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Charge Registered Nurse
Company : Prime Healthcare Services
Location : Gadsden, AL, 35901
Job Type : Full Time
Date Posted : 11 January 2026
Overview
We are seeking a Charge Registered Nurse (Nights), sometimes referred to as a Med Surge RN at Riverview Regional Medical Center, a member of Prime Healthcare in Gadsden, AL. The Charge Registered Nurse (RN) is an experienced RN, who in addition to providing direct patient care is accountable for facilitating a multidisciplinary approach to patient care, patient flow, staffing, resource utilization and problem solving for a specific patient care department.
Bonus Options: up to $15,000
Employment Type: Full Time
Shifts Available: Nights
Hours: 7:00PM – 7:00AM ($4 to $8 per hour night shift differential)
Here are some of the benefits of working at Prime Healthcare:
- Health, dental, and vision insurance options
- Paid vacation, sick time and holidays
- Bereavement leave, FMLA and other leave options
- Employer 401K options
- Tuition reimbursement options
- Life, disability, and other insurance options
- Many other amazing benefits
Responsibilities
Essential Duties and Responsibilities (includes, but not limited to):
- Lead clinical team in ensuring high patient and physician satisfaction and provide support through difficult and complex issues.
- Use independent judgment to make effective recommendations regarding the adjustment/resolution of complaints, concerns, and problems of supervised staff regarding work assignments, hours of work, overtime scheduling and other work-related matters.
- Use independent judgment to recommend evaluation results of supervised employees, inclusive of promotion, rewards and recognition, performance improvement opportunities and termination.
- Demonstrate clinical competence utilizing the nursing process (assess, plan, intervention, evaluation).
- Conduct thorough initial assessments and ongoing evaluations of patients' physical, emotional, and mental health
- Monitor vital signs, intake/output, and other clinical indicators to detect changes in patient conditions
- Recognize and act on warning signs of deterioration, such as changes in heart rate, respiratory rate, or mental status
- Safely administer prescribed medications (oral, IV, subcutaneous, intramuscular) and monitor for adverse effects or allergic reactions
- Act as a liaison between patients, families, and the healthcare team to ensure the patient's needs are met
- Provide patient education on their condition, treatment options, and lifestyle adjustments to support recovery and prevent readmission.
- Communicate effectively with doctors, specialists, physical therapists, and social workers to develop and adjust care plans
Qualifications
EDUCATION, EXPERIENCE, TRAINING
- Current and valid state RN License.
- Current BLS upon hire and maintain current.
- Current ACLS 30 days upon of hire and maintain current.
- Bachelor Degree in Nursing (BSN) preferred. RN-C within 2 years of hire preferred.
- PALS within 30 days of hire for units that admit pediatric patients.
Full benefits at Prime Healthcare: https://www.primehealthcare.com/careers/benefits/
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Employment Status
Full TimeShift
NightsEqual Employment Opportunity
Company is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to applicable law), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. The Company also prohibits harassment of applicants or employees based on any of these protected categories. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf
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Frequently asked questions
Night shifts for a Charge Registered Nurse at Prime Healthcare in Gadsden require managing fewer staff but often call for heightened vigilance due to reduced onsite resources. Nurses handle patient flow, emergencies, and staffing challenges uniquely at night, with additional shift differentials rewarding their critical oversight during these hours.
Leading clinical teams at Prime Healthcare involves resolving complex patient care issues, balancing staffing needs, and making judgment calls on employee performance. Charge nurses must navigate interpersonal dynamics and maintain high physician and patient satisfaction within fast-paced med surge units.
In Alabama, current RN licensure is mandatory, with BLS and ACLS certifications highly prioritized. PALS certification is essential for pediatric units. These credentials ensure compliance with state regulations and enhance clinical competence in acute care settings.
Prime Healthcare offers competitive perks such as tuition reimbursement, comprehensive health insurance, generous paid leave, and a notable night shift differential. These benefits support career growth and work-life balance, making it attractive for Charge RNs in Gadsden.
The Gadsden area shows steady demand for skilled Charge RNs, driven by regional hospital staffing needs and expanding patient care services. Job seekers can find numerous openings, although competition remains moderate due to the specialized leadership skills required.
Charge Registered Nurses in Gadsden typically earn between $65,000 and $85,000 annually, slightly below the national median but supplemented by night shift differentials and bonuses at Prime Healthcare, such as up to $15,000 extra, enhancing overall compensation.
Charge Registered Nurses not only provide direct patient care but also coordinate multidisciplinary teams, oversee patient flow, and intervene in staffing and resource management. This role demands advanced clinical judgment and leadership beyond routine nursing duties.
Prime Healthcare encourages career advancement by offering tuition reimbursement, ongoing training, and leadership opportunities for Charge RNs. Night shift staff receive additional pay incentives, fostering both financial and professional development.
Prime Healthcare’s Charge Nurse roles emphasize multidisciplinary collaboration and autonomy in decision-making, supported by comprehensive benefits and competitive night shift pay. Their focus on employee recognition and problem-solving sets them apart in Alabama’s healthcare landscape.
Gadsden offers manageable commute times due to its compact size, easing shift transitions for Charge RNs. The local healthcare culture values teamwork and adaptability, with Prime Healthcare fostering an inclusive environment that respects diverse backgrounds and promotes work-life balance.