standards.

Responsibilities

• Provide comprehensive nursing care for expectant mothers throughout the labor process, continuously monitoring maternal vital signs, fetal heart tones, and labor progression, and promptly reporting changes to the obstetric team.
• Implement and manage individualized care plans for various obstetric situations, including normal vaginal deliveries, assisting with C‑sections, managing pain relief options (e.g., epidurals), and recognizing signs of obstetric emergencies.
• Perform rapid and precise interventions during critical moments, such as fetal distress, postpartum hemorrhage, or preeclampsia, demonstrating expert clinical judgment and the ability to act swiftly and calmly under pressure.
• Collaborate effectively with obstetricians, anesthesiologists, neonatologists, lactation consultants, and other healthcare professionals to ensure coordinated care and optimal outcomes for both mother and newborn.
• Provide extensive education and emotional support to laboring mothers and their families, guiding them through the childbirth experience, explaining procedures, and promoting positive coping mechanisms.
• Ensure accurate and meticulous documentation of all phases of labor and delivery, maternal and fetal assessments, interventions, and medications, adhering to strict hospital policies and regulatory requirements.

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 (Day, midshift, night)/ 12 hrs
On call expectations: No call
Weekend/Holiday Frequency- Every 3rd weekend/2 holidays a year

Job Requirements

Required Qualifications

• Nursing Degree from an approved school of nursing
• At least two (2) years of recent clinical experience in Labor & Delivery required at this time. Experience in Mother/Baby or Postpartum also considered
• LICENSURE 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 clinical skills in delivery of patient care for laboring mothers, newborns, and postpartum care
• 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, and medical center staff
• 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