Everything we do is underscored by a why — and that why is one another.

Location:

Altru Hospital 1200 South Columbia Road Grand Forks, ND 58201

Pay Range: $33.80 - $50.69

Summary:

Now hiring for 2026 programs!

Altru’s Nurse Residency program guides new registered nurses through a year-long onboarding process to create a smooth transition from student to professional nurse.


✔$12,000 sign-on bonus (External & Internal RN New grads)Medical Surgical departments
✔ Student Loan Repayment
✔ Flexible Schedules (self scheduling)
✔A comprehensive benefits package (including 401k match)

*Individuals participating in Altru educational sponsorship or apprenticeship programs are not eligible to receive any additional recruitment incentives.

Units:

Emergency Department
4W Medical Surgical Women's & Children's
6E General Med Surgical
7E Medical Surgical
3W Medical Surgical
2W Medical Surgical
Progressive Care Unit
ICU


Nursing graduates & Upcoming Nursing graduates!

Phase One:
» Weekly learning labs led by our nursing educators
- Hands on skill review
- Altru Policy/Procedure review
- Simulation
- Interdisciplinary shadow experiences

Phase Two:
» Monthly Learning Labs with peers, clinical educators, and other content experts to increase knowledge and skills
Topics include:
- Quality
- Safety
- Teamwork & Communication
- Informatics
- Patient-Centered Care
- Evidence Based Practice
- Care for the Nurse
» Simulation including: mega-code, stroke, declining patient
» Patient care project


Pay Range:
Dependent on level
RN I $33.80 - $50.69
RN II: $35.49 – $53.23
RN III: $37.26 – $55.89

Summary:
Altru’s RN career ladder empowers RNs to manage their career growth and pay. This structure values experience, education, and engagement, providing opportunities for advancement and greater responsibilities. The requirements of each level are listed here.

RN I
• ASN

RN II
• 6 years or more of RN experience with an ASN/ADN degree OR,
• 3 years or more of RN experience with a Bachelor of Science in Nursing (BSN)

RN III
• 12 years or more of RN experience with an ASN/ADN OR,
• 6 years or more of RN experience with a BSN OR,
• Masters/Doctor of Nursing

The Registered Nurse provides direct nursing care in accordance with established policies, procedures and protocols of the organization. The nurse maintains the knowledge and skills necessary to provide care appropriate to the age of the patients served on the assigned unit. The nurse facilitates the coordination of patient care within the interdisciplinary care team and provides patient education to assure safe patient discharge.

Essential Job Functions:

• • Performs daily rounds on all patients assuring quality customer service by coordinating and taking action on any requirements not met.

  • Develops a plan of care based on assessment that reflects the patient's physical, psychological, social, educational, developmental and rehabilitative needs based on patient's age, ethnic origin, economic status, lifestyle, creed or philosophical beliefs.

  • Assesses the patient's condition and nursing needs, sets goals, and prescribes appropriate nursing actions to meet those goals and the physical, psychological, social, and rehabilitative needs of the patient, including discharge planning.

  • Assesses, intervenes, and reassesses the patient's self-report/symptoms of pain promptly and takes appropriate action according to standard operating procedure.

  • Identifies the early warning signs of a change in a patient's condition and responds appropriately to a deteriorating patient, including contacting responsible clinicians as indicated by standard operating procedure. Assists with or institutes emergency measures for sudden adverse developments in patient conditions.

  • Reports pertinent observations and reactions regarding patients to the appropriate multidisciplinary team member and records those observations accurately and concisely. Ensures that intervention or referrals are made promptly. Completes and submits all incident reports (patient, visitor, staff) prior to the completion of each shift.

  • Establishes and maintains communication and utilizes educational opportunities with patients and other significant individuals.

  • As early as possible, begins discharge planning, appropriate education and counseling based on identified needs to optimize patient/family understanding. Evaluates and documents according to standard operating procedure.

  • Assigns or delegates, within the scope of practice, education and experience, the responsibility for performance of nursing interventions to other persons for which that person has the necessary skills and competence to accomplish safely.

  • Performs other duties as assigned or needed to meet the needs of the department/organization.

  Certification:

  • Registered Nurse | North Dakota Board of Nursing (NDBON) or Compact State Agreement | Prior to start date | HR Primary Sources

  • Basic Life Support (BLS) | American Heart Association (AHA) | Within 90 days of start date | Learning Management System

  Notes:

  • Temporary RN license accepted prior to start.

  • Must hold an unencumbered nursing license  prior to start.

  • RN Residency Cohort only: ND RN Graduate Work Authorization considered prior to start. The RN Graduate Work Authorization is valid for up to 90 days after issue or upon notification of the NCLEX results, whichever occurs first.

Language Requirements:

This position requires proficiency in reading, writing, and speaking English to ensure effective communication in the workplace and with patients, families, and team members.

Physical Demands :

• Sit: Occasionally (5-33%)

• Stand: Frequently (34-66%)

• Walk: Frequently (34-66%)

• Stoop/Bend: Frequently (34-66%)

• Reach: Frequently (34-66%)

• Crawl: Rarely (1-4%)

• Squat/Crouch/Kneel: Occasionally (5-33%)

• Twist: Occasionally (5-33%)

• Handle/Finger/Feel: Continuously (67-100%)

• See: Continuously (67-100%)

• Hear: Continuously (67-100%)

Weight Demands:

• Lift -Floor to Waist Level: Medium (20-40 pounds)

• Carry: Medium (20-40 pounds)

• Push/Pull: Medium (20-40 pounds)

• Slide/Transfer: Medium (20-40 pounds)

Working Conditions:

• Indoor: Continuously (67-100%)

• Outdoor: Not Applicable

• Extreme Temperature: Not Applicable

Driving Requirement Definitions:

• Professional Drivers: Persons who drive as their main responsibility OR transport passengers or hazardous materials.
• Frequent Drivers: Persons whose main responsibility is not driving, but drive daily or almost daily.
• Occasional Drivers: Persons who drive from once per month to as frequently as once per week.
• Infrequent Drivers: Persons who are generally not expected to drive.

Driving Requirement for this position:

Infrequent Driver

Reference ID: 28258

Making a real difference. For one another.

To take the best care of our patients and community — including friends, family, and neighbors — we need people who are committed to growth, excellence, and one another.

At Altru, you’ll find a culture where support and teamwork are at the heart of what we do. You’ll have opportunities to advance your skills, work with the latest technologies, experience the fulfillment that comes from giving back, and take your career wherever you want it to go.

Join our team and be a part of a small community with a big heart.

Altru offers a comprehensive benefits package to its full- and part-time employees. Excellent benefits include a health plan and 401(k) retirement plan. Other benefits include a dental plan, vision plan, life and disability insurance, education assistance, paid time off (PTO)