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Prime Healthcare Services

Registered Nurse - Stroke Unit

Company : Prime Healthcare Services

Location : Gadsden, AL, 35901

Job Type : Full Time

Date Posted : 6 January 2026

Overview

We are seeking a Stroke Registered Nurse (Nights) for our 4th tower Stroke/Medical Surgical unit. A Medical Surgical Registered Nurse, sometimes referred to as a Med Surge Registered Nurse (RN) play an important role in our hospital by providing comprehensive care to 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: $15,000  

Employment Type: Full Time  

Shifts Available: Nights  

Hours: 12 hour – 7:00pm to 7:00am  ($4 - $8 night shift differentials)

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 

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 

Qualifications

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

Current and valid state RN License.2. Current BLS certificate upon hire and maintain current

Additional Qualifications That Are a Plus: 

Current ACLS certificate 30 days upon hire and maintain current preferred.4. Previous Acute Care hospital experience preferred.5. Ventilator Management experience preferred.6. Bachelor of Science in Nursing (BSN) 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

Night shifts in a stroke unit require heightened vigilance to detect subtle changes in patient condition, especially since fewer staff may be present. Nurses often rely on advanced monitoring and quick response skills to manage acute neurological symptoms overnight, making specialized stroke care expertise essential during these hours.

Stroke unit RNs focus on neurological assessments, recognizing signs of stroke progression or complications, and coordinating with multidisciplinary teams for rehabilitation. Unlike general med-surg nurses, they require deeper knowledge of neurovascular emergencies and tailored patient education to reduce readmission risks.

Certifications like ACLS and specialized stroke nursing credentials sharpen clinical judgment during emergencies. Maintaining current BLS is mandatory, while ACLS improves response to cardiac complications common in stroke patients, directly benefiting patient safety and recovery outcomes in the stroke unit.

Prime Healthcare fosters advancement through tuition reimbursement, clinical skill development, and leadership opportunities within critical care specialties. Nurses in the stroke unit gain access to comprehensive benefits and ongoing training, empowering them to excel in neuro-focused nursing roles and broaden their professional scope.

Beyond competitive pay and night shift differentials, Prime Healthcare offers holistic benefits including health and vision insurance, paid time off, and 401k plans. These perks, combined with supportive leave policies and tuition reimbursement, contribute to a balanced work-life environment valued by stroke unit nurses.

Gadsden’s healthcare facilities show a growing need for neuro-focused RNs due to an aging population and stroke prevalence. This demand positions stroke unit nurses favorably for hiring, with opportunities to leverage specialized skills in a region actively expanding its acute care services.

Registered Nurses in this role can anticipate base pay supplemented by $4 to $8 hourly night shift differentials, plus a $15,000 bonus option. This structure aligns with regional med-surg nursing salaries while reflecting the specialized demands of stroke care during overnight hours.

Alabama mandates a current state RN license and BLS certification, with ACLS strongly preferred within stroke units. While these requirements are consistent nationally, Alabama’s healthcare providers may emphasize neuro-specific competencies due to regional stroke incidence, influencing continuing education priorities.

Prime Healthcare enhances appeal by offering competitive bonuses, comprehensive benefits, and support for advanced certifications. Their focus on night shifts with clear differential pay, plus educational reimbursement, targets nurses seeking both financial and professional growth in specialized stroke care.

One myth is that stroke unit RNs only monitor vitals; in reality, they perform complex neurological assessments, coordinate multi-disciplinary care, and provide critical patient-family education. Their role extends well beyond routine checks, demanding acute clinical judgment and proactive intervention skills.

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