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Overnight Rn Observation Unit Jobs in Portland, OR

Amergis Healthcare Staffing is seeking an Intensive Care Unit (ICU) Registered Nurse (RN) to assume responsibility and accountability for the application of the nursing process and the delivery of ...

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Overnight Rn Observation Unit information

See Portland, OR salary details

$25

$48

$74

How much do overnight rn observation unit jobs pay per hour?

As of Jul 15, 2026, the average hourly pay for overnight rn observation unit in Portland, OR is $48.75, according to ZipRecruiter salary data. Most workers in this role earn between $40.53 and $53.56 per hour, depending on experience, location, and employer.

What are some common challenges faced by Overnight RNs in an Observation Unit, and how can they be managed?

Overnight RNs in an Observation Unit often face challenges such as managing patient care with limited on-site resources, staying alert during overnight hours, and coordinating care transitions as patients are admitted, discharged, or transferred. Effective communication with the interdisciplinary team, strong time management skills, and utilizing available support staff can help manage these challenges. Building routines to stay focused and prioritizing self-care during off hours are also important for maintaining performance and well-being.

What does an Overnight RN in an Observation Unit do?

An Overnight RN in an Observation Unit is responsible for monitoring and caring for patients who require further evaluation or short-term treatment, typically for less than 24 hours. Their duties include assessing patient conditions, administering medications, collaborating with physicians, and ensuring patient safety throughout the night. They play a key role in determining if patients need to be admitted for inpatient care or can be safely discharged. This role requires strong clinical judgment, attention to detail, and the ability to work independently during overnight hours.

What is the difference between Overnight Rn Observation Unit vs Emergency Room Nurse?

AspectOvernight Rn Observation UnitEmergency Room Nurse
CredentialsRegistered Nurse (RN) license, possibly specialized in observation careRegistered Nurse (RN) license, often with emergency or trauma certification
Work EnvironmentHospital observation units, typically overnight shifts, focused on patient monitoringEmergency departments, fast-paced, high-stress environment with acute care
Employer & IndustryHospitals, outpatient clinics, healthcare facilitiesHospitals, trauma centers, urgent care facilities
Common Search & ComparisonYesYes

The Overnight Rn Observation Unit and Emergency Room Nurse roles both require RN licensure and involve patient care in hospital settings. However, the Observation Unit focuses on monitoring patients overnight who need less intensive care, while ER Nurses handle acute emergencies in a fast-paced environment. Understanding these differences helps healthcare professionals choose the right career path or job opportunity.

What are the key skills and qualifications needed to thrive as an Overnight RN in an Observation Unit, and why are they important?

To thrive as an Overnight RN in an Observation Unit, you need strong clinical assessment skills, acute care experience, and an active RN license, often supported by certifications like BLS or ACLS. Familiarity with electronic health records (EHRs), telemetry monitoring systems, and patient tracking tools is also essential. Excellent communication, problem-solving abilities, and the capacity to stay focused during night shifts are vital soft skills. These competencies ensure patient safety, accurate monitoring, and effective collaboration with healthcare teams during critical overnight hours.
What are the most commonly searched types of Rn Observation Unit jobs in Portland, OR? The most popular types of Rn Observation Unit jobs in Portland, OR are:
What are popular job titles related to Overnight Rn Observation Unit jobs in Portland, OR? For Overnight Rn Observation Unit jobs in Portland, OR, the most frequently searched job titles are:
What job categories do people searching Overnight Rn Observation Unit jobs in Portland, OR look for? The top searched job categories for Overnight Rn Observation Unit jobs in Portland, OR are:
What cities near Portland, OR are hiring for Overnight Rn Observation Unit jobs? Cities near Portland, OR with the most Overnight Rn Observation Unit job openings:
Assistant Nurse Manager, ICU

Assistant Nurse Manager, ICU

Oregon Health & Science University

Portland, OR • On-site

Full-time

Life, Retirement, PTO

This job post has expired today. Applications are no longer accepted.


Oregon Health & Science University rating

8.1

Company rating: 8.1 out of 10

Based on 95 frontline employees who took The Breakroom Quiz

136th of 555 rated colleges and universities


Job description

Department Overview

OHSU Specialty Critical Care Float Pool nurses provide high-quality, innovative and compassionate family-centered nursing care. Critical Care Float Pool supports adult critical care units and individually selected additional units [such as Emergency Department (ED), Emergency Observation Unit (ED Obs) and Pediatric Intensive Care Unit (PICU)] Critical Care Float Pool supports these units for selected planned and unplanned absences and for other staffing deficits. Critical Care Float Pool nurses may staff overflow area as patient care needs arise.

The Medical Intensive Care Unit (MICU) is dedicated to delivering the highest standard of nursing care to patients and their families, ensuring optimal patient outcomes through evidence -based practices, all within a supportive and healthy work environment. Our unit employs a multidisciplinary team approach to patient care, accommodating patients with a minimum weight of 40 kg and ages generally starting at 16 years with no upper age limit.

Function/Duties of Position

The Assistant Nurse Manager is a registered nurse who provides operational leadership under the direction of the Nurse Manager to ensure safe, effective, and patient-centered nursing care. The Assistant Nurse Manager supports staff development, oversees daily operations, and contributes to quality, financial, and human resource management activities. This role promotes a professional practice environment that fosters excellence in patient care and staff engagement.

The Assistant Nurse Manager is distinguished from the Nurse Manager by providing operational leadership and supervisory support on a shift or unit basis, rather than holding primary accountability for long-term strategic, fiscal, and administrative management of the department. The Assistant Nurse Manager serves as a front-line leader who implements policies, coordinate staffing, monitor patient care quality, and provide coaching and guidance to nursing staff.

1. Strategic & Unit Planning - Partners with the Nurse Manager to translate organizational and nursing priorities into unit plans; contributes to goal setting (short- and long-term), measurable targets, and implementation timelines; coordinates interventions, tracks progress using data, and communicates status to stakeholders; supports readiness for accreditation/regulatory changes.

2. Operational Leadership - Oversees day-to-day operations, including staffing, scheduling, assignments, patient flow, and escalation pathways to ensure safe, effective care; leads huddles and facilitates clear communication; may provide leadership coverage across all shifts (days/evenings/nights/weekends) as operationally needed.

3. Staff Supervision & Development - Provides coaching, mentoring, competency validation, and performance feedback; participates in orientation and evaluations; supports recruitment, retention, and succession planning; recognizes exemplary practice and addresses performance concerns.

4. Quality, Safety & Risk - Promotes adherence to professional standards, organizational policies, and regulatory requirements; uses data to monitor outcomes; leads/participates in performance improvement, event review, risk mitigation, and dissemination of best practices; supports standard work and error-reduction processes.

5. Human Resources & Employee Relations - Fosters engagement and a positive work environment; facilitates conflict resolution; supports attendance management and progressive performance management; ensures compliance with applicable labor/collective bargaining agreements and HR policies.

6. Resource & Financial Stewardship - Assists with productivity and resource monitoring; applies staffing tools and guidelines; monitors overtime/premium use and supply utilization; educates staff on financial implications of care decisions and supports cost-effective operations.

7. Professional Practice & Collaboration - Models ethical, professional nursing practice consistent with the ANA Code of Ethics and Nurse Practice Act; advocates for patients and families; collaborates with interprofessional teams and shared-governance structures; promotes a culture of safety, equity, and inclusion.

Required Qualifications

Education: Bachelor of Science in Nursing (BSN) required.

Experience: Two (2) years of relevant clinical nursing experience in a related specialty, including demonstrated leadership responsibilities required. (e.g., charge nurse, preceptor, supervisor, or equivalent).

Licenses or Certifications: Unencumbered Oregon Registered Nurse (RN) license (or ability to obtain prior to hire). BLS from AHA required. New hires will be enrolled and required to complete during orientation. Additional clinical certifications (e.g., ACLS, NRP) may be required by assignment. Leadership/specialty certification (e.g., NE-BC, CNML, or clinical specialty) within two (2) years of hire

Preferred Qualifications
  • Master's Degree in Nursing
  • Assistant Nurse Manager Experience and/or other nursing leadership experience
  • Previous management experience, project management
  • Current clinical certification in area of specialty
Additional Details

This position also comes with great benefits! Some highlights include:

  • Comprehensive health care plans that cover 100% for a full-time employee and 88% for dependents for .75 FTE and higher.
  • $50K of term life insurance provided at no cost to the employee
  • Two separate above market pension plans to choose from
  • Paid time off- 208 hours per year (full-time), prorated for part-time
  • Extended illness bank- 64 hours per year, prorated for part-time
  • 9 paid holidays per year
  • Three weeks of paid parental leave
  • Adoption assistance program (up to 5k)
  • Substantial Tri-met and C-Tran discounts
  • Tuition Reimbursement
  • Innovative Employee Assistance Program (EAP)
Why apply to OHSU?We are Oregon's only public academic health center. In addition to caring for patients, we lead groundbreaking research. We also train the next generation of health care professionals. As Portland's largest employer, we give you opportunities to learn and advance in a system of hospitals and clinics across Oregon and Southwest Washington. All are welcome. OHSU welcomes people of all ages, ethnicities, genders, national origins, religions and sexual orientations. We are striving to build an anti-racist, multicultural institution and encourage people with diverse backgrounds to apply. To request reasonable accommodation, contact askhr@ohsu.eduEmployment Type: FULL_TIME

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About Oregon Health & Science University

Sourced by ZipRecruiter

Oregon Health & Science University (OHSU) is a distinguished institution under the industry of higher education and healthcare, specifically in the field of medical science. Based in Portland, Oregon, US, it maintains a reputation for promoting research, teaching, patient care, and outreach. Established in 1887, OHSU has continually sought to redefine the parameters of healthcare delivery and biomedical discovery through its expansive catalog of programs and initiatives. A galvanizing mission drives OHSU: to improve the health and quality of life for all Oregonians through excellence, innovation, and leadership in health care, education, and research.

Industry

Colleges, universities, and professional schools

Company size

10,000+ Employees

Headquarters location

Portland, OR, US

Year founded

1887