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RN - Acute

Careers Integrated Resources Inc Columbia, MO (Onsite) Contractor
Duties:
Job Description

Hospital Services (Acute) Registered Nurse

Client is seeking a Registered Nurse who is looking to give life to patients in an Acute Hospital setting. RNs in this role work autonomously alongside the hospital staff to assess, troubleshoot, and make sound decisions for the critically ill patients.
If you havent considered Nephrology nursing before, read on as we think that you should. Dialysis Experience is NOT required.
What you can expect:

1:1 Patient Care. Deliver acute hemodialysis to in-patients with chronic kidney disease, as well as patients with acute kidney injury (AKI) and transplant. Average Patient to Nurse Ratio is 2:1 or 1:1.
Patient education. Whether this is the first or a blip in their chronic treatment, our RNs are experts in educating our patients and families.
Specialized, complex care. RNs deliver care to patients who are often dealing with multiple co-morbidities and/or acute conditions which require unique treatment plans and the ability to leverage a broad range of nursing skills and knowledge.
Not just hemodialysis. Acute RNs may deliver nephrology care across multiple renal therapies: peritoneal, continuous renal replacement and apheresis.
Expect the unexpected. When you walk in the door each day you don't know what patients you might have, their condition, when you will get them or when you will be done for the day.
Autonomy in a Hospital Setting. Deliver dialysis to patients at a particular hospital or group of hospitals and become an integral part of their team and ours. As a teammate in an acute setting you work on your own almost all of the time. Each day you assess, troubleshoot, and make sound decisions for critical patients. Our Hospital Services group performs 1.1M treatments annually.
Schedule. No two days are ever the same for an acute dialysis nurse - long days and on call are required. Schedules vary by hospital system. For this role expect to know your weekly schedule in advance, but your daily schedule may change depending on patient needs. Must be in commutable distance based on on-call requirements.

Some details about this position:
You must be flexible on the final home clinic placement it may be in a different location; there is also the potential to float to various clinics during and after your training
You must have a flexible schedule and be able to work mornings, evenings, weekends, and holiday
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Education:
Associates Degree in Nursing (A.D.N) from accredited school of nursing required; Bachelor of Science in Nursing (B.S.N); three-year diploma from accredited diploma program may be substituted for nursing degree
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Skills:
Requirements:
Experience requirement is 1 year of recent (ending within the last 2 years) dialysis experience in Acute
Willingness to work a flexible schedule with mandatory overtime required due to the nature of the acute treatment you are providing.
Work long days without notice
Ability to travel to multiple hospitals within a given area (Be sure to ask your recruiter about the commute range for this position.)
Experience assessing, trouble shooting and making sound recommendations in stressful situations
Physical Requirement: nurses often have to push/pull large hemodialysis machines around the hospital with little or no assistance
Basic computer skills and proficiency in MS Word and Outlook
You might also have (a.k.a. preferred, not required):
Hemodialysis nursing experience in an acute or chronic setting
Medical/surgical (Med/Surg), Intensive Care Unit (ICU), Critical Care Unit (CCU), and/or Emergency Room (ER) experience
Certified Hemodialysis Nurse (CHN)
Licensure:
Current and valid Registered Nurse (RN) license in the state where practicing
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City: Columbia

Schedule:
Start Date: 01/19/2026
End Date: 04/18/2026
Schedule Notes: 4 positions - 13-week contracts approved. ***CRRT and PD experience is highly preferred for all positions but will be a MUST for TWO of the four positions available. Additionally, those with PEDIATRIC experience are preferred. Peds is not a requirement, but someone with this type of experience would be a major asset for this team!*** 6am-6pm shifts, 3-4 days per week (end time is determined based on patient census and is not concrete). Monday-Saturday w/ on-call responsibilities on Sunday. Call 1-2 times/week. To meet the guarantee of hours, travelers must be able to pick up additional shifts as needed. This team needs overnight RNs as well - 2 FTEs to work 6pm-6am overnight shifts. Locations: University Hospital: 1 Hospital Drive, Columbia, MO 65212 Capital Region Medical Center: 1125 Madison Street, Jefferson City, MO 65101 **No additional hospital compliance requirements are needed above Client's standard guidelines.**
Hours Per Week: 36.00
Hours Per Day: 12.00
Days Per Week: 3.00'
Department: Facilities Operations : 130060400
APEX Hospital Svcs Region 02 : OPER
Float Required: Yes Float Locations: University Hospital: 1 Hospital Drive, Columbia, MO 65212; Capital Region Medical Center: 1125 Madison Street, Jefferson City, MO 65101 On-Call Required?: Yes Machines Used: HD: BBrauns PD: Client CRRT: PrisMax Pediatrics: Fresenius T with Bluestar (nice to have but not required) Number of Stations: 7
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Job Snapshot

Employee Type

Contractor

Location

Columbia, MO (Onsite)

Job Type

Nurse

Experience

Not Specified

Date Posted

12/29/2025

Job ID

25-69023

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