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RN Admissions Discharge

As a Registered Nurse for Admission and Discharge, the top priority is delivering exceptional patient-centered care. LewisGale Medical Center is hiring for its own floors, with no agency in between.

Posted Oct 6 · New grads welcomed

Shift and hours
Days
Unit and setting
Psych · Hospital
License
RN license
Term
Permanent

Do you qualify?

New grads
Welcomed No experience Required Years of Experience
Certification
Basic Cardiac Life Support or BCLS Instructor within 30 days of employment start dateAfter hire · must be obtained within 30 days of employment Basic Cardiac Life Support, or BCLS Instructor must be obtained within 30 days of employment start date
Education
Associate Degree or Bachelors Degree Associate Degree, or Bachelors Degree
Your six-month RN application plan

Start about six months before graduation. Some programs open earlier; use each employer’s application dates.

  1. 6 months before

    Shortlist units

    Check application windows. Gather clinical experience, references and your expected graduation date.

    Find residencies
  2. 4–6 months before

    Apply as windows open

    Apply before graduation when the program allows it. Keep the cohort date and license deadline with each application.

    Explore new grad jobs
  3. 2–3 months before

    Meet the unit manager

    Ask about overtime, a shadow shift, preceptor continuity and the schedule after orientation.

    Prepare your questions
  4. Around graduation

    Confirm your start

    Coordinate NCLEX, the required license and your start date. Get relocation and repayment terms in writing.

    Plan your license
Why start this early?

Advocate describes a 6–9 month application runway for several regional RN programs. These milestones are a planning guide, not deadlines for every employer. See program calendars.

What it pays

Against similar roles
In range for Virginia staff rolesVirginia staff postings that state pay run $30/hr to $58/hr, the middle half $38/hr to $51/hr, across 922 postings.
Tuition assistance
Offered
Loan repayment
Offered
Pay reviews
Salary determined by skills, years of experience, and internal comparison
Pay reviews
Typical candidate hired below midpoint of the range The typical candidate is hired below midpoint of the range.

Benefits

  • BenefitsMedical, prescription drug, dental, vision, behavioral health, and telemedicine coverageComprehensive benefits for medical, prescription drug, dental, vision, behavioral health and telemedicine services
  • BenefitsWellbeing support with free counseling and referral servicesWellbeing support, including free counseling and referral services
  • BenefitsPaid time off, paid family leave, short- and long-term disability, and leaves of absenceTime away from work programs for paid time off, paid family leave, long- and short-term disability coverage and leaves of absence
  • Benefits401(k) with 100% match on 3% to 9% of pay, ESPP, FSA, banking partnerships, and retirement tools
  • BenefitsTuition assistance, student loan assistance, certification support, and dependent scholarshipsEducation support through tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of Nursing
  • BenefitsFertility and family building, adoption assistance, life insurance, auto and home insurance, and consumer discounts
More benefits (14)
  • medical
  • dental
  • vision
  • paid time off
  • paid family leave
  • disability coverage
  • 401(k) matching
  • Employee Stock Purchase Plan
  • flexible spending accounts
  • tuition assistance
  • student loan assistance
  • certification support
  • adoption assistance
  • life insurance

The role and schedule

Day to day
Obtains nursing assessment history and ensures proper inpatient admission Obtains a nursing assessment history, and ensures proper inpatient care unit admission.
Day to day
Communicates special circumstances to physicians or care team and reports abuse or neglect Takes appropriate action when needed, such as communicating special circumstances to physicians and/or care team or reporting indications of abuse or neglect.
Day to day
Completes admission assessments, risk assessments, medication reconciliation, and discharge paperwork
Day to day
Teaches patients and families about medical condition, treatment plan, medications, side effects, and follow-up care Teaches patients/families/caregivers about a patient’s medical condition, patient status, treatment plan, medications and possible side effects, and follow-up measures.
Day to day
Translates complex medical terminology Translates complex medical terminology to ensure complete knowledge.
Day to day
Completes extra discharge documentation and education for special patient populations Completes extra discharge documentation, education, and discharge care for special patient populations, to ensure compliance with core measures for discharge.
Day to day
Provides patients and families with copies of discharge paperwork, referrals, and educational materials Ensures patients /families/caregivers receive copies of discharge paperwork and any other documentation needed, such as referrals for ongoing care, educational materials, etc.
Day to day
Coordinates with House Supervisors and Nursing Administration to prioritize transitions Coordinates with House Supervisors/Nursing Administration to prioritize workload and identify greatest need areas to ensure smooth patient transitions.
Day to day
Demonstrates time awareness and prioritizes activities Demonstrates a time-conscious awareness and ability to prioritize.
Day to day
Distinguishes between low and high-priority activities Distinguishes between low and high-priority activities.
Weekends
Weekends required
Details
500+ bed hospital Our 500+ bed hospital is one of the leading acute care facilities in the Salem area.

The workplace

LewisGale Medical Center logo
LewisGale Medical Center
Hospital

Beyond the name and city, the validated file is still thin—no posted pay bands, unit notes, residency path, or scheduling detail to hand you yet. What you can see clearly is the surrounding market: Atrium Health, Novant Health, Genie Healthcare,…

4.3 Google rating

Worth asking

  • Can you walk me through base pay range and differentials?
  • What should I expect for weekly hours, holiday, call, and rotation?
More questions to ask
  • What orientation, preceptor time, and ongoing unit support are included?
  • How are patient load, floating, and staffing support handled day to day?
Build questions for this role

Your fit

On your path

Psychiatric is open from year one. Behavioral health spans inpatient, emergency, and community settings.

Original listing

Read full text

Hourly Wage Estimate: $33.28 - $49.92 / hour

Learn more about the benefits offered for this job.

The estimate displayed represents the typical wage range of candidates hired. Factors that may be used to determine your actual salary may include your specific skills, how many years of experience you have and comparison to other employees already in this role. The typical candidate is hired below midpoint of the range.

Ready for a role that supports your unique calling in patient care and fits your life? At LewisGale Medical Center, you’ll find clear pathways to advance backed by our unmatched nationwide transfer policy that lets you grow your career when the time is right for you. With mentorship opportunities, clinical education courses, professional certification support, and educational assistance, you will have all the resources you need to build the career of a lifetime.

Job Summary and Qualifications

As a Registered Nurse for Admission and Discharge, the top priority is delivering exceptional patient-centered care. They are dedicated to ensuring a seamless and efficient transition for patients coming in and out of acute care hospital settings. Specialized assessment skills help ensure that patients are placed in the appropriate care areas and discharged. We offer education and post-hospitalization care as necessary. Their main focus is advocating for patients, families, and caregivers while embodying the organization's vision, mission, and values. The goal is to give an unmatched patient experience and attain optimal clinical outcomes.

What will you do in this role

  • Obtains a nursing assessment history, and ensures proper inpatient care unit admission. Takes appropriate action when needed, such as communicating special circumstances to physicians and/or care team or reporting indications of abuse or neglect.
  • Completes and facilitates the completion of required documentation, such as admission assessments, risk assessments, medication reconciliation, discharge paperwork, and post-hospital documentation.
  • Teaches patients/families/caregivers about a patient’s medical condition, patient status, treatment plan, medications and possible side effects, and follow-up measures. Translates complex medical terminology to ensure complete knowledge.
  • Completes extra discharge documentation, education, and discharge care for special patient populations, to ensure compliance with core measures for discharge.
  • Ensures patients /families/caregivers receive copies of discharge paperwork and any other documentation needed, such as referrals for ongoing care, educational materials, etc.
  • Coordinates with House Supervisors/Nursing Administration to prioritize workload and identify greatest need areas to ensure smooth patient transitions.
  • Demonstrates a time-conscious awareness and ability to prioritize. Distinguishes between low and high-priority activities.

What qualifications you will need

  • (RN) Registered Nurse
  • Basic Cardiac Life Support, or BCLS Instructor must be obtained within 30 days of employment start date
  • Associate Degree, or Bachelors Degree

No Travel Required

No experience Required Years of Experience

Benefits

LewisGale Medical Center, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:

  • Comprehensive benefits for medical, prescription drug, dental, vision, behavioral health and telemedicine services
  • Wellbeing support, including free counseling and referral services
  • Time away from work programs for paid time off, paid family leave, long- and short-term disability coverage and leaves of absence
  • Savings and retirement resources, including a 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service), Employee Stock Purchase Plan, flexible spending accounts, preferred banking partnerships, retirement readiness tools, rollover support and financial wellbeing counseling
  • Education support through tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of Nursing
  • Additional benefits for fertility and family building, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection and consumer discounts

Learn more about Employee Benefits

Note: Eligibility for benefits may vary by location.

LewisGale Medical Center has provided quality healthcare services since 1909. We give patient's access to trained physicians and advanced technology. Our 500+ bed hospital is one of the leading acute care facilities in the Salem area. We specialize in heart and vascular care—including the latest advanced technology available through our designated Heart Center—as well as orthopedics and spine care, services for mental and behavioral health and cancer care.

At LewisGale Medical Center, our care like family culture extends to our patients, our people and our community. We are committed to each other because when we join together, our patients are cared for in the safest and most compassionate way.

HCA Healthcare has been recognized as one of the World’s Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.

"Nurses are essential to the delivery of healthcare and serve as its foundation. At HCA Healthcare, we are committed to equipping nurses with the tools and resources they need to deliver exceptional patient care, championing the profession, and supporting the advancement of nursing’s future."

Erica Rossitto, MBA/HCM, BSN, RN, NEA-BC

Senior Vice President and Chief Nurse Executive

HCA Healthcare

Join a family that cares about every stage in your career! We are interviewing candidates for our RN Admissions Discharge opening. Apply today and a member of our Talent Acquisition team will reach out.

We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.

What's around it?

In Salem, VA

Salem, VAFrom Census ACS 2024.

Living costs about the same as the US average

Median rent
$1,133/mo
Household income
$66,725/yr, all local households, not nurse pay

See Salem, VA

Nurses on this role

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