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Registered Nurse, Stepdown, Nights, Clarksville Increased NIGHT Differential

Job in Clarksville, Montgomery County, Tennessee, 37040, USA
Listing for: Montgomery College
Full Time position
Listed on 2026-08-25
Job specializations:
  • Nursing
    RN Nurse, Healthcare Nursing, ICU Nurse
Salary/Wage Range or Industry Benchmark: 60000 - 85000 USD Yearly USD 60000.00 85000.00 YEAR
Job Description & How to Apply Below
Position: Registered Nurse, StepDown, Full time Nights, Clarksville NEW INCREASED NIGHT DIFFERENTIAL!

Discover Vanderbilt Health:
With eight hospitals and over 180 clinics, we are the region’s largest comprehensive academic health system. Vanderbilt Health has a long tradition of providing world‑class care to the people of the Mid‑South, living out our mission of moving medicine forward through preeminent programs in patient care, education and research. Here you’ll find a spirit of collaboration and a supportive community where your expertise is valued, your knowledge expanded and your uniqueness celebrated.

We are committed to fostering an environment where talented, compassionate people are united in bringing the most advanced care to our neighbors throughout the region.

Organization: VCH Step Down

Job Summary:

Responsible for planning, organizing, and administering patient care within the scope of his/her training and expertise, collaborating with other professional disciplines to ensure effective and efficient patient care delivery and achievement of desired patient outcomes is met. This is done in conjunction with the objectives and policies of the hospital and the Nurse Practice Act of the State of Tennessee.

Hours of Position:
Full‑time (36 hours/week), nights (6:45p – 6:45a). Stepdown is a 21‑bed hardwired telemetry unit that focuses on acutely ill but stable patients requiring closer monitoring. We care for patients with a variety of cardiac, vascular and medical diagnoses with specialized needs such as cardiac arrhythmias, bedside cardioversions, titrated medications, oxygenation management, withdrawal, sepsis, stroke, and post‑operative care. Our staff is dedicated to provide excellent care to our patients.

Our environment is challenging, fast‑paced, team‑oriented, and patient and family centered. Our staff is very engaged with problem‑solving and identifying ways to improve patient care. They have a desire to continue learning, have strong communication skills, and collaborate with the team to provide excellent patient care. Daily interdisciplinary rounds include the provider, registered nurse, case manager, and a nurse leader.

Each shift begins with a safety huddle to look back and forward 24hours to review safety and quality concerns. Ratio 4:1.

New increased night differential to $10/HOUR for night RNs!

Certifications:

BLS, ACLS.

Orientation:
We offer 8‑12 week orientation based on nursing experience.

KEY RESPONSIBILITIES
  • Collaborates in establishing the plan of care, coordinates and implements care delivery while anticipating patient care needs across the continuum.
  • Analyzes comprehensive information pertinent to the patient’s care and management to determine nursing diagnosis.
  • Continually utilizes the nursing process to evaluate patient’s progress towards goals and applies appropriate interventions to ensure effective outcomes.
  • Employs strategies to promote health and a safe and healthy environment.
TECHNICAL CAPABILITIES NURSING PATIENT ASSESSMENT & EVALUATION HOME CARE (NOVICE)
  • Possesses ample fundamental proficiency to successfully demonstrate the ability to assess and evaluate patients in practical applications of moderate difficulty in the home setting. The RN Home Care works autonomously to provide safe, thorough and effective physician‑ordered care in the home setting. Conducts primary care patient interviews, assesses the safety of the home environment and performs a comprehensive physical assessment. The RN Home Care demonstrates appropriate acumen to recognize problems, ask questions and to contact the patient’s primary care provider.
NURSING

PATIENT EDUCATION (NOVICE)
  • Possesses sufficient fundamental proficiency in providing patient education in practical applications of moderate difficulty.
CARE PLANNING (NOVICE)
  • Demonstrates ability to anticipate resource needs, identify distinct tasks, set priorities, schedule activities, meet deadlines, and organize work within areas of direct responsibility. Competently handles multiple assignments often simultaneously by prioritizing work into manageable and measurable units. Ability to adapt to changes to patient care and area needs with minimal disruption and loss of productivity. Follows up to assure problems and issues are resolved.
EVID…
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