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Cardiac Critical Care RN Specialist / Night Shift
Welsh & 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
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
Focusing on cardiac critical care during the night shift involves managing highly complex cardiac cases like severe heart failure and post-operative cardiac surgery patients. Nurses in Mission Viejo’s CICU utilize specialized devices such as IABP and ECMO, requiring advanced clinical judgment distinct from general ICU roles.
Critical skills include advanced hemodynamic monitoring expertise, proficiency with mechanical circulatory support devices, and autonomous decision-making during high-acuity night hours. Experience in managing vasoactive medications and collaboration with multidisciplinary teams is vital for patient stabilization.
Night shift roles in cardiac critical care offer unique exposure to complex cases not always seen during day shifts. Working at a Magnet-recognized facility in Southern California enhances career development through cutting-edge technologies and specialized training, positioning nurses for leadership roles.
Welsh & Associates provides comprehensive benefits, including competitive salaries with night differentials, tuition reimbursement, and a culture focused on inclusive care and professional respect. Night shift RN specialists benefit from ongoing educational resources tailored to cardiac critical care advancements.
The company’s emphasis on whole-person care and a mission-driven culture encourages RNs to deliver compassionate, individualized treatment. This environment fosters teamwork and values night shift nurses as critical decision-makers in managing complex cardiac cases.
Salaries range broadly between $110,760 and $171,974 annually, with additional night shift differentials and potential bonuses. This compensation aligns with Southern California’s competitive healthcare market and reflects the specialized expertise required for cardiac critical care nursing.
Holding a valid California RN license is mandatory, alongside current BLS and ACLS certifications. Due to the advanced cardiac care focus in Mission Viejo, certifications related to critical care or cardiac life support enhance employability and reflect local clinical standards.
Mission Viejo’s demand for skilled cardiac critical care nurses is high due to its status as a regional cardiac referral center. While competition exists, experienced RNs with specialized skills and certifications find strong opportunities, especially in hospitals recognized for nursing excellence.
Night shifts require managing rapid changes in critically ill cardiac patients, including titrating vasoactive drugs and operating advanced life-support devices. The RN must maintain vigilance with limited staffing and collaborate closely with intensivists to ensure seamless patient care.
Access to sophisticated monitoring like Swan-Ganz catheters and therapies such as CRRT and targeted temperature management empowers night shift RNs to detect subtle physiologic changes promptly, enhancing patient outcomes through timely interventions in this high-acuity environment.
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