Charge RN Jobs in Nevada
Charge RN jobs in Nevada are consistently active, with the highest concentration in hospital-based acute care, long-term care, and behavioral health settings driven by the state's rapid population growth. Las Vegas, Reno, and Henderson are the primary hiring hubs, where large employers like HCA Healthcare, CommonSpirit Health, and Renown Regional Medical Center maintain ongoing demand for experienced charge nurses. The most sought-after specialties include medical-surgical, emergency department, and ICU charge roles. See the openings below and apply to the ones that match your experience.
Find Charge RN JobsOverview
Showing 5 of 14+ Charge RN jobs
PURPOSE AND SCOPE:
Functions as the hemodialysis team leader in the provision of chronic hemodialysis care and treatment. Provides day to day direction and supervision to assigned direct patient care staff. Communicates with the physician and other members of the healthcare team to interpret, adjust, and complete patient care plans. Provides safe, effective delivery of patient care in compliance with standards outlined in the facility procedure manual, as well as regulations set forth by the company, state, and federal agencies. Supports FMCNA's mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirements.
PRINCIPAL DUTIES AND RESPONSIBILITIES:
General and Staff Related:
Provide day to day guidance, support and direction to direct patient care staff, providing informal feedback on an ongoing basis and formal feedback input for the annual performance evaluation. Participate in the department staffing and the appropriate hiring, firing and disciplinary actions. Recommend disciplinary action to Clinical Manager and initiate as appropriate.
Ensure compliance with all company and facility approved procedures and policies as well as regulations set forth by state and federal agencies in clinics with more than 100 patients.
Approve or disapprove time or personnel schedule changes in the absence on the Clinical Manager ensuring compliance with applicable regulations, policies and procedures for documenting time of work hours for staff members on assigned shift.
Participate in patient care plan meetings.
Maintain knowledge in the current practices related to the principles and techniques of dialysis by participating in all scheduled in-services.
Train and orient staff as necessary.
Routinely observe and guide direct patient care staff for appropriate technique and adherence to facility policies and procedures.
Promote and assist with compliance to OSHA programs in order to maintain a safe and clean working environment.
Maintain overall shift operation in a safe, efficient, and effective matter.
With Clinical Manager conduct staff meetings at least monthly or as needed to keep patient care staff informed of changes in patient care needs or operations to improve delivery of care.
Meet routinely with the Clinical Manager to discuss personnel and patient care status, issues, and information.
Supervise all documentation of patient information.
Coordinate Charge Nurse duties with Staff RNs acting in the relief charge capacity.
Patient Care:
Assess daily patient care needs and develop and distribute patient care assignments appropriately.
Assume primary responsibility in an emergency situation.
Assess patient needs, respond to dialysis treatments, and communicate concerns to rounding physician. Implement changes in patient care/treatment as directed.
Monitor and supervise all patient care activity during dialysis and assist as necessary.
Collaborate with direct patient care team in making decisions to benefit patient care.
Continuously monitor patient's condition with regards to problems and potential complications associated with dialysis.
Administer medications to patients per physician's orders.
Act as the subject matter expert and as a resource for staff members.
Supervise and participate in completion of short- and long-term care plans.
Admit new patients according to facility procedure.
Ensure educational needs of patients are met and educate the patient and family about End Stage Renal Disease, dialysis therapy, diet and medication.
Technical:
Supervise the safe and effective use of all equipment involved in direct patient care.
Operate all dialysis related and emergency equipment safely and efficiently when needed.
Perform required testing and verification and initial the checklist for start-up and shut-down procedures as outlined in the Technical Services Manual.
Complete Nurse's Technical Training Program/Water Quality Facility Training.
Other:
Assist with special projects or other duties as assigned by the Clinical Manager
Assist with the interviewing of potential direct patient care staff as requested.
Promote efficient use of medical supplies.
Attend and participate in monthly Quality Assurance meetings.
Other duties as assigned.
Relationships:
Internal Contacts: Direct Patient Care Staff, Facility support staff, management teams (Clinical Manager, Area Manager, RVP)
External Contacts: Physicians, Back-up Hospitals
Additional responsibilities may include focus on one or more departments or locations. See applicable addendum for department or location specific functions.
The duties listed in this job description are intended only as illustrations of the various types of work that may be performed. The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or a logical assignment to the position.
PHYSICAL DEMANDS AND WORKING CONDITIONS:
The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Employees are required to take the Ishihara's Color Blindness test as a condition of employment. Note that: Failing the Ishihara Test for Color Blindness does not preclude employment. The Company will consider whether reasonable accommodations can be made.
Day to day work includes desk and personal computer work and interaction with patients, facility staff and physicians.
The position requires travel between assigned facilities and various locations within the community. Travel to regional, Business Unit and Corporate meetings may be required.
The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials.
SUPERVISION:
Direct Patient Care Staff, Ward Clerk as assigned.
EDUCATION:
Graduate of an accredited school of Nursing (R.N.)
Current appropriate state licensure.
EXPERIENCE AND REQUIRED SKILLS:
Minimum of 9 months of nursing experience and an additional 3 months of clinical experience in dialysis
RN charge nurses assuming responsibility for nursing and patient servicesin the absence of the Clinical Managermust have one-yearclinical experience and six months dialysis experience.
Supervisory or management experience preferred.
Successfully completea training course in the theory and practice of hemodialysis.
Good communication skills - verbal and written.
Must meet appropriate state requirements (if any).
Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.
EOE, disability/veterans
PURPOSE AND SCOPE:
Functions as the hemodialysis team leader in the provision of chronic hemodialysis care and treatment. Provides day to day direction and supervision to assigned direct patient care staff. Communicates with the physician and other members of the healthcare team to interpret, adjust, and complete patient care plans. Provides safe, effective delivery of patient care in compliance with standards outlined in the facility procedure manual, as well as regulations set forth by the company, state, and federal agencies. Supports FMCNA's mission, vision, core values and customer service philosophy. Adheres to the FMCNA Compliance Program, including following all regulatory and FMS policy requirements.
PRINCIPAL DUTIES AND RESPONSIBILITIES:
General and Staff Related:
Provide day to day guidance, support and direction to direct patient care staff, providing informal feedback on an ongoing basis and formal feedback input for the annual performance evaluation. Participate in the department staffing and the appropriate hiring, firing and disciplinary actions. Recommend disciplinary action to Clinical Manager and initiate as appropriate.
Ensure compliance with all company and facility approved procedures and policies as well as regulations set forth by state and federal agencies in clinics with more than 100 patients.
Approve or disapprove time or personnel schedule changes in the absence on the Clinical Manager ensuring compliance with applicable regulations, policies and procedures for documenting time of work hours for staff members on assigned shift.
Participate in patient care plan meetings.
Maintain knowledge in the current practices related to the principles and techniques of dialysis by participating in all scheduled in-services.
Train and orient staff as necessary.
Routinely observe and guide direct patient care staff for appropriate technique and adherence to facility policies and procedures.
Promote and assist with compliance to OSHA programs in order to maintain a safe and clean working environment.
Maintain overall shift operation in a safe, efficient, and effective matter.
With Clinical Manager conduct staff meetings at least monthly or as needed to keep patient care staff informed of changes in patient care needs or operations to improve delivery of care.
Meet routinely with the Clinical Manager to discuss personnel and patient care status, issues, and information.
Supervise all documentation of patient information.
Coordinate Charge Nurse duties with Staff RNs acting in the relief charge capacity.
Patient Care:
Assess daily patient care needs and develop and distribute patient care assignments appropriately.
Assume primary responsibility in an emergency situation.
Assess patient needs, respond to dialysis treatments, and communicate concerns to rounding physician. Implement changes in patient care/treatment as directed.
Monitor and supervise all patient care activity during dialysis and assist as necessary.
Collaborate with direct patient care team in making decisions to benefit patient care.
Continuously monitor patient's condition with regards to problems and potential complications associated with dialysis.
Administer medications to patients per physician's orders.
Act as the subject matter expert and as a resource for staff members.
Supervise and participate in completion of short- and long-term care plans.
Admit new patients according to facility procedure.
Ensure educational needs of patients are met and educate the patient and family about End Stage Renal Disease, dialysis therapy, diet and medication.
Technical:
Supervise the safe and effective use of all equipment involved in direct patient care.
Operate all dialysis related and emergency equipment safely and efficiently when needed.
Perform required testing and verification and initial the checklist for start-up and shut-down procedures as outlined in the Technical Services Manual.
Complete Nurse's Technical Training Program/Water Quality Facility Training.
Other:
Assist with special projects or other duties as assigned by the Clinical Manager
Assist with the interviewing of potential direct patient care staff as requested.
Promote efficient use of medical supplies.
Attend and participate in monthly Quality Assurance meetings.
Other duties as assigned.
Relationships:
Internal Contacts: Direct Patient Care Staff, Facility support staff, management teams (Clinical Manager, Area Manager, RVP)
External Contacts: Physicians, Back-up Hospitals
Additional responsibilities may include focus on one or more departments or locations. See applicable addendum for department or location specific functions.
The duties listed in this job description are intended only as illustrations of the various types of work that may be performed. The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or a logical assignment to the position.
PHYSICAL DEMANDS AND WORKING CONDITIONS:
The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Employees are required to take the Ishihara's Color Blindness test as a condition of employment. Note that: Failing the Ishihara Test for Color Blindness does not preclude employment. The Company will consider whether reasonable accommodations can be made.
Day to day work includes desk and personal computer work and interaction with patients, facility staff and physicians.
The position requires travel between assigned facilities and various locations within the community. Travel to regional, Business Unit and Corporate meetings may be required.
The work environment is characteristic of a health care facility with air temperature control and moderate noise levels. May be exposed to infectious and contagious diseases/materials.
SUPERVISION:
Direct Patient Care Staff, Ward Clerk as assigned.
EDUCATION:
Graduate of an accredited school of Nursing (R.N.)
Current appropriate state licensure.
EXPERIENCE AND REQUIRED SKILLS:
Minimum of 9 months of nursing experience and an additional 3 months of clinical experience in dialysis
RN charge nurses assuming responsibility for nursing and patient servicesin the absence of the Clinical Managermust have one-yearclinical experience and six months dialysis experience.
Supervisory or management experience preferred.
Successfully completea training course in the theory and practice of hemodialysis.
Good communication skills - verbal and written.
Must meet appropriate state requirements (if any).
Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.
EOE, disability/veterans
See All 14 Charge RN Jobs in Nevada
Find roles in Nevada that match your experience and apply in just a few clicks.
Find Charge RN JobsCharge RN Jobs by City in Nevada
Where Nevada roles are concentrated, by current openings.
Charge RN Job Market in Nevada
A snapshot from current Nevada openings, updated as new roles post.
Who's Hiring
- Fresenius Medical Care4
- Carson Tahoe Regional Healthcare3
- Naphcare2
- Prime Healthcare Services2
- Marquis Companies1
Top Industries Hiring
- Healthcare & Medical Services10
What Nevada Employers Look For
The qualifications that appear most often in charge RN jobs across Nevada.
- Active Nevada Registered Nurse license or multistate compact license recognized in Nevada
- Associate or bachelor's degree in nursing from an accredited program
- Minimum two to three years of bedside nursing experience in the relevant specialty
- Current BLS certification and ACLS or PALS depending on unit type
- Demonstrated charge, preceptor, or team lead experience in a clinical setting
- Strong knowledge of Joint Commission standards and Nevada facility compliance requirements
Charge RN Jobs in Nevada: Frequently Asked Questions
How do you become a charge rn in Nevada?
To become a charge rn in Nevada, you must first hold an active Registered Nurse license issued or recognized by the Nevada State Board of Nursing, which requires passing the NCLEX-RN. Most Nevada hospitals then promote into charge roles from within, selecting nurses who have demonstrated clinical competency, reliability, and informal leadership on their unit. Earning specialty certifications relevant to your unit strengthens your candidacy for a charge designation.
Which companies hire charge rns in Nevada?
Companies currently hiring charge rns in Nevada include Fresenius Medical Care, Carson Tahoe Regional Healthcare, and Naphcare, per current listings on Migrate Mate as of July 2026. Nevada's combination of large casino-adjacent medical centers, rapidly expanding suburban hospital campuses, and a growing network of behavioral health facilities keeps demand from major health systems consistently elevated.
Which Nevada cities have the most charge rn jobs?
The cities with the most charge rn openings in Nevada are Las Vegas, Reno, and Carson City. Las Vegas dominates the distribution because of the sheer volume of acute care facilities serving a large and growing population, while Reno draws significant hiring through Renown Health and the expanding medical corridor serving northern Nevada and neighboring Sierra communities.
Are there remote charge rn jobs in Nevada?
Yes, but they're rare. Charge rn work is inherently floor-based and requires physical presence to supervise staff, manage patient assignments, and respond to emergencies, so fully remote roles represent a very small share of openings. About 0% of charge rn openings tied to Nevada are remote or hybrid as of July 2026, and those positions are almost exclusively in utilization review, care coordination, or telephonic triage rather than traditional charge functions.
How can I get hired as a charge rn in Nevada with little or no experience?
The most realistic path is entering through a new-graduate or nurse residency program at a major Nevada health system such as HCA Healthcare's Nevada hospitals or CommonSpirit Health facilities, which run structured cohorts designed for nurses without acute care experience. From there, volunteering as a charge backup, precepting newer staff, and completing a unit-specific certification like CCRN or CEN signals readiness for a formal charge role without requiring prior charge experience on your resume.
Where can I find and apply to charge rn jobs in Nevada?
You can find and apply to charge rn jobs in Nevada on Migrate Mate, which lists current Nevada openings updated regularly. Search the roles that fit your specialty and experience level and apply directly to the ones that match your background.
See All 14 Charge RN Jobs in Nevada
Find roles in Nevada that match your experience and apply in just a few clicks.
Find Charge RN Jobs