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Cardiac Critical Care RN Specialist / Night Shift
Ives & Associates Inc
Location : Mission Viejo, CA, 92691
Job Type : Full Time
Salary : $145,000 - $175,000
Date Posted : 2 December 2025
Join one of the most awarded health systems in Southern California, recognized nationally for clinical excellence and nursing leadership. We are seeking a dedicated
This is a chance to move beyond general ICU and truly specialize in advanced cardiac critical care, managing the most complex cardiovascular and medical cases during the crucial nocturnal hours.
As a Full-Time Night Shift RN in the CICU, you will be responsible for applying specialized clinical knowledge and independent judgment to stabilize and manage complex cardiac and critically ill medical patients.
We offer a best-in-class benefits package designed to support your total well-being, professional growth, and financial security:
Cardiac Critical Care RN Specialist / Night ShiftJoin one of the most awarded health systems in Southern California, recognized nationally for clinical excellence and nursing leadership. We are seeking a dedicatedRegistered Nurseto anchor the night team in our high-acuityCardiac Intensive Care Unit (CICU)at our flagship Medical Center.
Why This Is a Top-Tier Career Move- Magnet Recognition Leader:You will work at a facility that has achievedMagnet Designationfrom the ANCC multiple times (2012, 2017, 2021) and is currently pursuing its
- fourth consecutive designation. This recognizes the highest standard of nursing excellence and innovation—a powerful environment for professional growth.
- Specialized High-Aculty Focus:Our 27-bed CICU is a regional referral center specializing in advanced cardiac support, placing you at the forefront of treating:Pre- and Post-operative Cardiac Surgery patients.
Patients requiring
- Mechanical Circulatory Support (e.g., Impella, ECMO, VADs).
- severe heart failure, post-MI care, and cardiomyopathy.
- Advanced Technology:Gain expert proficiency with critical life-support modalities including Intra-Aortic Balloon Pump (IABP),
- CRRT (Continuous Renal Replacement Therapy),
- Targeted Temperature Management (TTM) , and advanced hemodynamic monitoring (
- Swan-Ganz ).
- Mission-Driven Culture:Join a not-for-profit system with a 100+ year tradition, anchored by the promise,“Know me, care for me, ease my way.”We provide whole-person care and are committed to creating an inclusive workforce where your voice is heard and valued.
Critical patients with complex diagnoses like
- Advanced Hemodynamics Management:Initiate, manage, and titrate vasoactive and inotropic medications, utilizing advanced monitoring tools (like Swan-Ganz catheters) to manage complex hemodynamic instability.
- Complex Device Management:Care for patients on temporary cardiac assist devices (e.g., IABP) and provide meticulous pre- and post-procedural care for cardiac interventions.
- Intensive Medical Management:Provide expert care for high-risk medical diagnoses, includingSevere Sepsis, DKA, and Acute Respiratory Failure, often requiring mechanical ventilation and therapeutic hypothermia protocols.
- Collaborative Night Leadership:Serve as a key clinical resource during the night shift, ensuring seamless patient handoffs, rapid response to changes in condition, and effective collaboration with Intensivists and multi-disciplinary teams.
- Experience:Minimum ofone (1) yearof recent, full-time work experience in an acute care (hospital)
- Intensive Care Unit (ICU) setting. (Student clinical experience is not considered).
- License:Current and activeCalifornia Registered Nurse (RN) Licenseupon hire.
- Certifications (Must have upon hire):
National Provider
- BLS - American Heart Association
- ACLS - American Heart Association
- Education:Graduation from an accredited nursing program (Bachelor's Degree preferred).
National Provider
- Competitive Base Salary:Starting between$110,760 and $171,974, plus applicable night shift differentials, premium pay, and potential bonus opportunities.
- Financial Security:Retirement401(k) Savings Plan with employer matching.
- Health & Wellness:Comprehensive medical, dental, and vision insurance.
- Professional Development:Tuition Reimbursementand dedicated resources for ongoing training and advancement.
If you are an experienced ICU nurse ready to specialize and lead the night shift in one of the nation's premier Cardiac Critical Care Units, we invite you to explore this highly impactful role.
Freqently Asked Questions
Night shift cardiac critical care nurses in Mission Viejo manage highly complex cardiovascular cases with less immediate on-site support, requiring heightened autonomy and advanced skills. The role demands expertise in nocturnal patient stabilization, use of devices like IABP, and collaboration with night intensivists, contrasting with the broader daytime ICU routines.
Alongside an active California RN license, certifications such as ACLS and BLS from the American Heart Association are critical. These credentials validate competency in advanced cardiovascular life support and emergency response, essential when independently managing life-threatening cardiac conditions during overnight shifts.
This position offers specialization in advanced cardiac care with exposure to cutting-edge technologies like ECMO and Swan-Ganz monitoring. The role fosters clinical leadership on night shifts within a magnet-recognized system, elevating professional standing beyond general ICU experience and opening pathways to cardiac critical care leadership.
Night shift RNs must exhibit vigilance in monitoring device function and patient hemodynamics with limited immediate backup. Challenges include rapid response to alarms, managing vasoactive medication titration, and ensuring seamless communication during handoffs—all critical to maintaining patient stability with devices like Impella or VADs overnight.
Mission Viejo's demand for specialized cardiac critical care RNs is robust due to the region's aging population and advanced cardiac centers. Night shift roles are highly sought after, offering competitive compensation and opportunities within renowned health systems, though candidates with specialized certifications and experience hold a recruitment advantage.
Southern California's healthcare emphasizes whole-person, inclusive care, reflected in Ives & Associates’ culture prioritizing patient-centered approaches and diversity. Night shift nurses benefit from supportive leadership and continuous professional development, aligning with regional standards for nursing excellence and innovation.
The position offers a competitive base salary ranging from approximately $110,760 to $171,974 annually, supplemented by night shift differentials and potential bonuses. This package reflects the high specialization and critical nature of cardiac ICU nursing roles in the Southern California healthcare market.
Proficiency with Swan-Ganz catheters enables night shift RNs to interpret complex hemodynamic data, guiding precise management of vasoactive drugs and fluid status. This skill set is vital for stabilizing critically ill cardiac patients overnight and directly impacts morbidity and mortality outcomes.
At Ives & Associates, RNs operate within a magnet-designated institution renowned for nursing innovation and excellence. The cardiac CICU’s focus on advanced mechanical circulatory support and multidisciplinary collaboration fosters a uniquely specialized and professionally enriching environment.
Night shifts call for heightened vigilance in monitoring rapidly changing cardiac conditions with fewer on-site resources. This necessitates autonomous decision-making, expert management of critical devices, and efficient coordination with night team members to ensure uninterrupted high-level care.
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