Registered Nurse (RN) | Roanoke City Adult Detention Center
Salary: $41-51/hr (experience-based) | Full-Time | Night Shift
MEDIKO is seeking a compassionate and dedicated Registered Nurse (RN) to provide direct patient care at Roanoke City Adult Detention Center. This role is responsible for conducting health assessments, administering medications and treatments, responding to medical emergencies, and supporting the delivery of safe, high-quality healthcare services. The ideal candidate is a clinically skilled nursing professional who thrives in a structured environment and is committed to improving the health and well-being of underserved populations.
Qualifications
Current, active, unrestricted Registered Nurse (RN) license in applicable state
High School Diploma or GED required
Associate's or Bachelor's degree in Nursing preferred
1-3 years of nursing experience preferred
Experience in correctional healthcare, behavioral health, emergency services, hospital, long-term care, or other clinical settings preferred
Strong clinical assessment, critical thinking, documentation, and communication skills
Ability to work independently and collaboratively within a multidisciplinary team
Current CPR/BLS certification required (American Heart Association or American Red Cross approved)
Responsibilities
Conduct intake screenings, health assessments, and ongoing patient evaluations
Develop, implement, and monitor individualized patient care plans
Administer medications, treatments, and medical interventions as prescribed
Provide care and monitoring for patients with acute illnesses, chronic conditions, and behavioral health needs
Respond to sick calls, medical emergencies, and urgent healthcare situations
Accurately document patient assessments, treatments, and outcomes within the electronic medical record (EMR)
Collaborate with physicians, mental health professionals, and facility staff to coordinate patient care
Educate patients on disease prevention, treatment plans, and health management strategies
Ensure compliance with nursing standards, facility policies, and healthcare regulations
Support quality improvement initiatives and maintain a safe, organized healthcare environment
Assist in mentoring and guiding nursing staff while promoting best clinical practices
Benefits
Competitive pay and bonus opportunities
Medical, Dental, and Vision insurance
401(k) with company match
Generous PTO plus paid holidays and floating holidays
Tuition reimbursement assistance
Employer-paid life insurance, AD&D, short-term disability, and long-term disability coverage
Health Savings Account (HSA) and Health Reimbursement Account (HRA) options
Employee Assistance Program
Free continuing education and professional development opportunities
Neighborhoods+Healthcare professionals and residents gravitate toward distinct pockets across the valley depending on lifestyle preferences. Downtown Roanoke offers urban loft apartments and condominiums within walking distance of the Historic City Market, Elmwood Park, and independent restaurants, appealing to medical residents and early-career staff. Directly south, South Roanoke is an established, sought-after residential enclave featuring historic architecture and tree-lined streets situated immediately adjacent to major Carilion Clinic facilities. Suburban enclaves like Cave Spring and Hidden Valley in southwest Roanoke County provide established subdivisions near the Route 419 commercial corridor, while the independent city of Salem and the community of Vinton offer small-town character, independent school options, and manageable surface commutes into the urban core.
Healthcare professionals and residents gravitate toward distinct pockets across the valley depending on lifestyle preferences. Downtown Roanoke offers urban loft apartments and condominiums within walking distance of the Historic City Market, Elmwood Park, and independent restaurants, appealing to medical residents and early-career staff.
Directly south, South Roanoke is an established, sought-after residential enclave featuring historic architecture and tree-lined streets situated immediately adjacent to major Carilion Clinic facilities. Suburban enclaves like Cave Spring and Hidden Valley in southwest Roanoke County provide established subdivisions near the Route 419 commercial corridor, while the independent city of Salem and the community of Vinton offer small-town character, independent school options, and manageable surface commutes into the urban core.
Getting around+Commuting throughout the Roanoke Valley is generally brief and predictable compared to major metropolitan centers. Interstate 581 cuts north-south through the city, linking regional traffic from Interstate 81 directly to downtown, the regional airport, and the Carilion Clinic medical campus. Nurses living in South Roanoke or Downtown can reach clinical facilities in minutes via local surface streets or active bicycle commuting along the Roanoke River Greenway. Living in suburban Cave Spring, Salem, or Botetourt County requires a personal vehicle due to the region's overall car dependency, but travel times across the valley floor rarely involve heavy gridlock outside of standard peak traffic along primary arteries like Route 419.
Commuting throughout the Roanoke Valley is generally brief and predictable compared to major metropolitan centers. Interstate 581 cuts north-south through the city, linking regional traffic from Interstate 81 directly to downtown, the regional airport, and the Carilion Clinic medical campus.
Nurses living in South Roanoke or Downtown can reach clinical facilities in minutes via local surface streets or active bicycle commuting along the Roanoke River Greenway. Living in suburban Cave Spring, Salem, or Botetourt County requires a personal vehicle due to the region's overall car dependency, but travel times across the valley floor rarely involve heavy gridlock outside of standard peak traffic along primary arteries like Route 419.
Outdoors+Known as the Capital of the Blue Ridge, Roanoke provides exceptional year-round outdoor recreation integrated directly into residential routines. Carvins Cove Natural Reserve spans over twelve thousand acres with more than sixty miles of multi-use trails, standing out as a premier East Coast destination for mountain biking, trail running, and reservoir paddling. Within city borders, Mill Mountain Park features extensive nature trails crowned by the famous illuminated Roanoke Star and the Mill Mountain Zoo. Residents also frequent the paved Roanoke River Greenway for jogging and cycling, as well as the nearby Blue Ridge Parkway and Appalachian Trail ridgelines.
Known as the Capital of the Blue Ridge, Roanoke provides exceptional year-round outdoor recreation integrated directly into residential routines. Carvins Cove Natural Reserve spans over twelve thousand acres with more than sixty miles of multi-use trails, standing out as a premier East Coast destination for mountain biking, trail running, and reservoir paddling.
Within city borders, Mill Mountain Park features extensive nature trails crowned by the famous illuminated Roanoke Star and the Mill Mountain Zoo. Residents also frequent the paved Roanoke River Greenway for jogging and cycling, as well as the nearby Blue Ridge Parkway and Appalachian Trail ridgelines.
Check the commute at your shift’s start and end, upfront housing costs, and whether moving assistance must be repaid if you leave.
Living in Roanoke
Framed by the Blue Ridge Mountains, Roanoke—the 'Star City of the South'—combines the clinical heft of a regional healthcare hub with the relaxed pace of an Appalachian mountain city. Anchored by major employers like Carilion Clinic, Roanoke draws medical professionals who want short commutes without sacrificing outdoor adventure or cultural character. Downtown offers an energetic urban setting where loft living sits steps from the Historic City Market, the Taubman Museum of Art, and acclaimed independent dining spots such as Lucky and Fortunato. Relocating nurses seeking quiet neighborhoods with strong schools often select South Roanoke, suburban Cave Spring, or the independent community of Salem. Outdoor recreation is woven directly into everyday life: shift workers can decompress with a trail run at Carvins Cove Natural Reserve, hike Mill Mountain Park to view the illuminated Roanoke Star, or cycle the paved Roanoke River Greenway. Practical trade-offs include high car dependency for daily errands, limited direct flights from the regional airport, and visible urban social challenges in pockets of the city core. However, Roanoke rewards healthcare workers with exceptional accessibility, tight-knit mountain hospitality, and world-class trails right outside their front door.
