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Legacy Health

RN Charge Nurse - Medical Specialties

Company : Legacy Health

Location : Gresham, OR

Job Type : Full Time

Date Posted : 9 January 2026

Overview

The Legacy nursing philosophy focuses on patients and their families. Our nurses embody this philosophy in everything they do, as advocates, communicators, problem-solvers and caregivers. Their expertise is sought after and respected by our health care team. In short, they are the face of wellness at Legacy. Does this sound like an environment in which you could thrive? If so, we invite you to consider this opportunity.

Medical Specialties at Mount Hood is located on the third and fourth floor of Legacy Mount Hood Medical Center. Medical Specialties has 36 private beds with a capacity for 32 patients to have remote telemetry monitoring. 

Responsibilities

The RN Charge Nurse is accountable for the direct coordination and supervision of unit operations. Serves as a role model and resource for patient care. Provides leadership and promotes team-building among staff. Facilitates communication between staff, physicians, management and all other customers. Is responsible for effective implementation of policies, procedures and standards.

Qualifications

Education: Academic degree in nursing (BSN or MSN/MN) required. 

Experience: One year of relevant clinical experience at proficient to expert level of practice required. Demonstrated knowledge of operations, including staffing and scheduling, budget management, workflow planning, performance management and staff development.

Skills: Ability to manage a broad span of control through implementation of a self-directed team approach. Strong communication and leadership skills, and a willingness to lead by example. Must meet requirements of RN Staff Nurse Job Description and performs duties in any clinical capacity as needed. Keyboard skills and ability to navigate electronic systems applicable to job functions.

Licensure

Current applicable state RN license required and AHA BLS for Healthcare Providers.

Pay Range

USD $57.63 - USD $86.08 /Hr.

Our Commitment to Health and Equal Opportunity

Our Legacy is good for health for Our People, Our Patients, Our Communities, Our World. Above all, we will do the right thing.

If you are passionate about our mission and believe you can contribute to our team, we encourage you to apply—even if you don't meet every qualification listed. We are committed to fostering an inclusive environment where everyone can grow and succeed.

Legacy Health is an equal opportunity employer and prohibits unlawful discrimination and harassment of any type and affords equal employment opportunities to employees and applicants without regard to race, color, religion or creed, citizenship status, sex, sexual orientation, gender identity, pregnancy, age, national origin, disability status, genetic information, veteran status, or any other characteristic protected by law.

To learn more about our employee benefits click here: www.legacyhealth.org/For-Health-Professionals/careers/benefiting-you

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Frequently asked questions

Managing both patient care and team oversight requires strong multitasking and leadership skills. An RN Charge Nurse in medical specialties must prioritize effectively, delegate responsibilities, and maintain clear communication to ensure smooth unit operations and high-quality patient outcomes.

Expertise in telemetry monitoring, staff scheduling, clinical decision-making, and conflict resolution are crucial. Additionally, proficiency with electronic health systems and a deep understanding of nursing workflows enhance the Charge Nurse’s ability to lead complex medical specialties effectively.

Advancement pathways often include nurse manager, clinical nurse specialist, or healthcare administration roles. Gaining leadership experience and advanced certifications can open doors to higher management positions within Oregon’s healthcare systems, including organizations like Legacy Health.

Beyond the mandatory Oregon RN license and BLS certification, credentials like ACLS (Advanced Cardiovascular Life Support) and specialty certifications in telemetry or medical-surgical nursing can significantly boost a candidate’s appeal in Gresham’s competitive healthcare market.

Legacy Health offers between $57.63 and $86.08 per hour, which aligns with or slightly exceeds the regional average for experienced charge nurses. This competitive pay reflects the demanding nature of medical specialty units and the need for skilled leadership in Gresham.

Legacy Health emphasizes proactive leadership, effective communication across care teams, and role modeling of nursing excellence. Charge Nurses are expected to coordinate staffing, oversee patient safety, and foster a collaborative environment that supports both staff development and optimal patient outcomes.

Legacy Health’s patient- and family-centered philosophy requires Charge Nurses to act as advocates and problem-solvers while promoting inclusivity and continuous learning. This culture shapes daily tasks by encouraging empathetic leadership and teamwork to enhance wellness across the unit.

Gresham’s suburban setting offers relatively accessible commutes compared to Portland’s urban core, but traffic patterns can impact shift changes. Nurses often seek flexible scheduling options to balance the demanding charge nurse role with personal commitments in this community.

Demand for experienced charge nurses in Gresham remains strong due to ongoing healthcare expansion and patient needs. However, competition is notable among candidates with advanced clinical expertise and leadership skills, making specialized experience a key advantage.

While both roles involve direct patient care, an RN Charge Nurse additionally manages unit staffing, oversees workflow, resolves conflicts, and ensures policy compliance. This leadership role demands broader coordination and decision-making compared to the primarily clinical focus of RN nurses.

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