Charge RN: ER Nights

University of Missouri Health Care•Columbia, MO
•$34 - $51•Onsite

About The Position

MU Health Care is seeking a compassionate and dedicated Charge Nurse for Emergency Services at University Hospital in Columbia, Missouri. The ER is central Missouri’s only Level 1 Trauma Center and is also a Level 1 STEMI Center and Comprehensive Stroke Center. It handles high-acuity cases, including burns, and works closely with a children’s hospital critical care transport team and helicopter service. The position may float between the ER, ER Observation, and Pediatrics ER. The Charge Nurse provides Registered Nurse clinical care while serving as a clinical and operational leader for the unit. Responsibilities include supporting nursing staff, coordinating patient flow and staffing, responding to clinical and behavioral escalations, and leading emergency operations. This is an on-site, full-time night position, scheduled 7 p.m.–7:30 a.m., three 12-hour shifts per week, with leadership and committee meetings. Rotating shifts, holidays, and work during inclement weather are required. MU Health Care describes its environment as inspired, hard-working, collaborative, and mission-driven, with opportunities for career growth and development. The academic health system includes seven hospitals and more than 90 specialty clinics.

Requirements

  • Missouri Board of Nursing RN license or Nurse Licensure Compact multistate RN license. Compact-state RNs whose primary state of residence changes must apply under the new state of residence within 30 days.
  • One year of RN experience.
  • Ability to meet the physical demands of a very active position, including ambulating, reaching, and moving objects weighing up to and over 20 pounds, with or without reasonable accommodation.
  • Ability to work in a healthcare facility open 24 hours a day, 365 days a year, including rotating shifts, holidays, and work during inclement weather.

Nice To Haves

  • Additional license or certification requirements as determined by the hiring department.

Responsibilities

  • Provide clinical patient care within the scope of a Registered Nurse, including assessment, goal setting, and nursing actions to address patients’ physical, psychological, social, and rehabilitative needs.
  • Assess and reassess patients’ pain and symptoms promptly using appropriate assessment tools.
  • Understand medication actions and side effects, report pertinent information, and educate patients and their chosen support persons about medications.
  • Evaluate the effectiveness of nursing interventions in achieving patient-care goals and outcomes.
  • Maintain nursing-care standards and implement MU Health Care and nursing-unit policies and procedures.
  • Report and accurately document pertinent patient observations and reactions.
  • Ensure smooth patient flow and efficient bed management; coordinate admissions, transfers, and discharges.
  • Communicate effectively with healthcare providers and other departments during emergencies.
  • Facilitate communication among nursing staff, interdisciplinary team members, patients, and families.
  • Collaborate with healthcare professionals to coordinate care plans and achieve optimal patient outcomes.
  • Provide clinical guidance, support, and performance feedback to nursing staff and serve as a resource on clinical issues and patient-care decisions.
  • Address and resolve patient-care concerns and complaints, escalating them when appropriate.
  • Conduct assigned patient-chart and documentation audits for accuracy and regulatory compliance.
  • Participate in quality-improvement initiatives, unit-based quality activities, meetings, committees, and projects.
  • Audit adherence to infection-control protocols and patient-safety guidelines.
  • Educate staff, clinicians, and ancillary team members as a resource on clinical and behavioral patient needs.
  • Respond to clinical and behavioral escalations as a resource and leader for responders.
  • Act as the primary operational leader during emergency-department or external emergent situations, coordinating with the House Manager and AOD.
  • Coordinate daily staffing assignments based on volumes, throughput, and patient acuities, adjusting staffing during the shift to maintain safe care.
  • Lead daily staff huddles and round throughout assigned pods to ensure visibility and support.
  • Serve as shift liaison with leaders outside the Emergency Department, external agencies, and ancillary support departments.
  • Complete unit- or department-specific duties as outlined in department documents.

Benefits

  • Health, vision, and dental insurance coverage starting day one.
  • Paid leave and paid time off, including ten holidays.
  • Multiple retirement options, including 100% matching up to 8% and full vesting in three years.
  • Tuition assistance for employees (75%) and immediate family members (50%).
  • Discounts on cell phone plans, rental cars, gyms, hotels, and more.
  • Additional $3.00 per hour for core charge.
  • Additional $4.00 per hour for night shift.
  • Retention rewards of up to $15,000.
  • Relocation support of an additional $5,000 for moving from more than 50 miles away.
  • Option of a retention reward of $2,000 per year for up to five years, totaling $10,000.
  • Option of student loan repayment of $2,000 per year for up to five years, totaling $10,000.
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