Medical-Surgical Registered Nurse

Job overview

The Medical-Surgical Registered Nurse role is onsite in Salem, VA, with mixed and night shifts and rotating weekends. Compensation is $31–$46 per hour. The role supports care at an acute care facility in the Roanoke Valley, with oncology and orthopedic trauma unit options. The nurse assesses patients, administers medications, performs ordered clinical functions, and provides education and patient-centered care. The role contributes to patient safety and recovery by monitoring changes in condition and communicating clearly with patients, families, and caregivers.

What you'll do

• Assess patient condition at admission and throughout shifts
• identify and report changes in status
• perform procedures and clinical functions as ordered
• document care
• administer prescribed medications and monitor responses
• respond to patient needs
• educate patients, families, and caregivers about conditions, treatment plans, medications, side effects, and follow-up.

What we're looking for

Skills & competencies

medical-surgical registered nurse

med-surg

salem va

oncology

ortho trauma

rotating weekends

mixed and night shifts

patient-centered care

rn license

$31–$46/hour

up to $20,000 sign-on bonus

Work arrangement

• Weekend coverage required

Benefits & perks

• Sign-on bonus up to $20,000
• medical, dental, and vision benefits
• 401(k) with employer match
• tuition reimbursement
• professional development
• PTO
• shift differentials
• cross-training opportunities.

Why this role

Up to $20,000 sign-on bonus; cross-training available; acute care experience preferred but not required; active Virginia or eligible compact RN license, nursing degree, and BLS/BCLS certification required.

About the employer

i4 Search Group Healthcare is hiring for this role. Industry: General Medical and Surgical Hospitals. Sector: 62.