Registered Nurse (RN), Emergency Department, Grand Forks, Rotating
- Relocation assistance
- Rotating
- BLS
- ACLS
- PALS
- TNCC
- BSN
- RN license
How this pay compares
This posting states $33.80–$50.69 an hour. Open emergency room nurse jobs in North Dakota post a median of $42.25 an hour, the middle half $42.25–$45.60, across 7 jobs that state their pay, so this one is below the middle half of what they post. Emergency room nurses employed in North Dakota earn a median of $38.81 an hour (source: BLS Occupational Employment and Wage Statistics), according to the Bureau of Labor Statistics (May 2025) (source: BLS Occupational Employment and Wage Statistics).
Emergency room nurses in North Dakota: pay by town and employer
The Registered Nurses & LPNs job market: pay, applicant demand and hiring, researched nightly
Workplace injuries
Altru Hospital in Grand Forks reported 66 work injuries and illnesses to OSHA for 2025 over 3,130,043 hours worked: 4.2 per 100 full-time workers, against 5.0 per 100 full-time workers at hospitals, general medical and surgicalnationwide. This is the employer's own report. Workplace injuries by employer.
Visa sponsorship record
From 1 October 2025 to 30 June 2026, the US Labor Department certified 3 H-1B applications from Altru Health System for registered nurses. That is the employer's record, not a promise for this job: ask its recruiter whether this one sponsors a visa. Green cards for registered nurses are on the Labor Department's Schedule A and are filed with USCIS directly, so this record holds almost none of any employer's. Every employer that sponsors registered nurses.
Medicare rating of Altru Hospital
Medicare gives Altru Hospital 3 of 5 stars (Jul 2026; North Dakota's hospitals average 3.1). 73% of its patients said their nurses always communicated well (the middle US hospital: 79%). Patients' ratings of their care, not employees' of the job. Its other hospitals · North Dakota hospitals by rating.
Public Service Loan Forgiveness
Medicare lists Altru Hospital as a government hospital: the kind of employer PSLF counts (a government organization or a 501(c)(3) non-profit) for its own full-time staff, toward forgiveness of federal Direct Loans after 120 qualifying payments. The federal PSLF Help Tool confirms an employer by the EIN on your W-2. Every PSLF-eligible hospital hiring.
Registered nurse and LPN jobs in our research
- How long these jobs stay listed: Still listed at 7 days 81.0%
- Applicant demand per open job on this site (1.00x is the average job): Index 0.45x · Clicks 134
- How often these jobs state their pay: Jobs stating any pay 54.7% · Stating an hourly rate 33.9%
From every open job we read and every apply click on this site, as of 9 Nov 2026. Every figure for Registered nurse and LPN jobs
About the job
Everything we do is underscored by a why - and that why is one another.
Location
Altru Hospital 1200 South Columbia Road Grand Forks, ND 58201
Summary
Relocation assistance may be available for qualified candidates
Pay Range:
Dependent on level
RN I $33.80 - $50.69
RN II: $35.49 – 53.23
RN III: $37.26 – 55.89
Summary
Altru’s RN career ladder empowers RNs to manage their career growth and pay. This structure values experience, education, and engagement, providing opportunities for advancement and greater responsibilities. The requirements of each level are listed here.
RN I
- ASN
RN II
- 6 years or more of RN experience with an ASN/ADN degree OR,
- 3 years or more of RN experience with a Bachelor of Science in Nursing (BSN)
- BSN
RN III
- 12 years or more of RN experience with an ASN/ADN OR,
- 6 years or more of RN experience with a BSN OR,
- Masters/Doctorate of Nursing
We offer Full Time, Part Time and Casual positions.
The Registered Nurse provides direct nursing care in accordance with established policies, procedures and protocols of the organization. The nurse maintains the knowledge and skills necessary to provide care appropriate to the age of the patients served on the assigned unit. The nurse facilitates the coordination of patient care within the interdisciplinary care team and provides patient education to assure safe patient discharge.
Essential Job Functions
- Performs daily rounds on all patients assuring quality customer service by coordinating and taking action on any requirements not met.
- Develops a plan of care based on assessment that reflects the patient's physical, psychological, social, educational, developmental and rehabilitative needs based on patient's age, ethnic origin, economic status, lifestyle, creed or philosophical beliefs.
- Assesses the patient's condition and nursing needs, sets goals, and prescribes appropriate nursing actions to meet those goals and the physical, psychological, social, and rehabilitative needs of the patient, including discharge planning.
- Assesses, intervenes, and reassesses the patient's self-report/symptoms of pain promptly and takes appropriate action according to standard operating procedure.
- Identifies the early warning signs of a change in a patient's condition and responds appropriately to a deteriorating patient, including contacting responsible clinicians as indicated by standard operating procedure. Assists with or institutes emergency measures for sudden adverse developments in patient conditions.
- Reports pertinent observations and reactions regarding patients to the appropriate multidisciplinary team member and records those observations accurately and concisely. Ensures that intervention or referrals are made promptly. Completes and submits all incident reports (patient, visitor, staff) prior to the completion of each shift.
- Establishes and maintains communication and utilizes educational opportunities with patients and other significant individuals.
- As early as possible, begins discharge planning, appropriate education and counseling based on identified needs to optimize patient/family understanding. Evaluates and documents according to standard operating procedure.
- Assigns or delegates, within the scope of practice, education and experience, the responsibility for performance of nursing interventions to other persons for which that person has the necessary skills and competence to accomplish safely.
- Performs other duties as assigned or needed to meet the needs of the department/organization.
Certification
- Registered Nurse | North Dakota Board of Nursing (NDBON) or Compact State Agreement | Prior to Start Date | HR Primary Sources
- Basic Life Support (BLS), Advanced Cardiac Life Support (ACLS), Pediatric Advanced Life Support (PALS) | American Heart Association (AHA) | Within 90 days of Start Date | Learning Management System
- Trauma Nurse Core Course (TNCC) | Upon qualification into course | Learning Management System
- Emergency Nursing Pediatric Course (ENPC) | Upon qualification into course | Learning Management System
Notes
- Temporary RN license accepted prior to start.
- M ust hold an unencumbered nursing license prior to start.
- RN Residency Cohort only: ND RN Graduate Work Authorization considered prior to start. The RN Graduate Work Authorization is valid for up to 90 days after issue or upon notification of the NCLEX results, whichever occurs first.
Language Requirements
This position requires proficiency in reading, writing, and speaking English to ensure effective communication in the workplace and with patients, families, and team members.
Physical Demands
- Sit: Occasionally (5-33%)
- Stand: Frequently (34-66%)
- Walk: Frequently (34-66%)
- Stoop/Bend: Frequently (34-66%)
- Reach: Frequently (34-66%)
- Crawl: Rarely (1-4%)
- Squat/Crouch/Kneel: Occasionally (5-33%)
- Twist: Occasionally (5-33%)
- Handle/Finger/Feel: Continuously (67-100%)
- See: Continuously (67-100%)
- Hear: Continuously (67-100%)
Weight Demands
- Lift -Floor to Waist Level: Medium (20-40 pounds)
- Carry: Medium (20-40 pounds)
- Push/Pull: Medium (20-40 pounds)
- Slide/Transfer: Medium (20-40 pounds)
Working Conditions
- Indoor: Continuously (67-100%)
- Outdoor: Not Applicable
- Extreme Temperature: Not Applicable
Driving Requirement Definitions
- Professional Drivers: Persons who drive as their main responsibility OR transport passengers or hazardous materials.
- Frequent Drivers: Persons whose main responsibility is not driving, but drive daily or almost daily.
- Occasional Drivers : Persons who drive from once per month to as frequently as once per week.
- Infrequent Drivers: Persons who are generally not expected to drive.
Driving Requirement for this position
Infrequent Driver
Reference ID: R6185
Making a real difference. For one another.
To take the best care of our patients and community - including friends, family, and neighbors - we need people who are committed to growth, excellence, and one another.
At Altru, you’ll find a culture where support and teamwork are at the heart of what we do. You’ll have opportunities to advance your skills, work with the latest technologies, experience the fulfillment that comes from giving back, and take your career wherever you want it to go.
Join our team and be a part of a small community with a big heart.
Altru offers a comprehensive benefits package to its full- and part-time employees. Excellent benefits include a health plan and 401(k) retirement plan. Other benefits include a dental plan, vision plan, life and disability insurance, education assistance, paid time off (PTO)
From Altru Health System's job posting, checked 9 Nov 2026. The employer's own page is the final word on requirements and availability.
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About Altru Health System
Nonprofit health system with a hospital in Grand Forks and clinics serving northeastern North Dakota and northwestern Minnesota.
Based in Grand Forks, NDHires in North Dakota, MinnesotaPay on its listings: 73.8% of its open jobs state an hourly rate
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