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Cardiac Critical Care RN Specialist / Night Shift
Stratus Staffing
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 Mission Viejo’s cardiac critical care units often demand heightened vigilance during lower staffing hours, requiring RNs to independently manage complex cardiac cases like severe heart failure and post-op care. The nocturnal environment emphasizes rapid decision-making and coordination with on-call specialists for optimal patient outcomes.
Beyond the mandatory California RN license and ACLS/BLS certification, proficiency with advanced cardiac support devices such as IABP and ECMO is highly valued. Specialized critical care certifications tailored to cardiac ICU nursing can improve employability and reflect expertise in managing advanced hemodynamics and mechanical circulatory support.
Managing patients on devices like Impella or ECMO during night shifts involves continuous hemodynamic monitoring and promptly adjusting vasoactive medications. Nurses must anticipate device complications and coordinate urgent interventions, which requires deep technical knowledge and confident clinical judgment under limited immediate supervision.
Specializing as a night shift cardiac critical care RN can lead to roles in clinical leadership, advanced practice nursing, or specialized cardiac care coordination. The exposure to complex cases and advanced cardiac technologies often positions nurses for certifications, teaching roles, or management within high-acuity cardiovascular units.
Mission Viejo’s healthcare sector shows steady demand for critical care RNs, particularly for night shifts in cardiac ICUs due to regional referrals for complex cardiac cases. Increasing patient acuity and the pursuit of Magnet recognition by hospitals amplify the need for specialized nursing talent to ensure 24/7 excellence.
Mission Viejo’s healthcare facilities emphasize whole-person care and inclusivity, reflecting community values. Night shift nurses at Stratus Staffing experience a collaborative environment with a focus on professional growth and patient-centered approaches, influenced by the region’s commitment to innovation and clinical excellence.
Stratus Staffing offers tuition reimbursement and dedicated training resources to advance cardiac critical care skills. Night shift RNs benefit from competitive salaries with shift differentials, plus comprehensive wellness programs aimed at balancing the demands of high-acuity nighttime care with personal health and career growth.
Yes, Stratus Staffing incorporates premium pay and night shift differentials into compensation packages for cardiac critical care nurses. Additional bonuses and retirement benefits like 401(k) matching underscore their commitment to rewarding the specialized skills and dedication required for nocturnal cardiac ICU roles.
Salaries for night shift cardiac critical care RNs in Mission Viejo through Stratus Staffing typically range between $110,760 and $171,974 annually. This includes base pay plus night differentials and potential bonuses, reflecting the advanced expertise required to manage complex cardiac patients during critical overnight hours.
Expertise in managing vasoactive infusions, interpreting Swan-Ganz catheter readings, and handling advanced devices like ECMO distinguishes night shift cardiac RNs. Their ability to stabilize high-risk patients independently at night ensures seamless continuity in care within Stratus Staffing’s specialized cardiac intensive care environment.
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