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Cardiac Critical Care RN Specialist / Night Shift
INTEGRA PERSONNEL
Location : Mission Viejo, CA, 92691
Job Type : Full Time
Salary : $145,000 - $175,000
Date Posted : 2 December 2025
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Search JobsBack To ListCardiac 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
This position demands focused expertise in managing advanced cardiac cases during overnight hours, involving complex devices like intra-aortic balloon pumps and continuous renal replacement therapy. Night shifts require acute judgment to stabilize patients with severe heart conditions, making it a highly specialized nursing role within critical care.
Cardiac Critical Care RN Specialists master advanced hemodynamics, mechanical circulatory support devices, and targeted temperature management, unlike general ICU nurses. Night shifts accentuate their autonomy in managing complex cardiac emergencies, requiring proficiency in titrating vasoactive medications and interpreting Swan-Ganz catheter data.
Applicants must hold an active California RN license and current American Heart Association certifications in BLS and ACLS. These credentials ensure readiness to handle cardiac emergencies and life-support interventions crucial for night shift care in critical cardiac units.
Night shift nurses in Mission Viejo navigate high-acuity cardiac cases with fewer onsite resources and must act swiftly during emergent events. The region's patient population and referral center status require expertise in specialized devices and collaborative communication under nocturnal staffing dynamics.
Mission Viejo's growing healthcare sector increases demand for experienced cardiac critical care nurses on night shifts. Facilities like INTEGRA PERSONNEL seek nurses with acute care expertise, but the specialized skill set narrows the candidate pool, intensifying competition among highly qualified RNs.
INTEGRA PERSONNEL provides competitive salaries with night differentials, extensive medical benefits, 401(k) matching, and tuition reimbursement. These perks foster professional development and financial stability, especially valuable for specialized RNs tackling demanding night shift roles.
INTEGRA PERSONNEL emphasizes a mission-driven, inclusive environment where night shift RNs are valued collaborators in patient care. This culture supports whole-person care and continuous innovation, making night shifts more rewarding despite clinical intensity.
Night shift Cardiac Critical Care RNs in Mission Viejo generally earn between $110,760 and $171,974 annually, with additional pay for night differentials and bonuses. This range reflects the specialized skills required and the region's cost of living and healthcare market standards.
Night shift specialists often handle higher autonomy with fewer immediate resources, requiring rapid independent decision-making. They manage complex cases with critical devices during quieter hours but must maintain seamless communication for handoffs and emergencies unique to nighttime hospital dynamics.
The organization supports progression through advanced clinical roles, leadership in nocturnal care teams, and specialized certifications. Night shift experience in a Magnet-recognized center enhances prospects for nurse practitioner roles or clinical nurse specialist positions in cardiac care.
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