Registered Nurse - RN - Clinical Decision Unit (ED Observation)
Sanford Health$34.00–$48.00/hrSanford Med Ctr FargoFull timePosted 3w agoStill open, checked every night- RN license
- Compact (multistate) license
How this pay compares
This posting states $34–$48 an hour. Open emergency room nurse jobs in North Dakota post a median of $42.25 an hour, the middle half $41.93–$44.52, across 8 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
ND,Fargo-Medical Center-General Medical And Surgical Hospitals in Fargo reported 143 work injuries and illnesses to OSHA for 2025 over 4,965,966 hours worked: 5.8 per 100 full-time workers, against 5.1 per 100 full-time workers at general hospitalsnationwide. 6 of them describe violence by a patient, resident or client in the case's own words. 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 5 H-1B applications from Sanford Health for registered nurses, offering a median $23.23 an hour (the low end of each application's wage range). 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.
The green card line in the November 2026 Visa Bulletin, for people born in most countries: a priority date before 15 June 2024 (EB-3 skilled workers and professionals). Every country's line. Nurses educated abroad: NCLEX results and the route, by country.
Medicare rating of Sanford Medical Center Fargo
Medicare gives Sanford Medical Center Fargo 4 of 5 stars (Jul 2026; North Dakota's hospitals average 3.1). 70% of its patients said their nurses always communicated well (the middle US hospital: 79%). Medicare did not cut its pay for patient harm in fiscal 2026. Its central line bloodstream infections ran 68% below predicted by Medicare's measure. Patients' ratings of their care, not employees' of the job. Its other hospitals · North Dakota hospitals by rating.
What this hospital paid
By Sanford Medical Center Fargo's report to Medicare, its registered nurse hours averaged $68.37 an hour in 2022 pay periods, its own and contract staff together, before benefits, against $58.17 an hour across North Dakota's hospitals. An average over every such hour, not this job's pay: the posting states its own. What North Dakota hospitals pay nurses.
Public Service Loan Forgiveness
Medicare lists Sanford Medical Center Fargo as owned by a non-profit body, and Sanford Health also runs for-profit hospitals, so which entity employs you decides whether the work counts toward PSLF. 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: Median days to removal 28.0 days · Still listed at 7 days 80.7%
- Applicant demand per open job on this site (1.00x is the average job): Index 0.45x · Clicks 136
- How often these jobs state their pay: Jobs stating any pay 54.8% · Stating an hourly rate 34.1%
From every open job we read and every apply click on this site, as of 11 Nov 2026. Every figure for Registered nurse and LPN jobs
About the job
Sanford Health, the largest rural health system in the United States, is dedicated to transforming the health care experience and providing access to world-class health care in America’s heartland.
Work Shift
Varies (United States of America)
Scheduled Weekly Hours
36
Compensation
Salary Range: $34.00 - $48.00 Sign on bonus available to eligible applicants!
Union Position
No
Department Details
The Clinical Decision Unit (CDU) is a short-term care area designed for patients who require
medical evaluation and treatment that can typically be completed within 24 hours. It provides a
monitored setting for patients who are not admitted but still need diagnostic testing, symptom
assessment, or therapy that can't be done at home. Patients remain in the CDU until a diagnosis
is made and they are either discharged or admitted for further care. The unit serves as an
extension of the Emergency Department, offering a more appropriate space for continued
observation and care.
Summary
The Registered Nurse (RN) is responsible for utilizing the nursing process (assessment, diagnosis, outcomes/planning, implementation and evaluation) to provide individualized nursing care to patients.
Job Description
Collaborates with other inter-professional colleagues, including physicians, to plan, implement and evaluate care. Demonstrates competency and practices within the full scope of nursing expertise/knowledge and utilizes appropriate age and population specific standards as designated in their assigned clinical setting. Cares for patients in all phases of preventative care, health maintenance, diagnosis, treatment, and follow-up as patients move along the continuum of care. Responsible for the planning and coordination of care, patient assessment, patient education, triage, and various other nursing interventions. Functions within the scope and standards of nursing practice as outlined in the Nurse Practice Act and Administrative Rules in state of practice and licensure. The Sanford Professional Nursing Practice recognizes the Scope and Standards of Practice and the Code of Ethics for Nurses with Interpretive Statements as published by the American Nurses Association as the foundation of nursing care delivery and professional conduct.
Qualifications
Graduate from an accredited nursing program required, including, but not limited to, American Association of Colleges of Nursing (AACN), Accreditation Commission for Education in Nursing (ACEN), and National League for Nursing Commission for Nursing Education Accreditation (NLN CNEA). Bachelor’s Degree in nursing preferred.
Currently holds an unencumbered RN license with the State Board of Nursing where the practice of nursing is occurring and/or possess multistate licensure if in a Nurse Licensure Compact (NLC) state. Obtains and subsequently maintains required department specific competencies and certifications.
Sanford is an EEO/AA Employer M/F/Disability/Vet.
If you are an individual with a disability and would like to request an accommodation for help with your online application, please call 1-877-949-5678 or send an email to talent@sanfordhealth.org.
From Sanford Health's job posting, checked 13 Nov 2026. The employer's own page is the final word on requirements and availability.
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About Sanford Health
Sanford Health is a nonprofit rural health system with 60 (source: Sanford Health, About Sanford Health) hospitals, 315 (source: Sanford Health, About Sanford Health) clinic locations and 60,000 (source: Sanford Health, About Sanford Health) employees across the Dakotas, Minnesota, Iowa, Wisconsin, Wyoming and Michigan's Upper Peninsula. Source: Sanford Health, About Sanford Health
Based in Sioux Falls, SDHires in 9 statesPay on its listings: 73.2% of its open jobs state an hourly rate
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