Job Description

Pay range: $46.00 - $69.00
Relief Differential - 15%
Heart & Lung Specialist - Bend, Oregon

ST. CHARLES HEALTH SYSTEM

TITLE:Registered Nurse-Heart and Lung Specialists

Cardiology Clinics

REPORTS TOPOSITIONClinic Manageror Supervisor

DEPARTMENT:Heart and LungSpecialists

DATE LASTREVIEWED:April 2026

OUR VISION: Creating America’s healthiest community, together

OUR MISSION: In the spirit of love and compassion, better health, better care, better value

OURVALUES:Accountability, Caring,Teamwork, and Safety

DEPARTMENT SUMMARY: St. Charles Health System encompasses practices in Central Oregon counties and numerous specialties including, family care, internal medicine, obstetrics and gynecology, pediatrics, immediate/urgent care, cardiology, pulmonology, rheumatology, general surgery, cancer care, and sleep medicine. We encourage collaboration between clinical and non-clinical staff to assure we are providing our community with comprehensive and compassionate health care.

The Registered Nurse (RN) – Heart and Lung Specialists provides quality patient and family centered care as a member of the health team in accordance with St. Charles Health System mission, philosophy, policies, and procedures. The RN applies standards of professional nursing practice and focuses clinical care to enhance the experience for the patients, families, and all others. They use nursing skills to make appropriate patient health assessments. This position functions as primary liaison between patients, staff, and providers. This position supports Cardiology in an outpatient environment.

This position does not directly manage any other caregivers.

ESSENTIAL FUNCTIONS AND DUTIES:

Provides comprehensive nursing care for patients in an outpatient clinic environment. This role extends beyond episodic triage functions and serves as an actively engaged clinical partner within a multidisciplinary outpatient care team, providing ongoing assessment, intervention, coordination, and monitoring for complex and medically fragile patients as needed.

Conducts in‑clinic and telephone triage, including urgent and emergent walk‑ins; assesses patient stability, clinical risk, and symptom burden; initiates timely interventions using approved standing orders and protocols; and collaborates with providers to escalate care or transition patients to higher levels of care when indicated.

Provides direct clinical care for high‑acuity patients within the clinic setting, including medication administration (including intravenous as needed), outpatient therapies, post‑intervention monitoring, symptom management, and evaluation of clinical response.

Performs peripheral IV insertions using aseptic technique, ensuring patient safety, comfort, and adherence to clinical protocols.

Conducts ongoing IV site and vascular assessments to identify complications, evaluate patency, and document findings accurately.

Coordinates care for high‑risk cardiology patients across the continuum, including collaboration with cardiologists, advanced practice providers, inpatient teams, emergency departments, pharmacy, and community partners to support continuity of care, safe transitions, and reduction of avoidable emergency department visits and hospitalizations.

Uses critical thinking and clinical judgment to support protocol‑driven medication management, medication titration, treatment administration, monitoring for therapeutic effectiveness and adverse effects, and timely communication with providers regarding patient status.

Performs comprehensive patient assessments using clinical judgment and available diagnostic data; implements evidence‑based nursing interventions; collaborates with interdisciplinary team members to address physical, emotional, and psychosocial needs; and evaluates ongoing patient response to care.

Develops, implements, documents, and monitors individualized, evidence‑based plans of care in partnership with patients, families, and the multidisciplinary care team; revises plans based on patient goals, clinical progression, and response to treatment.

Provides patient and caregiver education focused on disease management, medication adherence, symptom recognition, and self‑management strategies to support safe care and early intervention between visits.

Performs EKGs, patient education, follow‑up, and basic rhythm interpretation as required to support cardiology and heart failure care pathways.

Assists with scheduling urgent and routine appointments and diagnostic testing; communicates abnormal results; reinforces treatment plans; and ensures timely follow‑up for patients with complex and evolving clinical needs.

Demonstrates independent critical thinking, situational awareness, and the ability to manage competing priorities in a fast‑paced, high‑acuity outpatient clinic environment.

Acts as a clinical resource to internal care teams, acute care departments, and referral partners by supporting best practices, maintaining up‑to‑date clinical knowledge, and contributing to consistent, evidence‑based care delivery.

Participates in multidisciplinary care conferences, quality improvement initiatives, and process improvement efforts aimed at optimizing patient outcomes, care coordination effectiveness, and efficient healthcare resource utilization.

Maintains and applies in‑depth knowledge of nursing principles, practices, standards, and techniques in accordance with St. Charles Health System policies, work instructions, and State of Oregon nursing regulations.

Supports the organization’s mission, vision, and values; demonstrates professionalism, ethical practice, confidentiality, and compliance with all applicable laws, regulations, and organizational policies.

Supports Lean principles of continuous improvement and contributes to building reliable, patient‑centered workflows that enhance safety, quality, access, and the care experience.

Provides compassionate, timely, and individualized care that promotes trust, dignity, and a healing environment for patients, families, and caregivers.

Documents all patient care accurately and efficiently in the electronic health record in compliance with regulatory and organizational requirements.

May perform additional duties of similar complexity and responsibility as assigned.

EDUCATION

RequiredAs required by licensure.

Preferred Bachelor of Science inNursing.

LICENSURE/CERTIFICATION/REGISTRATION

Required Current Oregon RN license. AHA Basic Life Support for Healthcare Provider certification. Valid Oregon driver’s license and ability to meet SCHS driving requirements. Ability to travel to business functions/meeting with clients and providers/attend trainings/meetings and all SCHS worksites.

Preferred N/A

EXPERIENCE

RequiredMinimum one(1)yearnursing experienceinacardiology or pulmonology setting.

Preferred Experience in case management, nurse navigation, and/or care coordination. Community Healthexperience.

PERSONAL PROTECTIVE EQUIPMENT

Must be able to wearappropriate PersonalProtective Equipment (PPE)requiredto perform the job safely

PHYSICAL REQUIREMENTS:

Continually (75% or more): Standing and walking, keyboard operation, use of clear and audible speaking voice and the ability to hear normal speech level.

Frequently (50%): Sitting, lifting/carrying/pushing or pulling 1-25 pounds. The use and operation of a motor vehicle for Home Health and Wound Caregivers.

Occasionally (25%): Bending, stooping/kneeling/crouching, climbing ladder/step-stool (varies by area), reaching overhead, lifting/carrying/pushing or pulling 25-50 pounds, grasping/squeezing, ability to hear whispered speech level.

Rarely (10%): Climbing stairs.

Never (0%) Climbing ladder/step-stool (varies by area), operation of a motor vehicle.

Exposure to Elemental Factors

Rarely (10%): Wet/slippery area, chemical solution.

Never (0%) Heat, cold, noise, dust, vibration, uneven surface.

Blood-Borne Pathogen (BBP) Exposure Category

Risk for Exposure to BBP

Schedule Weekly Hours:

0

Caregiver Type:

Relief

Shift:

First Shift (United States of America)

Is Exempt Position?

No

Job Family:

NON CONTRACT RN SCMG CLINICS

Scheduled Days of the Week:

Variable

Shift Start & End Time:

0700-1730