Step into the essential, fast paced world of acute observation nursing as a Registered Nurse in the Observation Unit in Rochester, New York. This role puts you at the heart of patient safety, where keen clinical assessment, rapid decision making, and compassionate, patient-centered care converge to stabilize and empower individuals during critical moments. If you're drawn to precision, teamwork, and the satisfaction of guiding patients toward clarity and comfort, this assignment invites you to shape outcomes with every shift. In Rochester you'll join a community that values expertise, resilience, and the everyday impact of attentive nursing in dynamic hospital environments. And beyond the hospital walls, New York's storied landscapes invite you to recharge-from the shimmering shores of Lake Ontario to the rolling vineyards and pristine forests of the Finger Lakes region, with city culture, food scenes, and countless outdoor retreats just a short drive away.
Rochester offers a compelling blend of academic medicine, collaborative care, and a welcoming, metropolitan feel with accessible amenities. You'll work in a city that prioritizes patient outcomes, supported by robust nursing leadership and a culture of professional growth. For nurses who love variety within a unified specialty, there's also the opportunity to be deployed to other exciting locations across the U.S., broadening your clinical horizons while maintaining the expertise you've honed in observation care. The role provides a bridge between acute monitoring and comprehensive clinical decision making, with exposure to diverse patient populations, protocols, and interdisciplinary teamwork that enhances both your practice and your resume. The experience is designed to be both stimulating and sustainable, offering you a chance to expand your professional footprint while you maintain a balanced lifestyle in a region renowned for educational resources, cultural offerings, and four-season living.
Role specifics and benefits : In the Observation Unit, you will perform continuous patient monitoring, early warning score assessments, and timely escalation to the medical team as indicated. You'll perform thorough neuro checks, monitor vital signs, manage telemetry and IVs, administer medications per protocol, and coordinate with physicians, case managers, pharmacists, and family members to support safe transitions. Your clinical judgment will guide triage decisions, discharge planning, and the optimization of care pathways for patients whose conditions require close observation. This assignment emphasizes professional growth within the specialty through structured mentorship, unit-based education, and opportunities to participate in quality improvement initiatives, patient safety projects, and evidence-based practice updates. The role also supports your progression into advanced practice opportunities or leadership pathways as you demonstrate reliability, initiative, and excellence in care delivery.
Compensation and support are designed to be compelling and dependable. You'll receive a competitive weekly pay range of $2,145-$2,270, with the benefit of a comprehensive package that may include a welcome bonus, housing assistance, and potential extension opportunities to continue your assignment if you choose. The program provides extensive support for traveling nurses, including 24 / 7 assistance while you travel with the company, dedicated travel coordinators, onboarding resources, and access to clinical educators who are available for questions and guidance at any time. You'll also have access to orientation programs, continuous skills refreshers, and a broad network of peers to share best practices. While this assignment is structured for weeks, you will have the flexibility to explore extensions based on your performance, your preferences, and the evolving needs of the facility. Please note that the hours and pay rates listed are estimates and may vary. Final compensation packages and guaranteed hours will be confirmed during the hiring process.
The company values your expertise and dedication. Our culture centers on empowering staff, recognizing that your growth fuels better patient care. You'll find a collaborative environment that prioritizes mentorship, transparent feedback, and ongoing career advancement. The organization is committed to supporting nurses through every stage of their professional journey-from orientation and onboarding to ongoing skill development and leadership opportunities. You'll be part of a community that respects your contributions, provides practical resources for work-life balance, and encourages continuous learning.
Ready to take the next step? Apply now to join a company that values your clinical excellence and supports your professional development as you deliver high-quality observation care across Rochester and beyond. Start date 01 / 05 / 2026, with assignment length defined in weeks and extension options available. This is your chance to make a difference in patient care while expanding your experience in a thriving, supportive environment.
Privacy & Consent
By applying, you agree to TLC Nursing's Privacy Policy and consent to receive job-related text messages; message / data rates may apply. Reply STOP to opt out.
About TLC Nursing
TLC Nursing is a nationwide travel healthcare staffing agency pairing RNs, LPNs, CNAs, and Allied Health professionals with high-quality travel and local contracts across the U.S.
ShiftShield™ - Traveler Protection
ShiftShield™ protects travelers from preventable facility-driven cancellations and ensures fair compensation for schedule disruptions.
Why Travelers Choose TLC
Referral Bonus
Earn up to $1,000 per referral - no employment required.
EEO Statement
TLC Nursing is an Equal Opportunity Employer.
Registered Nurse Observation Unit • Rochester, NY, United States