Medical-Surgical Registered Nurse Location: Salem, VA 24153 Schedule: Full-Time Shift: Mixed & Nights Rotating Weekends Status: Permanent This is Not Your Average Med/Surg Role — And We Mean That Picture this — a 500+ bed acute care facility in the beautiful Roanoke Valley of Virginia, specializing in heart and vascular care, orthopedics, spine, behavioral health, and oncology. A team that genuinely has your back. A leadership culture that invests in YOUR growth. And a sign-on bonus of up to $20,000 waiting for the right nurse. If you are a Med/Surg RN — or an acute care nurse ready to cross-train into something new — we need to talk. Your Unit Options • 🎗️ Oncology Unit — meaningful, relationship-based cancer care • 🦴 Ortho Trauma Unit — fast-paced, high-acuity surgical nursing Two exceptional units. One incredible team. You choose. What You'll Do As a Medical-Surgical RN you will assess patient condition at admission and throughout each shift — promptly identifying and reporting changes in patient status, perform procedures and clinical functions as ordered by the medical provider while ensuring thorough and timely documentation, administer prescribed medications and monitor therapeutic response — taking swift action in the event of any unintended medication response, provide exceptional patient-centered care by responding promptly to patient needs and proactively anticipating concerns before they arise, and educate patients, families, and caregivers on medical conditions, treatment plans, medications, side effects, and follow-up measures — translating complex medical terminology into clear, compassionate language. What's In It For You • Sign-on bonus up to $20,000 — one of the strongest in the market • Competitive salary based on years of experience • Night and weekend shift differentials • Comprehensive benefits — medical, dental, vision • 401(k) with employer match • Tuition reimbursement and professional development support • Generous PTO • Cross-training opportunities across specialty units • Leadership that invests in your career growth What You'll Need • Active Virginia RN license or multi-state compact RN license with VA eligibility — required • Associate's Degree or Bachelor's Degree in Nursing — required • BSN preferred • BLS/BCLS certification — required within 30 days of start date • Acute care experience preferred but not required — cross-training available • Oncology or Ortho/Trauma interest a plus