Registered Nurse Clinical Advancement

Intermountain Health•Saint Joseph, MO

7d•Onsite

About The Position

The Registered Nurse (RN) is a professional caregiver responsible for assessing, planning, implementing, and evaluating patient care. The staff RN uses the nursing process, technology, therapeutic interventions, evidence-based practice, and coordination with other health team members. This night-shift role provides visible, shift-based clinical judgment support for night caregivers through coaching, critical-thinking support, and just-in-time learning, helping nurses advance from novice to expert. The RN rounds with nurses to review changes in patient conditions, reinforce critical thinking, and provide timely support. The role collaborates with house supervisors, charge nurses, unit leaders, and unit nursing professional development staff, with a focus on critical thinking and clinical judgment. The RN assesses patients’ physical, social, and psychological status; collaborates with patients, families, physicians, and interdisciplinary team members to develop individualized care plans; coordinates and delivers care; and evaluates patient responses and outcomes. The RN also supports the development of other nurses and practices in accordance with legal, ethical, regulatory, and professional standards.

Requirements

Current license to practice as a Registered Nurse in the state of practice.
Valid compact licenses must be transferred to the state of practice within 60 days of the start of employment.
RNs with less than 12 months of experience must obtain a Bachelor of Science in Nursing (BSN) within four years of their hire date.
Basic Life Support (BLS) certification for healthcare providers.
A BSN is required as of the job description’s last update on 04/27/2025. Employees hired or promoted before that date are held to the minimum requirements in effect at the time of their hire or promotion.
Education must be obtained from an accredited institution; degree will be verified.

Nice To Haves

More than one year of Emergency or Critical Care experience.
Bachelor of Science in Nursing (BSN).

Responsibilities

Provide coaching, critical-thinking support, and just-in-time learning to night-shift caregivers.
Use case review, questioning, debriefing, and coaching to strengthen clinical reasoning, prioritization, escalation, and decision-making.
Deliver education in response to immediate practice needs and identified knowledge gaps.
Support nurses’ confidence, communication, leadership skills, and transition within nursing roles.
Collaborate with house supervisors, charge nurses, unit leaders, and unit nursing professional development staff.
Round with nurses to review changes in patient conditions, reinforce critical thinking, and provide just-in-time support.
Assess patients’ physical, social, and psychological status and evaluate information from patients, families, physicians, and other interdisciplinary team members.
Collaboratively develop individualized plans of care, including education and plans for support after the current episode of care.
Direct interdisciplinary care through delegation, coordination, and collaboration, and provide or delegate care consistent with plans, guidelines, and licensure.
Set priorities and coordinate patient care by managing time, supplies, and resources.
Evaluate patient responses to interventions and achievement of goals and outcomes; revise plans of care and reassess as needed.
Promote the nursing profession and participate in the development of others.
Integrate legal and ethical standards into practice, comply with regulatory standards, practice within licensure, and provide accurate and timely documentation.