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Charge Rn Jobs in Sacramento, CA (NOW HIRING)

References 2 Charge RN references within the last 2 years. * Additional Confirmations I have not worked as a permanent employee or traveler at the facility in the past year. NOMAD BENEFITS * Housing:

References 2 Charge RN references within the last 2 years. * Additional Confirmations I have not worked as a permanent employee or traveler at the facility in the past year. NOMAD BENEFITS * Housing:

References 2 Charge RN references within the last 2 years. * Additional Confirmations I have not worked as a permanent employee or traveler at the facility in the past year. NOMAD BENEFITS * Housing:

References 2 Charge RN references within the last 2 years. * Additional Confirmations I have not worked as a permanent employee or traveler at the facility in the past year. NOMAD BENEFITS * Housing:

References 2 Charge RN references within the last 2 years. * Additional Confirmations I have not worked as a permanent employee or traveler at the facility in the past year. NOMAD BENEFITS * Housing:

We are seeking an experienced RN to serve as a Charge Nurse in Labor & Delivery. This role combines leadership responsibilities with direct patient care. Responsibilities * Oversee daily operations ...

Overview As a Registered Nurse (RN), your primary responsibility is to provide patient care using ... You will work under the supervision of Charge Nurse(s) to provide patient education and activities ...

Medical Assistant - PRN

Roseville, CA

$18.50 - $23.75/hr

Reports to Charge RN OR, Business Supervisor and DON. * Assist with admitting patients from the waiting room to the pro-op area * Assist with dressing patients in proper surgical attire before ...

Medical Assistant - PRN

Roseville, CA · On-site

$18.50 - $23.75/hr

Reports to Charge RN OR, Business Supervisor and DON. Responsibilities * Assist with admitting patients from the waiting room to the pro-op area * Assist with dressing patients in proper surgical ...

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Showing results 1-20

Charge Rn information

See Sacramento, CA salary details

$25

$43

$63

How much do charge rn jobs pay per hour?

As of Aug 29, 2026, the average hourly pay for charge rn in Sacramento, CA is $43.84, according to ZipRecruiter salary data. Most workers in this role earn between $35.38 and $50.77 per hour, depending on experience, location, and employer.

What is a Charge RN?

A Charge RN, or Charge Registered Nurse, is a registered nurse who takes on a leadership role during a particular shift in a hospital or healthcare facility. They are responsible for overseeing the nursing staff, coordinating patient care, managing workflow, and addressing any issues that arise on the unit. Charge RNs ensure that proper protocols are followed, delegate tasks, and often serve as a liaison between staff members, physicians, and administration. This role requires strong clinical skills, excellent communication, and the ability to make quick decisions in a fast-paced environment.

What are the key skills and qualifications needed to thrive as a Charge RN?

To excel as a Charge RN, you need a solid clinical background, active RN licensure, and experience in patient care management. Familiarity with electronic health records (EHRs), patient flow systems, and staff scheduling tools is typically required. Strong leadership, conflict resolution, and effective communication skills set exceptional Charge RNs apart. These competencies are crucial for ensuring patient safety, coordinating care teams, and maintaining smooth unit operations.

What are some common challenges Charge RNs face when managing a nursing team during a busy shift?

Charge RNs often encounter challenges such as balancing administrative duties with direct patient care, addressing staffing shortages, and managing unexpected changes in patient acuity. They must prioritize tasks effectively, support and guide team members, and ensure communication flows smoothly between the nursing staff and other departments. Strong leadership, adaptability, and conflict resolution skills are essential for Charge RNs to navigate these demanding situations while maintaining high standards of patient care.

What is the difference between Charge Rn vs Staff Nurse?

AspectCharge RnStaff Nurse
CredentialsRegistered Nurse (RN) license, often with leadership trainingRegistered Nurse (RN) license
Work EnvironmentSupervises nursing staff, manages patient care coordinationProvides direct patient care under supervision
Employer & Industry UsageHospitals, clinics, healthcare facilities; leadership rolesHospitals, clinics, long-term care; bedside care
Common Search & ComparisonYesNo

The main difference between a Charge Rn and a Staff Nurse is that the Charge Rn holds leadership responsibilities, overseeing nursing staff and patient care coordination, while the Staff Nurse primarily provides direct patient care. Both roles require an RN license, but the Charge Rn often has additional leadership training and responsibilities.

Infographic showing various Charge Rn job openings in Sacramento, CA as of August 2026, with employment types broken down into 2% As Needed, 55% Full Time, 15% Part Time, and 28% Contract. Highlights an 98% Physical, and 2% Remote job distribution, with an average salary of $91,180 per year, or $43.8 per hour.

Charge Registered Nurse - RN

Fresenius Medical Care

Roseville, CA • On-site

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 9 days ago


Fresenius Medical Care rating

6.7

Company rating: 6.7 out of 10

Based on 1,333 frontline employees who took The Breakroom Quiz

532nd of 895 rated healthcare providers


Job description

  • This role is with our Home Therapies Team
  • Candidate must have HT experience, HHD is preferred and PD is required

PURPOSE AND SCOPE:
Functions as the hemodialysis team leader in the provision of chronic hemodialysis care and treatment. Provides day to day direction and supervision to assigned direct patient care staff. Communicates with the physician and other members of the healthcare team to interpret, adjust, and complete patient care plans. Provides safe, effective delivery of patient care in compliance with standards outlined in the facility procedure manual, as well as regulations set forth by the company, state, and federal agencies.
PRINCIPAL DUTIES AND RESPONSIBILITIES:
General and Staff Related:
  • Provides day to day guidance, support and direction to direct patient care staff, providing informal feedback on an ongoing basis and formal feedback input for the annual performance evaluation. Participates in the department staffing and the appropriate hiring, firing and disciplinary actions. Recommends disciplinary action to Clinical Manager and initiate as appropriate.
  • Ensures compliance with all company and facility approved procedures and policies as well as regulations set forth by state and federal agencies in clinics with more than 100 patients.
  • Approves or disapproves time or personnel schedule changes in the absence on the Clinical Manager ensuring compliance with applicable regulations, policies and procedures for documenting time of work hours for staff members on assigned shift.
  • Participates in patient care plan meetings.
  • Maintains knowledge in the current practices related to the principles and techniques of dialysis by participating in all scheduled inservices.
  • Trains and orients staff as necessary.
  • Routinely observes and guides direct patient care staff for appropriate technique and adherence to facility policies and procedures.
  • Promotes and assists with compliance to OSHA programs in order to maintain a safe and clean working environment.
  • Maintains overall shift operation in a safe, efficient, and effective matter.
  • Conducts staff meeting with Clinical Manager at least monthly or as needed to keep patient care staff informed of changes in patient care needs or operations to improve delivery of care.
  • Meets routinely with the Clinical Manager to discuss personnel and patient care status, issues, and information.
  • Supervise all documentation of patient information.
  • Coordinates Charge Nurse duties with Staff RNs acting in the relief charge capacity.

Patient Care:
  • Assesses daily patient care needs and develop and distribute patient care assignments appropriately. Assesses patient needs, respond to dialysis treatments, and communicate concerns to rounding physician. Implement changes inpatient care/treatment as directed.
  • Assumes primary responsibility in an emergency situation.
  • Monitors and supervises all patient care activity during dialysis and assist as necessary.
  • Collaborates with direct patient care team in making decisions to benefit patient care.
  • Continuously monitors patient's condition with regards to problems and potential complications associated with dialysis.
  • Administers medications to patients per physician's orders.
  • Acts as the subject matter expert and as a resource for staff members.

Technical:
  • Supervises and participates in completion of short and long term care plans.
  • Admits new patients according to facility procedure.
  • Ensures educational needs of patients are met and educate the patient and family about End Stage Renal Disease, dialysis therapy, diet, and medication.
  • Supervises the safe and effective use of all equipment involved in direct patient care.
  • Operates all dialysis related and emergency equipment safely and efficiently when needed.
  • Performs required testing and verification and initial the checklist for start-up and shut-down procedures as outlined in the Technical Services Manual.
  • Completes Nurse's Technical Training Program/Water Quality Facility Training.

Other:
  • Assists with special projects or other duties as assigned by the Clinical Manager and the interviewing of potential direct patient care staff as requested.
  • Promotes efficient use of medical supplies.
  • Attends and participates in monthly Quality Assurance meetings.
  • Performs other related duties as assigned.

PHYSICAL DEMANDS AND WORKING CONDITIONS:
The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
  • Day to day work includes desk and personal computer work and interaction with patients, facility staff and physicians.
  • The position requires travel between assigned facilities and various locations within the community. Travel to regional, Business Unit and Corporate meetings may be required.
  • Employees are required to take the Ishihara's Color Blindness test as a condition of employment. Note that: Failing the

Ishihara Test for Color Blindness does not preclude employment. The Company will consider whether reasonable accommodation can be made.
SUPERVISION:
  • Direct Patient Care Staff, Ward Clerk as assigned.

EDUCATION AND REQUIRED CREDENTIALS:
  • Bachelor's Degree; Advanced Degree of an accredited school of Nursing (R.N.) desirable or an equivalent combination of education and experience.
  • Current appropriate state licensure.

EXPERIENCE AND SKILLS:
  • Minimum of 9 months of nursing experience and an additional 3 months of clinical experience in dialysis
  • RN charge nurses assuming responsibility for nursing and patient services in the absence of the Clinical Manager must have one-year clinical experience and six months dialysis experience.
  • Supervisory or management experience preferred.
  • Successfully complete a training course in the theory and practice of hemodialysis.
  • Good communication skills - verbal and written.
  • Must meet appropriate state requirements (if any).

ACKNOWLEDGEMENT:
I acknowledge that I have read and accepted this job description. I understand what is expected of me in this position, and I am able to perform the essential functions as outlined with or without reasonable accommodation. Furthermore, I understand that the duties and responsibilities listed in this job description are intended only as illustrations of the various types of work that may be performed. The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or a logical assignment to the position. If I have any questions about duties and responsibilities not specified in this job description that I am asked to perform, I should discuss them with my immediate supervisor or my Human Resources representative.
"The rate of pay for this position will depend on the successful candidate's work location and qualifications, including relevant education, work experience, skills, and competencies.
Hourly Rate: $23 - $69
Benefit Overview: This position offers a comprehensive benefits package including medical, dental, and vision insurance, a 401(k) with company match, paid time off, parental leave.
Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.
Fresenius Medical Care is an equal opportunity employer and does not discriminate on the basis of race, color, religion, sexual orientation, gender identity, parental status, national origin, age, disability, military service, or other non-merit-based factors

What Fresenius Medical Care employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom


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About Fresenius Medical Care

Sourced by ZipRecruiter

We are a Team of more than 70,000 with one guiding Principle Patients First. This promise starts with providing the most comprehensive care for people living with Chronic Kidney Disease and extends to Innovative Solutions that are redefining Healthcare and setting the industry standard. From evolving home Dialysis and Patient education programs to improving patient care to providing World Class Research and Data driven insights. Our vertically integrated network tirelessly seeks new ways to improve the quality of our Patients' lives. We believe each of us can make an impact and together we can change an industry. Our Mission is to Provide Superior care that improves the quality of life of every patient, every day, setting the standard by which others in the Healthcare Industry are judged. And none of us does it alone. We bring together the brightest minds in kidney care to Dream, Research, and Innovate.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Waltham, MA, US

Year founded

1996

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