What are the responsibilities and job description for the Registered Nurse – Emergency Room position at Lexington Health?
Registered Nurse – Emergency Room Lexington Medical Center | West Columbia, SC Full-Time | Night Shift (6:45 p.m. – 7:15 a.m.)
**Sign-on Bonus: $20,000 & Relocation Assistance Eligible**
Step into an ER nursing role that values your experience and challenges you to grow. Lexington Health is home to one of South Carolina’s busiest ERs, caring for more than 95,000 patients in 2025. As a Level III Trauma Center with a high-acuity, fast-paced environment, our Emergency Department offers the clinical variety, teamwork, and trusted autonomy that experienced emergency nurses thrive on.
You’ll work alongside skilled physicians, advanced practice providers, and a collaborative nursing team dedicated to delivering exceptional, patient-centered emergency care. Here, your expertise is respected, your voice matters, and your professional development is supported.
Why Nurses Choose Lexington Health
- $20,000 Sign-On Bonus
- Second busiest Emergency Department in South Carolina
- Level III Trauma Center – American College of Surgeons
- 92 Beds, 3 Diagnostic Rooms and dedicated emPATH Mental Health Unit to provide specialized care
- Advanced technology and Equipment
- DNV Accredited Hospital
- ISO 9001:2015 Certified
- Magnet with Distinction® – American Nurses Credentialing Center
- ‘A’ Hospital Safety Grade – The Leapfrog Group
- Three-Star Rating (AVR CABG MVRR) – Society of Thoracic Surgeons
- Assistance with obtaining national board certification specialty pay
- Strong teamwork, supportive leadership & a culture committed to excellence
- Located in the beautiful Midlands ~ two hours from beaches or mountains
- A Wonderful Place to Live: Big‑city amenities, small‑town charm, low cost of living, and ranked the Best Place to Live in South Carolina by Travel Leisure
About the Role
Our Emergency Department provides comprehensive care for patients across the full spectrum of emergency needs. As one of the state’s highest‑volume EDs, you’ll practice in a dynamic environment that demands strong clinical judgment, rapid decision-making, and effective communication.
Key Responsibilities
- Deliver safe, evidence‑based emergency nursing care in a high‑acuity setting
- Rapidly assess, triage, and respond to evolving patient conditions
- Collaborate with physicians, APPs, and interdisciplinary teams to coordinate care
- Educate and support patients and families during critical moments
- Maintain accurate, timely documentation and uphold all safety and quality standards
- Participate in shared governance, professional development, and continuous improvement initiatives
Minimum Qualifications
- At least 1 year of RN experience (ED experience preferred)
- ADN, Diploma, or BSN in Nursing (BSN preferred)
- Current South Carolina RN license
- BLS certification (ACLS/PALS preferred or obtained after hire)
- Strong critical thinking, communication, and teamwork skills
Benefits:
- Day 1 Medical, dental, vision & life insurance
- 403(b) with 6% employer match
- Employer‑paid short & long‑term disability
- Tuition reimbursement & continuing education
- Flexible spending accounts (FSAs), and more!
Bring your experience. Make an impact. Grow with a team committed to excellence in emergency care. – Apply Today!
Job Type: Full-time
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Employee assistance program
- Employee discount
- Flexible schedule
- Flexible spending account
- Health insurance
- Health savings account
- Life insurance
- Paid time off
- Professional development assistance
- Referral program
- Relocation assistance
- Tuition reimbursement
- Vision insurance
Education:
- Bachelor's (Preferred)
Experience:
- ER nursing: 1 year (Required)
Shift availability:
- Night Shift (Preferred)
Work Location: In person