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Cardiac Critical Care RN Specialist / Night Shift
True North Consultants
Location : Mission Viejo, CA, 92691
Job Type : Full Time
Salary : $145,000 - $175,000
Date Posted : 2 December 2025
Cardiac Critical Care RN Specialist / Night Shift
Join one of the most awarded health systems in Southern California, recognized nationally for clinical excellence and nursing leadership. We are seeking a dedicated
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.
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.
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
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.
Key Responsibilities- 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
We offer a best-in-class benefits package designed to support your total well-being, professional growth, and financial security:
- 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
A cardiac critical care RN specialist on night shifts in Mission Viejo must master hemodynamic monitoring tools like Swan-Ganz catheters, manage mechanical circulatory support devices such as IABP and ECMO, and competently handle vasoactive medication titration to stabilize complex cardiac patients overnight.
Working nights in a cardiac ICU demands heightened vigilance due to reduced staffing and the critical nature of patient conditions. The RN specialist must independently coordinate care, promptly respond to emergencies, and collaborate closely with intensivists to manage unstable cardiovascular cases during nocturnal hours.
Specializing as a night shift cardiac critical care RN in Southern California opens doors to leadership roles, advanced clinical certifications, and participation in pioneering cardiac research. Facilities with Magnet status provide structured professional development pathways enhancing expertise in cutting-edge cardiac interventions.
True North Consultants fosters an inclusive culture emphasizing whole-person care, offering cardiac critical care RNs dedicated resources for ongoing education, competitive night shift differentials, and a collaborative environment that values nurse leadership during critical nocturnal care periods.
True North Consultants provides a uniquely specialized night shift cardiac ICU role with exposure to advanced mechanical support devices and a magnet-designated hospital setting, ensuring RNs receive top-tier clinical experience alongside comprehensive benefits tailored for night shift professionals.
Mission Viejo's cardiac ICU RN roles are competitive but benefit from a strong regional demand for critical care nurses, coupled with a lower cost of living than bigger metro areas. This balance attracts skilled candidates seeking specialized night shift opportunities with excellent professional growth.
In addition to California RN licensure, certifications like ACLS and BLS are mandatory, while advanced credentials such as CCRN or cardiac-specific certifications enhance a candidate’s profile, aligning with Mission Viejo hospitals’ emphasis on high-acuity cardiac care expertise.
With salaries between $110,760 and $171,974 plus night differentials, Mission Viejo's cardiac critical care RN roles offer competitive pay exceeding many national averages, reflecting the high specialization and critical nature of night shift cardiac ICU nursing in this region.
Night shifts at True North Consultants demand managing complex cardiovascular cases with limited immediate resources, requiring expertise in mechanical circulatory devices, rapid response to hemodynamic instability, and independent decision-making in a magnet-recognized setting.
True North Consultants’ mission emphasizes compassionate, whole-person care, fostering a supportive environment where night shift cardiac critical care RNs feel valued and empowered to provide meticulous, patient-centered treatment amid the demanding overnight cardiac ICU landscape.
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