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Cardiac Critical Care RN Specialist / Night Shift
Gallman Consulting
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 shift cardiac critical care nursing demands heightened vigilance in managing acute cardiac conditions when staffing is leaner, requiring advanced autonomy. In Mission Viejo's specialized CICU, this role focuses on critical interventions like vasoactive medication titration and device management uniquely intensified overnight.
Mastery of hemodynamic monitoring tools such as Swan-Ganz catheters, proficiency with mechanical circulatory support devices like Impella and ECMO, and expertise in managing complex post-op cardiac surgery patients are key skills that elevate your impact during night shifts in Southern California's high-acuity cardiac ICUs.
Employers in Mission Viejo prioritize California RN licenses paired with national BLS and ACLS certifications. Given the cardiac focus, additional certifications in critical care or cardiac nursing can enhance your candidacy for night shift positions within advanced cardiac ICUs.
Magnet status fosters continuous education and leadership development. As a night shift cardiac critical care RN, you can leverage this environment for specialized certifications, clinical leadership roles, and participation in innovative cardiac care research, augmenting your career trajectory significantly.
Mission Viejo shows steady demand for experienced critical care RNs due to its concentration of specialty cardiac centers. However, competition remains moderate; possessing specialized cardiac critical care skills and night shift experience notably increases your employment prospects locally.
Mission Viejo’s traffic patterns ease during night hours, typically benefiting night shift nurses. Still, planning routes around occasional late-night freeway maintenance or localized construction helps ensure punctuality and reduces stress for cardiac ICU nurses working overnight.
Gallman Consulting emphasizes an inclusive culture and provides competitive benefits like night shift differentials, tuition reimbursement, and wellness programs. These support mechanisms help night shift cardiac critical care RNs manage demanding schedules while fostering professional growth.
Yes, the position involves being a clinical resource overnight, coordinating complex patient care, managing emergencies, and facilitating collaboration with intensivists, making leadership a core night shift function in the cardiac ICU context.
Salaries typically range from $110,760 to $171,974 annually, reflecting the specialized nature of cardiac critical care nursing with added night shift premiums. This aligns with Southern California market rates for highly skilled ICU nurses.
This role uniquely concentrates on advanced cardiac support during nocturnal hours, managing complex cases like mechanical circulatory support and advanced hemodynamics, which is more specialized than general cardiac nursing roles, emphasizing critical interventions overnight.
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