Jobloria
Cardiac Critical Care RN Specialist / Night Shift
Retail Options
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 working nights must expertly handle devices like intra-aortic balloon pumps (IABP), ECMO, Impella, and VADs. Mastery of continuous renal replacement therapy (CRRT) and advanced hemodynamic monitoring tools such as Swan-Ganz catheters is also essential for managing critical cardiac patients.
Night shifts in a cardiac ICU require focused expertise on intricate cardiac conditions and devices, unlike general ICU roles. Nurses manage advanced cardiac support, including mechanical circulatory devices and vasoactive medication titration, while leading rapid response efforts during quieter hospital hours with less immediate on-site support.
In Mission Viejo, employers highly value current California RN licensure plus BLS and ACLS certifications from the American Heart Association. Additional credentials relevant to cardiac critical care, such as CCRN, can enhance candidacy given the region’s competitive healthcare job market focused on specialized nursing skills.
This role involves managing complex cardiac patients including pre- and post-operative cardiac surgery cases, severe heart failure, post-myocardial infarction care, and patients requiring mechanical circulatory support. Night shift nurses must stabilize and monitor high-acuity patients using specialized therapies and advanced monitoring equipment.
Southern California, including Mission Viejo, has a growing demand for specialized cardiac ICU nurses due to multiple magnet-recognized hospitals. While competition is moderate, possessing acute care experience, advanced certifications, and willingness to work nights significantly improves chances of securing these coveted positions.
Retail Options offers a competitive base salary ranging from approximately $110,760 to $171,974 plus night shift differentials and potential bonuses. Benefits include 401(k) employer matching, comprehensive medical, dental, vision coverage, and tuition reimbursement, supporting both financial security and professional growth.
On night shifts, the RN specialist acts as a clinical leader by ensuring smooth patient handoffs, coordinating rapid responses to patient status changes, and collaborating closely with intensivists and multidisciplinary teams. This role demands independent decision-making to stabilize critically ill cardiac patients in high-pressure situations.
Nurses in this niche can advance into clinical nurse specialist roles, cardiac nurse educator positions, or leadership tracks within magnet-designated hospitals. Southern California’s emphasis on nursing excellence and innovation provides fertile ground for specialization, research participation, and career progression in cardiac critical care.
Retail Options fosters an inclusive, mission-driven culture emphasizing whole-person care under the motto 'know me, care for me, ease my way.' Night shift nurses benefit from a supportive environment valuing their input, encouraging professional development, and promoting compassionate care even during demanding overnight hours.
In Mission Viejo, night shift Cardiac Critical Care RNs generally earn between $110,000 and $172,000 annually. Salaries reflect the high acuity of the role, specialized skills required, and local market demand, with additional pay through shift differentials and potential performance bonuses boosting overall compensation.
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