Registered Nurse - Med/Surg/Peds Charge Nurse

Job Overview

We're glad you are thinking about joining us.

Grand Itasca is a non-profit organization with a clear vision of being the leader in transforming rural health care by achieving the highest levels of quality, access, and value. Our strength stems from teamwork and collaboration among a talented and diverse group of professionals. With over 700 employees in hundreds of different roles, Grand Itasca can offer a variety of career opportunities.

• POSITION: Med/Surg/Peds Charge Nurse
• EMPLOYMENT TYPE: .6-.75 (48-60 hours/pay period)
• WORK SCHEDULE: Days / Nights
• DEPARTMENT: Med/Surg/Peds
• Internal Posting Through: 10/30/2026

JOB SUMMARY:
A clinically competent, Registered Nurse (RN) who demonstrates expertise in acute hospital care. Effectively delivers treatment to patients through the nursing process of assessment, planning, intervention, implementation, and evaluation.In addition, the Charge Nurse possesses the following skills: demonstrates leadership abilities, ability to process multiple sources of information independently utilizing critical thinking, is adaptable to frequently changing situations, understands and responds to the needs of a multi-disciplinary team, works to build trust, is passionate about the needs of the customer (patient, family, providers, team members), demonstrates communication skills, and works to empower all members of the team to work toward their full potential.This position is responsible for ensuring that timely, accurate, and professional nursing care is provided to all patients and families at Fairview Grand Itasca.

Here's what you'll do when you join us:

1. Assists and supports unit employees:
   •  MSP RN’s, NST/NA’s
2. Performs daily rounds in MSP and leads ongoing “huddles” as necessary to ensure smooth patient flow.
3. Collaborates with leadership to obtain updated census of other hospital units and discuss plan of potential hospital admissions.
4. Assists in maintaining patient and organizational flow, admission and discharge coordination:
   • Collaborates with all hospital departments charge nurses to assist with any needs of coordinating patient flow.
   • Utilization Review/Case management support for admission criteria daily.
   • Ensure the process of reporting patient status to the following shift of nursing personnel.
   • Ensure rounds on patients in the department are being managed while remaining informed of patients’ condition and/or situation. 
5. Staff the unit according to organizational guidelines, ensure meal breaks for all staff, and facilitates reduction of overtime.
6. Evaluates the effectiveness of care and addresses issues that may affect desired patient’s outcomes. Promotes the delivery of safe, effective, and appropriate care in a timely and accurate manner.
   • Completes orientation to MSP
   • Assists/supports staff with all levels of patient care delivery.
   • Oversee and directs the planning and distribution of patient assignments.
7. Address patient and/or family issues/concern and communicates to the leadership. Understand and utilize the online variance reporting system.
8. Assesses risk, responds and solves issues that may arise in the MSP department providing a safe working environment.
9. Performs and/or delegates the completion of quality review, regulatory observational/chart audits; actively contributes to quality and development including compliance, metrics, and documentation.
10. Demonstrates ability to provide immediate professional practice feedback to staff.
11. Interacts with and contributes to the professional growth of peers, colleagues and unit. 
12. Collaborates and supports staff to ensure the completion of annual unit specific trainings, and organizational required education.
13. Responds to all code activations according to organizational policy.
14. Ensure completion of daily/monthly checks (i.e. crash carts, accuchecks).
15. Provides quality care to all patients and ensures patient safety throughout the continuum of care following established policy and procedures. Advocating for a family centered approach as appropriate. 
16. Oversees and directs the delivery of patient care through the process of assessment, diagnosis, planning, implementing and evaluation according to the Minnesota Nurse Practice Act, provider orders, policies, procedures, and established standards.
17. Demonstrates abilities to manage large volumes of multiple patients, family, staff, and providers priorities within short time frames; includes critical thinking, teaching/delegation skills and respectful communication.
    • Demonstrates mature judgment, initiative and proficiency in nursing skills
    • Demonstrates leadership qualities and organizational abilities
    • Ability to lead and mentor change
    • Ability to adapt resources to the need of the situation
    • Leads by example in displaying consistent behaviors reflective of Fairview Grand Itasca Professional Standards of Conduct.
18. Ability to solve problems and work independently within scope of practice
19. Accurately identifies nursing diagnosis/collaborative problems to determine appropriate interventions within the framework of accepted standards of care.
20. Assesses the individual needs of the adult, geriatric, adolescent, and pediatric patients and develop appropriate plans of care.
21. Acquires and maintains specialized knowledge and skills in nursing practice including but not limited to: IV access, basic ECG interpretation, pain management, neurological assessment, fluid management, infection control measures, and respiratory management.
22. Utilizes department equipment correctly and efficiently.
23. Communicates professionally and collaborates effectively with patients, families, co-workers, health care team members, and ancillary departments to ensure patient centered coordination of care. Maintains positive working relationships with all multidisciplinary members of the care team.
24. Maintains knowledge of The Joint Commission (TJC) standards and incorporates the standards into the practice of nursing.
25. Provides leadership in the professional practice setting. Collaborates with and delegates to ancillary/professional staff as appropriate; assures adherence to their scopes of practice.
26. Participates in professional growth and self-development activities to ensure accountability for own professional nursing practice.
27. Participates in staff meetings, committees, and projects; actively contributes to quality and development within the organization.

QUALIFICATIONS:

1. Registered with the Minnesota Board of Nursing. BSN preferred.
2. Equivalent of 2 years Acute Care Hospital nursing experience.
3. Medical Surgical Certification required or ability to attain within 24 months.
4. Basic Life Support (BLS) and Advanced Cardiovascular Life Support (ACLS) are required and maintains certifications.
5. Pediatric Advanced Life Support (PALS) and Neonatal Resuscitation Program (NRP) certification or ability to attain within 6 months of employment and maintains certification.
6. Achieve role of Preceptor within 6 months.
7. Demonstrates abilities to manage large volumes of multiple patients, family, staff, and provider priorities within short time frames; includes critical thinking, delegation skills, and respectful communication.
   • Demonstrates mature judgment, initiative, and proficiency in nursing skills
   • Demonstrate leadership qualities and organizational abilities
   • Ability to lead and mentor change
   • Ability to adapt resources to the need of the situation
   • Leads by example in displaying consistent behaviors reflective of Fairview Grand Itasca Professional Standards of Conduct.
8. Demonstrates ability to follow and adhere to Fairview Grand Itasca policies, vision, mission, and values.
9. Maintains reliable and consistent attendance.

*If no candidates meet the above requirements, consideration will be given to those with 1-year Acute Care Hospital nursing experience. 

Benefit Overview

Grand Itasca Clinic & Hospital offers a generous benefits package including medical, dental, vision, life insurance, short- and long-term disability, PTO, a short-term disability bank, retirement,tuition reimbursement, early access to earned wages and more. Employees also have access to voluntary insurance options, and resources to support their financial and personal well-being. For additional information, please follow this link: <ahref=""https://www.granditasca.org/benefits/mna"">https://www.granditasca.org/benefits/mna

Compensation Disclaimer

The posted compensation range corresponds to the minimum and maximum pay rates outlined in your union agreement for the respective job classifications at the time of job posting. An individual's pay rate within this range may be influenced educational background, and qualifying experience as specified in the contract. If your role is eligible for a sign-on bonus, the bonus program that is approved and in place at the time of offer, is what will be honored.

EEO Statement

EEO/Vet/Disabled: All qualified applicants will receive consideration without regard to any lawfully protected status