Clinical Nurse: Irvine Sub ICU/Telemetry

Hoag Health System; Irvine (CA); On-site; USD 90,000 - 130,000; Full time

Job summary

Hoag Memorial Hospital Presbyterian in Irvine, CA, is seeking a Telemetry nurse to support a high-acuity unit providing neuro, cardiac, and post-surgical care. You will monitor cardiac rhythms, administer medications, and collaborate with an interdisciplinary team to create individualized care plans.

The role emphasizes patient education, thorough assessments, and timely response to emergencies, with a focus on safety and adherence to standards.

Qualifications

• Active California RN license in good standing.
• BSN degree or started BSN within one year of hire and degree attained within two years.
• BLS and ACLS certifications.
• NIHSS certification due within 365 days of hire.
• Experience in telemetry, neuro, cardiovascular, or ventilated patient care preferred.
• Proficiency with clinical equipment and EHR systems.

Responsibilities

• Monitor and interpret cardiac rhythms and respond to changes in patient condition.
• Administer medications, including cardiac drips, and assess effects.
• Collaborate with physicians and interdisciplinary team to implement care plans.
• Educate patients and families about diagnoses, treatments, medications, and discharge planning.
• Perform comprehensive patient assessments and document care.
• Communicate changes in status and ensure effective handoff and care coordination.
• Respond to emergencies with timely interventions and prioritize patient safety.

Skills

Cardiac monitoring

Telemetry nursing

Team collaboration

Patient education

Education

BSN

California RN License

Tools

EHR systems

Telemetry equipment

Job description

Job Description

Expand Your Nursing Career at Hoag Irvine. Join Hoag Irvine's growing Telemetry team and gain experience across a variety of high-acuity specialties, including:

• Neurosurgical care
• Stroke management and neuro monitoring
• Cardiovascular surgical care
• Sub-ICU level care, including ventilator support
• Complex surgical care

If you're interested in advancing your clinical skills or preparing for a future in critical care, this is an excellent opportunity to build a strong foundation.

About The Unit

Our 72-bed Telemetry Unit provides care for patients with neurological, cardiac conditions, post-surgical recovery needs, and other complex medical conditions. We foster a collaborative environment focused on teamwork, professional growth, evidence-based practice, and exceptional patient care.

Why Hoag?

At Hoag, you'll join a team dedicated to clinical excellence, innovation, and compassionate care. We seek nurses who are passionate, accountable, and committed to delivering outstanding patient outcomes while continuing to grow professionally.

Available Shifts

Days and Nights

Key Responsibilities

• Monitor and interpret cardiac rhythms and respond appropriately to changes in patient condition.
• Administer medications, including cardiac drips, and assess therapeutic and adverse effects.
• Collaborate with physicians and interdisciplinary team members to develop and implement individualized care plans.
• Educate patients and families regarding diagnoses, treatments, medications, and discharge planning.
• Perform comprehensive patient assessments and accurately document care provided.
• Communicate changes in patient status and contribute to effective handoff and care coordination.
• Respond to emergencies and provide timely clinical interventions.
• Support patient safety, infection prevention, and quality improvement initiatives.
• Maintain professional standards, regulatory compliance, and departmental policies and procedures.

Other Duties May Include

• Assessing and documenting a complete physical assessment, nursing interventions, and teaching and discharge needs for patients assigned to each shift, utilizing documentation guidelines, Standards of Care and Pathway goals.
• Communicating changes in the patient's condition to the Charge Nurse/Supervisor and the physician directing care, as well as pertinent information at shift report using the patient Plan of Care (POC).
• Providing continuity of care through the implementation and utilization of the POC.
• Responding to emergency situations in a timeframe appropriate to the needs of each patient.
• Administering medications and intravenous therapy with the ability to assess the appropriate indication of dosing and effects of the medication administered.
• Assessing the educational ability/level for the patient, incorporating available educational material into patient/significant other teaching and documenting understanding in the patient record.

Continuing your journey here as a Hoag nurse means consistently maintaining a high standard of professional communication, appearance, and conduct. You must be driven to excel in patient treatment and nursing, and be deeply passionate about your work. To that end, we expect you to participate in our continuous quality improvement process and maintain a working knowledge of departmental and hospital standards, policies and procedures.

We’re keen on following safety measures and infection control protocols, being attentive to details, and having intimate knowledge of the populations we serve.

Qualifications

Education and Experience

Clinical Nurse I’s at Magnet designated facilities only require a BSN or that a BSN program is started within one year of hire date and BSN degree is attained within two years of the starting the BSN program.

Additional Requirements For Specific Departments Are As Follows

• Active, Current California RN License.
• Basic Life Support (BLS) certification accredited from American Heart Association
• ACLS certification accredited from American Heart Association
• Successful completion of an EKG course or equivalent.
• Requires and Maintains NIHSS certification 365 days from the day of hire as designated by Manager.

Preferred

• BSN.
• Previous telemetry, step-down, progressive care, or other high-acuity nursing experience.
• Experience caring for neurological, cardiovascular surgery, or ventilated patients.
• Proficiency with clinical equipment and electronic health record systems.
• Additional skills and knowledge of various equipment and software may be required.
• Preferred at least two (2) years of Clinical Nurse experience in a hospital setting.

We look for passion, an ownership mentality, and out-of-the-box thinking.

License Required

Registered Nurse in the State of California - Current and in good standing.

Certifications Required

• All Clinical Nurse I's are required to have current BLS certification prior to clinical rotation.
• Irvine Telemetry: ACLS
• NIHSS certification required within 365 days of hire as designated by Manager

About Us

Hoag Memorial Hospital Presbyterian is a nonprofit regional health care delivery network in Orange County, California, consisting of three acute-care hospitals with sixteen urgent care centers, eleven health centers and a network of more than 1,800 physicians, 100 allied health members, 8,000 employees, and 2,000 volunteers. More than 30,000 inpatients and 550,000 outpatients choose Hoag each year.

For over 70 years, Hoag has delivered a level of personalized care that is unsurpassed among Orange County’s health care providers. Since 1952, Hoag has served the local communities and continues its mission to provide the highest quality health care services through the core strategies of quality and service, people, physician partnerships, strategic growth, financial stewardship, community benefit and philanthropy.

Hoag offers a comprehensive blend of health care services including six institutes providing specialized care in the areas of cancer, heart and vascular, neurosciences, women's health, orthopedics, and digestive health through our institutes.

Hoag was the highest ranked hospital in Orange County in the 2024-2025 U.S. News & World Report, the only Orange County hospital ranked in the top 10 for California. The organization was ranked the #5 hospital in the Los Angeles Metro Area and the #10 hospital in California.

To learn more about Hoag’s awards and accreditations, visit: https://www.hoag.org/about-hoag/awards-accreditations/.

Hoag is an Equal Opportunity Employer and prohibits discrimination and harassment of any kind. Hoag is committed to the principle of equal employment opportunity for all employees and providing employees with a work environment free of discrimination and harassment. Hoag hires a diverse group of people in a manner that allows them to reach their full potential in the pursuit of organizational objectives.