Registered Nurse - Inpatient HOT JOB

SouthEast Alaska Regional Health Consortium Sitka, AK, US

$41.66 - $58.69 / hour

Pay Range:

Pay Range:$41.66 - $58.69 ***********************************************************

UP to $25K Sign On and $10K Relocation for qualified hire!

***********************************************************

The Registered Nurse (RN) provides professional nursing care across the lifespan in accordance with organizational standards, policies, and evidence-based practice. The RN utilizes the nursing process to assess, plan, implement, and evaluate patient care while delivering high-quality, culturally sensitive, and patient-centered services. The RN collaborates with providers and interdisciplinary teams to promote optimal patient outcomes, safety, and positive patient experience.

The Acute Care Registered Nurse provides direct nursing care to patients across the lifespan with acute, chronic, and post‑operative conditions across a broad range of diagnoses. This role requires strong clinical assessment skills, interdisciplinary collaboration, and the ability to manage fluctuating patient acuity in an inpatient setting. Must be competent in the use of all equipment in specialty. On call may be required.

SEARHC is a non-profit health consortium which serves the health interests of the residents of Southeast Alaska. We see our employees as our strongest assets. It is our priority to further their development and our organization by aiding in their professional advancement.

Working at SEARHC is more than a job, it’s a fulfilling career. We offer generous benefits, including retirement, paid time off, paid parental leave, health insurance, dental, and vision benefits, life insurance and long and short-term disability, and more.

Patient Care

Performs comprehensive patient assessments and develops individualized plans of care.
Implements and evaluates nursing interventions and patient responses.
Administers medications and treatments safely and accurately per provider orders and policy.
Recognizes changes in patient condition and initiates appropriate interventions or escalation of care.
Provides patient and family education related to care, medications, and discharge needs.
Delivers culturally responsive, patient-centered care.

Nursing Judgment & Clinical Decision-Making (Alaska BON-Aligned)

Consistent with the Alaska Board of Nursing scope of practice for Registered Nurses, nursing judgment is essential to the safe, effective, and accountable delivery of nursing care. The Registered Nurse independently applies critical thinking and professional judgment to:

Perform and interpret comprehensive assessments and recognize significant changes in patient condition requiring nursing intervention or provider notification.
Exercise independent nursing judgment in determining appropriate nursing actions, interventions, and priorities, and in identifying when consultation, collaboration, or escalation to a licensed independent provider is required.
Develop, implement, evaluate, and revise individualized nursing plans of care based on patient needs, responses, preferences, and clinical circumstances, rather than relying solely on standardized protocols.
Integrate clinical findings with ethical principles, cultural considerations, patient safety standards, and regulatory requirements when making nursing decisions.
Accept accountability for nursing decisions, delegated tasks, and outcomes of nursing care in accordance with Alaska statutes, regulations, and organizational policy.

Care Coordination & Documentation

Collaborates with providers and interdisciplinary team members to coordinate care.
Facilitates referrals, follow-up care, and continuity of services.
Documents assessments, interventions, and outcomes accurately and timely in the electronic health record.
Advocates for patient care and assists patients in navigating the healthcare system.

Quality, Safety & Compliance

Practices within nursing scope of practice and adheres to regulatory, safety, and infection prevention requirements.
Participates in quality and performance improvement activities.
Maintains required competencies and certifications.
Reports adverse events, near misses, and unsafe conditions per policy.

Teamwork & Professional Practice

Demonstrates professionalism, accountability, flexibility, and teamwork.
Provides appropriate guidance and delegation to ancillary staff.
Supports orientation, mentoring, and education of staff, students, and peers.
Floats to other departments or assignments as needed.

Education & Licensure

Associate’s degree in Nursing from an accredited program.
Current, unrestricted Registered Nurse license in the State of Alaska.
Basic Life Support (BLS), Advanced Cardiac Life Support (ACLS), Pediatric Advanced Life Support (PALS) are all required
Clinical competency required within 3 months and every 3 years.
High Risk Competency required within 3 months and every year.

New Nursing Program Graduates:

BLS required at the time of hire
All certifications required for the area of practice must be obtained within six (6) months of hire (e.g., ACLS, PALS, NRP, TNCC, ENPC, as applicable)

Experienced Nurses - New to a Specialty Area:

Experienced nurses entering a new specialty must obtain all required specialty‑specific and advanced certifications within six (6) months of hire (e.g., ACLS, PALS, NRP, TNCC, ENPC, based on practice area requirements)

Experienced Nurses:

Nurses hired directly into a specialty area must provide evidence of current required certifications for the position at the time of hire (e.g., ACLS, PALS, NRP, TNCC, ENPC, as applicable to practice area)

Nurses with Float Areas:

Nurses who float to areas other than their primary location must complete the required certifications for the highest level specialty in which they will provide care

High‑Risk Competency:

High‑risk competency validation is required for direct patient care nursing roles. The high-risk competencies are specific to the area of practice (e.g., proficiency in complex medical equipment, procedures, interventions, etc.). Competency will be assessed before ending initial preceptorship and no less than annually thereafter.

Knowledge, Skills & Abilities

Knowledge of nursing principles, evidence-based practice, medication safety, and infection prevention.
Strong clinical judgment, organization, prioritization, and communication skills.
Ability to work independently and collaboratively in a fast-paced environment.
Proficiency with electronic health records and clinical systems.

Physical & Work Requirements

Ability to lift, push, pull, and move up to 50 pounds.
Ability to stand for extended periods and perform bending, stooping, and kneeling.
Ability to work in a moderate-to-high noise clinical environment.

Safety Responsibility

Employees are responsible for complying with safe work practices, reporting injuries and unsafe conditions, and cooperating in safety investigations.

Required Certifications:

Advanced Cardiovascular Life Support (ACLS) - American Heart Association, Basic Life Support (BLS) - American Heart Association, Clinical Competency Assessment - SEARHC, High Risk Competency - SEARHC, Pediatric Advanced Life Support (PALS) - American Heart Association, Registered Nurse License - State of Alaska - Alaska State Board of Nursing

If you like wild growth and working with happy, enthusiastic over-achievers, you'll enjoy your career with us!

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Identify areas for improvement and implement corrective actions and education. · Work closely with the Utilization Review (UR) team to maximize revenue while maintaining compliance with regulations. This includes knowledge of Medicare, Medicaid, and other third-party payers. · Collaborate with administration to ensure appropriate hospital resource utilization. Internal coordination includes SEARHC Primary Care Clinics and Long-Term Care facilities; external coordination includes tertiary care, assisted living, and psychiatric facilities. · Direct the Care Coordination Department to ensure safe, efficient, and effective use of hospital services and facilitate timely discharges. · Maintain compliance with all regulations. · Participate in the development and implementation of departmental policies and procedures; monitor for consistency and compliance. · Oversee care coordination processes to ensure timely, appropriate patient progression and discharge planning · Collaborate with the System Director to review and revise workflows and procedures to optimize resources and enhance customer service. · Monitor quality measures; collect and analyze data to improve service utilization and support service effectiveness. · Ensure timely and appropriate documentation of services and progress consistent with care plans. · Conduct internal audits to ensure compliance with organizational, state, and federal regulations. · Coordinate with internal and external stakeholders, including primary care, long-term care, assisted living, and tertiary · Promote efficient hospital resource utilization and patient throughput · Collaborate with the Utilization Review (UR) team to ensure appropriate level of care, maximize reimbursement, and maintain regulatory · Collaborate with leadership to establish departmental goals and align services with organizational priorities · Participate in the development, implementation, and monitoring of policies and procedures · Analyze data and trends to improve service delivery, efficiency, and patient outcomes. Additional Details: Education, Certifications, and Licenses Required · Bachelor’s degree from an accredited institution required; advanced degree preferred. · Current, unrestricted Registered Nurse license in Alaska or another U.S. state required. · Direct hires must apply for an Alaska RN license prior to the start date. · Agency staff must hold an active Alaska RN license. · Licensed Vocational Nurse (LVN) in Alaska or another U.S. state may be considered. · Same licensing requirements apply as above. · High school diploma or equivalent required. · Clinical Competency required within 3 months of hire and every three years. · Manager Competency required within 3 months of hire and every three years. · ACMA Certification preferred. Experience Required · Minimum of 5 years of discharge planning experience. · Previous management experience in supervision or administration required. · Experience in a Critical Access Hospital model preferred. · Minimum of 5 years of clinical experience. · Experience in performance improvement preferred. Knowledge of · Post-acute care resources and Medicare/insurance coverage. · Healthcare systems and federal/state regulations. · Admission and discharge processes. · Relevant regulations, best practices, and data management systems. · Deadline responsiveness, assertiveness, persistence, and persuasiveness. · High proficiency in problem identification and care plan development. Skills in · Strong interpersonal, organizational, evaluative, and time management skills. · Policy interpretation and familiarity with applicable standards and regulations. · Effective provider communication and behavior change strategies. · Expert-level communication and change management skills. Ability to · Apply and interpret admission and continued stay criteria. · Organize tasks to accomplish hospital goals and objectives. · Work professionally with physicians, external agencies, and support staff. Position Information: Work Shift:Exempt If you like wild growth and working with happy, enthusiastic over-achievers, you'll enjoy your career with us!