ED Nurse; RN - Nights- Long-Term ; CSO

Regional Float ED Registered Nurse (RN) – Long‑Term Assignment (LTA)

Join BJC Health Care's Central Staffing Office (CSO) as a Regional Float ED Registered Nurse (RN) – Long‑Term Assignment (LTA) and deliver high‑quality, patient‑centered care across the system. In this role, you support 11 BJC hospitals across Missouri and Illinois (excluding Children's Hospital), gaining consistency through extended assignments at a single hospital location. LTA nurses are placed at one hospital for a defined period, allowing you to become familiar with the team, unit, and workflows while still experiencing variety across the health system.

This position is designed for experienced Med/Surg nurses seeking greater stability than traditional float roles, without being tied to one home unit long‑term.
You will work three 12‑hour night shifts (6:45 PM or 7:00 PM start) with a rotating weekend and holiday schedule in an environment that values connection, collaboration, and continuous growth.

• Assigned to one hospital at a time for LTA placements (2–12 weeks)
• Support 11 BJC hospitals (MO & IL)
• Practice exclusively in ED
• Night shift: 3×12‑hour shifts (6:45 PM / 7:00 PM start)
• $15 / hour LTA differential + shift differentials
• Mileage reimbursement
• Illinois initial RN license reimbursement provided
• BSN differential available
• Every 3rd weekend + 2 holidays per year
• Increased consistency within assignments while maintaining system exposure
• Structured onboarding and system support
• Access to BJC RN Career Ladder and development programs
• Recognition through BJC Bravo, Connections Groups, and Thrive well‑being

• 2+ years of Emergency Department (ED) RN experience (required)
• Previous trauma and float experience preferred
• Current Missouri RN license + ability to obtain Illinois RN license
• Willingness to travel between BJC facilities in MO & IL
• Strong adaptability with ability to integrate into new teams quickly
• ADN, BSN, or MSN accepted

Use standards of medical‑surgical nursing practice to increase the quality of care and quality of life for the patient, family, and significant other(s) by systematically evaluating the quality and effectiveness of nursing practice. Establish effective relationships and serve as an advocate to facilitate the development of the care plan unique to the patient's needs. Use the nursing process and evidence‑based practice to develop and implement the plan of care, collect assessment data for each patient, determine appropriate nursing diagnoses, identify expected patient outcomes, determine the plan of care, implement interventions, and evaluate patient outcomes.

Develop assessment and management strategies based on a consideration of the physical, functional, cultural, social, economic, developmental, spiritual, vocational, and leisure dimensions of human responses to actual and potential health problems. Utilize leadership skills by advocating, coordinating and collaborating with the patient, family, significant others and members of the interprofessional team in assessing needs, planning interventions, providing care, and evaluating outcomes.

Use effective communication to participate with the patient, family, significant other(s), and other healthcare providers in collaborative decision making that reflects understanding that care should be culturally sensitive, ethical, legal, holistic, informed, compassionate, and humane, and within the boundaries of available economic resources. Educate the patient, family, and significant other(s) about measures that promote, maintain, and restore health or promote comfort.

• Comprehensive medical, dental, vision, life insurance, and legal services available first day of the month after hire date
• Disability insurance paid for by BJC
• Annual 4% BJC Automatic Retirement Contribution
• 401(k) plan with BJC match
• Tuition Assistance available on first day
• BJC Institute for Learning and Development
• Health Care and Dependent Care Flexible Spending Accounts
• Paid Time Off benefit combines vacation, sick days, holidays and personal time
• Adoption assistance

Equal Opportunity Employer