Clinical RN II- IMC-Medical Step Down

Palomar Health; Escondido (CA); On-site; USD 74,000 - 109,000; Full time

Benefits offered by this job

Equal opportunity employer

Training programs

Job summary

Palomar Health is seeking a Registered Nurse for a 12‑hour night shift in our 6W Medical Acute unit. You will deliver coordinated nursing care, supervise staff, and collaborate with the interdisciplinary team to plan and implement patient care in California.

You will adhere to the CA Nurse Practice Act and ANA standards, assist with patient handling, and utilize MS Office tools. An equal opportunity employer, Palomar Health offers training programs and professional growth opportunities.

Qualifications

• Minimum Education: As required by certification and/or licensure.
• Preferred Education: Bachelor's degree in nursing.
• Minimum Experience: 1 year of RN experience in area of specialty.
• Licensure: Current CA RN License; BLS/ACLS per policy.

Responsibilities

• Deliver coordinated nursing care for a patient or group of patients.
• Coordinate plan of care with client, family and interdisciplinary team.
• Supervise and direct activities of nursing and ancillary staff.
• Adhere to California Nurse Practice Act and ANA standards.
• Observe and direct patient lifts and mobilization; assist with handling.
• Perform essential functions with proficient computer and office skills.

Skills

Nursing care

Coordination of care

Staff supervision

Nurse practice act knowledge

ANA standards knowledge

Clinical assessment

English proficiency

Education

Bachelor's Degree (preferred)

Nursing degree/licensure as required

Tools

MS Windows

Excel

Access

Word

PowerPoint

Job description

Department: 6W Medical Acute Union: CNA Shift: 12-hour Shift - Night (United States of America) Hours Per Pay Period: 72 Salary Range: $54.15 - $78.82

Job Description: Posting Date: 10/14/2026 Internal Closing Date: 10/20/2026

Primarily responsible for the delivery of coordinated nursing care for a patient or an assigned group of patients within an assigned unit and for the day-to-day management and supervision of the related clinical activities.

Coordinates plan of care with the client, their family and the interdisciplinary team.

Also responsible for supervising and responsibly directing the activities of various levels of assigned nursing and ancillary personnel, utilizing both professional and supervisory discretion and independent judgement.

Understands and adheres to the California Nurse Practice Act, The American Nurses Association (ANA) Code of Ethics for Nurses, the ANA Bill of Rights for Registered Nurses and the ANA Scope and Standards of Practice for Nursing.

The Registered Nurse shall be responsible for the observation and direction of patient lifts and mobilization and shall participate as needed in patient handling.

Speak and read English at a level that is sufficient to satisfactorily perform the essential functions of the position.

Knowledge of standard office equipment (i.e., calculator, fax, photocopier) and personal computer and computer software skills (i.e., MS Windows, Excel, Access, Word, PowerPoint, internet, e-mail).

Windows computer skills including proficient use of keyboarding, use of mouse or keys for functions such as selecting items, use of drop-down menus, scroll bars, opening folders, copying and similar operations required upon employment or within the 1st two weeks of employment to perform the essential functions of the job.

Performs other duties as assigned.

Follows Palomar Health rules, policies, procedures, applicable laws and standards.

Carries out the mission, vision, and quality commitment of Palomar Health.

Job Requirements

• Minimum Education: As required by certification and/or licensure
• Preferred Education: Bachelor's Degree
• Minimum Experience: 1 year of directly related RN experience in area of specialty
• Preferred Experience: 2+ years of directly related RN experience in area of specialty
• Required License: Current CA RN License
• Preferred License: Not Applicable
• Required Certification: American Heart Association recognized BLS - Healthcare Provider American Heart Association recognized Advanced Cardiac Life Support
• Preferred Certification: Not Applicable

We are an equal opportunity employer and do not discriminate against applicants or employees based on race, color, gender, religion, creed, national origin, ancestry, age, disability, sexual orientation, marital status or any other characteristic protected by law.

Palomar Health invites you to be part of our healthcare team, where we offer extraordinary opportunities for both clinical and non-clinical positions.

As a leading healthcare system, we are committed to providing world-class care to our community.

When you join our team, you'll have access to our exceptional training programs designed to help you excel in your role and grow your career.