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Prime Healthcare Services

Charge Medical Surgical RN

Company : Prime Healthcare Services

Location : Gadsden, AL, 35901

Job Type : Full Time

Date Posted : 14 January 2026

Overview

We are seeking a Charge Medical Surgical 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/

#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

Gadsden's healthcare sector shows steady growth for Charge Medical Surgical RNs due to rising patient volumes at facilities like Riverview Regional Medical Center. This demand translates into robust job openings, offering nurses opportunities to advance within Prime Healthcare Services or other local hospitals, often with competitive night shift premiums.

Hospitals in Alabama, including Prime Healthcare, highly value certifications like ACLS and BLS for Charge Medical Surgical RNs. Holding a BSN and obtaining RN-C certification within two years enhances prospects, reflecting local standards to ensure clinical excellence and leadership in surgical nursing environments.

Leadership in multidisciplinary patient care, adept clinical judgment in fast-paced surgical units, and expertise in medication administration are key skills. Charge Medical Surgical RNs excel by orchestrating staff coordination and resolving clinical challenges, setting them apart in surgical nursing pathways.

Night shifts demand managing fluctuating patient acuity with limited resources, coordinating multidisciplinary teams remotely, and maintaining high patient satisfaction. Charge Nurses often troubleshoot staffing shortages and rapidly adjust care plans to tackle unexpected clinical developments overnight.

Prime Healthcare invests in Charge Medical Surgical RNs through tuition reimbursement, leadership development, and advanced certification support. This fosters skill enhancement and prepares nurses for managerial roles, driving upward mobility within the company’s surgical nursing hierarchy.

At Prime Healthcare, Charge Medical Surgical RNs lead patient flow and staffing decisions while actively resolving complex clinical and operational issues. Their role blends clinical expertise with leadership duties, emphasizing multidisciplinary collaboration to maintain high-quality surgical care.

Charge Medical Surgical RNs in Gadsden can expect competitive salaries, boosted by night shift differentials ranging from $4 to $8 per hour plus bonuses up to $15,000. This compensation often aligns favorably with regional peers, reflecting local demand and hospital benefit packages.

Nurses in Gadsden must navigate Alabama’s healthcare regulations and community health trends, including patient demographics and regional illness patterns. Cultural sensitivity and familiarity with local public health initiatives enhance patient rapport and care effectiveness in this setting.

Daily duties revolve around supervising clinical teams, managing staff assignments, and resolving workflow bottlenecks during night shifts. Charge Medical Surgical RNs also coordinate with physicians and allied health professionals to ensure seamless patient care and optimize surgical unit efficiency.

This role signifies a progression from bedside nursing to a leadership capacity, highlighting skills in clinical decision-making and staff management. Serving as a Charge Medical Surgical RN can open pathways to nurse management or specialty nursing roles within surgical or critical care environments.

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