Charge nurse (RN)
Job Description
Make a Difference: High-Acuity Charge Nurse Leadership
Charge Nurse Interim Contractor with Conversion Opportunity
Minneapolis, Minnesota
For Nurses Who Rise to the Challenge
Some nurses prefer predictable, low-acuity environments. Others thrive when the clinical complexity is high, the stakes matter, and their leadership directly shapes patient outcomes and team performance.
If you're a confident, clinically strong RN who excels in high-acuity settings and wants to make a meaningful difference during a critical improvement phase, this interim Charge Nurse opportunity deserves your attention.
A skilled nursing facility in Minneapolis is seeking an experienced Charge Nurse to provide strong clinical leadership for a specialized 40-bed unit serving residents with complex medical needs. This is a contractor role with the opportunity to convert to permanent full-time employment for the right candidate.
What Makes This Role Compelling
True Clinical Complexity
This community is known for its ability to provide care for high-acuity residents—the kind of clinical challenges that keep your skills sharp and your days engaging. Residents on this unit may have complex needs including:
- Tube feedings and NG tubes
- Ostomy care
- Wound vac management
- IV antibiotic administration
- Post-fracture rehabilitation (in-house therapy)
- Multiple comorbidities requiring skilled clinical oversight
The community also provides in-house dialysis services (on a separate unit), reflecting their commitment to serving medically complex populations.
Leadership-Focused Role
This Charge Nurse position is primarily focused on unit leadership and oversight, not direct bedside care. You'll spend your time supervising nursing staff, managing physician orders, overseeing care plans, and ensuring quality care delivery. While you may occasionally assist with starting an IV or helping with a treatment, your primary responsibility is leading the nursing team effectively.
Opportunity to Drive Improvement
The community is actively preparing for regulatory survey with intensive mock survey preparation underway. You'll join during a critical period where strong nursing leadership can make a real difference in clinical outcomes, compliance readiness, and team performance. This is a chance to be part of meaningful improvement efforts.
Competitive Contractor Pay with Conversion Potential
Earn $45-50 per hour (depending on experience) as a contractor on the community's payroll, with the opportunity to transition to a permanent full-time position. This structure allows both you and the organization to ensure the right long-term fit.
Manageable Commitment with Flexibility
Minimum 4-week commitment required, with opportunity to extend or convert to permanent employment based on mutual interest and performance.
What You'll Lead
Unit Leadership & Oversight
- Day-to-day supervision of nursing staff on 40-bed specialized unit
- Assignment delegation and workflow management
- Staffing coordination and schedule oversight
- Clinical guidance and support for nursing team
- Quality monitoring and performance accountability
Clinical Management
- Physician order review, clarification, and implementation
- Care plan development, monitoring, and updates
- Clinical assessment and intervention for complex residents
- Oversight of high-acuity treatments and procedures
- Coordination with therapy, dietary, pharmacy, and interdisciplinary team
Compliance & Quality
- Ensure adherence to nursing standards and regulatory requirements
- Support survey preparation and readiness efforts
- Identify and address clinical risks and quality concerns
- Document clinical decisions and interventions appropriately
- Contribute to quality improvement initiatives
Occasional Direct Care Support
- Assist with IV starts, treatments, or clinical procedures as needed
- Provide hands-on support during emergencies or high-census periods
- Serve as clinical resource for complex situations
Who Excels in This Role
You Must Bring:
✓ Active RN License – Current, unrestricted Minnesota RN license
✓ High-Acuity Experience – Proven success caring for medically complex residents or patients
✓ Clinical Competence – Strong skills with IVs, wound care, tube feedings, complex treatments
✓ Leadership Capability – Experience supervising nursing staff or serving in charge nurse capacity
✓ Long-Term Care Knowledge – Understanding of skilled nursing facility operations and regulations
✓ Availability – Able to commit to minimum 4-week assignment
What Sets You Apart:
- Charge Nurse Experience – Prior experience in Charge Nurse or nursing supervisor roles
- Survey Experience – Familiarity with state survey process and regulatory compliance
- Complex Clinical Background – Experience with dialysis, wound vacs, IV therapy, or specialty populations
- Improvement Mindset – You've worked in turnaround or quality improvement environments
- Strong Communicator – Ability to provide clear direction and build team accountability
- Problem Solver – Quick thinker who addresses issues proactively
What This Role Demands
Clinical Confidence
This unit serves high-acuity residents with complex needs. You must be clinically strong, confident in your assessment skills, and comfortable managing multiple competing priorities.
Leadership Presence
You'll need to provide clear direction, hold staff accountable, and maintain professional standards—even during stressful situations. This requires both firmness and fairness.
Adaptability
The community is in an active improvement phase with survey preparation underway. You must be comfortable operating in an environment where processes are evolving and priorities may shift.
Commitment to Excellence
This isn't a maintenance role. The organization needs leaders who genuinely care about quality outcomes and are willing to work hard to achieve them.
Team Building
You'll need to earn respect quickly, build trust with nursing staff, and create an environment where the team can succeed despite challenges.
What We Offer in Return
Competitive Contractor Compensation
$45-50 per hour depending on experience Contractor status on community payroll Competitive hourly rate for Minneapolis market
Conversion Opportunity
Strong performers have the opportunity to transition to permanent full-time employment with benefits package
Clinical Growth
Work with truly complex clinical cases that enhance your skills High-acuity environment that challenges and develops your expertise
Leadership Development
Gain or strengthen charge nurse leadership experience Build your resume with quality improvement and survey preparation experience
Flexible Commitment
Minimum 4-week assignment with opportunity to extend or convert Ability to evaluate fit before making long-term commitment
Location
Minneapolis location with urban amenities, cultural attractions, and Midwest community values
This role IS ideal for:
- Confident RNs with strong clinical skills in high-acuity care
- Nurses who thrive on clinical complexity and continuous learning
- Leaders who can provide direction during organizational change
- Professionals seeking charge nurse experience or career growth
- Those who find satisfaction in making measurable improvements
- Nurses who want contractor flexibility with permanent conversion potential
Ready to Make a Difference?
This is an opportunity for a clinically strong, leadership-capable RN to step into a challenging environment where your expertise truly matters. If you're confident in your clinical skills, comfortable with high-acuity populations, and energized by the opportunity to lead improvement efforts, this role offers both immediate contractor income and potential long-term career opportunity.
The community needs a Charge Nurse who can provide steady leadership, clinical excellence, and positive influence during an important improvement phase.
If you're that nurse, let's talk.
This community is committed to serving medically complex residents and is actively working to strengthen clinical operations, regulatory compliance, and quality outcomes.