Advanced Practice Nurse - Emergency Room (Nights)

Additional Information About the Role

Join BJC HealthCare’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’ll support 11 BJC hospitals across Missouri and Illinois (excluding Children’s Hospital) while 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 the variety of working across a leading health system. This role is designed for experienced Med/Surg nurses seeking greater stability than traditional float roles, without being tied to one home unit long-term.

You’ll 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.

Job Highlights

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: 3x 12-hour shifts (6:45 PM / 7:00 PM start)

$15/hour LTA differential + shift differentials

Mileage reimbursement

Illinois 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

What You Bring

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

Responsibilities

Uses 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. Establishes effective relationships and serves as an advocate to facilitate the development of the care plan unique to the patient’s care needs. Uses 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. Develops 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.

Utilizes 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. Uses effective leadership skills to foster a healthy work environment within the practice setting by serving as a mentor and role model for nursing colleagues, students, and others.

Applies the existing body of evidence-based practice and scientific knowledge in health care to medical-surgical nursing practice, ensuring that nursing care is delivered based on patient’s age-specific needs and clinical needs as described in the department’s scope of service.

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

Champions scientific inquiry for evidence-based practices (e.g., participates in journal club, facilitates practice change based on new knowledge, recommends new standards of care or revisions to current standards, conduct a literature search to support unit or organizational goals, disseminate new knowledge obtained from relevant conference or continuing education). Explore opportunities to advance nursing practice through community service, interprofessional membership and promotion of continuing education and/or certification.

BJC has determined this is a safety-sensitive position. The ability to work in a constant state of alertness and in a safe manner is an essential function of this job.

Minimum Requirements

Education: Nursing Diploma/Associate's

Experience: 5-10 years

Supervisor Experience: No Experience

Licenses & Certifications: RN Board Certified

Benefits

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

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