Jobloria
Cardiac Critical Care RN Specialist / Night Shift
Management Business Solutions 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
Cardiac Critical Care RNs working night shifts require advanced expertise in managing complex cardiovascular cases, including mechanical circulatory support devices like IABP and ECMO. Their role emphasizes precise hemodynamic monitoring and titrating vasoactive medications, distinguishing them from general ICU nurses by focusing on specialized cardiac interventions overnight.
Night shifts in a cardiac ICU demand heightened vigilance as patients often experience greater instability. Critical Care RNs must lead rapid response efforts, manage advanced devices, and collaborate closely with intensivists. The quiet yet high-acuity setting requires specialized judgment to stabilize patients during hours when many resources are limited.
Night shift Cardiac Critical Care RNs often gain leadership experience by acting as clinical resources during off-hours, enhancing skills in autonomous decision-making. This specialized exposure can open doors to advanced certifications, clinical nurse specialist roles, or leadership positions focused on critical care nursing excellence.
Yes, Management Business Solutions Inc offers night shift RNs access to comprehensive benefits including tuition reimbursement and a supportive culture aligned with Magnet recognition standards. Their commitment to whole-person care ensures night staff receive professional development and wellness resources specific to the demands of nocturnal critical care.
This position emphasizes care within a Magnet-recognized health system with a legacy of clinical innovation. The role uniquely focuses on complex cardiac cases during nights, backed by advanced technologies like Swan-Ganz catheters and CRRT, offering unmatched opportunities for professional growth in a collaborative culture.
Mission Viejo's growing healthcare sector has heightened demand for specialized night shift Cardiac Critical Care RNs, driven by an aging population and advanced cardiac centers. Hospitals compete for experienced nurses skilled in mechanical circulatory support, making this a sought-after role with strong local hiring activity.
Salaries for night shift Cardiac Critical Care RNs in Mission Viejo range broadly, with starting pay between $110,760 and $171,974 annually. This includes night differentials, premium pay, and potential bonuses, reflecting the specialized skills and high responsibility required during critical overnight hours.
Holding a current and active California RN license is mandatory for this position. Additionally, certifications like BLS and ACLS from the American Heart Association are required upon hire, ensuring nurses meet stringent state and clinical standards critical for advanced cardiac care during night shifts.
Night shift RNs handle complex hemodynamic instability, titrate vasoactive drugs, and manage devices like intra-aortic balloon pumps. They also navigate acute medical emergencies such as severe sepsis or respiratory failure, requiring swift, independent clinical decisions and collaborative teamwork in a high-stakes environment.
The company invests in its night shift cardiac nurses through tuition reimbursement and ongoing training resources. Working within a Magnet-recognized system propels clinical excellence and leadership development, supporting nurses to advance their expertise and careers while maintaining work-life balance on nocturnal schedules.
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