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University of Virginia Registered Nurse (RN) - Department Tiered Incentive Program- Thoracic Cardiovascular Surgery & Intermediate Care Unit (TIMU) in Charlottesville, Virginia

Virginia’s #1 hospital* is hiring Inpatient RNs for our new Department Based Tier One Program! This enhanced compensation program is a full-time position on select Inpatient Units.

  • U.S. News & World Report’s 2016-2017, 2017-2018 and 2018-2019 “Best Hospitals” guides, Newsweek's 2023 "Best Hospitals in VA" guide.

Department Based Tier One Program members receive the Dept Tier One Premium of $10.00/hour for all paid hours, including PTO. They are also eligible for shift differential and holiday premium pay as per Medical Center policy. This program offers enhanced compensation with the following expectation:

  • Work commitment 72 hours per pay period

  • Minimum of 48 hours on night shift per pay period

  • Remaining hours scheduled to meet unit needs

  • Scheduled a maximum of every other weekend

  • Self-scheduling is not available

  • Fully benefitted position

4 West is the acute and intermediate care unit for UVA’s Thoracic, Cardiac, and Vascular (TCV) surgical patient population. TCV surgery patients are admitted for procedures including coronary artery bypass graft (CABG), cardiac valve repair and replacement, AAA repair, lung resection, esophagectomy, heart and lung transplant, limb amputations, femoral popliteal bypass, and carotid endarterectomy. The nurse-patient ratio is 4 or 5:1 in acute care and 3:1 in TIMU.

4 West is 30-bed unit which includes 18 acute-care beds and a 12-bed TCV Intermediate Care Unit (TIMU). The TIMU provides care for TCV patients who do not need the intense ICU environment of our CVICU (formerly TCV Post Op unit,) yet need more advanced monitoring than an acute-care bed.

TIMU patients include, but are not limited to, fresh lobectomies, patients receiving the thrombolytic TPA, AAA, CABG/Valve and Lung transplants. Some patients are direct admits from PACU, while other come from the CVICU (formerly TCVICU) unit. TIMU can also accommodate patients on select cardiac drips and art lines.

We are seeking a capable clinician, focused on expanding knowledge and skills. Consistently provides effective direct care, as part of the interdisciplinary team, to a variety of complex patients. Manages care and implements treatment plans at a refined skill level in collaboration with patients, their families, physicians and other members of the health care team. Seeks as well as provides feedback for improved clinical practice. Assumes a beginning leadership role but seeks mentoring in this process.

ANA Scope and Standards of Practice definition of nursing:

Nursing is the protection, promotion, and optimization of health and abilities, prevention of illness and injury, facilitation of healing, alleviation of suffering through the diagnosis and treatment of human response, and advocacy in the care of individuals, families, groups, communities and populations.

This job description integrates the ANA 2015 Nursing: Scope and Standards of Practice, Third Edition and the ANA Code of Ethics for Nurses with Interpretive Statements (ANA, 2015), and the UVA Nursing Professional Practice Model.

  • Relationship Based Care - Self and Colleagues: reflects the influence of the nurse’s relationship with self, colleagues and patient/family on the patient experience.

  • Relationship Based Care - Patients and Families: reflects the influence of the nurse’s relationship with self, colleagues and patient/family on the patient experience.

  • Expert Caring: encompasses clinical assessment, planning, prioritizing, coordinating and implementation of care.

  • Empowered Leaders: demonstrate knowledge of and actively participate in shared governance.

  • Lifelong Learners: encompasses professional development through formal education, professional certification, internal and external learning opportunities and recognizes the value of external professional organizations. Supports onboarding of new team members and precepts as applicable.

  • Quality Achievement: includes adherence to clinical documentation guidelines, comprehension of outcomes data, engagement in performance improvement activities and commitment to standard work.

  • Innovation: is demonstrated by application of technologies that support patient care, actively seeking to implement evidence based practice and new knowledge generated by nursing research.

  • In addition to the above job responsibilities, other duties may be assigned.

Position Compensation Range: $39.90 - $53.00 Hourly


Education: Graduate of an accredited nursing program required. Bachelor of Science in Nursing required within 5 years of hire.

Experience: 1 year of relevant experience.

Licensure: Licensed to Practice as a Registered Nurse in the Commonwealth of Virginia. American Heart Association (AHA) Health Care Provider BLS certification required.


Job requires standing for prolonged periods, frequently traveling, bending/stooping. Proficient communicative, auditory and visual skills; Attention to detail and ability to write legibly; Ability to lift/push/pull 20 - 50lbs. May be exposed to chemicals, blood/body fluids and infectious disease.

The University of Virginia, i ncluding the UVA Health System which represents the UVA Medical Center, Schools of Medicine and Nursing, UVA Physician’s Group and the Claude Moore Health Sciences Library, are fundamentally committed to the diversity of our faculty and staff. We believe diversity is excellence expressing itself through every person's perspectives and lived experiences. We are equal opportunity and affirmative action employers. All qualified applicants will receive consideration for employment without regard to age, color, disability, gender identity or expression, marital status, national or ethnic origin, political affiliation, race, religion, sex (including pregnancy), sexual orientation, veteran status, and family medical or genetic information.