Registered Nurse (RN) - DOU - Direct Observation Unit - $41-61 per hour

United Health Services is seeking a Registered Nurse (RN) DOU - Direct Observation Unit for a nursing job in Binghamton, New York. Job Description & Requirements Specialty: DOU - Direct Observation Unit Discipline: RN Duration: Ongoing 36 hours per week Shift: 12 hours Employment Type: Staff The Med/Surg Observation Registered Nurse provides high‑quality, patient‑centered care in a fast‑paced environment focused on short‑stay evaluation and acute medical needs. The RN independently assesses, plans, delegates, coordinates, implements, and evaluates nursing care for a group of patients, serving as a primary or accountable nurse based on unit needs and patient acuity. This role includes educating patients and families, safely administering medications in accordance with United Health Services policy, and supporting efficient use of staffing, time, and resources to ensure excellent clinical and operational outcomes. The RN upholds all nursing practice standards, regulatory requirements, and UHS policies while actively participating in shared governance, quality improvement, and evidence‑based practice initiatives. The Observation RN engages in ongoing professional development, supports new staff and students through a positive learning environment, and contributes to a culture of safety, teamwork, and continuous improvement on the night shift. Sign on Bonus Up to a $25,000 sign-on bonus for candidates who meet eligibility criteria. Talk with your recruiter to learn more. Responsibilities Assesses, plans, delegates, coordinates, implements and evaluates nursing care in managing a group of patients, serving as a primary nurse and/or accountable nurse, when designated by unit assignment and consideration of factors related to safety, effectiveness, competency, cost and impact. Educates patient and family in health promotion and disease management using available resources. Utilizes a working knowledge of pharmacology and safely administers medications according to United Health Services policy. Shares in responsibility for productivity and effective resources utilization including staffing, time management, supplies and services. Complies with all nursing practice standards, regulatory requirements, and United Health Services policies. Actively participates in and supports the Nursing Shared Governance Model by supporting the Unit Council, participating in improvement initiatives, and contributing to peer review practices. Actively engages in professional development, continuing nursing education, and completing all mandatory education requirements. Integrates nursing research and current evidence into practice. Provides a supportive learning environment for new employees and students. Will follow all United Health Services Values Will perform other duties as assigned. Position Qualifications Minimum Required: A graduate of an accredited school of Nursing Current NYS RN License Preferred: Bachelor of Science degree in Nursing Previous clinical nursing experience in an acute care or ambulatory setting Professional certification in a related nursing specialty Relevant skills certification (i.e., ACLS, PALS, TNCC) as required by home unit assigned. Work Environment Work is performed in an office environment and patient care areas which require working in proximity to other employees and patients. Rooms are air conditioned and heated. Frequent walking, standing, bending and lifting. Fast paced environment with frequent interruptions. Exposure to equipment cleaning solutions and disinfectants. PPE (Eyewear, Masks, Face shields, Shoe covers, and Gloves) as required by Infection Control policies Age of Patients Served All Age Groups HIPAA Roles-Based Access to Patient Information Level 3: Clinical - Access to non-restricted patient information United Health Services Job ID R0000013385. Posted job title: Registered Nurse - Med/Surg Observation About United Health Services United Health Services (UHS) is more than a healthcare system. We are a compassionate, people-focused organization dedicated to improving the health of the communities that we serve. As a locally owned, not-for-profit network, our team of more than 7,000 caregivers and professionals is united by the shared purpose to deliver safe, patient-centered care. At UHS, every role matters. However you contribute, you will be part of a supportive, connected culture that values your voice and encourages growth. We are committed to helping you thrive through meaningful benefits, development opportunities, and a strong sense of belonging. Here, you are not just building a career—you are making a difference every day in the lives of others. Benefits Holiday Pay Continuing Education 403b retirement plan Pet insurance Sick pay Wellness and fitness programs Mileage reimbursement Employee assistance programs Medical benefits Dental benefits Vision benefits Benefits start day 1 License and certification reimbursement Life insurance Sign-On bonus