Team Lead Charge RN - Integrated Spine Unit - $36-58 per hour

BJC HealthCare; St. Louis (MO); On-site; USD 82,000 - 110,000; Full time

Benefits offered by this job

Sign-On bonus

Benefits eligible

Job summary

BJC HealthCare is seeking a Registered Nurse (RN) Lead for Orthopedics in Saint Louis, MO, joining the Integrated Spine Team on the 174 spine unit. The role combines clinical leadership with hands-on patient care across orthopedic and neurologic spine patients.

The Lead Nurse coordinates daily operations, mentors staff, and supports the Nurse Manager while developing expertise and implementing best practices within a high‑quality inpatient setting.

Qualifications

• Current RN licensure
• 2-5 years nursing experience
• Strong clinical, communication, and leadership skills

Responsibilities

• Facilitates identification and resolution of gaps in care from hospitalization, at discharge, and into the ambulatory care setting.
• Leads the development and implementation of complex individual plans of care with defined goals in collaboration with the interprofessional team and patient/family.
• Actively utilizes evidence-based practices; participates in journal clubs and promotes practice change based on new knowledge.
• Analyzes gaps in practice standards and provides feedback to peers to enhance safe patient care and patient satisfaction.
• BJC has determined this is a safety-sensitive position requiring a high level of alertness.

Skills

RN

Leadership

Clinical leadership

Education

Nursing Diploma/Associate's - Nursing

Bachelor's Degree - Nursing

Job description

BJC HealthCare is seeking a Registered Nurse (RN) Orthopedics Lead for a nursing job in Saint Louis, Missouri.

Job Description & Requirements

Specialty: Orthopedics

Discipline: RN

Duration: Ongoing

Employment Type: Staff

Additional Information About the Role

Join our innovative 174 Integrated Spine Unit, a specialty inpatient unit that brings neurologic and orthopedic spine patients together in one centralized location. This unique model provides standardized, high-quality care while allowing nurses to develop expertise across both orthopedic and neurologic specialties.

The Team Lead Charge Nurse provides clinical and operational leadership during assigned shifts. Reporting to the Nurse Manager, this role coordinates daily operations, supports and mentors staff, serves as a clinical resource, and provides direct patient care as needed.

Position Highlights

• Up to $15,000 Sign-On Bonus for eligible external candidates
• Full-Time, Day shift
• Three 12-hour shifts
• Benefits eligible

Why Join the Integrated Spine Team?

• Be part of a growing specialty unit.
• Develop expertise in orthopedic and neurologic nursing.
• Collaborate with specialized spine surgeons and interdisciplinary teams.
• Help shape unit culture and best practices.
• Grow your leadership career in a supportive environment.

Qualifications

• Current RN licensure
• Minimum of 2 years of nursing experience
• Strong clinical, communication, and leadership skills

Responsibilities

• Facilitates identification and resolution of gaps in care from hospitalization, at discharge, and into the ambulatory care setting. Critically assess patient data to proactively mitigate impending changes in condition and establishes consults to interprofessional team as appropriate.
• Leads the development and implementation of complex individual plans of care with defined goals in collaboration with other members of the interprofessional team and the patient, family, or caregiver in accordance with the established guidelines and standards of nursing care. Plan of care reflects application of expert holistic clinical knowledge and skill to anticipate and prioritize complex care needs, anticipate barriers, incorporating interprofessional team and caregiver/family input, and identifies opportunities to improve patient outcomes.
• Actively utilizes and champions scientific inquiry for evidence-based practices (e.g., participates in journal club, facilitates practice change based on new knowledge, recommends new standards of care or revisions to current standards, conduct a literature search to support unit or organizational goals, disseminate new knowledge obtained from relevant conference or continuing education). Explore opportunities to advance nursing practice (e.g., support a community service health event as a representative of the healthcare profession, patient/family education group, community advisory board, member of Ethics Advisory Committee, serve as adjunct faculty, leadership board in specialty organization).
• Analyzes gap in practice standards and provides feedback to peers in collaboration with leadership to enhance safe patient care. Leads the evaluation of the patient and family experience, and adjusts care provided to improve patient satisfaction and quality of care.
• BJC has determined this is a safety-sensitive position. The ability to work in a constant state of alertness and in a safe manner is an essential function of this job.

Minimum Requirements

• Education Nursing Diploma/Associate's - NursingExperience 2-5 years
• Supervisor Experience No Experience
• Licenses & Certifications RN

Preferred Requirements

• Education Bachelor's Degree - NursingExperience 5-10 years

Benefits and Legal Statement

BJC Total Rewards

• Comprehensive medical, dental, vison, life insurance, and legal services available first day of the month after hire date
• Disability insurance* paid for by BJC
• Annual 4% BJC Automatic Retirement Contribution
• 401(k) plan with BJC match
• Tuition Assistance available on first day
• BJC Institute for Learning and Development
• Health Care and Dependent Care Flexible Spending Accounts
• Paid Time Off benefit combines vacation, sick days, holidays and personal time
• Adoption assistance

*Not all benefits apply to all jobs

To learn more, go to our Benefits Summary.

Equal Opportunity Employer

BJC HealthCare Job ID #115261. Posted job title: Team Lead Charge 17400 Spine

BJC HealthCare is one of the largest nonprofit health care organizations in the United States, delivering services to residents primarily in the greater St. Louis, southern Illinois and southeast Missouri regions. With net revenues of $6.3 billion and more than 30,000 employees, BJC serves patients and their families in urban, suburban and rural communities through its 14 hospitals and multiple community health locations. Services include inpatient and outpatient care, primary care, community health and wellness, workplace health, home health, community mental health, rehabilitation, long-term care and hospice.

BJC is the largest provider of charity care, unreimbursed care and community benefits in the state of Missouri. BJC and its hospitals and health service organizations provide $785.9 million annually in community benefit. That includes $410.6 million in charity care and other financial assistance to patients to ensure medical care regardless of their ability to pay. In addition, BJC provides additional community benefits through commitments to research, emergency preparedness, regional health care safety net services, health literacy, community outreach and community health programs and regional economic development.

Benefits

• Sign-On bonus