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Island Rn Jobs in Hilo, HI (NOW HIRING)

A24Group

RN Flex Pool Days- 13 Week Contract

Hilo, HI · On-site

RN - Flex Pool (Med-Surg / Step-Down) - Days Location: Hilo, Hawaii The RN Flex Pool provides high ... a unique island community setting. Nurses who thrive in this environment are adaptable ...

GHR Healthcare

Travel PACU RN

Hilo, HI · On-site

$1.8K - $1.9K/wk

  • Medical

  • Dental

  • Vision

  • Retirement

Travel PACU Registered Nurse Jobs - Travel RN Assignment in Hilo, Hawaii Bring your PACU RN expertise to a rewarding travel nursing opportunity in Hilo, Hawaii, on the scenic Big Island. This Post ...

GHR Healthcare

Travel PACU RN - $2,092 per week

Hilo, HI · On-site

$2.0K/wk

  • Medical

  • Dental

  • Vision

  • Retirement

Travel PACU Registered Nurse Jobs - Travel RN Assignment in Hilo, Hawaii Bring your PACU RN expertise to a rewarding travel nursing opportunity in Hilo, Hawaii, on the scenic Big Island. This Post ...

GHR Healthcare

Travel Nurse RN - Maternal - Newborn

Hilo, HI · On-site

$1.7K - $1.8K/wk

  • Medical

  • Dental

  • Vision

  • Retirement

This travel nursing opportunity is ideal for an experienced registered nurse who thrives in maternal newborn care and enjoys working in a beautiful island community. Job Details * Location: Hilo, HI ...

PRN Healthcare Services

M/S - RN

Hilo, HI · On-site

  • Medical

  • Dental

  • Vision

  • Retirement

M/S RN Aloha! You know there's no place vacationers enjoy quite like Hawaii, so why not make that ... Immerse yourself in an exhilarating island environment and get paid in the meantime! Why PRN Health ...

Home Health Hawaii Island

HH RN

Hilo, HI · On-site

$105K - $111K/yr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Join our team as a Home Health Registered Nurse with a $2,000 Retention Bonus! Relocation Assistance may be available The Company: We are Ohana Pacific Health. We positively impact thousands of lives ...

PRN Healthcare Services

M&B - RN

Hilo, HI · On-site

  • Medical

  • Dental

  • Vision

  • Retirement

M&B RN Aloha! You know there's no place vacationers enjoy quite like Hawaii, so why not make that ... Immerse yourself in an exhilarating island environment and get paid in the meantime! Your adventure ...

HHSC East Hawaii Region

Interventional Radiology

Hilo, HI · On-site

$450K - $600K/yr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

... Island of Hawaii. We are seeking an Interventional Radiologist to join our rapidly expanding ... Clinic team consists of an RN Nurse Manager, 2 Medical Assistants and a Receptionist; dedicated ...

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All JobsIsland Rn JobsIsland Rn Jobs in Hilo, HI

Island Rn information

What is an Island RN?

An Island RN is a Registered Nurse who works on an island, often in remote or rural healthcare settings. These nurses provide comprehensive care to residents and visitors, frequently managing a wide range of medical needs due to limited local resources. Island RNs may work independently or as part of a small team, handling emergency care, routine check-ups, and patient education. They play a critical role in ensuring the health and safety of island communities, often adapting to unique challenges such as transportation delays or supply shortages.

What skills and qualifications are needed to thrive as an Island RN?

To thrive as an Island RN, you need strong clinical and emergency care skills, a nursing degree, active RN licensure, and experience working independently in remote or rural settings. Familiarity with telemedicine systems, emergency medical equipment, and electronic health records is often required. Excellent problem-solving, adaptability, and communication skills are crucial for handling diverse patient needs and limited resources. These abilities ensure effective patient care, quick decision-making, and optimal health outcomes in isolated healthcare environments.

What unique challenges do nurses face when working on an island, and how can they prepare for them?

Island RNs often encounter challenges such as limited access to specialized medical resources, the need to handle a wider variety of cases, and occasional isolation from larger healthcare networks. To prepare, it's important to develop strong clinical assessment skills, adaptability, and the ability to work independently or in small teams. Building solid relationships with local healthcare providers and staying updated through remote continuing education can also help overcome these challenges and ensure high-quality patient care.

What is the difference between Island Rn vs Emergency Room Nurse?

AspectIsland RnEmergency Room Nurse
CertificationsRN license, Basic Life Support (BLS), Advanced Cardiovascular Life Support (ACLS)RN license, BLS, ACLS, Trauma Nursing Certification (TNCC) often preferred
Work EnvironmentRemote or island healthcare settings, clinics, small hospitalsHigh-pressure hospital ER, urban or suburban emergency departments
Employer & IndustryHospitals, clinics, remote healthcare providers in island regionsHospitals, trauma centers, urgent care facilities

Island Rns typically work in remote or island healthcare settings, focusing on general patient care in smaller facilities. Emergency Room Nurses work in fast-paced hospital ERs, handling trauma and urgent cases. Both roles require RN licensure and similar certifications, but their work environments and daily responsibilities differ significantly.

What are popular job titles related to Island Rn jobs in Hilo, HI?

For Island Rn jobs in Hilo, HI, the most frequently searched job titles are:

What job categories do people searching Island Rn jobs in Hilo, HI look for?

The top searched job categories for Island Rn jobs in Hilo, HI are:

What cities near Hilo, HI are hiring for Island Rn jobs?

Cities near Hilo, HI with the most Island Rn job openings:

Island Rn jobs near you

RN Flex Pool Days- 13 Week Contract

A24Group

Hilo, HI • On-site

Contractor

Re-posted just now

Job description

RN – Flex Pool (Med-Surg / Step-Down) – Days
Location: Hilo, Hawaii

The RN Flex Pool provides high-quality nursing care across multiple inpatient medical and surgical units, floating as needed to support changing staffing and patient acuity needs. This role is ideal for a versatile travel nurse with strong Med-Surg and step-down experience who is comfortable working in different environments within the same facility.​

Assignment details

  • Job Type: 13-week travel contract​

  • Start Date: February 23, 2026 (arrival required Thursday prior for Employee Health on Friday)​

  • Schedule: 12-hour day shifts, 06:45 AM – 7:15 PM​

  • Hours: Scheduled 36 hours per week after orientation; no guarantee of hours​

  • Holiday coverage: Required​

Units and ratios

  • Units covered:

    • Medical Unit

    • Laulima Unit (Surgical Acute)

    • Cardiovascular Unit (on rare occasions)​

  • Typical nurse-to-patient ratios (may vary with staffing):

    • Medical: 1:6 days/eves; 1:8 nights

    • Laulima (Surgical Acute): 1:6

    • Cardiovascular: 1:4​

Responsibilities

  • Provide comprehensive nursing care to adult medical and step-down patients, including complex, multi-diagnosis cases.​

  • Float safely and professionally between designated units based on census, acuity, and staffing needs.

  • Perform head-to-toe assessments, ongoing reassessments, and timely interventions for changes in condition.​

  • Administer medications, blood products, and treatments; manage IVs, central lines, and telemetry monitoring per unit standards.​

  • Utilize unit equipment such as wound vacs, chest tubes, Pyxis medication dispensing systems, and the facility EMR.​

  • Document care accurately and efficiently in the EMR (Meditech; Epic referenced in system) in accordance with facility policy.​

  • Collaborate with physicians, charge nurses, case management, therapy, and ancillary staff to coordinate safe, patient-centered care.

  • Educate patients and families on diagnoses, medications, procedures, and discharge instructions to support safe transitions of care.​

  • Uphold infection prevention, patient safety, and quality standards, including fall prevention and core measure compliance.

Requirements

  • Active Hawaii RN license by start date.​

  • Minimum 2 years of recent RN experience; strong Med-Surg and/or step-down background required.​

  • BLS required; ACLS preferred (additional preferred: PALS, TNCC, ENPC, Procedural Sedation).​

  • Proof of immunity required; no medical or religious exemptions accepted per facility policy.​

  • Experience with Meditech or similar inpatient EMR strongly preferred.​

  • Demonstrated ability to float between units, manage full patient assignments, and adapt to varying workflows.

Dress code and orientation

  • Dress Code: Professional nursing attire; clean scrubs in accordance with facility guidelines.​

  • Orientation: Facility and unit-specific orientation provided on each assigned unit to support safe practice.​

About the opportunity

This travel flex pool role offers the chance to practice broad-based acute care nursing across multiple units in a unique island community setting. Nurses who thrive in this environment are adaptable, collaborative, and committed to delivering excellent patient care while supporting teams wherever the need is greatest.​