RN Med-Surg Full-time
ScionHealth

Registered Nurse (RN), Medical/Surgical, Full-time Nights


Description

Join St. Joseph Regional Medical Center in Lewiston, Idaho—where nationally recognized quality meets small-town heart. We’re proud to be recognized for excellence and patient safety, including an “A” Hospital Safety Grade from The Leapfrog Group, inclusion in Becker’s list of “Great Community Hospitals,” and U.S. News & World Report accolades for maternity care.
Here, you’ll find a teamwork-first culture, leaders who support you, and coworkers who genuinely have your back. New grads are welcome—we’re committed to training, mentoring, and helping you build confidence as you grow. And because we know great care starts with taking care of our people, we offer competitive benefits and a workplace you can feel good about.
If you’re looking for a place to do meaningful work, build a career, and feel proud serving your community—you belong at St. Joe’s.

Registered Nurse (RN), Medical/Surgical, Full-time Nights

Job Summary

The Registered Nurse (RN) – Medical/Surgical provides safe, effective, and compassionate patient care using the nursing process of assessment, planning, intervention, and evaluation in an acute care hospital setting. The RN collaborates with the interdisciplinary team, patients, and families to achieve optimal patient outcomes, ensuring care is delivered in accordance with standards of professional nursing practice, hospital policies, and regulatory requirements.

Essential Functions

  • Performs comprehensive assessments and reassessments to determine nursing care needs
  • Develops, implements, and evaluates individualized plans of care
  • Administers medications and treatments in accordance with policy and physician orders
  • Documents assessments, interventions, outcomes, and patient education timely and accurately
  • Provides direct care including ADLs, hygiene, nutrition, and mobility support
  • Monitors patient conditions and communicates significant changes to the care team
  • Collaborates with interdisciplinary team for care coordination, discharge planning, and referrals
  • Provides emotional and psychosocial support to patients and families
  • Ensures patient safety through adherence to infection control and fall prevention protocols
  • Supervises and delegates tasks appropriately to licensed and unlicensed staff

Knowledge/Skills/Abilities/Expectations

  • Proficient in clinical assessment, documentation, and patient care planning
  • Knowledge of medical terminology, pharmacology, and nursing best practices
  • Strong interpersonal, communication, and organizational skills
  • Ability to function effectively in high-stress situations with diverse patient populations
  • Familiarity with electronic medical records (EMR) and clinical documentation systems
  • Ability to lift up to 50 lbs and perform extended standing, walking, and physical activity
  • Demonstrates professional integrity, accountability, and a commitment to continuing education

Qualifications

Education

  • Associate degree in Nursing required
  • Bachelor of Science in Nursing (BSN) preferred

License/Certification

  • Current state RN license or compact state equivalent required
  • Basic Life Support (BLS) required per facility policy
  • Advanced Cardiovascular Life Support (ACLS) required per facility policy
  • Crisis Prevention Intervention (CPI) required per facility policy
  • Specialty certification (e.g., RN-BC, CMSRN) preferred

Experience

  • Minimum of 6 months of Medical/Surgical nursing experience in an acute care setting preferred

Demonstrated critical thinking, decision-making, and effective prioritization in a fast-paced environment.

Share this job

Share to FB Share to LinkedIn Share to Twitter

Related Jobs

Gritman Medical Center

Registered Nurse (Night Shift)| MSU| Full Time

Job Summary: Gritman Medical Center is seeking compassionate Staff Registered Nurses (RNs) to join our Medical Surgical and Critical Care units. The Staff RN provides direct and indirect patient care through assessment, planning, implementation, and evaluation of outcomes. Collaborating with a multidisciplinary team, the RN develops and executes individualized care plans for patients of all ages. Responsibilities include patient and family education, mentoring students and novice nurses, and adherence to professional nursing standards and regulatory guidelines. This role requires proficiency in the nursing process, commitment to patient safety, and the ability to work effectively in a dynamic healthcare environment. Key Responsibilities: Patient Assessment and Care Planning Patient Care and Monitoring Collaboration and Communication Professional Development and Mentoring Regulatory Compliance and Safety Ethical and Professional Conduct Qualifications: Required Education: Associate Degree in Nursing (ADN) or higher. Required Licenses/Certifications: Current Registered Nurse (RN) license in Idaho or a compact state. Basic Life Support (BLS) certification. Advanced Cardiovascular Life Support (ACLS) certification (or obtain within 12 months of hire). Pediatric Advanced Life Support (PALS) certification (or obtain within 12 months of hire). Required Skills and Abilities: Strong critical thinking and time management skills. Excellent verbal and written communication abilities. Ability to work collaboratively in a fast-paced environment. Commitment to attend annual skills fairs and maintain clinical competencies. Preferred Qualifications: Bachelor of Science in Nursing (BSN). Neonatal Resuscitation Program (NRP) certification. Experience in medical-surgical or critical care nursing. Physical Demands: Ability to lift up to 40 lbs. from floor to waist occasionally. Frequent lifting of 2-8 lbs. from floor to overhead. Ability to perform patient transfers and provide physical support. Prolonged periods of standing, walking, and occasional sitting. Fine motor skills for tasks such as administering injections and using medical equipment. Visual and auditory acuity to perform essential nursing duties. Work Environment: Exposure to various patient conditions and potential infectious diseases. Work in a fast-paced, sometimes high-stress environment. May be required to work irregular hours, including nights, weekends, and holidays. Regular interaction with patients from diverse backgrounds and with varying medical conditions. Benefits offered: Comprehensive Health Care Coverage : Enjoy access to top-tier medical, dental, vision, and life insurance plans, all conveniently provided through our extensive network of trusted local providers. Secure Retirement Plans : Participate in our Roth/401k retirement plans with employer matching, securing your financial future and retirement goals. Championing Work-Life Balance : Benefit from flexible schedules and a supportive environment that values your well-being, allowing you to maintain a healthy balance between work and life. Invest in Your Future : Take advantage of our generous educational and tuition reimbursement programs, supporting your continuing education and pursuit of higher degrees. Student Loan Forgiveness : As a non-profit organization, time spent at Gritman Medical Center qualifies you for the Public Service Loan Forgiveness (PSLF) program. Rewarding Excellence : Earn extra compensation for achieving advanced credentials and specialized certifications, demonstrating your commitment to professional growth and expertise. Competitive Compensation : Receive competitive market-based pay that recognizes your skills and experience. Night Owl Rewards : Earn competitive shift differentials for night shifts, recognizing your commitment and dedication to providing quality care around the clock. Professional Development Opportunities : Engage in on-site classes, seminars, and skills fairs to enhance your knowledge and skills, fostering continuous growth and advancement.
Gritman Medical Center

Registered Nurse (Night Shift)| CCU| Full Time

Job Summary: Gritman Medical Center is seeking compassionate Staff Registered Nurses (RNs) to join our Medical Surgical and Critical Care units. The Staff RN provides direct and indirect patient care through assessment, planning, implementation, and evaluation of outcomes. Collaborating with a multidisciplinary team, the RN develops and executes individualized care plans for patients of all ages. Responsibilities include patient and family education, mentoring students and novice nurses, and adherence to professional nursing standards and regulatory guidelines. This role requires proficiency in the nursing process, commitment to patient safety, and the ability to work effectively in a dynamic healthcare environment. Key Responsibilities: Patient Assessment and Care Planning Patient Care and Monitoring Collaboration and Communication Professional Development and Mentoring Regulatory Compliance and Safety Ethical and Professional Conduct Qualifications: Required Education: Associate Degree in Nursing (ADN) or higher. Required Licenses/Certifications: Current Registered Nurse (RN) license in Idaho or a compact state. Basic Life Support (BLS) certification. Advanced Cardiovascular Life Support (ACLS) certification (or obtain within 12 months of hire). Pediatric Advanced Life Support (PALS) certification (or obtain within 12 months of hire). Required Skills and Abilities: Strong critical thinking and time management skills. Excellent verbal and written communication abilities. Ability to work collaboratively in a fast-paced environment. Commitment to attend annual skills fairs and maintain clinical competencies. Preferred Qualifications: Bachelor of Science in Nursing (BSN). Neonatal Resuscitation Program (NRP) certification. Experience in medical-surgical or critical care nursing. Physical Demands: Ability to lift up to 40 lbs. from floor to waist occasionally. Frequent lifting of 2-8 lbs. from floor to overhead. Ability to perform patient transfers and provide physical support. Prolonged periods of standing, walking, and occasional sitting. Fine motor skills for tasks such as administering injections and using medical equipment. Visual and auditory acuity to perform essential nursing duties. Work Environment: Exposure to various patient conditions and potential infectious diseases. Work in a fast-paced, sometimes high-stress environment. May be required to work irregular hours, including nights, weekends, and holidays. Regular interaction with patients from diverse backgrounds and with varying medical conditions. Benefits offered: Comprehensive Health Care Coverage : Enjoy access to top-tier medical, dental, vision, and life insurance plans, all conveniently provided through our extensive network of trusted local providers. Secure Retirement Plans : Participate in our Roth/401k retirement plans with employer matching, securing your financial future and retirement goals. Championing Work-Life Balance : Benefit from flexible schedules and a supportive environment that values your well-being, allowing you to maintain a healthy balance between work and life. Invest in Your Future : Take advantage of our generous educational and tuition reimbursement programs, supporting your continuing education and pursuit of higher degrees. Student Loan Forgiveness : As a non-profit organization, time spent at Gritman Medical Center qualifies you for the Public Service Loan Forgiveness (PSLF) program. Rewarding Excellence : Earn extra compensation for achieving advanced credentials and specialized certifications, demonstrating your commitment to professional growth and expertise. Competitive Compensation : Receive competitive market-based pay that recognizes your skills and experience. Night Owl Rewards : Earn competitive shift differentials for night shifts, recognizing your commitment and dedication to providing quality care around the clock. Professional Development Opportunities : Engage in on-site classes, seminars, and skills fairs to enhance your knowledge and skills, fostering continuous growth and advancement.
Gritman Medical Center

Nurse Resident (RN) | Family Birth Center| Full Time

This is a Nurse Residency position designed specifically for new nurses. Key Responsibilities: The Nurse Resident is provided with additional training, assessment of skills and support during their three months of hire. The Registered Nurse is a licensed professional nurse accountable for direct and indirect age-appropriate patient assessment, care planning, patient care and monitoring of patient outcomes to care and must be competent to implement all phases of the nursing process. The Staff RN collaborates with all patient care providers and the patient/family in the development of the patient care plan. The Staff RN is responsible for reporting patient status to the patient's physician and/or LIP and obtaining orders for care. The Staff RN will demonstrate the ability to provide patient/family teaching that is age appropriate and accommodates the individual learning needs of the patient. The Staff RN is also responsible for the education and mentoring of students, novice nurses and peers as well as promoting educational opportunities for self and others. The Staff RN will demonstrate safe and competent nursing care, reflective of the philosophy and standards of Gritman Medical Center, following the guidelines and rules set forth by the Idaho State Board of Nursing, American Nurses' Association and the Joint Commission for the Accreditation of Health Care Organizations. The Staff RN will have and maintain adequate physical and mental health to meet the RN job performance criteria. The Staff RN will demonstrate a code of conduct reflective of a professional health care provider and will act as a role model for other professional and non-professional staff. Gritman Medical Center's mission, vision and values will be demonstrated in the daily practice of the Staff RN. Patient Assessment and Care Planning: Perform thorough assessments of patients' physical, emotional, and social needs. Develop individualized care plans in collaboration with patients, families, and the healthcare team. Implement nursing interventions based on patient needs and physician orders. Patient Care and Monitoring: Provide age-appropriate nursing care to neonatal, pediatric, adolescent, adult, and geriatric patients. Monitor patient outcomes and adjust care plans accordingly. Administer medications and treatments safely and effectively. Collaboration and Communication: Communicate patient status and changes to physicians and other healthcare providers. Collaborate with the interdisciplinary team to ensure optimal patient outcomes. Provide patient and family education tailored to individual learning needs. Professional Development and Mentoring: Educate and mentor nursing students, novice nurses, and peers. Participate in continuing education and professional development opportunities. Uphold the standards set by the Idaho State Board of Nursing and the American Nurses Association. Regulatory Compliance and Safety: Adhere to Joint Commission accreditation requirements and hospital policies. Promote a culture of safety by identifying and reporting potential risks. Maintain competency in emergency nursing procedures and protocols. Ethical and Professional Conduct: Demonstrate professional behavior and act as a role model for staff. Uphold Gritman Medical Center's mission, vision, and values in daily practice. Maintain confidentiality and comply with all organizational policies. Qualifications: Required Education: Must be a graduate of an accredited school of nursing and be eligible to take the Idaho State Nursing Board examination or to receive licensure by reciprocity. The NR must demonstrate competent performance of Gritman Medical Center's core nursing competency assessment requirements following training and education provided through the NR Program. Will have and maintain department specific required core competencies, education, experience and certifications as defined in the policies of each nursing unit. NRs are expected to maintain knowledge of and utilize current nursing practices based on sound nursing and medical research. Current Basic Life Support (BLS) required. ACLS, and PALS required within 12 months of hire. Required to attend hospital wide skills fair once annually Required Licenses and Certifications: Current Registered Nurse (RN) license in the State of Idaho or a compact state. Required Certifications: Medical Surgical Unit BLS, ACLS, PALS Emergency Department BLS, ACLS, PALS, TNCC, ENPC Surgery BLS, ACLS, PALS Family Birth Center BLS, ACLS, PALS, NRP, Fetal Heart Monitor Preferred Certifications: Certified Emergency Nurse (CEN). Certified Pediatric Emergency Nurse (CPEN). Neonatal Resuscitation Program (NRP) certification. Emergency Nursing Pediatric Course (ENPC) certification. Trauma Nursing Core Course (TNCC) or Advanced Trauma Care for Nurses (ATCN). Work experience: New Nurses welcome! Skills and Abilities: Strong critical thinking and time management skills. Excellent communication and interpersonal abilities. Ability to work effectively in high-stress, fast-paced environments. Proficiency in using medical equipment and technology. Commitment to providing compassionate, patient-centered care. Physical Demands: Ability to lift up to 40 lbs. from floor to waist occasionally. Frequent patient transfers requiring physical assistance. Ability to stand, walk, and sit for extended periods. Fine motor skills for patient handling and computer use. Capability to perform tasks requiring kneeling, stooping, and climbing. Work Environment: Regular exposure to blood-borne pathogens and infectious diseases. Contact with patients under various circumstances, including emergencies. Subject to varying and unpredictable situations, including potentially violent or crisis scenarios. May be exposed to environmental hazards. Occasional exposure to hazardous fumes.
Gritman Medical Center

Director of Nursing (Executive Director) | Palouse Surgery Center

Essential Functions & Responsibilities 1. Executive Leadership & Governance Provides leadership consistent with AAAHC governance standards, ensuring the governing body maintains ultimate authority for quality of care. Implements policies, ensures organizational accountability, and maintains effective communication with leadership and medical staff. 2. Clinical Leadership Ensures nursing services meet AAAHC standards for quality of care, patient rights, and clinical oversight. Maintains accountability for safe, evidence-based nursing practice and competency validation. 3. Quality, Safety & Risk Management Leads the AAAHC Quality Improvement (QI) program, ensuring ongoing, data-driven performance improvement. Oversees infection prevention, risk management, and patient safety activities consistent with AAAHC standards. 4. Regulatory & Accreditation Compliance Ensures continuous compliance with AAAHC accreditation standards, CMS Conditions for Coverage, and state regulations. Maintains survey readiness and oversees policy development, review, and implementation. 5. Financial & Operational Management Ensures financial practices support quality patient care in alignment with AAAHC expectations for organizational management and resource utilization. 6. Revenue Cycle Oversight Oversees billing and coding processes to ensure compliance with regulatory requirements and accurate reporting, supporting AAAHC expectations for administrative oversight. 7. Surgical Operations & Throughput Ensures surgical services are delivered efficiently and safely, consistent with AAAHC standards for surgical services and patient care coordination. 8. Environment of Care & Facilities Maintains Environment of Care program consistent with AAAHC standards, including life safety, emergency preparedness, and equipment management. 9. Health Information Management Ensures compliance with AAAHC standards for medical records, including accuracy, confidentiality, and timely completion. 10. Staff Leadership Ensures staff qualifications, training, and competency meet AAAHC human resources standards. Promotes ongoing education and performance evaluation. Qualifications Education Required: BSN Preferred: MBA or other applicable master’s degree Licenses/Certifications Required: [Idaho] or compact state Registered Nurse Required: Current Basic Life Support (BLS) Preferred: ACLS and PALS within 6 months of hire Organizational Expectations · Provides a positive and professional representation of the organization. · Promotes a culture of safety for patients and employees through proper identification, reporting, documentation, and prevention. · Maintains hospital standards for a clean and quiet environment. · Maintains competency and knowledge of current standards of practice, trends, and developments in related scope-of-practice or job role. · Participates in ongoing quality improvement activities. · Maintains compliance with organization’s policies, as well as established practices, protocols, and procedures of the position, department, and applicable professional standards. · Complies with organizational and regulatory policies for handling confidential information. · Demonstrates excellent customer service through their attitude and actions, consistent with the standards contained in The Gritman Way.
Gritman Medical Center

Registered Nurse (RN) | Family Birth Center | 3/4 Time

Job Summary The Staff Registered Nurse (RN) in the Family Birth Center is a licensed professional accountable for direct and indirect age-appropriate patient assessment, care planning, and patient care. The RN collaborates with care providers and the patient’s family in developing a care plan and ensures that care is delivered safely and effectively. This role includes reporting patient status to the physician, obtaining care orders, and providing patient/family education. The RN is responsible for mentoring students, new nurses, and peers while promoting educational opportunities for self and others. Safe and competent nursing care is expected, in alignment with the standards of Gritman Medical Center, the Idaho State Board of Nursing, and the American Nurses' Association. Job Duties and Responsibilities Conduct comprehensive patient assessments and develop care plans. Monitor patient progress and update care plans accordingly. Communicate patient status and changes to physicians and care team. Educate patients and families about health conditions, treatments, and post-care. Serve as a mentor for students and new nurses. Adhere to regulatory standards and hospital policies. Demonstrate professionalism and act as a role model within the department. Job Requirements Required Education: Graduate of an accredited school of nursing. Eligible for Idaho State Nursing Board examination or licensure by reciprocity. Completion of Gritman Medical Center's core nursing competency assessment within 90 days of hire. Completion of 10 job-appropriate CEUs per year. Required Licenses and/or Certifications: Current Idaho Registered Nurse license. Basic Life Support (BLS), Neonatal Resuscitation Program (NRP), and Advanced Cardiac Life Support (ACLS) certifications (required upon hire, maintained every 2 years). Fetal Heart Monitoring certification within one year of hire. Annual attendance at one skills fair. Required Knowledge, Skills, and Abilities: Knowledge of current nursing practices based on evidence-based research. Strong ability to assess patient conditions and implement effective care strategies. Excellent communication and collaboration skills. Capacity to work under pressure and adapt to changing circumstances. Preferred Qualifications: Experience in a family birth center or labor and delivery unit. Functional Demands Population(s) Served: Neonatal, pediatric, adolescent, adult, and geriatric patients. All sociopolitical, demographic, and physical ability groups. Physical Demands: Frequent standing, walking, and bending. Lifting up to 40 lbs., occasional patient transfers. Fine motor skills for patient handling and computer use. Exposure to various physical and emotional demands, including unpredictable situations. Environmental Conditions Regular exposure to infectious diseases and bloodborne pathogens. Contact with patients in a variety of health circumstances, including emergency and crisis situations. Exposure to environmental hazards in patient homes when conducting home visits. Irregular hours and shifts may be required. Organizational Expectations Provide a positive and professional representation of Gritman Medical Center. Promote a culture of patient and staff safety. Maintain knowledge of current nursing standards and participate in ongoing quality improvement. Comply with confidentiality policies and professional regulations. Exhibit excellent customer service, aligned with The Gritman Way.