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Railroad Nursing Jobs (NOW HIRING)

Hospice Nursing Assistant

Shelby, NC

$29K - $39K/yr

Safety (side rails/call rails, mitts and restraints, CPR/Heimlich maneuver, infection control ... the Nursing assessment is completed. (No irrigation of urinary catheters). • Oxygen therapy ...

Hospice Nursing Assistant

Hickory, NC

$28K - $37K/yr

Safety (side rails/call rails, mitts and restraints, CPR/Heimlich maneuver, infection control ... Certified Nursing Assistant; maintain current listing status required. * NA - must be in good ...

State Tested Nursing Assistant

Chillicothe, OH · On-site

$13.50 - $18/hr

Ensure resident safety with proper use of call lights, side rails, and dry floors. * Follow universal precautions at all times. Requirements: * Must be registered by the State of Ohio with an STNA ...

Hospice Nursing Assistant

Shelby, NC · On-site

$29K - $39K/yr

Safety (side rails/call rails, mitts and restraints, CPR/Heimlich maneuver, infection control ... the Nursing assessment is completed. (No irrigation of urinary catheters). • Oxygen therapy ...

Ensure resident safety with proper use of call lights, side rails, and dry floors. * Follow universal precautions at all times. Requirements: * Must be registered by the State of Ohio with an STNA ...

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Railroad Nursing information

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$13

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$26

How much do railroad nursing jobs pay per hour?

As of Jul 27, 2026, the average hourly pay for railroad nursing in the United States is $21.45, according to ZipRecruiter salary data. Most workers in this role earn between $18.51 and $23.32 per hour, depending on experience, location, and employer.

What is a Railroad Nursing job?

A Railroad Nursing job involves providing medical care to railroad workers who may experience injuries or health issues on the job. These nurses often work for railway companies or occupational health clinics, focusing on workplace safety, injury prevention, and emergency response. They may also conduct health assessments, assist with worker compensation cases, and ensure compliance with industry health regulations. The role requires knowledge of occupational health, trauma care, and regulatory guidelines specific to railroads.

What jobs pay 4000 a week without a degree?

Railroad nursing roles typically require specialized medical training and certifications, and rarely pay $4,000 a week without a degree. High-paying jobs that can reach this level without a degree often include skilled trades like commercial driving, sales, or entrepreneurship, but these are not specific to railroad nursing. Most well-paying healthcare positions require at least some formal education or certification.

What is the highest paying job on the railroad?

The highest paying jobs on the railroad are typically management positions such as railroad executives, operations managers, and safety directors, which require extensive experience and industry knowledge. Skilled roles like locomotive engineers and signal maintainers also earn high wages, especially with overtime and specialized certifications. Salaries vary by company and region but generally reflect the level of responsibility and expertise required.

Is it hard to get hired on the railroad?

Railroad nursing positions can be competitive due to the specialized nature of the role and the need for relevant healthcare experience, often including certifications like CPR and first aid. Candidates typically undergo background checks, drug testing, and sometimes physical assessments, which can add to the hiring process's complexity.

What are the highest paying travel nursing jobs?

Travel nursing roles in specialized fields such as critical care, emergency, and perioperative nursing tend to offer the highest pay rates. These positions often require advanced certifications and experience, and they may include additional stipends for working in high-demand or remote locations.

What are the key skills and qualifications needed to thrive in the Railroad Nursing position, and why are they important?

To excel as a Railroad Nurse, you need a nursing degree, active RN licensure, and specialized knowledge in occupational health, injury assessment, and emergency response relevant to the railroad industry. Familiarity with workplace safety protocols, incident reporting systems, and equipment for first aid and trauma care is crucial. Strong observational skills, calmness under pressure, and excellent communication foster effective care and teamwork. These competencies ensure timely and appropriate medical attention while supporting the unique health and safety needs of railroad employees.

What are the typical challenges that Railroad Nurses face in their daily work?

Railroad Nurses often work in fast-paced environments where they must respond quickly to on-site injuries, sometimes in remote or outdoor settings. They may need to make swift decisions with limited resources, coordinate with emergency services, and manage occupational health concerns specific to railroad operations. The job involves a balance between routine health screenings, providing preventive care, and being prepared for unexpected emergencies. Collaborating closely with safety officers and crew members is essential to ensure an effective response and support ongoing employee health. Flexibility and adaptability are key, as no two days are exactly the same in this role.

More about Railroad Nursing jobs
What cities are hiring for Railroad Nursing jobs? Cities with the most Railroad Nursing job openings:
What states have the most Railroad Nursing jobs? States with the most job openings for Railroad Nursing jobs include:
Infographic showing various Railroad Nursing job openings in the United States as of July 2026, with employment types broken down into 3% As Needed, 55% Full Time, 17% Part Time, and 25% Contract. Highlights an 99% Physical, and 1% Remote job distribution, with an average salary of $44,606 per year, or $21.4 per hour.
Occupational Health RN

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 3 days ago


Progress Rail rating

7.2

Company rating: 7.2 out of 10

Based on 68 frontline employees who took The Breakroom Quiz

319th of 486 rated machine equipment manufacturers


Job description

Job Purpose
The Nurse, Occupational Health, serves Progress Rail Corporation, a Caterpillar Company, throughout its global
footprint by providing occupational health services, injury and illness management, and clinical guidance. The RN
supports facilities, managers, supervisors, and employees by ensuring regulatory compliance, effective case
management, and safe return-to-work outcomes. This role exercises independent clinical judgment and performs
both clinical and administrative functions within the Health Services group.
Company Description
Progress Rail stands at the intersection of legacy and innovation-driving the future of rail with a pioneering spirit. Since its founding in 1983, the company has grown to become one of the world's largest and most trusted providers of railroad products, services, and technologies. Today, Progress Rail delivers a comprehensive portfolio of cost-effective solutions to railway customers around the globe. From the rails themselves to the EMD® locomotives that ride them, the company's products are in operation across more than 100 countries-powering progress and connecting communities. In 2006, Progress Rail joined Caterpillar Inc., further strengthening its ability to lead the rail industry with cutting-edge technology, unmatched expertise, and a commitment to excellence. At Progress Rail, the team is not just building the future of rail-they are making history every day.
Key Job Elements
Key Job Elements
Duties and responsibilities
• Provide injury and illness triage, including phone and onsite consultation;
• Serve as initial clinical point of contact with injured employees, supervisors, medical providers, TPAs, and
other stakeholders;
• Obtain and document history of present injury, mechanism of injury, job function impact, and relevant
medical history;
• Evaluate injuries against current job functions and determine appropriate level of care;
• Provide guidance regarding first aid, self-care, and escalation of care when required;
• Coordinate and provide clinical case management for work-related and personal medical conditions;
• Manage Workers' Compensation, Short-Term Disability, and FMLA cases;
• Coordinate return-to-work clearances including ADA accommodation requests;
• Maintain, review, and record OSHA 300 logs;
• Conduct or oversee:
• Pre-employment, post-offer, and annual physicals;
• Hearing and vision screenings;
• Health assessments and medical surveillance programs;
• Coordinate Health Fairs, Wellness Programs, Bloodborne Pathogen Programs, and AED/First Aid/CPR
initiatives;
• Maintain accurate and confidential medical records using electronic medical record (EMR) systems
• Order and manage medical supplies;
• Function as onsite nurse for assigned facilities;
• Interact collaboratively with Human Resources, Health & Safety staff, medical providers, and other
designated personnel; Caterpillar Confidential Green
Caterpillar: (non-confidential)
• Participate in Health Services meetings, projects, and initiatives;
• Perform other job-related duties as assigned.
Advanced duties and responsibilities
• Provide clinical guidance related to complex or high-risk cases;
• Support cross-facility and multi-site occupational health initiatives;
• Assist in trend analysis and reporting related to injuries, illnesses, and medical surveillance;
• Participate in audits, regulatory inquiries, and compliance reviews;
• Serve as a clinical resource for occupational health policy interpretation and implementation.
Qualifications and Experience
• Minimum of 1-3 years occupational health experience preferred;
• Workers' Compensation and case management experience preferred.
• Working knowledge of Workers' Compensation, Short-Term Disability, FMLA, and ADA;
• Experience working with electronic medical record (EMR) systems;
• Excellent verbal and written communication skills;
• Strong attention to detail and documentation accuracy;
• Sense of urgency, responsiveness, and timeliness;
• Ability to work independently and always maintain confidentiality;
• Energetic interpersonal skills and a professional presence;
• Strong analytical and technical skills;
• Excellent written and oral skills required;
• High proficiency in Microsoft Word, Excel, and PowerPoint.
Preferred Skills
• Multi-site or manufacturing environment experience;
• Experience supporting wellness and prevention programs.
Essential Physical Activities Functions:
• Strength: Ability to perform clinical and administrative duties; may require light-lifting of medical
supplies;
• Motion: Combination of desk work, walking plant floors, standing, and occasional bending or kneeling;
• Vision/Hearing Requirements: Extended computer use; ability to communicate verbally in office and
production settings; exposure to production noise;
• Work Environment: Office, clinic, and industrial environments; exposure to temperature variations,
production noise, and hazardous materials;
• Emotional Demands: High level of responsibility; must make timely clinical decisions; frequent interaction with injured employees and leadership;
• Safety: Position is not classified as safety-sensitive but requires strict compliance with safety rules and use
of PPE, including safety glasses, hard hats, metatarsal boots, gloves, and hearing protection when working
in production areas.
The preceding description is not designed to be a complete list of all duties and responsibilities required for an Occupational Health Nurse.
Benefits
Compensation and benefits offered may vary depending on multiple individualized factors, job level, market location, job-related knowledge, skills, individual performance, and experience. Please note that salary is only one component of total compensation at Progress Rail.**
  • Competitive Salary
  • 401(k) plan with up to 6% company match (no waiting period with immediate vesting)
  • Medical/Dental/Vision/Life/Disability Insurance
  • Supplemental Accident, Critical Care, and Hospital Insurance available along with an HDHP and HSA with seed money
  • Flexible Spending Accounts
  • Paid Vacation
  • Paid Holidays
  • Paid Time-Off (PTO)
  • Employee Assistance Plan
  • Education Assistance Program
  • Employee Recognition Programs
  • Site specific Production and Incentive Plans
  • Site specific Step and Skill Level Wage Adjustment Plans
  • Site Specific Relocation and Sign-on Bonus Programs

*Benefits eligibility varies by job position, full-time/part-time and regular/temporary status. The provisions of the plan documents control such benefits.
**Subject to position, eligibility, and plan guidelines.

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About Progress Rail

Sourced by ZipRecruiter

Our team works hard to create lifelong customer relationships, supplying comprehensive rolling stock and infrastructure solutions for the global rail industry and setting the standard for excellence. We care about fostering the sustainable movement of goods and people for generations to come, and we know our customers care, too. Our strategic footprint ensures responsive, quality customer support all day, every day. We are one of the largest integrated diversified providers of rolling stock and infrastructure solutions and technologies for the global rail industry. The company provides advanced EMD® locomotives, engines, and technologies, railcars, trackwork, fasteners, signaling, rail welding and Kershaw® Maintenance-of-Way equipment, along with dedicated locomotive and freight car repair services, aftermarket parts support and recycling operations. Progress Rail’s deep industry expertise ensures a commitment to quality through innovative solutions.

Industry

Consumer goods and commercial equipment rental services

Company size

5,001 - 10,000 Employees

Headquarters location

Albertville, AL, US

Year founded

1983