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Overnight Rn Observation Unit Jobs in St Paul, MN

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Overnight Rn Observation Unit information

See St Paul, MN salary details

$24

$46

$71

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

As of Sep 4, 2026, the average hourly pay for overnight rn observation unit in St. Paul, MN is $46.50, according to ZipRecruiter salary data. Most workers in this role earn between $38.65 and $51.06 per hour, depending on experience, location, and employer.

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 are the key skills and qualifications needed to thrive as an overnight RN in an observation unit?

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 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 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 most commonly searched types of Rn Observation Unit jobs in St. Paul, MN?

The most popular types of Rn Observation Unit jobs in St. Paul, MN are:

What cities near St. Paul, MN are hiring for Overnight Rn Observation Unit jobs?

Cities near St. Paul, MN with the most Overnight Rn Observation Unit job openings:

Overnight Rn Observation Unit jobs near you
Infographic showing various Overnight Rn Observation Unit job openings in St. Paul, MN as of July 2026, with employment types broken down into 1% As Needed, 87% Full Time, 11% Part Time, and 1% Contract. Highlights an 99% Physical, and 1% Remote job distribution, with an average salary of $96,710 per year, or $46.5 per hour.

RN-Outpatient Observation

Fairview Health Services

Minneapolis, MN • On-site

$44.68 - $75.66/hr

Full-time

Medical, Dental, Life, Retirement, PTO

Re-posted 4 days ago

Fairview Health Services rating

7.8

Company rating: 7.8 out of 10

Based on 250 frontline employees who took The Breakroom Quiz

135th of 898 rated healthcare providers

Job description

Job Overview

The University of Minnesota Medical Center is looking for Registered Nurses to join our growing Hospital Observation unit 1B team. The University of Minnesota Medical Center is the flagship location for University of Minnesota Health providing breakthrough medicine and transforming the health of our community. 

The University of Minnesota Medical Center East Bank was just named among the 10 best hospitals in Minnesota. M Health Fairview University of Minnesota Medical Center is the only nationally ranked hospital for specialty care in the Twin Cities; ranked #37 in the nation for Cancer Care and #40 in the nation for Ear, Nose and Throat Otolaryngology) Care by U.S. News & World Report. It was also named “High Performing” in Gastroenterology and GI Care. 

This position is a .75 FTE (60 hours per 2 week pay period) on the day shifts, 12 hour shifts and every third weekend rotation.

We offer a generous benefits package including medical, dental, paid time off, retirement options, tuition reimbursement, student loan repayment program, and more. Check out more of our benefits information here: www.fairview.org/noncontractRN

The RN on the Observation team will help adult patients with outpatient care, much like an ED. We deliver excellent patient care to patients from same day surgery as well as transfers from all units; lots of variety!

The Registered Nurse is responsible for the assessment, planning, delivery, and evaluation of nursing care for all assigned patient population(s). The RN will perform these responsibilities in accordance with all policy, procedures, professional practice guidelines and the MN Nurse Practice Act. The RN coordinates care with members of the health care team and delegates responsibilities to others as appropriate.

Required Qualifications:

  • MN RN License
  • BLS required
  • AD required


Preferred Qualifications:

  • BSN or higher preferred
  • Certification in related specialty is helpful
  • One year of current medical/surgical RN experience in a hospital setting is desired

Benefit Overview

Fairview offers a generous benefit package, including but not limited to medical, dental, visionplans, life insurance, short-term and long-term disability insurance, PTO and Sick and Safe Time, tuition reimbursement, retirement, early access to earned wages, and more! Please follow this link for additional information: https://www.fairview.org/benefits/noncontractrn


Compensation Disclaimer

An individual's pay rate within the posted range may be determined by various factors, including skills, knowledge, relevant education, experience, and market conditions. Additionally, our organization prioritizes pay equity and considers internal team equity when making any offer. If your role is eligible for a sign-on bonus, the bonus program that is approved and in place at the time of offer, is what will be honored.


EEO Statement
EEO/Vet/Disabled: All qualified applicants will receive consideration without regard to any lawfully protected statusQualifications:

$44.68- $75.66 Hourly

Education:UNAVAILABLEEmployment Type: UNAVAILABLE

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About Fairview Health Services

Sourced by ZipRecruiter

Fairview Health Services is an industry-leading, award-winning nonprofit that offers an entire network of healthcare services. Fairview is one part of M Health Fairview, a partnership between the University of Minnesota, M Physicians and Fairview Health Services. Together, we combine the University's deep history of clinical innovation and training with Fairview's extensive roots in community medicine. Our care portfolio includes community hospitals, academic hospitals, primary and specialty care clinics, senior facilities, facilitated living centers, rehabilitation centers, home health care services, counseling, pharmacies and benefit management services.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Minneapolis, MN, US

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