Med-Surg RN – Regional Float Long Term Assignment (Nights) – CSO
- Nights
- BLS
- BSN
- RN license
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How this pay compares
This posting states $34–$42.50 an hour. Open med-surg nurse jobs in Missouri post a median of $47.88 an hour, the middle half $40.14–$53.16, across 26 jobs that state their pay, so this one is below the middle half of what they post. Med-surg nurses employed in Missouri earn a median of $39.32 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).
Med-surg nurses in Missouri: pay by town and employer
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About the job
Additional Information About the Role
Join BJC HealthCare’s Central Staffing Office (CSO) as a Regional Float Medical-Surgical Registered Nurse (RN) – Long-Term Assignment (LTA) and deliver high-quality, patient-centered care across the system. In this role, you’ll support 11 BJC hospitals across Missouri and Illinois (excluding Children’s Hospital) while gaining consistency through extended assignments at a single hospital location .
LTA nurses are placed at one hospital for a defined period, allowing you to become familiar with the team, unit, and workflows while still experiencing the variety of working across a leading health system. This role is designed for experienced Med/Surg nurses seeking greater stability than traditional float roles , without being tied to one home unit long-term.
You’ll work three 12-hour night shifts (6:45 PM or 7:00 PM start) with a rotating weekend and holiday schedule in an environment that values connection, collaboration, and continuous growth .
Job Highlights
- Assigned to one hospital at a time for LTA placements (2–12 weeks)
- Support 11 BJC hospitals (MO & IL)
- Practice exclusively in acute care Med/Surg units
- Night shift: 3x 12-hour shifts (6:45 PM / 7:00 PM start)
- $15/hour LTA differential + shift differentials
- Mileage reimbursement
- Illinois RN license reimbursement provided
- Every 3rd weekend + 2 holidays per year
- Increased consistency within assignments while maintaining system exposure
- Opportunity to cross-train in Behavioral Health (select locations)
- Structured onboarding and system support
- Access to BJC RN Career Ladder and development programs
- Recognition through BJC Bravo, Connections Groups, and Thrive well-being
What You Bring
- 2+ years of acute care Med/Surg RN experience (required)
- Current Missouri RN license + ability to obtain Illinois RN license
- Willingness to travel between BJC facilities in MO & IL
- Strong adaptability with ability to integrate into new teams quickly
- ADN, BSN, or MSN accepted
If you’re looking for consistency, flexibility, and the opportunity to expand your impact, we encourage you to apply.
Overview
BJC Corporate Health Services comprises several organizations that share a dedication to creating and maintaining healthy workplaces. Serving hundreds of area employers as well as BJC HealthCare, BJC Corporate Health Services specializes in improving worker health, safety and productivity and reducing costs associated with work-related illness/injury and absenteeism.
Preferred Qualifications
Role Purpose
A BJC Central Staffing Office nurse will be required to float to 12 BJC Healthcare Hospitals within their Medical, Surgical, and Telemetry Units. Provides direct patient care activities including assessment/evaluation, diagnosis and plan implementation to the general nursing floor based on nursing expertise and certification/licensure. Provides a variety of experiences and the opportunity to expand nursing skills through caring for various patients with different conditions and treatment plans while building professional relationships across the BJC Healthcare system. Must be flexible, adaptable, and resourceful, have a strong confidence in nursing practice and promote exceptional patient and family centered care.
Responsibilities
- Participates in activities that promote patient safety, quality and regulatory compliance. Participates in professional development.
- Uses standards of medical-surgical nursing practice to increase the quality of care and quality of life for the patient, family, and significant other(s) by systematically evaluating the quality and effectiveness of nursing practice. Establishes effective relationships and serves as an advocate to facilitate the development of the care plan unique to the patient’s care needs. Uses the nursing process and evidence based practice to develop and implement the plan of care, collect assessment data for each patient, determine appropriate nursing diagnoses, identify expected patient outcomes, determine the plan of care, implement interventions, and evaluate patient outcomes. Develops assessment and management strategies based on a consideration of the physical, functional, cultural, social, economic, developmental, spiritual, vocational, and leisure dimensions of human responses to actual and potential health problems.
- Utilizes leadership skills by advocating, coordinating and collaborating with the patient, family, significant others and members of the interprofessional team in assessing needs, planning interventions, providing care, and evaluating outcomes. Uses effective leadership skills to foster a healthy work environment within the practice setting by serving as a mentor and role model for nursing colleagues, students, and others.
- Applies the existing body of evidence-based practice and scientific knowledge in health care to medical-surgical nursing practice, ensuring that nursing care is delivered based on patient’s age-specific needs and clinical needs as described in the department’s scope of service.
- Utilizes effective communication to participate with the patient, family, significant other(s), and other health care providers in collaborative decision making that reflects the understanding that care should be culturally sensitive, ethical, legal, holistic, informed, compassionate, and humane, and within the boundaries of available economic resources. Educates the patient, family, and significant other(s) about measures that promote, maintain, and restore health or promote comfort.
- BJC has determined this is a safety-sensitive position. The ability to work in a constant state of alertness and in a safe manner is an essential function of this job.
Minimum Requirements
Education
- Nursing Diploma/Associate's
- Nursing
Experience
- 2-5 years
Supervisor Experience
- No Experience
Licenses & Certifications
- Basic Life Support (BLS)
- RN
Preferred Requirements
Education
- Bachelor's Degree
- Nursing
Experience
- 5-10 years
Benefits and Legal Statement
BJC Total Rewards
At BJC we’re committed to providing you and your family with benefits and resources to help you manage your physical, emotional, social and financial well-being.
- Comprehensive medical, dental, vison, life insurance, and legal services available first day of the month after hire date
- Disability insurance* paid for by BJC
- Annual 4% BJC Automatic Retirement Contribution
- 401(k) plan with BJC match
- Tuition Assistance available on first day
- BJC Institute for Learning and Development
- Health Care and Dependent Care Flexible Spending Accounts
- Paid Time Off benefit combines vacation, sick days, holidays and personal time
- Adoption assistance
To learn more, go to our Benefits Summary .
*Not all benefits apply to all jobs
The above information on this description has been designed to indicate the general nature and level of work performed by employees in this position. It is not designed to contain or be interpreted as an exhaustive list of all responsibilities, duties and qualifications required of employees assigned to this job. Equal Opportunity Employer
From BJC HealthCare's job posting, checked 5 Nov 2026. The employer's own page is the final word on requirements and availability.
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About BJC HealthCare
BJC HealthCare is the St. Louis region of BJC Health (formerly BJC Health System), the nonprofit system formed in 2024 when BJC merged with Saint Luke's Health System of Kansas City. BJC Health has 24 (source: BJC HealthCare, About) hospital campuses and about 48,000 (source: BJC HealthCare, About) employees; BJC HealthCare's hospitals are in the St. Louis area of Missouri and Illinois. Source: BJC HealthCare, About
Based in St. Louis, MOHires in Missouri, IllinoisPay on its listings: 78.8% of its open jobs state an hourly rate
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