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Prime Healthcare Services

Medical Surgical RN

Company : Prime Healthcare Services

Location : Gadsden, AL, 35901

Job Type : Full Time

Date Posted : 12 January 2026

Overview

We are seeking a Medical Surgical Registered Nurse (Nights), sometimes referred to as a 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 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 

Employment Type: Full Time

Hours: 7:00pm - 7:00am

Shifts Available: Nighs ($4 - $8 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):

  • 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

EDUCATION, EXPERIENCE, TRAINING

  • Current and valid state RN License.
  • Current BLS certificate upon hire and maintain current.
  • Current ACLS certificate 30 days upon hire and maintain current preferred.
  • Previous Acute Care hospital experience preferred.
  • Ventilator Management experience preferred.
  • Bachelor of Science in Nursing (BSN) preferred.

#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 demand for Medical Surgical RNs due to local hospital expansions and aging populations. Competition is moderate, with Prime Healthcare Services actively recruiting to fill night shift roles, offering attractive bonuses to attract qualified nursing professionals in this region.

While a current RN license is mandatory, Alabama hospitals, including those in Gadsden, often prefer candidates holding ACLS certification within 30 days of hire. Ventilator management experience and BLS certification are also highly valued to handle acute patient needs effectively.

Medical Surgical RNs manage a diverse patient population recovering from surgeries and chronic conditions, requiring skills in medication administration, monitoring vital signs, and coordinating multidisciplinary care. Their role blends acute care expertise with patient education to prevent readmission.

Proficiency in clinical assessment, IV medication administration, and patient status monitoring are vital. Strong communication to liaise between doctors and families, along with familiarity with Epic charting systems, enhances effectiveness in fast-paced surgical environments.

Medical Surgical RNs can advance into roles like Clinical Nurse Specialist or Nurse Manager, especially by gaining certifications and BSN degrees. This pathway offers opportunities to influence patient care protocols and lead specialized teams within hospital settings.

Prime Healthcare provides comprehensive benefits including health, dental, vision insurance, paid time off, 401k options, tuition reimbursement, and shift differentials ranging from $4 to $8 per hour for night shifts, supporting work-life balance and professional growth.

Prime Healthcare emphasizes a supportive culture with competitive night shift bonuses and extensive benefits, which may exceed offerings at some local hospitals. Their focus on comprehensive patient care and new graduate support sets them apart within Gadsden's healthcare community.

Medical Surgical RNs in Gadsden typically earn between $58,000 and $72,000 annually, with night shifts at Prime Healthcare including a differential adding $4 to $8 per hour. The role may also include bonuses up to $15,000, enhancing overall compensation.

Yes, Prime Healthcare welcomes new grads for Medical Surgical RN roles, providing training and support to bridge experience gaps. This inclusive hiring approach helps fresh nurses develop critical skills in acute care and surgical patient management.

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