Jobloria
Cardiac Critical Care RN Specialist / Night Shift
Glassrecruiters
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
Expertise in managing mechanical circulatory support devices like Impella, ECMO, and VADs is essential for a Cardiac Critical Care RN Specialist working nights. Familiarity with intra-aortic balloon pumps and advanced hemodynamic monitors ensures safe and effective care for critically ill cardiac patients.
Night shifts in a cardiac ICU often involve managing complex cases independently with fewer immediate resources, requiring advanced critical thinking. Nurses coordinate rapid responses to emergencies, titrate vasoactive meds, and oversee intricate device management during hours when diagnostic and specialist support may be limited.
Candidates should hold a valid California RN license with at least one year of recent acute ICU experience. Certifications like BLS and ACLS are mandatory, reflecting the high standard of care required in advanced cardiac ICUs prevalent in Southern California medical centers.
Night shift cardiac critical care RNs in Mission Viejo can expect base pay ranging from approximately $110,000 to $172,000, which aligns well with Southern California market rates. Additional night differentials and bonuses further enhance compensation, reflecting the specialized skills and demands of this role.
Glassrecruiters offers a unique career path emphasizing magnet-recognized excellence and advanced cardiac care specialization. Night shift RNs benefit from a culture prioritizing whole-person care and professional growth, setting it apart from other local employers that may focus on general ICU nursing.
The position provides access to cutting-edge cardiac technologies and a magnet-designated environment, fostering continuous learning. Glassrecruiters supports tuition reimbursement and specialized training, enabling night shift nurses to deepen expertise in high-acuity cardiac care alongside multidisciplinary teams.
Mission Viejo's healthcare sector shows strong demand for specialized night shift critical care nurses due to its concentration of advanced cardiac centers. The need for highly skilled RNs who can manage complex cardiac patients overnight remains high, making it a favorable job market for critical care professionals.
Mission Viejo offers a suburban setting with manageable commute times, which benefits night shift nurses seeking work-life balance. However, the intensity of cardiac critical care during nocturnal hours demands stamina and adaptability, balanced by access to community resources and wellness programs.
Night shift nurses often need to swiftly adjust vasoactive medication dosages, respond to sudden hemodynamic instability, and manage life-support devices independently. Their prompt judgments during emergencies like post-operative cardiac complications or mechanical ventilation challenges are vital for patient survival.
Specialization in cardiac-specific interventions such as managing intra-aortic balloon pumps, ECMO support, and advanced hemodynamic monitoring tools sets these nurses apart. Night shift specialists must be adept in titrating inotropes and handling complex cardiac surgeries’ pre- and post-operative care with minimal supervision.
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