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Cardiac Critical Care RN Specialist / Night Shift
Crescent City Recruitment Group
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
Working night shifts in a cardiac critical care unit demands heightened vigilance during peak nocturnal risks. In Mission Viejo, this role involves managing complex cardiac surgeries and mechanical supports while ensuring seamless communication with intensivists despite reduced daytime staffing.
Night shift cardiac critical care nurses require proficiency in advanced hemodynamic monitoring and device management, such as IABP and ECMO, focusing exclusively on cardiovascular cases rather than broader ICU patient populations, enhancing their clinical expertise in cardiac-specific emergencies.
Southern California, particularly areas like Mission Viejo, shows consistent demand for specialized cardiac ICU nurses on night shifts due to the region's aging population and prevalence of cardiac conditions, making roles at top-tier facilities highly competitive and sought-after.
Crescent City Recruitment Group offers cardiac critical care RN specialists unique growth paths through exposure to cutting-edge cardiac technologies and magnet-recognized nursing excellence, especially on night shifts where leadership and independent judgment are paramount.
The base salary ranges from $110,760 to $171,974 annually, complemented by night shift differentials and bonuses. Benefits include retirement matching, medical coverage, and tuition reimbursement, providing a comprehensive package tailored to cardiac critical care nurses working overnight.
Beyond the California RN license, certifications like ACLS and BLS from the American Heart Association are essential. Given the advanced cardiac care focus in Mission Viejo, additional credentials related to cardiac device management can enhance employability.
Night shift nurses handle acute cardiac emergencies such as post-op cardiac surgery care, managing mechanical circulatory devices, and titrating vasoactive medications, requiring swift decision-making and collaboration with on-call intensivists to stabilize critically ill patients.
Yes, the company emphasizes ongoing learning with tuition reimbursement and training programs. Night shift specialists benefit from working in a magnet-designated environment that encourages nursing innovation and leadership development.
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