Location: Lancaster, New Hampshire, United States

Industry: Acute Care

Pay: USD Hourly Rate: $34.58 - $51/hour (dependent on education & experience)

Schedule: Days; 80 hours per pay period

Position Summary

The Charge Registered Nurse (Med Surg) provides direct patient care while leading daily unit operations on a medical-surgical unit in an acute care setting. This role blends clinical excellence with team leadership to ensure safe, efficient care delivery, strong patient outcomes, and a culture of respect, safety, and continuous improvement.

Key Responsibilities

  • Lead and supervise nursing staff to ensure high standards of patient care and adherence to policies and procedures.
  • Coordinate daily operations including patient assignments, patient throughput, and staff scheduling.
  • Serve as a clinical resource and mentor; support assessment, care planning, and complex clinical decision-making.
  • Facilitate interdisciplinary collaboration to address complex patient needs and optimize care delivery.
  • Ensure compliance with regulatory requirements, accreditation standards, infection prevention practices, and unit quality metrics.
  • Conduct or support performance feedback, coaching, and staff development plans.
  • Participate in recruitment, selection, onboarding, and retention initiatives for nursing staff.
  • Monitor patient outcomes and drive quality improvement using data, audits, and evidence-based practice.
  • Manage resource allocation to ensure appropriate staffing, supplies, and equipment availability.
  • Address and resolve clinical and operational issues; escalate concerns appropriately.
  • Lead unit huddles/meetings and promote effective communication with staff, patients, and families.
  • Support budget awareness and operational efficiency while maintaining high-quality care.

Required Qualifications

  • Current, unrestricted Registered Nurse (RN) license in New Hampshire or compact eligibility (as applicable).
  • Minimum 1–2 years of recent acute care medical-surgical RN experience; prior charge/lead experience preferred.
  • Current BLS certification (American Heart Association or equivalent); ACLS preferred per facility policy.
  • Strong clinical assessment, prioritization, and delegation skills with the ability to respond to rapid changes in patient condition.
  • Demonstrated leadership, communication, conflict resolution, and team-building abilities.
  • Proficiency with electronic health records and clinical documentation standards.
  • Ability to meet physical demands of bedside nursing (standing/walking, lifting/assisting patients, and performing clinical procedures).
  • Successful completion of background check, drug screening, and required health/immunization standards.

Employee Benefits (may include)

  • Full-time medical benefits
  • Health Savings Care Plan available
  • Dental coverage
  • Vision benefits
  • Life insurance
  • Short- and long-term disability