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  3. Registered Nurse Med Surg/PCU/ICU Pathway
AH

Registered Nurse Med Surg/PCU/ICU Pathway

Altru Health System·Grand Forks, North Dakota

$34 - $56/hr·Full Time·On Site·10+·Posted 29 days ago
Practice for this role

About the role

The Registered Nurse provides direct nursing care according to organizational policies, developing comprehensive care plans based on patient assessments, and coordinating care within the interdisciplinary team. Essential functions include performing daily rounds, managing patient pain, identifying early warning signs of deterioration, and ensuring timely discharge planning and patient education.

Everything we do is underscored by a why — and that why is one another.

Location: Altru Hospital 1200 South Columbia Road Grand Forks, ND 58201

Summary

Pay Range

  • Dependent on level RN I $33.80 - $50.69
  • RN II: $35.49 – $53.23
  • RN
  • III: $37.26 – $55.89

Summary

Altru’s RN career ladder empowers RNs to manage their career growth and pay. This structure values experience, education, and engagement, providing opportunities for advancement and greater responsibilities. The requirements of each level are listed here.

  • RN I
  • ASN
  • RN II
  • 6 years or more of RN experience with an ASN/ADN degree OR,
  • 3 years or more of RN experience with a Bachelor of Science in Nursing (BSN)
  • RN III
  • 12 years or more of RN experience with an ASN/ADN OR,
  • 6 years or more of RN experience with a BSN OR,
  • Masters/Doctor of Nursing

We are seeking full time/part time/casual Registered Nurses for various shifts. Relocation is available for qualified applicants. Sign on bonus for RN New Graduates $6,000 and Experienced RN $10,000

Are you interested in working as a Critical Care Nurse? If yes, Altru has a pathway to become a nurse in progressive or critical care by completing 5 simple steps over a period of 6-9 months.

  • Five-Step Program Overview 1. Complete orientation and a Med-Surg experience 2. Transition to Progressive Care Unit (PCU) 3. Complete Med-Surg and PCU rotation 4. Complete Competency Assessment 5. Transition to the Intensive Care Unit (ICU)
  • Tailored to individual needs Our Med-Surg to PCU/ICU Pathway offers an exciting opportunity for new graduate nurses with an RN license to embark on a journey towards excellence in critical care nursing and make a difference in the lives of our patients every day

Benefits

  • Structured pathway for career advancement
  • Mentorship from experienced nurses in each specialty area
  • Exposure to diverse patient populations and clinical scenarios
  • Ongoing professional development opportunities
  • Competitive salary and benefits package

The Registered Nurse provides direct nursing care in accordance with established policies, procedures and protocols of the organization. The nurse maintains the knowledge and skills necessary to provide care appropriate to the age of the patients served on the assigned unit. The nurse facilitates the coordination of patient care within the interdisciplinary care team and provides patient education to assure safe patient discharge.

Essential Job Functions

Performs daily rounds on all patients assuring quality customer service by coordinating and taking action on any requirements not met.

Develops a plan of care based on assessment that reflects the patient's physical, psychological, social, educational, developmental and rehabilitative needs based on patient's age, ethnic origin, economic status, lifestyle, creed or philosophical beliefs.

Assesses the patient's condition and nursing needs, sets goals, and prescribes appropriate nursing actions to meet those goals and the physical, psychological, social, and rehabilitative needs of the patient, including discharge planning.

Assesses, intervenes, and reassesses the patient's self-report/symptoms of pain promptly and takes appropriate action according to standard operating procedure.

Identifies the early warning signs of a change in a patient's condition and responds appropriately to a deteriorating patient, including contacting responsible clinicians as indicated by standard operating procedure. Assists with or institutes emergency measures for sudden adverse developments in patient conditions.

Reports pertinent observations and reactions regarding patients to the appropriate multidisciplinary team member and records those observations accurately and concisely. Ensures that intervention or referrals are made promptly. Completes and submits all incident reports (patient, visitor, staff) prior to the completion of each shift.

Establishes and maintains communication and utilizes educational opportunities with patients and other significant individuals.

As early as possible, begins discharge planning, appropriate education and counseling based on identified needs to optimize patient/family understanding. Evaluates and documents according to standard operating procedure.

Assigns or delegates, within the scope of practice, education and experience, the responsibility for performance of nursing interventions to other persons for which that person has the necessary skills and competence to accomplish safely.

Performs other duties as assigned or needed to meet the needs of the department/organization.

Certification

  • Registered Nurse | North Dakota Board of Nursing (NDBON) or Compact State Agreement | Prior to start date | HR Primary Sources
  • Basic Life Support (BLS) | American Heart Association (AHA) | Within 90 days of start date | Learning Management System

NOTES

Temporary RN license accepted prior to start.

Must hold an unencumbered nursing license prior to start.

RN

Residency

Cohort only: ND RN Graduate Work Authorization considered prior to start. The RN Graduate Work Authorization is valid for up to 90 days after issue or upon notification of the NCLEX results, whichever occurs first.

#Altru

Education

  • Preferred: Associates - Nursing- OR
  • Bachelors - Nursing

Work Experience

• Required: An equivalent combination of education and experience Related Experience

Language Requirements

This position requires proficiency in reading, writing, and speaking English to ensure effective communication in the workplace and with patients, families, and team members.

This position may be eligible for visa sponsorship and candidates requiring sponsorship are welcome to apply.

Physical Demands

  • Sit: Occasionally (5-33%)
  • Stand: Frequently (34-66%)
  • Walk: Frequently (34-66%)
  • Stoop/Bend: Frequently (34-66%)
  • Reach: Frequently (34-66%)
  • Crawl: Rarely (1-4%)
  • Squat/Crouch/Kneel: Occasionally (5-33%)
  • Twist: Occasionally (5-33%)
  • Handle/Finger/Feel: Frequently (34-66%)
  • See: Frequently (34-66%)
  • Hear: Frequently (34-66%)

Weight Demands

  • Lift
  • Floor to
  • Waist
  • Level: Medium (20-40 pounds)
  • Carry: Medium (20-40 pounds)
  • Push/Pull: Medium (20-40 pounds)
  • Slide/Transfer: Medium (20-40 pounds)

Working Conditions

  • Indoor: Continuously (67-100%)
  • Outdoor: Not Applicable
  • Extreme
  • Temperature: Not Applicable

Driving Requirement Definitions

  • Professional
  • Drivers: Persons who drive as their main responsibility OR transport passengers or hazardous materials.
  • Frequent
  • Drivers: Persons whose main responsibility is not driving, but drive daily or almost daily.
  • Occasional
  • Drivers: Persons who drive from once per month to as frequently as once per week.
  • Infrequent
  • Drivers: Persons who are generally not expected to drive.

Driving Requirement for this position

Infrequent Driver

Reference ID: R6313

Making a real difference. For one another.

To take the best care of our patients and community — including friends, family, and neighbors — we need people who are committed to growth, excellence, and one another.

At Altru, you’ll find a culture where support and teamwork are at the heart of what we do. You’ll have opportunities to advance your skills, work with the latest technologies, experience the fulfillment that comes from giving back, and take your career wherever you want it to go.

Join our team and be a part of a small community with a big heart.

Altru offers a comprehensive benefits package to its full- and part-time employees. Excellent benefits include a health plan and 401(k) retirement plan. Other benefits include a dental plan, vision plan, life and disability insurance, education assistance, paid time off (PTO)

Posting details

Employment type
Full Time
Work arrangement
On Site
Experience
10+
Salary
$34 - $56/hr
Location
Grand Forks, North Dakota
Posted
Jun 29, 2026
Application
Employer website
AH

Hiring organization

Altru Health System

At Altru, we are making a difference for those we care for as we provide five-star care for our friends, family members and neighbors in northeast North Dakota and northwest Minnesota. We are a community of over 3,400 health professionals and support staff. We offer a wide array...

Salary listed on 88 jobs
IndustryHospitals and Health Care
TypeNonprofit
Size1,001-5,000 employees
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Market context

North Dakota nursing roles remain in demand

Nursing roles in North Dakota are typically shaped by steady demand across hospitals, clinics, and long-term care settings, with employers often screening first for an accredited nursing degree and an unencumbered RN license. These positions can be competitive because preferred BSN preparation, structured residency programs, and strong onboarding are common differentiators, alongside benefits such as sign-on bonuses and technology investment. Review the AI-summarized requirements and benefits on this platform to save time, then confirm your license status and tailor your application to the employer’s preferred education and training fit.

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