S

St. Charles Health System

Regional health system operating four hospitals

Registered Nurse Emergency Department

Full-TimeUpdated on 10/23/2026
No salary listed
Junior
Bachelor's
Bend, OR, USA
In PersonFull-time night shift, 7:00 p.m.–7:30 a.m.; scheduled 36 hours weekly.
Medical, Clinical & VeterinaryNursing & Frontline Patient Care

About the job

Requirements
  • A current Oregon registered nurse license is required.
  • American Heart Association Basic Life Support for Healthcare Provider certification is required.
  • For Bend, Advanced Cardiovascular Life Support and Pediatric Advanced Life Support are required; Trauma Nursing Core Course or Advanced Trauma Care for Nurses certification and Code Grey training are required within six months of hire.
  • For Redmond, Advanced Cardiovascular Life Support and Pediatric Advanced Life Support are required; Trauma Nursing Core Course or Advanced Trauma Care for Nurses certification, Neonatal Resuscitation Program certification, and moderate sedation training are required within six months of hire.
  • For Prineville, Advanced Cardiovascular Life Support, Trauma Nursing Core Course or Advanced Trauma Care for Nurses certification, and Pediatric Advanced Life Support are required within six months; Neonatal Resuscitation Program certification and moderate sedation training are required within six months.
  • For Madras, Advanced Cardiovascular Life Support, Trauma Nursing Core Course or Advanced Trauma Care for Nurses certification, and Pediatric Advanced Life Support are required within six months; moderate sedation training and Neonatal Resuscitation Program certification are required within six months.
  • For Bend and Redmond, one year of emergency department experience within the last three years or completion of the St. Charles Health System fellowship program is required.
  • Must be able to wear the personal protective equipment required to perform the job safely.
  • Must have the ability to interact with a diverse population and professionally represent the health system.
  • Must have organizational and multitasking ability.
  • Must have analytical, problem-solving, and decision-making skills.
  • Must have basic to intermediate ability and experience using computer applications, specifically electronic medical record systems and Microsoft Office.
Responsibilities
  • Provide quality, patient- and family-centered care as a member of the health care team, following the health system's mission, philosophy, policies, and procedures.
  • Apply professional nursing practice standards and focus clinical care on enhancing the experience of patients, families, and others.
  • Oversee the work of other caregivers and provide specific care to assigned patients throughout the shift, as required under the scope of registered nurse licensure.
  • Maintain and apply in-depth knowledge of nursing principles, practices, standards, and techniques in accordance with health system policies and procedures and laws and regulations governing nursing practice in Oregon.
  • Assess patients' conditions and needs using critical thinking and clinical judgment; set outcomes; implement appropriate nursing actions; collaborate with other disciplines to meet patients' and families' physical, emotional, spiritual, social, and intellectual needs; and evaluate progress.
  • Calculate dosages and administer medications accurately in accordance with health system medication-administration policies and procedures.
  • Document patient care in compliance with hospital policies, procedures, and regulatory agencies.
  • Support departmental and operating-unit goals through participation in continuous quality improvement and departmental activities.
  • Participate in activities that promote professional growth and development of self and others.
  • Communicate effectively in writing and orally, and maintain professional relationships with caregivers, medical staff, patients, and guests.
  • Identify work-related problems, determine possible solutions, and implement solutions within scope of practice as appropriate.
  • Support the organization's vision, mission, and values.
  • Support Value Improvement Practice Lean principles of continuous improvement and champion change.
  • Help create a healing environment that supports the care environment and the wholeness of each patient and caregiver.
  • Build intentional relationships and demonstrate attitudes and behaviors that enhance the care experience.
  • Provide a therapeutic presence by responding purposefully and caringly to patients' needs, including introducing oneself, explaining one's role in the patient's care, asking the patient's preferred name, sitting with the patient to determine care goals, active listening, and communicating appropriately through touch and eye contact.
  • Provide and maintain a safe environment for caregivers, patients, and guests.
  • Conduct activities professionally and confidentially; comply with applicable laws, regulations, policies, and procedures; act ethically; report known or suspected violations; and cooperate with organizational investigations and proceedings.
  • Deliver customer service and patient care in a timely, efficient, and accurate manner that promotes goodwill.
  • Perform standby callback as assigned, depending on department.
  • Perform additional duties of similar complexity as required or assigned.
Desired Qualifications
  • A Bachelor of Science in Nursing is preferred.
  • Department-specific acute-care certification, such as Certified Emergency Nurse, Certified Pediatric Emergency Nurse, or Trauma Certified Registered Nurse, is preferred.
  • For Prineville and Madras, one year of recent critical care or emergency department registered nurse experience is preferred.
  • For Bend, one year of triage experience and one year of trauma nursing experience in a Level 1 or Level 2 Trauma Center are preferred.

About the company

S

St. Charles Health System

View

St. Charles Health System operates four hospitals and employs over 220 medical providers to deliver medical care in Central Oregon. It offers a full range of health services—from routine treatments to specialized care—through its hospitals and clinics. Patients receive care across inpatient stays, outpatient procedures, and community health programs managed by the system. Revenue comes from charging for patient care services, and the organization funds ongoing operations plus capital projects to expand and upgrade facilities. Its edge over competitors comes from being the largest regional health care system in Central Oregon with an integrated network of hospitals and clinicians, enabling coordinated care across multiple sites. The goal is to improve community health and work toward America’s healthiest community by expanding access to care and partnering with local organizations.

Company Size

1,001-5,000

Company Stage

N/A

Total Funding

N/A

Headquarters

Oregon

Founded

1918

Get referred to St. Charles Health System

See people who can refer or advise you

Simplify Jobs

Simplify's Take

What believers are saying

  • A February 20, 2026 contract extension with ONA protected Bend operations.
  • February 26, 2026 grants and Fuel food programs strengthen referrals and loyalty.
  • The NoCo medical distribution facility expands 24-7 supply capabilities in Juniper Ridge.

What critics are saying

  • June 23, 2026 layoffs cut 22 leadership jobs and 23 vacancies, signaling pressure.
  • PacificSource's January 1, 2026 exit threat and OHA penalties create a liquidity squeeze.
  • OHA's July 1, 2026 cost-growth penalty process hits margins; CMS still withholds over $6 million.

What makes St. Charles Health System unique

  • St. Charles dominates Central Oregon, operating Bend, Redmond, Madras, and Prineville hospitals.
  • On January 30, 2026, it added nine cardiologists, reaching 63 by year-end.
  • It fully integrated The Center Orthopedic & Neurosurgical Care in February 2025.

Help us improve and share your feedback! Did you find this helpful?

Benefits

  • Relocation Assistance

Company News

Sinclair Broadcast Group
Oct 16th, 2026
Free community support events planned in Bend following Silver Rail Elementary shooting.

Free community support events planned in Bend following Silver Rail Elementary shooting. by News Staff Fri, October 16, 2026 at 6:53 AM DESCHUTES COUNTY, Ore. - Deschutes County Health Services, St. Charles Health System and Bend-La Pine Schools are partnering to host two free community support events Friday, Oct. 16, following the tragedy at Silver Rail Elementary School. The walk-in events are intended to provide immediate emotional support, opportunities for connection and crisis stabilization tools for students, families, school staff and community members. The first event will be held from 10 a.m. to 3 p.m. at the Deschutes Public Library's Central Library, located at 61956 SE Santorini St. in Bend. A second event will take place from 4 to 7 p.m. at Larkspur Community Center, located at 1600 SE Reed Market Road in Bend. Both events are free and open to the public, with no appointment required. "We know that healing takes time, and we are committed to working alongside our local partners to provide the safe spaces, emotional support, and care that our neighbors need right now," said Molly Wells Darling, senior director for behavioral health with St. Charles. The events are designed to help community members access support and resources in the aftermath of the shooting. Both locations will offer drop-in services throughout their scheduled hours. SPONSORED CONTENT MORE TO EXPLORE

Horizon Broadcasting Group, LLC
Oct 16th, 2026
Community Support offered after Bend school shooting tragedy.

Community Support offered after Bend school shooting tragedy. Deschutes County Health Services, St. Charles Health System, and Bend-La Pine Schools are partnering to host free, walk-in community support events on Friday, Oct. 16, following the tragedy at Silver Rail Elementary. The events will provide immediate support, connection and crisis stabilization tools, for families, staff and community members. Event details: Community Support & Healing Gathering (CISM) * When: 10 a.m. to 3 p.m. Friday, Oct. 16 (Drop-in format) * Where: Deschutes Public Library - Central Library, 61956 SE Santorini St., Bend * Cost: Free and open to all students, families, staff, and community members. Community Support & Healing Gathering (CISM) * When: 4 to 7 p.m. Friday, Oct. 16 (Drop-in format) * Where: Larkspur Community Center, 1600 SE Reed Market Rd., Bend * Cost: Free and open to all students, families, staff, and community members. "Today's events have deeply shaken our entire community, especially our families, students, first responders, and educators at Silver Rail Elementary," said Behavioral Health Director Shannon Brister-Raugust, "and we want our community to know the resources they have and that we are here to help." "We know that healing takes time, and we are committed to working alongside our local partners to provide the safe spaces, emotional support, and care that our neighbors need right now," said Molly Wells Darling, Senior Director for Behavioral Health with St. Charles. What is CISM? The events will use Critical Incident Stress Management (CISM) frameworks. CISM is a structured, short-term supportive discussion designed to help individuals process the acute physical, mental, and emotional reactions that naturally follow traumatic experiences. CISM is not psychotherapy or clinical counseling; rather, it provides a safe, compassionate environment to understand normal stress responses, share experiences, and learn practical coping tools from trained peers and professionals. At each event, professional crisis response staff and peers will lead small-group discussions, offer guidance on how to talk to children about traumatic events, and connect people with local resources. Immediate Family and Crisis Resources: For families and staff seeking immediate help before or after this event, several specialized county and regional systems remain fully operational: * Walk-In Care: The Deschutes County Stabilization Center is open 24 hours a day at 63311 NE Jamison St., Bend. * Local Crisis Line: Call 541-322-7500 ext. 9. * National Hotline: Call or text 988 any time.

Carpenter Media Group
Jun 23rd, 2026
St. Charles lays off 22 employees.

St. Charles lays off 22 employees. Published 11:26 am Tuesday, June 23, 2026 St. Charles Health System laid off 22 people in leadership roles throughout the nonprofit on Tuesday. According to St. Charles, the layoffs were a result of the health care provider "reassessing" leadership roles and responsibilities. In addition, 23 vacant positions throughout the organization will be left unfilled. According to St. Charles CEO Michael Hartke, the positions were eliminated at the same time the health system has experienced "rapid growth in the service and amount of care provided throughout Central Oregon in recent years." The layoffs came after an evaluation of top leadership titles in the organization. "Changes are being made to fairly balance responsibilities for those in leadership positions across the health system and to structure the system for continued growth," Hartke said. The decision to eliminate the roles was not an easy one, said Hartke. "I want to sincerely thank those impacted by these changes for their time and dedication to St. Charles, our patients and to each other," he said. No one laid off Tuesday was providing direct patient care, according to a release from Alandra Johnson, St. Charles spokesperson. St. Charles did not answer any follow up questions about the layoffs. St. Charles is the largest employer in Central Oregon with over 4,900 employees across hospitals in Bend, Redmond, Madras and Prineville. This is not the first time the hospital has issued layoffs. In 2022 the health system laid off 107 people, including two executives, and eliminated 76 vacant positions due to skyrocketing supply and equipment costs.

St. Charles Health System
Jun 23rd, 2026
St. Charles restructures to support ongoing growth.

St. Charles restructures to support ongoing growth. June 23, 2026 St. Charles Health System has experienced rapid growth in the services and amount of care provided throughout Central Oregon in recent years. The growth is aligned with increases in population and demand for care in the region and has mostly occurred in the outpatient and specialty services areas of the organization. "We have been in a position to step in and support maintaining some key services in the region in recent years including orthopedics and neurosurgery, pharmacy, urology, gastroenterology and specialized cancer care, just to name a few," said Michael Hartke, incoming president and CEO. "As a nonprofit, local health care organization, we have the responsibility and the privilege of ensuring our patients have access to the care they need and we are proud to be able to provide it." To maintain this growth and ensure the organization is set up for success over the long term, St. Charles recently completed an evaluation of leader spans of control, titles and market alignment - for all supervisors and above - throughout the health system. Changes are being made to fairly balance responsibilities for those in leadership positions across the health system and to structure the system for continued growth. As a result, a small number of leadership positions in support services areas of the organization will be eliminated. This includes 22 positions that are currently filled and 23 positions that are vacant. In addition, ongoing work will occur to bring titles into alignment over time. No direct patient care positions are impacted by these changes, which affect less than 1% of the St. Charles workforce. "I want to sincerely thank the people being impacted by today's hard news for their incredible contributions to St. Charles and wish them nothing but the best going forward," Hartke said. "The changes we are making today are about setting ourselves up for a more sustainable and scalable structure for the future and I want to reassure our community that St. Charles is strong, stable and committed to meeting community needs."

Central Oregon Daily
Mar 31st, 2026
St. Charles begins outsourcing medical coding program.

St. Charles begins outsourcing medical coding program. BEND, ORE. - St. Charles Health System has begun outsourcing its medical coding program to Guidehouse, a Virginia based company. The health system said Guidehouse has offered all affected employees similar positions at its company. St. Charles said it made the decision to outsource after years of struggling to retain enough qualified medical coders. A spokesperson for the health system said in part, "We are so grateful to our dedicated team of coders for their many years of contributions to St. Charles and the Central Oregon community and wish all of them the best in their new roles with Guidehouse. While this has been a difficult decision, we believe it is in the best interest of the health system as it continues to focus on keeping as much care local as possible."