Clinical RN II- Labor/Delivery

Palomar Health; Escondido (CA); On-site; USD 113,000 - 164,000; Full time

Job summary

Palomar Health in Escondido, CA is seeking an experienced Registered Nurse for Labor & Delivery, OB Circulating and Recovery to coordinate nursing care for patients and oversee day-to-day clinical activities within the unit.

This role requires a current CA RN license, BLS, NRP, ACLS, and WHONN certifications, with a preference for a Bachelor's degree. The shift is 12 hours days, with 60 hours per pay period, and the posted salary range reflects compensation for skilled obstetric care.

Qualifications

• Minimum education as required by certification/licensure.
• Preferred education: Bachelor's degree.
• 1 year RN experience in Labor & Delivery, OB Circulating and OB PACU.
• 2+ years RN experience in L&D, OB Circulating & OB PACU.
• Current CA RN license required.
• BLS, NRP, ACLS, WHONN certifications required.

Responsibilities

• Deliver coordinated nursing care for a patient or group within the unit.
• Manage day-to-day clinical activities with supervision of staff.
• Care in OB Triage, L&D, OB Circulating, Recovery, High Risk OB, and newborn care.
• Coordinate plan of care with client, family and interdisciplinary team.
• Supervise assigned nursing and ancillary personnel.
• Follow CA Nurse Practice Act and ANA standards and ethics.
• Observe and direct patient lifts and mobilization as needed.
• Perform other duties as assigned and adhere to Palomar Health policies.

Skills

Nursing

OB/L&D

Staff supervision

English communication

Education

CA RN license

Bachelor's degree (preferred)

Tools

MS Windows

Excel

Access

Word

PowerPoint

Job description

Job Description

Department: Labor/Delivery/Recovery

Union: CNA

Shift: 12-hour Shift - Day (United States of America)

Hours Per Pay Period: 60

Job Description: Range: 54.15-78.82

Posting Date: 9/4/2026

Internal Closing Date: 9/11/2026

* Internal candidates must apply by midnight on the Closing Date in order to have bidding rights.

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.

The nursing care provided for in this unit is OB Triage, Labor and Delivery, OB Circulating and Recovery, High Risk OB, and immediate care of the newborn.

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 judgment.

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 Labor and Delivery, OB Circulating and OB PACU
• Preferred Experience: 2+ years of directly related RN experience in Labor and Delivery, OB Circulating and OB PACU
• Required License: Current CA RN License
• Preferred License: Not Applicable
• Required Certification: American Heart Association recognized BLS - Healthcare Provider Neonatal Resuscitation Provider (NRP) American Heart Association recognized Advanced Cardiac Life Support WHONN Intermediate and/or Advanced Fetal Monitoring Certificate
• 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.