Jobloria
Cardiac Critical Care RN Specialist / Night Shift
Hire Horizons
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
Night shifts in cardiac critical care require heightened vigilance due to reduced staffing and increased patient acuity during nocturnal hours. In Mission Viejo, this role ensures continuous cardiac monitoring and rapid response, which directly contributes to stabilizing complex cases like severe heart failure and post-operative cardiac surgery, improving overnight patient outcomes.
Cardiac Critical Care RN Specialists master managing mechanical circulatory devices like Impella and ECMO, advanced hemodynamic monitoring via Swan-Ganz catheters, and vasoactive medication titration. Their expertise surpasses general ICU nursing by focusing on intricate cardiac pathologies and post-surgical cardiac care, critical for high-acuity patients.
In California, Cardiac Critical Care RNs must hold an active RN license and certifications like BLS and ACLS from the American Heart Association. While no exclusive night-shift certifications exist, proficiency with cardiac assist devices and continuous renal replacement therapy enhances qualifications, aligning with state and hospital standards.
Mission Viejo’s demand for specialized cardiac ICU nurses on night shifts remains robust due to its aging population and high-acuity referral centers. Competition is moderate; candidates with recent acute care ICU experience and advanced cardiac skills tend to secure positions quickly amid ongoing regional healthcare expansion.
Hire Horizons offers a unique environment with Magnet-recognized nursing excellence and access to cutting-edge cardiac technology like intra-aortic balloon pumps and targeted temperature management. Their emphasis on mission-driven culture and night leadership opportunities sets this role apart from typical cardiac ICU nursing jobs nearby.
Yes, Hire Horizons supports ongoing education with resources to develop proficiency in managing advanced devices such as ECMO and VADs. Night shift RNs receive targeted training to confidently care for high-acuity patients, ensuring safe and effective use of life-support technologies integral to cardiac critical care.
Expect a base salary between $110,760 and $171,974 annually for this role, supplemented by night shift differentials and potential bonuses. This range reflects the high skill level required and the competitive compensation typical for cardiac ICU nursing specialists in the Mission Viejo area.
Night shift RNs often lead clinical decision-making overnight, managing vasoactive infusions, monitoring invasive hemodynamics, and coordinating rapid responses with multidisciplinary teams. Their role demands heightened autonomous judgment to stabilize deteriorating patients when fewer resources are available compared to daytime shifts.
Mission Viejo’s relatively high cost of living necessitates competitive salaries for specialized nurses. Employers typically offer premium pay and robust benefits to offset living expenses, making compensation packages for night shift cardiac ICU RNs more attractive than in lower-cost regions.
California’s stringent nursing regulations and high patient acuity levels create a demanding environment. Night shift nurses at facilities like Hire Horizons must adeptly manage complex cardiac devices and acute emergencies with minimal supervision, balancing state compliance with real-time critical care needs.
Porterville, CAJobseekers are also searching for
Popular Searches for Critical Care Registered Nurse