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Prime Healthcare Services

Renal Charge Registered Nurse

Company : Prime Healthcare Services

Location : Gadsden, AL, 35901

Job Type : Full Time

Date Posted : 12 January 2026

Overview

We are seeking a Renal Charge Registered Nurse (Nights), sometimes referred to as a Charge RN or a Charge Med Surge RN at Riverview  Regional Medical Center, a member of Prime Healthcare in Gadsden, AL.  These Registered Nurses (RN) play an important role in our hospital by providing comprehensive care to renal patients who are recovering from surgery, managing acute and chronic illnesses, or undergoing diagnostic procedures. Med-surg nurses are considered the backbone of hospital nursing due to the variety and volume of patients they manage. 

Bonus Options:  up to $15,000 (Two payout options available)  

Shift’s Available:  Nights ($4 to $8 differential in pay)

Employment Type: Full Time

Hours: 7:00pm to 7:00am

Location: Riverview Regional Medical Center - Gadsden, AL

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
  • New Grads Welcome 

Responsibilities

Essential Duties and Responsibilities (includes, but not limited to):

  • 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
  • Epic computer charting
  • New grads welcome!

Qualifications

Before we go any further, we do have some deal-breakers. You must have: 

  • Current and valid state RN License
  • Current BLS upon hire and maintain current
  • Current ACLS 30 days upon of hire and maintain current
  • PALS within 30 days of hire for units that admit pediatric patients

 

Additional Qualifications That Are a Plus:

  • Bachelor Degree in Nursing (BSN) preferred
  • RN-C within 2 years of hire preferred

Full benefits at Prime Healthcare: https://www.primehealthcare.com/careers/benefits/

#LI-AZ1

Employment Status

Full Time

Shift

Nights

Equal 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

A Renal Charge Registered Nurse in Gadsden oversees renal patient care coordination, including managing acute and chronic kidney conditions, whereas a standard dialysis nurse primarily focuses on administering dialysis treatments. The charge nurse also handles team coordination and ensures compliance with protocols during night shifts at Riverview Regional Medical Center.

In addition to a valid Alabama RN license, night-shift renal charge nurses typically need current BLS and ACLS certifications within 30 days of hire. PALS certification is required if pediatric patients are admitted. These credentials ensure readiness for critical care scenarios common in renal and dialysis settings.

Yes, renal charge RNs can advance toward roles like nephrology nurse practitioners or renal nurse managers. Gaining RN-C certification and a BSN degree often accelerates leadership prospects, especially within integrated healthcare systems like Prime Healthcare Services that support tuition reimbursement and career development.

Prime Healthcare provides comprehensive health, dental, vision insurance, paid time off, 401k options, and tuition reimbursement. Night shift differentials and bonuses up to $15,000 enhance compensation, creating a supportive package tailored to retain skilled renal charge nurses in Gadsden’s competitive market.

Absolutely, Prime Healthcare fosters an inclusive environment emphasizing teamwork and professional growth. Their equal opportunity policies and support for new grads create a diverse and welcoming atmosphere, which positively impacts how renal charge nurses engage with patients and collaborate with multidisciplinary teams.

Renal Charge Registered Nurses in Gadsden typically earn between $65,000 and $80,000 annually, factoring in night shift differentials. This aligns with Alabama’s healthcare wage trends, offering a competitive package that reflects specialized skills in acute dialysis and nephrology within regional medical centers.

Night shifts bring unique challenges, including monitoring critical changes in patient vitals with limited immediate support, coordinating care across departments during off-hours, and managing complex medication regimens. Effective communication and quick decision-making are vital to ensuring patient safety in these scenarios.

Demand for renal charge nurses on night shifts in Gadsden remains strong due to the prevalence of chronic kidney diseases and surgical recoveries requiring specialized care. Riverview Regional Medical Center's ongoing recruitment reflects local shortages in specialized nursing staff during overnight hours.

This position uniquely combines direct patient care for renal conditions, medication administration, and leadership duties such as managing team workflows and liaising with multidisciplinary specialists. The role demands proficiency in electronic charting (Epic) and the ability to educate patients on complex nephrology treatments.

Prime Healthcare offers tuition reimbursement and encourages certifications like RN-C, fostering career advancement. Their structured benefits and educational support reflect a commitment to developing nursing expertise, particularly for roles requiring acute dialysis and nephrology specializations.

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