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Island Rn Jobs in Raleigh, NC (NOW HIRING)

Drivers License (Valid) - USA, Registered Nurse (RN) - State Board of Nursing Experience We're ... and Rhode Island. As a team, we provide hope, promote wellness, and empower individuals and ...

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 are some unique challenges 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 are the key skills and qualifications needed to thrive as an Island Registered Nurse (Island RN), and why are they important?

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 are popular job titles related to Island Rn jobs in Raleigh, NC? For Island Rn jobs in Raleigh, NC, the most frequently searched job titles are:
What job categories do people searching Island Rn jobs in Raleigh, NC look for? The top searched job categories for Island Rn jobs in Raleigh, NC are:
What cities near Raleigh, NC are hiring for Island Rn jobs? Cities near Raleigh, NC with the most Island Rn job openings:
Infographic showing various Island Rn job openings in Raleigh, NC as of July 2026, with employment types broken down into 1% As Needed, 71% Full Time, 23% Part Time, 1% Temporary, and 4% Contract. Highlights an 97% Physical, 1% Hybrid, and 2% Remote job distribution.

Registered Nurse, LTSS

Monarch NC

Raleigh, NC • On-site

$66K/yr

Full-time

Medical, Life, Retirement

This job post has expired 1 day ago. Applications are no longer accepted.


Job description

Scheduled Weekly Hours:

40

Schedule:

Monday-Friday (8am-5pm) with on-call rotation TBD

Pay Range Minimum:

$66,560.00

Education We're Looking for:

Associates: Nursing (Required)

Certifications We're Looking For:

Drivers License (Valid) - USA, Registered Nurse (RN) - State Board of Nursing

Experience We're Looking For:

Experience in a long-term care setting| Not Required Psychiatric Nursing Experience| Not Required

Additional Details:

  • Provide training for Medication Administration, which requires driving and traveling to Monarch training sites.

Job Description Summary:

The primary responsibility of the Registered Nurse is to provide nursing services and active treatment to individuals in a designated LTSS setting in an effort to enhance daily living. This will include administration and monitoring of medication, nursing assessments, interventions, and evaluation of care provided.

What You'll Do:

  • Assist the team with monitoring routine and emergent medical care as specified by state regulations and service definitions.

  • Periodically observe medication administration by staff to individuals in a residential/day program setting and self-administration by individuals in order to ensure best practices are followed.

  • Monitor documentation following medical appointments for individuals in residential services to ensure proper follow-up on recommendations.

  • Review monthly Medication Administration Records ensuring all medications are properly transcribed onto a specified form and maintain them in accordance with program standards and individual needs.

  • Ensure quarterly/six-month and annual physician order updates occur for prescribed and over-the-counter medications.

  • Assist with coordinating efforts between pharmacies, physicians, laboratories, etc.; in order to ensure medical needs of individual being supported are met and coordinated safely.

  • Conduct quarterly medication audits in order to ensure accurate procedures have been followed and that no medication errors have occurred.

  • Develop and monitor programs to help individuals being supported perform self-administration.

  • Participate in preparing annual compliance surveys conducted by the Division of Facility Services.

  • Ensure a safe environment for the individuals being supported and ensure maintenance of OSHA compliance.

  • To promote independence in all medication administration, including self-administration and medication education.

  • Drive and travel to participants as required.

  • 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 service definitions related to specific program areas.

  • Complete all other relevant responsibilities as assigned by the supervisor.

  • Provide trainings/input for protocols for special accommodations, i.e. seizures, diabetes, special equipment etc.

  • Maintain availability by telephone to receive doctors' orders and to assist Monarch staff with implementing new medical/medication orders for Residential Services.

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, 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 contactHR@MonarchNC.orgor 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:

LTSS - Licensed Professional - Nursing