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RN - Acute

Careers Integrated Resources Inc Columbia, MO (Onsite) Contractor
Job Title: RN - Acute
Job Location: Columbia, MO
Job Duration: 3 Months (possibility of extension)
Shift: 6:00am - 6:00pm

Job Summary:
  • 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.
Duties and Responsibilities:

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.
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.
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
Licensure:
  • Current and valid Registered Nurse (RN) license in the state where practicing
Skills and Experience:
  • 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.
  • 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).
Physical Requirement:
  • Nurses often have to push/pull large hemodialysis machines around the hospital with little or no assistance.
Schedule Notes:
  • 6:00am - 6:00pm 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.
  • 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.
City: Columbia

Start Date: 01/19/2026
End Date: 04/18/2026

Schedule Hours Per Week: 36.00
Schedule Hours Per Day: 12.00
Schedule Days Per Week: 3.00
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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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