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Registered Nurse – Med Surg Primary Charge


Job Location:

Dixon, IL - USA

Hourly Salary: $ 37 - 54
Posted: 11 August 2026 (30+ days ago)
Application Deadline: 8 November 2026
Vacancies: 1 Vacancy

Job Summary

Job Title:Registered Nurse Med SurgPrimary Charge
Location: Dixon Illinois
Schedule: Full-Time 12-Hour Night Shifts 7:00 PM7:00 AM
Weekend Requirement: Typically every other weekend
Holiday Requirement: Typically every other holiday
Pay Range: $37.75$54.63 per hour
Night Differential: $4.00 per hour
Weekend Differential: $3.25 per hour
Sign-On Bonus: $20000 with a two-year commitment
Relocation Assistance: May be available and discussed during the interview process

Job Overview

A leading healthcare organization is seeking anexperiencedRegisteredNurse Med Surg PrimaryChargetoprovide both direct patient care and clinical leadership on the night shift in Dixon Illinois.

This role is ideal for an experienced Med-Surg RN who is ready to serve as a primary clinical resource for the unit coordinate nursing workflow support staff and help maintain safe and efficient patient care throughout the shift.

Candidates must have at least two years of nursing experience and previous relief charge experience. New graduates are not being considered for this position.

Responsibilities

  • Serve as the Primary Charge RN and provide clinical leadership during assigned shifts
  • Coordinate patient assignments based on acuity staffing and nursing competency
  • Support and guide RNs Patient Care Technicians and other members of the nursing team
  • Assist with patient flow admissions transfers and discharge coordination
  • Serve as a clinical resource for staff regarding patient-care concerns and changing conditions
  • Communicate significant patient staffing or operational concerns to the House Supervisor and appropriate leadership
  • Provide direct nursing care to Medical-Surgical patients as needed
  • Complete comprehensive patient assessments and ongoing reassessments
  • Develop implement and update individualized nursing plans of care
  • Administer medications IV therapies and treatments according to physician orders
  • Monitor patients for clinical changes and initiate appropriate interventions
  • Care for patients with common diagnoses including:
    • NSTEMI
    • COPD
    • Pneumonia
    • Sepsis
    • Acute kidney injury
    • Other acute medical and surgical conditions
  • Monitor telemetry patients and review rhythm strips during the shift
  • Collaborate with monitor technicians regarding cardiac rhythm findings
  • Coordinate care with physicians nursing leadership respiratory therapy PCTs and other interdisciplinary team members
  • Educate patients and families regarding diagnoses medications treatment plans and discharge instructions
  • Maintain accurate and timely clinical documentation
  • Promote patient safety infection prevention and adherence to nursing standards
  • Assist with staff problem-solving prioritization and escalation of clinical concerns
  • Float to ICU Emergency Department or behavioral health areas only when appropriate experience and competency are present
  • Perform additional nursing and charge responsibilities as assigned

Qualifications

Required

  • Current Registered Nurse license appropriate for practice in Illinois
  • Minimum of two years of professional nursing experience
  • Previous relief charge or charge nurse experience
  • Medical-Surgical nursing experience
  • Current American Heart Association Basic Life Support certification prior to start
  • Strong clinical assessment prioritization and decision-making skills
  • Ability to coordinate staff assignments and unit workflow
  • Strong leadership and communication skills
  • Ability to support and mentor nursing staff during the shift
  • Ability to remain composed and make sound decisions in fast-paced clinical situations
  • Ability to work 12-hour night shifts
  • Availability for rotating weekends and holidays

Preferred

  • Bachelor of Science in Nursing
  • Two or more years of acute-care Medical-Surgical nursing experience
  • Previous formal Charge Nurse experience
  • Telemetry experience
  • ICU or Emergency Department experience
  • Previous leadership preceptor or mentoring experience

New graduates are not being considered for this position.

Department Information

  • Medical-Surgical units with:
    • 23 beds on one floor
    • 14 beds on an additional floor
  • Typical RN-to-patient ratio of approximately 1:5 occasionally up to 1:6
  • Patient Care Technician coverage of approximately 1:8
  • House Supervisor support available
  • Telemetry monitoring with dedicated monitor technicians; RNs review and sign off on rhythm strips
  • RNs are not routinely required to titrate critical-care drips
  • No routine on-call requirement
  • Low census may occur but is uncommon
  • Floating outside Med-Surg is based on the RNs prior experience and demonstrated competency

Benefits & Incentives

  • $20000 sign-on bonus with a two-year employment commitment
  • Competitive compensation based on experience
  • $4.00 per hour night differential
  • $3.25 per hour weekend differential
  • Relocation assistance may be available based on individual circumstances
  • Comprehensive medical dental and vision benefits
  • Retirement savings programs
  • Paid time off
  • Continuing-education and professional-development opportunities
  • Nursing leadership and career advancement opportunities
  • Employee wellness and assistance programs

If you are an experienced Med-Surg RN with charge experience who is ready to take on greater leadership responsibility while remaining clinically involved in patient care we would love to hear from you.