Location: Columbia, Missouri

Job Type: Contract / Full-time

Contract Duration: 13 Weeks

Pay Rate: $1,800 / week

Benefits: 
TLC Nursing & Allied 2026 Benefits: 

• Medical, Dental, & Vision Insurance- Available on the 1st of the month after the date of hire.
• 401K on Day 1. 
• $25,000 Life and Accidental Death Insurance on Day 1. 
• Accident and Critical Illness  Insurance 
• Paid Time Off
• Employee Assistance Program (EAP)

Position Overview

The Long-Term Acute Care (LTAC) Registered Nurse provides specialized, ongoing care for medically complex adult patients. Operating within a hospital-affiliated LTAC unit in Columbia, MO, this role centers on continuous patient monitoring, complex clinical interventions, multi-system management, and collaborative discharge planning. You will work alongside an interdisciplinary care team—including physicians, therapists, and case managers—to observe subtle clinical trends, manage high-acuity needs, and optimize patient recovery.

Key Responsibilities

• Patient Assessment & Care: Perform detailed clinical assessments, monitor vital signs and lab trends, administer ordered medications, manage complex IV therapy/infusions, and provide specialized wound, dressing, and ostomy care.

• Complication Management: Vigilantly monitor for acute clinical changes or complications; escalate findings promptly to attending physicians according to facility protocols.

• Interdisciplinary Collaboration: Work closely with physicians, therapists, case managers, and family members to build, evaluate, and adjust individualized, comprehensive care plans.

• Documentation & Education: Maintain precise, timely clinical documentation in the Electronic Health Record (EHR). Educate patients and caregivers on treatment plans, medication management, and post-discharge expectations.

Qualifications & Requirements

• Education: Associate Degree in Nursing (ADN) or Bachelor of Science in Nursing (BSN) from an accredited program.

• Licensure: Active, unencumbered Registered Nurse (RN) license in the state of Missouri (or a valid Multi-State/Compact RN License).

• Certifications:

  • Basic Life Support (BLS) for Healthcare Providers (Required)

  • Advanced Cardiovascular Life Support (ACLS) (Recommended)

  • Specialized LTAC, Progressive Care (PCCN), or Critical Care (CCRN) certification (Preferred)

• Experience & Skills: Demonstrable experience with complex inpatient acute or post-acute care, telemetry, wound management, and IV therapy. Strong clinical judgment, interdisciplinary communication, and EHR documentation skills are essential.

Preferred Experience

• Bachelor of Science in Nursing (BSN).

• Hands-on experience with mechanical ventilation and tracheostomy care.

• Proficiency with advanced care coordination platforms and hospital EHR systems.

Work Environment & Schedule

• Hospital-based LTAC environment with rotating shifts, including evening, night, and weekend coverage as dictated by unit needs.

• The work environment is steady with moments of sudden high acuity during acute patient changes.

• Prioritizes patient safety, collaborative team dynamics, and structured discharge planning.