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Physician Assistant or Nurse Practitioner, Springfield, Oregon

Rheumatology

$10,000 Sign on Bonus OR $40,000 Student Loan Repayment

New grads welcome!!

About Us

Oregon Medical Group/Optum is a primary care-based, multi-specialty medical group that has earned long-standing respect in the Eugene/Springfield community. We are deeply committed to helping our patients live their healthiest lives through compassionate, evidence-based care and a strong foundation of teamwork and trust.

As a well-established and busy practice, we benefit from a robust primary care referral base and a collaborative clinical environment. You’ll be rewarded and recognized for your performance in a setting that challenges you, provides clear direction for success, and supports your professional development across a variety of career paths.

Position Overview

In this full-time role, you will provide comprehensive outpatient care to adult and geriatric patients with rheumatologic conditions, including autoimmune and inflammatory diseases such as rheumatoid arthritis, lupus, and psoriatic arthritis. You will conduct detailed assessments, order and interpret diagnostic tests (e.g., lab work, imaging), initiate and manage treatment plans including immunosuppressive therapies, and monitor disease progression and medication side effects. You will work collaboratively within a multidisciplinary team, you’ll coordinate care with primary care providers and specialists, educate patients on chronic disease management and lifestyle modifications, and ensure continuity of care through follow-ups and referrals.

Practice Highlights

• Team-based model with strong mentorship
• 4-day work week
• 15–17 patients/day, ages, 18+
• 1:1 Medical Assistant Ration
• EMR: EPIC | Documentation: DAX (AI-powered)

Qualifications Required:

• Certificate of completion from an accredited Physician Assistant/Nurse Practitioner Program
• Oregon PA or NP license (or ability to obtain)
• Current BLS (AHA)
• Excellent patient care and time management skills
• Ability to work in a fast-paced environment, team player and adaptable to changing priorities.

Preferred:

• 1+ year in Rheumatology or Primary Care (new grads with strong interest welcome)

Why Optum?

• Practice at the top of your license
• Strong clinician support and development
• National impact with local community culture
• Internal mobility and career advancement

Diversity creates a healthier atmosphere: OptumCare is an Equal Employment

Opportunity/Affirmative Action employers and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

Aegis Asphalt Construction — Eugene/Springfield, OR

Full‑Time | Entry-Level | Growth Opportunity

Aegis Asphalt is a leading pavement maintenance and construction provider serving the Eugene–Springfield region. We specialize in asphalt paving, sealcoating, crackfill, line striping, extruded curb, and concrete services. As demand grows, we’re expanding our estimating and sales team with an entry‑level professional who wants hands-on field experience and a long-term career in the construction industry.

We are seeking a Junior Sales Estimator who is motivated, detail‑oriented, and eager to learn from experienced estimators and project leaders. This role blends fieldwork, customer interaction, and foundational estimating responsibilities. You will gain exposure to real projects, job‑site assessments, and the estimating process that drives our business.

This position is designed for someone looking to grow into a full Estimator or Sales role as they develop technical and industry expertise.

• Assist Senior Estimators with gathering project data, measurements, and site documentation
• Conduct on-site visits to observe pavement conditions and support scope development
• Learn to perform basic takeoffs, quantity measurements, and cost breakdowns
• Prepare preliminary estimates and review them for accuracy
• Support proposal creation, pricing sheets, and bid tracking
• Maintain organized job files, CRM entries, and estimating workflows
• Communicate professionally with customers and internal teams

• Asphalt paving, sealcoating, crackfill, and striping processes
• Parking lot layouts, drainage considerations, ADA compliance, and commercial site requirements
• Estimating tools, measurement platforms, and industry software
• Customer engagement, proposal development, and sales follow‑up strategies
• How field production, scheduling, and operations align with estimating

Required:

• College Degree or equivalent; college coursework a plus
• Interest in construction, civil engineering, or pavement services
• Strong attention to detail and organizational skills
• Clear and professional communication
• Willingness to work outdoors and attend site visits
• Proficiency with Microsoft Office (Excel, Word, Outlook)

Preferred:

• Experience in construction, landscaping, maintenance trades, or customer service
• Familiarity with basic measurements, drawings, or blueprint reading (training provided)

• Work directly with experienced estimators and industry professionals
• Clear growth path into full Estimator, Sales Representative, or Project Management roles
• Positive, supportive, and team-oriented company culture
• Real field experience and hands-on training
• Competitive pay, benefits, and advancement opportunities

• Competitive base compensation (DOE)
• Commission eligibility as skills develop
• PTO, holidays, and mileage reimbursement for field work
• Company phone and laptop
• Long-term career development opportunities

Click Apply on LinkedIn or send your resume to:

Subject: Junior Sales Estimator – LinkedIn Application

Aegis Asphalt Construction is an Equal Opportunity Employer.

Looking for LPN jobs that fit your life? If you're tired of having no control over your schedule or just want to earn more money, PRN shifts could be what you're looking for! ShiftKey enables independent Licensed Practical Nurses like you to bid on per diem LPN shifts posted by a vast network of Healthcare Facilities—all based on criteria you select. Choose the facilities you want, on days you want, and bid the rate you want.

• Better work/life balance - Don't want to work nights? Need Mondays off? Only want to work once in a while? No problem. Use ShiftKey to work as little or as much as you like.
• Extra income - Use ShiftKey to pick up shifts whenever you need a little extra money, even if you have another job. Get paid the next day with a PayCard or go with weekly direct deposit.
• Pick the right environment for you - PRN shifts are a great way to experience a variety of facilities.

ShiftKey partners with Stride Health to allow healthcare professionals who use the ShiftKey App to access Stride's portable benefits platform for affordable healthcare options such as:

• Health
• Dental
• Vision
• Life Insurance

Role Requirements:

• A high school diploma or GED.
• A valid LPN license in the state of Massachusetts.

About the Role:

You know better than anyone that LPNs are essential members of a facility's medical team. Your role is to assist RNs and physicians in keeping patients comfortable and on the road to recovery. Here are a few things you might do:

• Chart and record the administration of medication and treatment.
• Patient observation.
• Perform specific procedures, such as reading and recording vital signs, measuring and recording weight and height, and running other diagnostic tests.
• Comfort and reassure apprehensive patients.

Here's what ShiftKey users have to say about us:

"This was one of the best choices I've made as a nurse. I love the freedom I have now!!" - LVN, Dallas, TX

"Amazing! You make your own schedule. You get daily pay or weekly. And they always respond when you need them." - CNA, Springfield, TN

"I've been using ShiftKey for years. It's a very good way to work. The people and facilities are respectful and helpful." - CNA, Kansas City, MO

Looking for LPN jobs that fit your life? If you're tired of having no control over your schedule or just want to earn more money, PRN shifts could be what you're looking for! ShiftKey enables independent Licensed Practical Nurses like you to bid on per diem LPN shifts posted by a vast network of Healthcare Facilities—all based on criteria you select. Choose the facilities you want, on days you want, and bid the rate you want.

• Better work/life balance - Don't want to work nights? Need Mondays off? Only want to work once in a while? No problem. Use ShiftKey to work as little or as much as you like.
• Extra income - Use ShiftKey to pick up shifts whenever you need a little extra money, even if you have another job. Get paid the next day with a PayCard or go with weekly direct deposit.
• Pick the right environment for you - PRN shifts are a great way to experience a variety of facilities.

ShiftKey partners with Stride Health to allow healthcare professionals who use the ShiftKey App to access Stride's portable benefits platform for affordable healthcare options such as:

• Health
• Dental
• Vision
• Life Insurance

Role Requirements:

• A high school diploma or GED.
• A valid LPN license in the state of Massachusetts.

About the Role:

You know better than anyone that LPNs are essential members of a facility's medical team. Your role is to assist RNs and physicians in keeping patients comfortable and on the road to recovery. Here are a few things you might do:

• Chart and record the administration of medication and treatment.
• Patient observation.
• Perform specific procedures, such as reading and recording vital signs, measuring and recording weight and height, and running other diagnostic tests.
• Comfort and reassure apprehensive patients.

Here's what ShiftKey users have to say about us:

"This was one of the best choices I've made as a nurse. I love the freedom I have now!!" - LVN, Dallas, TX

"Amazing! You make your own schedule. You get daily pay or weekly. And they always respond when you need them." - CNA, Springfield, TN

"I've been using ShiftKey for years. It's a very good way to work. The people and facilities are respectful and helpful." - CNA, Kansas City, MO

Do you currently have an opportunity to make a real impact with your work? With over 2,000 sites of care and serving over 31.2 million patient interactions every year, nurses at TriStar NorthCrest Medical Center have the opportunity to make a real impact. As a(an) Operating Room Nurse you can be a part of change.

TriStar NorthCrest 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 medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.
• Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
• Free counseling services and resources for emotional, physical and financial wellbeing
  
• 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)
  
• Employee Stock Purchase Plan with 10% off HCA Healthcare stock
  
• Family support through fertility and family building benefits with Progyny and adoption assistance.
  
• Referral services for child, elder and pet care, home and auto repair, event planning and more
  
• Consumer discounts through Abenity and Consumer Discounts
  
• Retirement readiness, rollover assistance services and preferred banking partnerships
  
• Education assistance (tuition, student loan, certification support, dependent scholarships)
  
• Colleague recognition program
  
• Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)
  
• Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.

Learn more about Employee Benefits

Note: Eligibility for benefits may vary by location.

It is an exciting time to be a nurse at HCA Healthcare! Come unlock your career potential and see how rewarding it can be to reach your personal and professional goals. Help to advance the practice of nursing and improve positive outcomes for your patients as a (an) Operating Room Nurse. We want your knowledge and expertise!

The Nurse Residency Program is focused on training licensed Registered Nurses with no prior operating room experience to work in the intra-operative environment. This program is open to nurses who are either new graduates or seasoned nurses with a non-surgical background. This internship prepares nurses with the foundational skills that are essential for providing safe patient care in the operating room. 

This program is open to all Nashville area TriStar medical centers including Centennial, Summit, Southern Hills, StoneCrest, Horizon, Skyline, Hendersonville, Greenview and NorthCrest. Residents from all facilities will start the program as a cohort and attend didactic classroom days together. Clinical hours will be completed in the intern’s facility and department of hire. For example, if you are hired to work at Skyline, all your clinical hours will be completed at Skyline. An active nursing license in good standing for the state of your hiring facility (Tennessee or Kentucky) is required to begin the program. 

Used as the foundation for this internship, The Association for Perioperative Registered Nurses (AORN) Periop 101: A Core Curriculum is a comprehensive, online education program based on the latest, evidence-based Guidelines for Perioperative Practice. These HealthStream eLearning modules will align with classroom topics and clinical objectives. As a Nurse Resident, you will receive a complimentary one-year free membership to AORN. Your membership gives you full access to additional tools, resources, and continuing education. 

Upon completion of the Periop 101 eLearning modules and classroom theory portion of this program, you will take a final exam, which tests your knowledge of the AORN guidelines. The exam is proctored and closed-book. You may not use notes. The exam is 115 questions and you will have 4 hours to complete it. You are allowed 3 attempts to pass the exam with 80% or above. You will receive your score immediately upon completion. If you do not pass after three attempts, you may be required to retake the entire course before attempting to take the exam again. If you are engaged in class and study the eLearning module content, you will successfully complete this didactic test. 

During the 5-month program, interns will work five 8-hour days (Monday – Friday). Alternative shifts will be at the discretion of the hiring manager after completion of the program. Clinical start times may vary depending on the schedule of your preceptor. For example, if your preceptor starts their shift at 0630, you will be expected to start at 0630. 

This program helps you develop the foundational skills of the perioperative RN. You will still be a novice when you graduate and will continue to gain specialty experiences following completion of the program. Departmental and service line orientation will build on foundational skills learned in the internship program. 

Regular rounding and progress meetings will be set with the course instructors, preceptors, and managers to track the resident’s progress. 

Attendance and punctuality are required during the didactic portions of the program. Exceptions for clinical will be made on a case by case basis. Missing a day of lecture/simulation is not permitted. For clinical days, please refer to your facility’s attendance policy. 

Nurse Residents must demonstrate successful completion of the following criteria in order to graduate from the internship: 

• AORN Periop 101 Exam with a score of 80% or greater (3 total attempts) 

• Final grade of 75% or greater 

• Completion of all course assignments and objective assessments 

• Professionalism Requirement 

• Attend at least one Middle Tennessee Chapter AORN meeting 

Residents that do not meet the above criteria must meet with surgery management, preceptor, and education team to develop an individualized action plan, which may include remediation, reassignment, or resignation from the program. 

Position Details: 

• Self/preferential scheduling posted four weeks in advance for you to have predictability in your schedule 
• Culture of mutual respect and collaboration among all surgical staff 
• Continuous investment in equipment including surgical instruments, devices and patient positioning for you to do your best work with patient safety and workflow efficiency in the Operating Room 
• Rounding with unit leaders, including charge nurses, to ensure your voice is heard on suggestions for patient care and surgical workflow improvement 
• On-call is required during select non-business hours 

What you will do in this role: 

• Evaluate patients prior to surgery 
• Provide patient and family education surrounding the procedure and peri-operative process
• Assume responsibility for patient preparation, including intravenous therapy, preoperative medications, and surgical site verification 
• Participate in surgical site verification, including briefing, time out, debriefing, and universal protocols, according to hospital policy 
• Recognize and respond to patient emergencies 
• Deliver high-quality, patient-centered care while managing evidence-based practices and continuous improvement initiatives 
• Be an integral member of a dynamic interdisciplinary team – consisting of the provider(s), surgeons, surgical technologists and more 
• Consistently apply the nursing process, critical thinking skills, scientific judgment, technical skills and leadership to independently deliver safe nursing care to patients
• Assess patient condition, monitor throughout your shift, and document changes in patient condition along with the care provided thoroughly 
• Educate patients and families/caregivers about the patient’s medical condition, treatment and follow-up measures 

• Advanced Cardiac Life Spt must be obtained within 90 days of employment start date
• Basic Cardiac Life Support must be obtained within 30 days of employment start date
• PALS Pediatric Adv Life Supt must be obtained within 90 days of employment start date
• (RN) Registered Nurse
• Associate Degree, or Bachelors Degree, or Registered Nurse Diploma
• Open to New Graduates or Seasoned nurses with a non-surgical background. (Experienced OR Nurses can also apply to this role - will not have to go through this program)

TriStar NorthCrest Medical Center is a 109-bed acute care hospital in Springfield Tennessee that is dedicated to serving the healthcare needs of Robertson County and the surrounding areas. We offer a full array of services, including emergency care, orthopedics, cardiology, women's care and diagnostic imaging. Our Mission is to enhance community and patient wellness through the teamwork of skilled and compassionate employees and physicians.

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.

Be a part of an organization that leverages our size to make a real impact in our industry! Our Talent Acquisition team is reviewing applications for our Operating Room Nurse opening. Submit your application today and help advance the practice of nursing.

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.

Introduction

Do you want to join an organization that invests in you? At TriStar NorthCrest Medical Center, you come first! HCA Healthcare is committed to the growth and development of our future nurses!

The HCA Nurse Residency Program is a year-long program designed to give you hands-on experience to help establish valuable clinical and critical thinking skills. As a Resident I Graduate Nurse you will be surrounded by a supportive community of nurse educators, experienced nurses, and fellow residents that promote learning, clinical application, and socialization, shepherding you through the transition from student nurse to registered nurse.

Benefits

We offer a total rewards package to support your health, life, career and retirement. Some 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 some benefits may vary by location.

Job Summary and Qualifications

The HCA Nurse Residency Program at TriStar NorthCrest Medical Center provides you with the tools necessary to succeed in today’s hospital environment. This paid program will assist you with the transition out of the classroom setting through a formalized series of learning experiences, including:

• Advanced clinical training in a specialty area.
• Monthly educational sessions.
• Preceptorship training with a facility preceptor.
• Measurement and evaluation of skills through hands-on simulations.
• Mentoring from experienced nurse leaders.
• Working collaboratively on an evidence-based practice project.

Cohort Start Dates:

• January 2026
• February 2026
• March 2026
• April 2026
• June 2026
• July 2026
• August 2026
• September 2026
• October 2026
• November 2026
• December 2026

Specialties Available:

• Acute Cardiopulmonary
• Acute Surgical
• Acute Medical
• Inpatient Rehab
• Stepdown
• Behavioral Health
• Emergency Services
• Critical Care
• Women's Services
• NICU
• OR/Peri-Op 101

The RN Resident coordinates and delivers high quality, patient-centered care in accordance with the nature and specific requirements of the department, and consistent with the scope and standards of practice for the relevant state and specialty. In collaboration with medical providers and other members of the care team, the RN Resident provides individualized, comprehensive, and compassionate care using established nursing models such as “Assess, Perform, Teach, and Manage.” The RN Resident serves as an advocate for patients, families and caregivers to support an unparalleled patient experience.

What will you do in this role:

• Assess patient condition during admission and during each shift as scheduled, identifying and reporting any changes in patient status.
• Perform procedures, monitoring, or other functions as ordered by the medical provider(s). Document the administration of care in the patient medical record in a timely and thorough manner.
• Perform the administration of prescribed medications. Monitor patient for therapeutic response. Notify provider and intervene as appropriate in the event of an unintended response to medication.
• Perform exceptional care by responding promptly to patient requests. Strive to anticipate patient needs and resolve them proactively.
• Teach patients, families and caregivers about patient medical condition, patient status, treatment plan, medications and possible side effects, and follow-up measures. Translates complex medical terminology to ensure complete understanding.

What qualifications you will need:

• Basic Cardiac Life Support (BLS) obtained within 30 days of employment
• Advanced Cardiac Life Support (ACLS) obtained within 1 year of employment
• Other Certifications maybe required during employment
• Associate or Bachelor’s degree in Nursing
• Registered Nurse License or Graduate Nurse in the State
• No previous experience needed
• Some travel maybe needed for training

TriStar NorthCrest Medical Center is a 109-bed acute care hospital in Springfield Tennessee that is dedicated to serving the healthcare needs of Robertson County and the surrounding areas. We offer a full array of services, including emergency care, orthopedics, cardiology, women's care and diagnostic imaging. Our Mission is to enhance community and patient wellness through the teamwork of skilled and compassionate employees and physicians.

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.

"Bricks and mortar do not make a hospital. People do."

- Dr. Thomas Frist, Sr.
HCA Healthcare Co-Founder

Would you like to unlock your potential with a leading healthcare provider dedicated to the growth and development of our colleagues? Join the TriStar NorthCrest Medical Center family! We will provide you with the tools and resources you need to succeed in our organization. If you are looking for an opportunity that provides satisfaction and personal growth, we promptly review all applications. Unlock the possibilities and apply today!

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.

Do you currently have an opportunity to make a real impact with your work? With over 2,000 sites of care and serving over 31.2 million patient interactions every year, nurses at TriStar NorthCrest Medical Center have the opportunity to make a real impact. As a(an) Operating Room Nurse you can be a part of change.

TriStar NorthCrest 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 medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.
• Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
• Free counseling services and resources for emotional, physical and financial wellbeing
  
• 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)
  
• Employee Stock Purchase Plan with 10% off HCA Healthcare stock
  
• Family support through fertility and family building benefits with Progyny and adoption assistance.
  
• Referral services for child, elder and pet care, home and auto repair, event planning and more
  
• Consumer discounts through Abenity and Consumer Discounts
  
• Retirement readiness, rollover assistance services and preferred banking partnerships
  
• Education assistance (tuition, student loan, certification support, dependent scholarships)
  
• Colleague recognition program
  
• Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)
  
• Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.

Learn more about Employee Benefits

Note: Eligibility for benefits may vary by location.

It is an exciting time to be a nurse at HCA Healthcare! Come unlock your career potential and see how rewarding it can be to reach your personal and professional goals. Help to advance the practice of nursing and improve positive outcomes for your patients as a (an) Operating Room Nurse. We want your knowledge and expertise!

The Nurse Residency Program is focused on training licensed Registered Nurses with no prior operating room experience to work in the intra-operative environment. This program is open to nurses who are either new graduates or seasoned nurses with a non-surgical background. This internship prepares nurses with the foundational skills that are essential for providing safe patient care in the operating room. 

This program is open to all Nashville area TriStar medical centers including Centennial, Summit, Southern Hills, StoneCrest, Horizon, Skyline, Hendersonville, Greenview and NorthCrest. Residents from all facilities will start the program as a cohort and attend didactic classroom days together. Clinical hours will be completed in the intern’s facility and department of hire. For example, if you are hired to work at Skyline, all your clinical hours will be completed at Skyline. An active nursing license in good standing for the state of your hiring facility (Tennessee or Kentucky) is required to begin the program. 

Used as the foundation for this internship, The Association for Perioperative Registered Nurses (AORN) Periop 101: A Core Curriculum is a comprehensive, online education program based on the latest, evidence-based Guidelines for Perioperative Practice. These HealthStream eLearning modules will align with classroom topics and clinical objectives. As a Nurse Resident, you will receive a complimentary one-year free membership to AORN. Your membership gives you full access to additional tools, resources, and continuing education. 

Upon completion of the Periop 101 eLearning modules and classroom theory portion of this program, you will take a final exam, which tests your knowledge of the AORN guidelines. The exam is proctored and closed-book. You may not use notes. The exam is 115 questions and you will have 4 hours to complete it. You are allowed 3 attempts to pass the exam with 80% or above. You will receive your score immediately upon completion. If you do not pass after three attempts, you may be required to retake the entire course before attempting to take the exam again. If you are engaged in class and study the eLearning module content, you will successfully complete this didactic test. 

During the 5-month program, interns will work five 8-hour days (Monday – Friday). Alternative shifts will be at the discretion of the hiring manager after completion of the program. Clinical start times may vary depending on the schedule of your preceptor. For example, if your preceptor starts their shift at 0630, you will be expected to start at 0630. 

This program helps you develop the foundational skills of the perioperative RN. You will still be a novice when you graduate and will continue to gain specialty experiences following completion of the program. Departmental and service line orientation will build on foundational skills learned in the internship program. 

Regular rounding and progress meetings will be set with the course instructors, preceptors, and managers to track the resident’s progress. 

Attendance and punctuality are required during the didactic portions of the program. Exceptions for clinical will be made on a case by case basis. Missing a day of lecture/simulation is not permitted. For clinical days, please refer to your facility’s attendance policy. 

Nurse Residents must demonstrate successful completion of the following criteria in order to graduate from the internship: 

• AORN Periop 101 Exam with a score of 80% or greater (3 total attempts) 

• Final grade of 75% or greater 

• Completion of all course assignments and objective assessments 

• Professionalism Requirement 

• Attend at least one Middle Tennessee Chapter AORN meeting 

Residents that do not meet the above criteria must meet with surgery management, preceptor, and education team to develop an individualized action plan, which may include remediation, reassignment, or resignation from the program. 

Position Details: 

• Self/preferential scheduling posted four weeks in advance for you to have predictability in your schedule 
• Culture of mutual respect and collaboration among all surgical staff 
• Continuous investment in equipment including surgical instruments, devices and patient positioning for you to do your best work with patient safety and workflow efficiency in the Operating Room 
• Rounding with unit leaders, including charge nurses, to ensure your voice is heard on suggestions for patient care and surgical workflow improvement 
• On-call is required during select non-business hours 

What you will do in this role: 

• Evaluate patients prior to surgery 
• Provide patient and family education surrounding the procedure and peri-operative process
• Assume responsibility for patient preparation, including intravenous therapy, preoperative medications, and surgical site verification 
• Participate in surgical site verification, including briefing, time out, debriefing, and universal protocols, according to hospital policy 
• Recognize and respond to patient emergencies 
• Deliver high-quality, patient-centered care while managing evidence-based practices and continuous improvement initiatives 
• Be an integral member of a dynamic interdisciplinary team – consisting of the provider(s), surgeons, surgical technologists and more 
• Consistently apply the nursing process, critical thinking skills, scientific judgment, technical skills and leadership to independently deliver safe nursing care to patients
• Assess patient condition, monitor throughout your shift, and document changes in patient condition along with the care provided thoroughly 
• Educate patients and families/caregivers about the patient’s medical condition, treatment and follow-up measures 

• Advanced Cardiac Life Spt must be obtained within 90 days of employment start date
• Basic Cardiac Life Support must be obtained within 30 days of employment start date
• PALS Pediatric Adv Life Supt must be obtained within 90 days of employment start date
• (RN) Registered Nurse
• Associate Degree, or Bachelors Degree, or Registered Nurse Diploma
• Open to New Graduates or Seasoned nurses with a non-surgical background. (Experienced OR Nurses can also apply to this role - will not have to go through this program)

TriStar NorthCrest Medical Center is a 109-bed acute care hospital in Springfield Tennessee that is dedicated to serving the healthcare needs of Robertson County and the surrounding areas. We offer a full array of services, including emergency care, orthopedics, cardiology, women's care and diagnostic imaging. Our Mission is to enhance community and patient wellness through the teamwork of skilled and compassionate employees and physicians.

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.

Be a part of an organization that leverages our size to make a real impact in our industry! Our Talent Acquisition team is reviewing applications for our Operating Room Nurse opening. Submit your application today and help advance the practice of nursing.

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.

Introduction

Do you want to join an organization that invests in you? At TriStar NorthCrest Medical Center, you come first! HCA Healthcare is committed to the growth and development of our future nurses!

The HCA Nurse Residency Program is a year-long program designed to give you hands-on experience to help establish valuable clinical and critical thinking skills. As a Resident I Graduate Nurse you will be surrounded by a supportive community of nurse educators, experienced nurses, and fellow residents that promote learning, clinical application, and socialization, shepherding you through the transition from student nurse to registered nurse.

Benefits

We offer a total rewards package to support your health, life, career and retirement. Some 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 some benefits may vary by location.

Job Summary and Qualifications

The HCA Nurse Residency Program at TriStar NorthCrest Medical Center provides you with the tools necessary to succeed in today’s hospital environment. This paid program will assist you with the transition out of the classroom setting through a formalized series of learning experiences, including:

• Advanced clinical training in a specialty area.
• Monthly educational sessions.
• Preceptorship training with a facility preceptor.
• Measurement and evaluation of skills through hands-on simulations.
• Mentoring from experienced nurse leaders.
• Working collaboratively on an evidence-based practice project.

Cohort Start Dates:

• January 2026
• February 2026
• March 2026
• April 2026
• June 2026
• July 2026
• August 2026
• September 2026
• October 2026
• November 2026
• December 2026

Specialties Available:

• Acute Cardiopulmonary
• Acute Surgical
• Acute Medical
• Inpatient Rehab
• Stepdown
• Behavioral Health
• Emergency Services
• Critical Care
• Women's Services
• NICU
• OR/Peri-Op 101

The RN Resident coordinates and delivers high quality, patient-centered care in accordance with the nature and specific requirements of the department, and consistent with the scope and standards of practice for the relevant state and specialty. In collaboration with medical providers and other members of the care team, the RN Resident provides individualized, comprehensive, and compassionate care using established nursing models such as “Assess, Perform, Teach, and Manage.” The RN Resident serves as an advocate for patients, families and caregivers to support an unparalleled patient experience.

What will you do in this role:

• Assess patient condition during admission and during each shift as scheduled, identifying and reporting any changes in patient status.
• Perform procedures, monitoring, or other functions as ordered by the medical provider(s). Document the administration of care in the patient medical record in a timely and thorough manner.
• Perform the administration of prescribed medications. Monitor patient for therapeutic response. Notify provider and intervene as appropriate in the event of an unintended response to medication.
• Perform exceptional care by responding promptly to patient requests. Strive to anticipate patient needs and resolve them proactively.
• Teach patients, families and caregivers about patient medical condition, patient status, treatment plan, medications and possible side effects, and follow-up measures. Translates complex medical terminology to ensure complete understanding.

What qualifications you will need:

• Basic Cardiac Life Support (BLS) obtained within 30 days of employment
• Advanced Cardiac Life Support (ACLS) obtained within 1 year of employment
• Other Certifications maybe required during employment
• Associate or Bachelor’s degree in Nursing
• Registered Nurse License or Graduate Nurse in the State
• No previous experience needed
• Some travel maybe needed for training

TriStar NorthCrest Medical Center is a 109-bed acute care hospital in Springfield Tennessee that is dedicated to serving the healthcare needs of Robertson County and the surrounding areas. We offer a full array of services, including emergency care, orthopedics, cardiology, women's care and diagnostic imaging. Our Mission is to enhance community and patient wellness through the teamwork of skilled and compassionate employees and physicians.

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.

"Bricks and mortar do not make a hospital. People do."

- Dr. Thomas Frist, Sr.
HCA Healthcare Co-Founder

Would you like to unlock your potential with a leading healthcare provider dedicated to the growth and development of our colleagues? Join the TriStar NorthCrest Medical Center family! We will provide you with the tools and resources you need to succeed in our organization. If you are looking for an opportunity that provides satisfaction and personal growth, we promptly review all applications. Unlock the possibilities and apply today!

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.

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About the Role:

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