RN - Medical Step Down Unit

Carilion Clinic • Roanoke, VA

1d • Onsite

About The Position

The RN works in a 26-bed, high-acuity progressive care unit caring for complex patients who require continuous monitoring and frequent clinical intervention. The role provides professional, patient-centered nursing care to patients of all ages in a fast-paced environment requiring strong assessment skills, critical thinking, and effective interdisciplinary collaboration. The RN assesses, plans, implements, and evaluates care, and collaborates with the healthcare team to support safe, effective, high-quality patient outcomes.

The RN coordinates individualized care, completes and documents age-specific assessments, develops and adjusts care plans with patients, families, and interdisciplinary teams, and accurately administers treatments and medications. The role includes identifying patient and family education needs; advocating for patients and supporting their rights and psychosocial needs; applying knowledge of growth and development to provide age-appropriate care; and maintaining confidentiality and compliance with regulatory and organizational standards. The RN also contributes to quality improvement, supports colleagues and new employees, helps with departmental education, manages resources and priorities, and participates in feedback and shared decision-making activities.

Requirements

• Graduate of a State Board of Nursing-approved program.
• Current Registered Nurse license in the Commonwealth of Virginia or eligibility to obtain licensure.
• AHA BLS-HCP certification.
• Keyboarding skills and computer literacy, including use of electronic medical records.
• For Behavioral Health roles, ability to safely manage disruptive or potentially violent patients.

Nice To Haves

• Additional certifications such as ACLS, PALS, or NRP may be required based on the assigned work area.

Responsibilities

• Provide individualized nursing care and coordinate care delivery for patients of all ages.
• Assess, plan, implement, and evaluate patient care to achieve optimal outcomes.
• Complete and document age-specific assessments to support development of care plans.
• Collaborate with patients, families, and interdisciplinary teams to develop and adjust care plans.
• Administer treatments and medications accurately and document care in electronic medical records.
• Identify and address patient and family education needs.
• Participate in performance improvement and quality initiatives.
• Advocate for patients and support their rights and psychosocial needs.
• Apply knowledge of growth and development to provide age-appropriate care.
• Demonstrate clinical expertise in dynamic and changing care environments.
• Implement strategies to improve patient outcomes and resource utilization.
• Serve as a role model and support the development of peers and team members.
• Manage resources, prioritize tasks, and adapt to changing patient care needs.
• Support orientation and training of new employees.
• Use problem-solving skills to address patient care and operational challenges.
• Provide feedback and participate in shared decision-making activities.
• Support education activities within the department.
• Maintain confidentiality and comply with regulatory and organizational standards.

Benefits

• Comprehensive medical, dental, and vision benefits.
• Employer-funded pension plan, vested after five years.
• Voluntary 403B plan.
• Paid time off accrued from day one.
• Onsite fitness studios and discounts to Carilion Wellness centers.
• Access to the Personify Health health and wellness app.
• Childcare discounts.
• Continued education and training.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: No Education Listed