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Cardiac Critical Care RN Specialist / Night Shift
The Boland 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
Night shift cardiac critical care RNs in Mission Viejo are skilled at managing advanced circulatory support like IABP, ECMO, and VADs. Their expertise ensures patients receive precise hemodynamic stabilization during critical nocturnal hours, making a significant difference in outcomes for severe cardiac cases.
Unlike general ICU nurses, cardiac critical care RN specialists focus on cardiovascular complexities, including managing mechanical support devices and advanced hemodynamic monitoring. This specialization demands proficiency in vasoactive medication titration and collaboration with surgical teams for cardiac patients, especially in high-acuity centers like those in Southern California.
The Boland Group offers night shift cardiac critical care RNs pathways to advance by engaging in Magnet-recognized nursing leadership and specialized clinical education. The night role often involves leadership duties, positioning nurses for future roles in clinical education, management, or advanced cardiac care specialties.
The Boland Group emphasizes Magnet designation excellence and a mission-driven culture, offering night shift cardiac RNs exposure to cutting-edge technologies and a collaborative environment. This distinct approach fosters professional growth and holistic patient care not commonly found in other Mission Viejo hospitals.
Mission Viejo’s demand for cardiac ICU night shift nurses is robust due to a growing elderly population and advanced cardiac care centers. However, specialized skills in mechanical circulatory support and critical care elevate competition, making certifications like ACLS and recent ICU experience highly valuable.
In Mission Viejo, experienced cardiac critical care RNs working nights typically earn between $110,000 and $172,000 annually, factoring in night differentials and bonuses. This range reflects the high skill level required for managing complex cardiac patients in a Magnet-recognized facility.
Yes, The Boland Group supports night shift cardiac critical care RNs with tuition reimbursement and ongoing training resources. This benefits nurses aiming to deepen expertise in cardiac critical care or pursue certifications, aligning with the company’s commitment to nursing excellence.
Night shift RNs specialize in managing complex cardiac patients by monitoring hemodynamics, titrating medications, and coordinating care for mechanical assist devices. They also lead night team communication, ensuring rapid response to patient status changes within a high-acuity cardiac ICU setting.
Night shift cardiac critical care nursing in Mission Viejo can offer quieter hospital environments and shift differentials that enhance compensation. However, it requires adaptation to nocturnal schedules and self-care strategies to maintain balance, especially given the role’s high-intensity demands.
Candidates must hold an active California RN license and certifications like BLS and ACLS upon hire. These credentials ensure compliance with state regulations and readiness to deliver specialized cardiac critical care, particularly in The Boland Group’s advanced clinical environment.
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