Med Spa Nurse With Esthetician License

Skin Totale Med Spa; Anaheim (CA); On-site; USD 85,000 - 120,000; Full time

Job summary

Skin Totale-Med-Spa seeks a Registered Nurse to provide aesthetic treatments and clinical nursing care under the direction of the Medical Director. This RN-only role focuses on patient safety, treatment quality, patient education, and a positive patient experience. Training is provided; injectable experience not required.

You will perform facials, Hydradermabrasion, HIFU, microneedling, and laser treatments within approved protocols, ensuring compliance and high standards of care.

Qualifications

• Active, unencumbered California RN license.
• Hands-on experience with HIFU and microneedling is required.
• Injectable experience not required; laser experience preferred.
• Current BLS certification; ACLS as required for services.
• Strong nursing assessment skills; recognize adverse reactions.
• Proficiency with EMR/CRM and photo-documentation software.
• Spanish language skills preferred to communicate with patients.

Responsibilities

• Perform facial and Hydradermabrasion as assigned within RN scope.
• Provide clinical nursing care including patient prep, monitoring, and post-treatment care.
• Administer HIFU, microneedling, and laser treatments within protocols.
• Obtain informed consent and document treatments and responses.
• Educate patients on treatments, aftercare, and follow-up needs.
• Maintain charts, supply inventory, and report adverse events per protocol.

Skills

HIFU experience

Microneedling

EMR proficiency

Spanish language skills

BLS certification

Patient communication

Education

California RN licensure

Accredited nursing program

Tools

EMR/CRM systems

Photo-documentation software

Job description

The Registered Nurse provides a combination of aesthetic treatments and clinical nursing care at Skin Totale under the direction of the Medical Director and approved protocols. This RN-only role supports patient safety, treatment quality, patient education, and a positive patient experience. Prior injectable experience is not required. Assigned procedures depend on training, demonstrated competency, applicable scope of practice, and required clinical authorization.

DUTIES AND RESPONSIBILITIES

Patient Assessment and Treatment Preparation

• Complete nursing assessments of skin condition and patient needs to support the authorized treatment plan.
• Review medical history, medications, and contraindications prior to every treatment.
• Set realistic expectations regarding outcomes, longevity, and potential side effects.
• Obtain and document informed consent for all procedures performed.

Aesthetic Treatments and Clinical Nursing Care

• Perform facials and Hydradermabrasion as required duties of this position, along with skin preparation and other assigned approved skin treatments, within applicable RN scope of practice and after procedure-specific training and competency verification.
• Provide assigned clinical nursing care, including patient preparation, monitoring, treatment assistance, and post-treatment care under approved protocols.
• Perform HIFU, microneedling, and laser treatments only within applicable RN scope of practice, after procedure-specific competency verification, and under required orders and approved protocols.
• Injectable treatments may be added only after procedure-specific training, competency verification, and Medical Director authorization under applicable orders and protocols. Recognize adverse reactions and initiate the approved emergency response.

Patient Education & Retention

• Educate patients on recommended treatments, expected results, skin care, aftercare, and follow‑up needs.
• Coordinate with Aestheticians and front office staff to support comprehensive treatment plans.
• Explain appropriate skin care products, treatment packages, and maintenance options without pressuring patients.
• Follow up with patients post‑treatment to monitor results and address concerns.

Clinical Documentation & Compliance

• Document assessments, consent, treatments, patient response, aftercare, and relevant product lot numbers, settings, doses, or treatment sites in the EMR, as applicable.
• Maintain accurate treatment supply and product inventory records; check expiration dates and storage conditions.
• Participate in chart audits and quality assurance reviews with the Medical Director.
• Report all adverse events per practice and state board protocol.

POSITION REQUIREMENTS

• Active, unencumbered California Registered Nurse (RN) license in good standing. This position is open to RNs only.
• Hands‑on experience with HIFU (high‑intensity focused ultrasound) and microneedling is required. Laser treatment experience is preferred but not required. Prior injectable experience is not required.
• Complete procedure‑specific training and competency validation before independently performing any assigned treatment.
• Strong nursing assessment skills, attention to detail, and ability to recognize and promptly elevate adverse reactions.
• Current BLS certification; additional emergency‑response training or ACLS certification as required for assigned services and practice protocols.
• Proficiency with EMR/CRM systems and photo‑documentation software.
• Spanish language skills are preferred to communicate effectively with Spanish‑speaking patients.

EDUCATION & EXPERIENCE REQUIREMENTS

• Graduation from an accredited nursing program and current California RN licensure.
• Willingness and ability to perform facials and microdermabrasion are required, along with learning other aesthetic treatments and clinical workflows and completing required supervised training.
• Hands‑on experience performing HIFU and microneedling is required. Laser treatment experience and experience in a medical spa, dermatology, or plastic surgery setting are preferred but not required. Injectable certification is not a hiring requirement.

WORKING CONDITIONS & PHYSICAL DEMANDS

• Treatment‑room role involving hands‑on aesthetic services, clinical care, standing, and close patient interaction.
• Potential exposure to needles, sharps, clinical products, and cleaning agents; adherence to safety protocols required.
• Ability to respond quickly and calmly to clinical emergencies or adverse reactions.
• Attendance at procedure training, competency assessments, and patient events as assigned.

COMPLIANCE & CONFIDENTIALITY

• Practice strictly within the scope of license and Medical Director‑approved protocols.
• Ensure adherence to HIPAA, OSHA, and state nursing/medical board regulations at all times.
• Maintain confidentiality of patient records, treatment details, and financial discussions.
• Maintain discretion in the care of VIP and high‑profile patients.

STANDARD OPERATING PROCEDURE (SOP) CHECKLIST

Daily Responsibilities

• Review the daily aesthetic and clinical schedule, treatment plans, and required supplies.
• Confirm informed consent and medical history review for each patient prior to treatment.
• Perform only authorized treatments within verified competency and document care in the EMR.
• Monitor patients during and after treatment for reactions and readiness for discharge.
• Provide aftercare instructions and communicate follow‑up needs to the scheduling team.
• Escalate urgent reactions immediately and report adverse events promptly under practice protocols.

Weekly Responsibilities

• Reconcile treatment products and supplies; check storage conditions and expiration dates.
• Review upcoming follow‑up and maintenance visits with the scheduling team.
• Attend clinical team huddle to discuss outcomes, complications, and protocol updates.
• Review treatment activity, documentation completion, and patient feedback.

Monthly Responsibilities

• Participate in chart audit and quality assurance review with the Medical Director.
• Review complication logs and reinforce emergency response protocols.
• Review patient follow‑up completion and opportunities to improve the patient experience.
• Complete continuing education or training on assigned aesthetic services, nursing care, or patient safety.

Quarterly and Annual Responsibilities

• Maintain RN licensure, BLS, and any additional credentials required for assigned duties.
• Complete procedure‑specific training and competency reassessment as assigned.
• Contribute to treatment workflow improvements and protocol updates.
• Participate in an annual competency assessment with the Medical Director or designated clinical supervisor.