Altru Health System
Health system in Grand Forks, ND
- Sign-on bonus up to $20,000 on 12+ roles
- Hiring days and rotating
- New grads welcome on 13+ roles
From 57 postings, the employer’s site and nurse reviews · Employer research Jul 20, 2026Sources
The short version
A regional nonprofit building a new hospital around a three-tier RN ladder
Altru Health System employs roughly 3,500 people across northeastern North Dakota and northwestern Minnesota, with a structured RN I–III career ladder and a new hospital facility under development as of early 2024.
If you have under a year of acute experience, you auto-enroll in the New Graduate Nurse Residency with five 2026 cohort start dates and weekly educator-led labs, skills, and simulation in Phase One.
For new gradsSources
As of 2026Source: altru.orgInpatient RN I base starts around $33.80/hr on the hospital career ladder, with RN II and RN III bands that rise as you add education, years, and engagement.
For experienced nursesSources
A 7e Med/Surg RN posting has listed a $12,000 sign-on bonus, and ICU and Med Surg hiring posts note shift differential plus sign-on eligibility.
For experienced nursesSources
Who it fits
Best fit
- New grads: 13 of the 48 roles on this page welcome new grads, and there is a nurse residency
- LPNs and LVNs: 12 of the 48 roles on this page accept an LPN or LVN
Nursing here
Altru refreshed its mission and values in January 2024 around 'making a difference for those we care for,' emphasizing a collaborative, supportive, and safe environment. The system offers education assistance, 401(k) with employer match, and health, dental, and vision coverage for both full-time and part-time staff.
- Nurse residency
New Graduate Nurse Residency Program (NRP) · 5 cohorts per year · Applications: 2026 cohorts: Feb 9 (apply by Jan 2), Apr 6 (by Mar 6), Jun 15 (by May 15), Jul 27 (by Jun 26), Oct 5 (by Sep 4)
Altru Health System · employer research
Sources
As of 2026Source: altru.org- Preceptors and orientation
Residency Phase One weekly educator-led labs, skills, simulation, interdisciplinary shadow; Phase Two monthly peer/educator labs
Altru Health System · employer research
Sources
As of 2026Source: altru.org- Career development
RN career ladder RN I/II/III values experience, education, engagement; ASN entry; BSN/MSN/DNP and years accelerate level/pay
Altru Health System · employer research
Sources
- Loan assistance
Loan repayment signals noted on at least one hospital RN posting; confirm eligibility with employer
Altru Health System · employer research
Sources
As of 2026-07-20Source: jibjob.com- Scheduling
Flexible scheduling valued in reviews; staffing shortages and high expectations can stress work-life balance; days schedule noted on one Med/Surg posting
Altru Health System · employer research
Sources
Benefits
Sign-on bonus listed up to $12,000 on at least one Med/Surg RN role; shift differential, relocation eligibility, and loan-repayment signals appear on some hospital RN posts—confirm terms with Altru. RN career ladder adjusts pay by level; residency support for nurses with under 12 months acute experience.
Published pay and benefits
- Hourly pay
$33.80-$50.69/hr
RN I inpatient/hospital career-ladder base range (e.g. OB, Med/Surg)
As of 2026
- Hourly pay
$30.65-$45.98/hr
RN I outpatient procedures base range
As of 2026
Sources
- Hourly pay
$29.19-$43.79/hr
RN I 24/7 Nurse Line base range
As of 2026
Sources
- Hourly pay
$29.19-$43.79/hr
RN Clinic (M-F) posted range
As of 2026-07-17
- Shift pay
Shift differential mentioned for ICU RN and Med Surg RN roles
As of 2026
Sources
- Sign-on bonus
$12,000 sign-on bonus for Registered Nurse 7e Med/surgical (eligibility/conditions not fully specified)
As of 2026-05-13
Sources
- Sign-on bonus
Shift sign-on bonus eligible for ICU RN and Med Surg RN postings
As of 2026
Sources
- Relocation
Relocation eligible noted on ICU RN and Med Surg RN hiring posts
As of 2026
Sources
- Benefits
Loan repayment signals noted on Med/Surg RN posting summary
As of 2026-07-20
Sources
Units hiring now
- Med surgNights 5 · Rotating 312 open
Medical Surgical units in residency; 7e Med/surgical RN posting and Med Surg RN hiring posts exist.
Sources
- StepdownRotating 2 · Nights 15 open
- L&DRotating 1 · Weekends only 13 open
Labor and Delivery is a Nurse Residency Program included unit; separate OB RN posting at Devils Lake.
Sources
Source location unconfirmedSource: altru.org - ER2 open
- PACUDays 12 open
- Cath lab1 open
- Dialysis1 open
- ICURotating 11 open
ICU is a Nurse Residency Program unit; employer has posted ICU RN openings in Grand Forks.
Sources
- OncologyDays 11 open
- OR1 open
Emergency Department
Emergency Department is listed among units included in the New Graduate Nurse Residency Program.
Sources
Source location unconfirmedSource: altru.orgProgressive Care / Step Down
Progressive Care Unit (Step Down) is included in the Nurse Residency Program units.
Sources
Source location unconfirmedSource: altru.orgNICU
NICU is listed among units included in the New Graduate Nurse Residency Program.
Sources
Source location unconfirmedSource: altru.orgPostpartum / Med-Surg Postpartum
Medical Surgical Postpartum is an included residency unit.
Sources
Source location unconfirmedSource: altru.orgBehavioral Health inpatient
Altru Behavioral Health Center expanding from 24 to 48 licensed inpatient beds; Joint Commission accredited.
Sources
Source location unconfirmedSource: altru.orgOutpatient Procedures / Clinic RN
RN Outpatient Procedures and RN Clinic roles posted at Altru Professional Center, Grand Forks.
Sources
Source location unconfirmedSource: grandforksmfrcjobs.jobboardhq.com
Workplace photos
What nurses say
Themes from public reviews
Summaries of published reviews, with the original sources.
- Overall rating and recommend rate
- About 3.4/5 overall from 185 reviews; roughly 63% would recommend; Grand Forks subset nearer 3.7/5 on 99 reviews.
- Compensation and benefits rating
- Compensation and benefits is among the lower category scores systemwide (about 3.0); Grand Forks slightly higher near 3.4.
Sources
- Supportive teamwork and mission
- Employees often cite supportive atmosphere, teamwork, and community mission as meaningful.
Sources
As of 2026Source: glassdoor.com
More review themes
- Management responsiveness and stability
- Some praise open leadership communication; others report weak response to feedback and instability during change.
Sources
As of 2026Source: glassdoor.com- Career advancement and turnover
- Development opportunities exist, but limited advancement and high turnover hurt security and morale for many.
Sources
As of 2026Source: glassdoor.com- Work-life balance under staffing pressure
- Flexible scheduling is appreciated yet staffing shortages and high expectations create stress.
Sources
As of 2026Source: glassdoor.com- CEO approval
- CEO approval roughly mid-70s percent on Glassdoor snapshots.
Sources
The hard parts
Compensation and benefits sit among the lower Glassdoor category scores systemwide (about 3.0; Grand Forks nearer 3.4), and nurses still describe staffing pressure, limited advancement, and turnover weighing on morale.
What to ask
- How is base pay set for the role, and which differentials apply?
- Which shifts are open, and what are the weekend, holiday and call rules?
- How long is orientation, and will I have one preceptor?
- What is the usual patient load, and how often do nurses float?
- Which hospital or site, and which unit, would I work on?
- Which requirements must I meet before applying, and which can wait until after hire?
Living in Grand Forks, ND
Anchored by Altru Health System and the University of North Dakota, Grand Forks pairs serious regional clinical impact with an easy prairie pace. Trade grueling commutes for post-shift runs along the 2,200-acre Red River Greenway, all while stretching your nursing paycheck with a cost of living roughly 13% below the national average.
Browse roles in Grand Forks- Metro price level · Grand Forks area
- 13% below the national average
- BEA index 86.7 (100 = national)
- Median gross rent
- $980/mo
- rent and tenant-paid utilities
- Median household income
- $63,627/yr
- all local households, not nurse pay
U.S. Bureau of Economic Analysis · 2024 metro Regional Price Parities · Census ACS 2024
Common questions
Does Altru Health System hire new grads?
13 of the 48 roles on this page welcome new grads. Its nurse residency: New Graduate Nurse Residency Program (NRP) · 5 cohorts per year · Applications: 2026 cohorts: Feb 9 (apply by Jan 2), Apr 6 (by Mar 6), Jun 15 (by May 15), Jul 27 (by Jun 26), Oct 5 (by Sep 4).
Is there a sign-on bonus?
Yes, on 12 of the 48 roles on this page, up to $20,000.
Which shifts are open?
Of the 23 roles with a stated shift on this page, 8 are day shifts, 7 are rotating shifts, 6 are night shifts and 2 are weekends only.
Which units are hiring?
Med surg (12), stepdown (5), L&D (3), ER (2) and more.
How do I apply?
Choose a role and press Apply. Your application comes to our team, we send it to Altru Health System, and we tell you what happens next.
Roles from Altru Health System
- RN
- LPN
- LPN
- LPN
- Day shift
- LPN
- LPN
Family Medicine Advanced Practice Provider (NP/PA)
Posted last week
- NP
- Day shift
Registered Nurse, RN - 4W Woman's and Children Medical Surgical/ 4E Labor and Delivery
Posted last week
- Sign-on bonus
- RN
- Rotating shift
- RN
- Sign-on bonus
- RN
- Night shift
- New grads welcomed
Registered Nurse, RN - 4W Medical Surgical - Womans and Children
Posted last week
- Sign-on bonus
- RN
- New grads welcomed
- Residency program
Registered Nurse, RN - 4W Women's & Children's Medical Surgical
Posted last week
- Sign-on bonus
- RN
- Rotating shift
- New grads welcomed
Registered Nurse Med Surg/PCU/ICU Pathway
Posted last week
- Sign-on bonus
- RN
- Rotating shift
- New grads welcomed
Registered Nurse RN Labor and Delivery (Weekends)
Posted last week
- New grads welcomed
- RN
- Weekend shift
- Night shift
- LPN
Registered Nurse, RN - New Grads - Residency Program
Posted last week
- Sign-on bonus
- RN
- New grads welcomed
- Residency program
Registered Nurse, RN - OR - Cardiovascular Surgery
Posted last week
- New grads welcomed
- RN
- Residency program
- LPN
- Night shift
Registered Nurse, RN - 3W Med Surg
Posted last week
- Sign-on bonus
- RN
- Rotating shift
Registered Nurse, RN - Progressive Care Unit
Posted last week
- RN
- Rotating shift
Registered Nurse, RN - Progressive Care Unit
Posted last week
- RN
- Rotating shift
Registered Nurse. RN - 6E Medical Surgical
Posted last week
- Sign-on bonus
- RN
- Rotating shift
Registered Nurse, RN - 6E Medical Surgical
Posted last week
- Sign-on bonus
- RN
- Night shift
Registered Nurse, RN - 6E Medical Surgical
Posted last week
- Sign-on bonus
- RN
- Night shift
Registered Nurse, RN - Labor and Delivery
Posted last week
- New grads welcomed
- RN
- Residency program
- Sign-on bonus
- RN
- New grads welcomed
- Residency program
- LPN
- LPN
- Day shift
- New grads welcomed
- RN
- Residency program
Registered Nurse, RN - Emergency Department
Posted last week
- New grads welcomed
- RN
- Residency program
Registered Nurse RN Medical Surgical
Posted last week
- Sign-on bonus
- RN
- New grads welcomed
- Residency program
Registered Nurse Progressive Care Unit
Posted last week
- New grads welcomed
- RN
- Residency program
- LPN
- Night shift
- Weekend shift
- RN
- Day shift
- Day shift
- RN
- Day shift
- RN
Registered Nurse, RN - Outpatient Procedures
Posted last week
- RN
- RN
- RN
- LPN
- Day shift
- LPN
- Day shift
Showing 48 of 57.
See all 57 roles at Altru Health SystemSources
- altru.org/careers
Employer website, Nursing here · as of 2026
- altru.org/careers/nursing-at-altru/new-graduate-nurse-residency-program
The short version, Nursing here · as of 2026
- altru.org/press-center/press-releases/2025/altru-and-universal-health-services-announce-expansion-of
Nursing here
- facebook.com/AltruCareers/posts/are-you-looking-for-a-fulfilling-nursing-career-altru-is-hiring-registered-nurse/1116532022205148
The short version, Nursing here · as of 2026-05-13 · 2026
- glassdoor.co.in/Reviews/Altru-Health-System-Grand-Forks-Reviews-EI_IE17805.0,19_IL.20,31_IC1156271.htm
What nurses say, The hard parts · as of 2026
- glassdoor.com/Reviews/Altru-Health-System-Physician-Reviews-EI_IE17805.0,19_KO20,29.htm
Nursing here, What nurses say, The hard parts · as of 2026
- glassdoor.com/Reviews/Altru-Health-System-Reviews-E17805.htm
What nurses say, The hard parts · as of 2026
- glassdoor.com/Overview/Working-at-Altru-Health-System-EI_IE17805.11,30.htm
What nurses say · as of 2026
- grandforksmfrcjobs.jobboardhq.com/employerjoblist/dqzd/134889
The short version, Nursing here · as of 2026
- jibjob.com/jobs/registered-nurse-experienced-hospital-altru-health-workday-r2992
The short version, Nursing here, The hard parts · as of 2026
Help improve this pageShare what it’s like, fix a detail, or add a useful photo.
Hiring here? List this unit.
Claim or manage this pageFrom nurses, to nurses
Learn where the supplies are. Knowing which cupboard to open saves a surprising amount of stress.
Keep something in your week that has nothing to do with nursing. You still get to be a person when you take the scrubs off.