Registered Nurse – ER Department, MICN

Jobless; Madera (CA); Hybrid; USD 110,000 - 150,000; Full time

Job summary

Jobless is seeking an Emergency Department Registered Nurse with MICN certification to provide advanced, evidence-based nursing care for patients of all ages in a high-acuity ED. The role partners with physicians and the care team to deliver rapid assessment, triage, stabilization, and treatment, serving as a base hospital liaison for EMS.

Requires active MICN, California RN license, ADN/BSN, BLS/ACLS/PALS, and TNCC within 6 months. 2+ years ED experience preferred; leadership experience valued.

Qualifications

• MICN certification required and active at time of hire.
• RN license in California in good standing required.
• BLS, ACLS, PALS certifications required.
• TNCC required or within 6 months of hire.
• CEN certification preferred.
• CPI or de-escalation training preferred.

Responsibilities

• Perform rapid triage and prioritization of ED patients based on acuity.
• Initiate emergent interventions: airway management, IV access, med administration, resuscitation per protocols.
• Develop evidence-based plans of care with care team.
• Document assessments and interventions in Meditech.
• Serve as resource and mentor for ED staff.
• Lead quality improvement and patient-safety initiatives.

Skills

Critical thinking

Decision-making

Communication

Leadership

Prioritization

Cultural competency

Education

ADN/BSN

BSN preferred

Tools

Meditech

Job description

Job Summary

The Emergency Department Registered Nurse provides advanced, evidence-based nursing care to patients of all ages presenting with acute, urgent, and emergent conditions. This position requires current Mobile Intensive Care Nurse (MICN) certification, authorizing the RN to provide direct, real-time medical oversight and treatment orders to paramedics and other prehospital personnel in the field per county EMS Agency base hospital protocols. The MICN-certified ED RN partners with physicians, advanced practice providers, and the interdisciplinary care team to deliver rapid assessment, triage, stabilization, and treatment in a fast-paced, high-acuity environment, while also serving as a base hospital contact for incoming EMS traffic.

Essential Duties & Responsibilities

• Perform rapid, comprehensive assessment and triage of patients presenting to the Emergency Department, prioritizing care based on acuity.
• Initiate and manage emergent interventions, including airway management, IV access, medication administration, and resuscitation, per hospital protocols and scope of practice.
• Develop and implement individualized, evidence-based plans of care in collaboration with physicians, advanced practice providers, and the care team.
• Accurately and promptly document assessments, interventions, and patient response in the electronic medical record (Meditech).
• Serve as a clinical resource and mentor for ED staff, precepting new hires and supporting ongoing competency development.
• Lead or participate in evidence-based practice, quality improvement, and patient-safety initiatives within the department.
• Communicate effectively with patients, families, and the care team, providing education on diagnoses, treatment plans, and discharge instructions.
• Ensure timely, accurate hand-offs during shift change, transfer, admission, or discharge.
• Maintain compliance with Title 22, Joint Commission, CMS, and hospital policies related to patient care, safety, and documentation.
• Respond to codes, rapid responses, and mass-casualty or disaster events per hospital emergency preparedness protocols.
• Take meal and rest breaks as scheduled and clock in/out accurately in accordance with hospital timekeeping policy.
• Perform other duties as assigned by the ED Manager or Director of Nursing.

Education & Certification Requirements

• Mobile Intensive Care Nurse (MICN) certification — REQUIRED / MANDATORY. Candidates without current MICN certification will not be considered; MICN must be active at time of hire and maintained throughout employment in this role.
• Current, active California Registered Nurse (RN) license, in good standing — required.
• Associate or Bachelor of Science in Nursing (ADN/BSN) required; BSN preferred.
• Current Basic Life Support (BLS) certification, American Heart Association — required.
• Current Advanced Cardiovascular Life Support (ACLS) certification — required.
• Current Pediatric Advanced Life Support (PALS) certification — required.
• Trauma Nursing Core Course (TNCC) required or must be obtained within 6 months of hire.
• Certified Emergency Nurse (CEN) preferred.
• Crisis Prevention Intervention (CPI) or equivalent de-escalation training preferred.

Experience Requirements

• Minimum 2 years of Emergency Department or acute care RN experience required; 3+ years preferred.
• Charge nurse, preceptor, or leadership experience preferred.
• Experience with electronic medical record systems (Meditech preferred).

Knowledge, Skills & Abilities

• Strong critical thinking, clinical judgment, and rapid decision-making skills in high-acuity, time-sensitive situations.
• Ability to manage multiple, competing priorities in a fast-paced environment.
• Excellent verbal and written communication skills with patients, families, physicians, and interdisciplinary team members.
• Demonstrated leadership, mentorship, and precepting capability.
• Working knowledge of evidence-based practice and quality/performance improvement methodology.
• Cultural competency and ability to provide patient-centered care to a diverse population.

Physical Demands & Working Conditions

• Ability to stand, walk, and move continuously for the duration of a 12-hour shift.
• Ability to lift, transfer, and reposition patients up to 50 lbs., with assistance as needed.
• Exposure to communicable diseases, bodily fluids, and hazardous materials consistent with an acute care/emergency setting.
• Ability to respond quickly to emergent, high-stress situations.
• Flexibility to work varying shifts, including nights, weekends, and holidays, and to respond to on-call or disaster-response needs as required.