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Island Rn Jobs in Monroe, NC (NOW HIRING)

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Island Rn information

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 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 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 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 cities near Monroe, NC are hiring for Island Rn jobs? Cities near Monroe, NC with the most Island Rn job openings:
Infographic showing various Island Rn job openings in Monroe, NC as of August 2026, with employment types broken down into 3% As Needed, 58% Full Time, 14% Part Time, and 25% Contract. Highlights an 97% Physical, 1% Hybrid, and 2% Remote job distribution.

Registered Nurse / RN, Psychiatric Crisis & Urgent Care Services

Monarch (NC)

Concord, NC โ€ข On-site

$36/hr

Other

Medical, Life, Retirement

Re-posted 12 days ago


Job description

Scheduled Weekly Hours:
37.5
Schedule:
Monday, Tuesday, and Wednesday (7pm-7am)
Pay Range Minimum:
$36.00
Education We're Looking for:
Associates: Nursing (Required)
Certifications We're Looking For:
Registered Nurse (RN) - State Board of Nursing
Experience We're Looking For:
Experience in a crisis management setting or service during which the individual provided crisis response | 1 Year | RequiredExperience working with children or adults in a behavioral health capacity | 1 Year | Required
Job Description Summary:
The primary responsibilities of the Registered Nurse position are to oversee paraprofessionals who provide services, as well as, provide direct nursing care to the people we support from the Behavioral Health Division of Monarch. The nurse will be responsible for carrying out treatment and supportive care as directed by the Prescriber or Vice President of Operations according to service definition and best practices.
What You'll Do:
  • Assess and document individuals' appropriateness for services, level of functioning, health status, mental status, medical history, medications, and medication compliance.
  • Educate individuals receiving services about mental illness and substance use disorder, participate in the development of discharge and referral plans.
  • Ensure that people who need a higher level or different level of care are referred or placed.
  • Monitor individuals who are receiving services to ensure health and safety.
  • Carry out functions including crisis intervention, medication administration, assessment of vital signs, referral for emergency medical treatment as necessary, observation of individual response to medication and nursing assessment.
  • Attend and actively participate in meetings and training as required. Maintain certification in all agency, state and federal training requirements.
  • Demonstrate knowledge of and comply with all agency policies and procedures, as well as, state and federal statutes and regulations related to specific program areas
  • Demonstrate knowledge of emergency procedures and assist in crisis situations.
  • Ensure that physician orders and service definition guidelines for services being provided are followed.
  • Complete all other relevant responsibilities as assigned by the supervisor.
  • Driving and travel may be required.

Benefits:
We offer a competitive and flexible total rewards package designed to support the diverse needs of our team members. In addition to base compensation, eligible employees have access to a range of customizable benefits and perks, which may include comprehensive health coverage, retirement plans, professional development support, and more. Specific offerings are tailored to the role, employment type, and location. We look forward to discussing the details of your personalized compensation and benefits package-and what matters most to you-during the interview process.
Make a Difference in Someone's Life!
At Monarch Healthcare, we work together to provide life-changing care in communities across North Carolina and Rhode Island. As a team, we provide hope, promote wellness, and empower individuals and families impacted by mental illness, substance use disorders, intellectual and developmental disabilities, and traumatic brain injury.
You Belong at Monarch Healthcare
You deserve a positive and encouraging work environment - a place where you can do your best work and grow as a professional. That is just what you'll find at Monarch Healthcare. Here, we care for people, including our team members. We offer a comprehensive, competitive benefits package that supports full-time and part-time team members and their families. More than just a job, this opportunity with Monarch Healthcare will give you room to spread your wings and grow because we believe in promoting from within and developing future leaders.
Monarch Healthcare is an Equal Opportunity Employer
Monarch Healthcare offers opportunities as diverse as the people we support and the communities we serve. Monarch Healthcare is an equal opportunity employer and we are firmly committed to supporting and celebrating all forms of diversity.
Monarch Healthcare does not accept paper applications. Any person with a disability who needs any reasonable accommodation under the Americans with Disabilities Act to apply for a position or otherwise to participate in Monarch Healthcare job search or selection process, should contact HR@MonarchNC.org or call (704) 986-1550.
This job description in no way implies that these are the only duties and responsibilities to be performed. You will be required to follow any other instructions and to perform any other duties and responsibilities upon the request of a supervisor. This job description is subject to revision at the discretion of Monarch Healthcare.
Department:
BH - Licensed Professional - Nursing