RN

CommonSpirit Health; Merced (CA); On-site; USD 75,000 - 112,000; Full time

Job summary

Mercy Medical Center in Merced, part of CommonSpirit Health, seeks an experienced RN for Labor & Delivery. You will perform infant–adult assessments, create individualized care plans, and deliver evidence-based OB care.

Collaboration with a multidisciplinary team is essential to ensure safe, compassionate, and efficient births. Requirements include a California RN license, 1+ year of L&D experience, BLS, ACLS, and NRP within stated timeframes.

Qualifications

• Active California RN license required.
• 1+ year Labor and Delivery experience.
• BLS and ACLS certifications required; NRP within 6 months.
• Certification in Electronic Fetal Monitoring required or within 6–24 months depending on orientation.

Responsibilities

• Provide comprehensive assessments from infant to birth; develop care plans with the team.
• Perform nursing interventions, hourly rounding, and OB-specific protocols.
• Document care and ensure smooth handoffs and referrals.
• Collaborate with physicians and staff to support patient recovery.
• Adhere to EMTALA/COBRA, directives, and chart audits with compliance.

Skills

Compassionate patient care

Interdisciplinary teamwork

Critical thinking

Education

CA RN License

BLS CPR

ACLS - CPR within 6 months

NRP within 6 months

NCC or AWHONN Fetal Monitoring Certification

Job description

Job Summary and Responsibilities

As a Registered Nurse (RN), you will be a pivotal healthcare professional, delivering compassionate, high-quality care that truly impacts our patients' well‑being and recovery.

Every day, you will leverage your expertise to provide individualized, comprehensive care, making critical assessments, performing skilled procedures, and meticulously implementing patient care plans. You'll collaborate seamlessly within an interdisciplinary team, contributing to a dynamic environment focused on optimal patient outcomes.

To be successful in this role, you will possess keen assessment skills, acute critical thinking, and a patient-first mindset, driven by a profound enthusiasm to help others. Your sense of urgency and dedication to excellence in a fast‑paced environment will not only support patient recovery but also fuel your own career advancement.

• Nurses respect patients' religious, cultural, and linguistic backgrounds, use interpreter services when needed, and follow EMTALA/COBRA and Advance Directive policies, with compliance verified through chart audits and absence of valid complaints
• Nurses perform comprehensive, age-appropriate patient assessments from infant to geriatric and develop individualized nursing care plans in collaboration with the healthcare team, documented within specified timeframes 95% of the time
• Nurses carry out nursing interventions, hourly rounding, and OB-specific protocols such as labor monitoring, delivery, and neonatal stabilization, while communicating findings promptly to physicians and other team members
• Nursing goals and interventions are regularly reassessed and updated each shift, with accurate, complete documentation across admission, discharge, and flow sheets
• Staff provide age- and language-appropriate education, complete medication reconciliation and discharge instructions, and ensure smooth handoff communication and referrals to services like Social Services and Public Health across care transitions
• Nurses demonstrate effective team collaboration, conflict resolution, and workload management, alongside verified proficiency in department-specific equipment like fetal monitors and IV pumps and procedures like neonatal resuscitation and OB emergency response
• Job Requirements Required
• Registered Nurse: CA
• Experienced Registered Nurse:Greater than one (1) year of recent experience in Labor and Delivery
• Basic Life Support (BLS) - CPR
• Advanced Cardiac Life Support (ACLS) - CPR within six (6) months
• Neonatal Resuscitation Program, within six (6) months
• Must achieve or maintain a current National Certification Corporation (NCC) certificate in Electronic Fetal Monitoring OR, Association of Women's Health Obstetric and Neonatal Nurses (AWHONN) Intermediate Fetal Monitoring Certification:
• Experienced RNs with greater than one (1) year of labor and delivery experience will have six (6) months from hire to obtain certification. New Grad or RN with no prior L&D experience will have twenty-four (24) months to complete orientation and certification (if L&D orientation is completed sooner, then the certification will need to be completed accordingly). Should orientation need to be extended, the nurse will be granted additional time accordingly to obtain certification which will be communicated by leadership and / or educator
• Staff hired originally into the cost center 638000-Obstetrics Acute by May 1, 2021 are not required to obtain or maintain electronic fetal monitoring certification unless they are cross-trained to 740000 Labor and Delivery
• Staff hired after May 1, 2021 must complete Postpartum and Labor and Delivery cross training within twenty‑four (24) months from date of hire

Please be advised that this location requires quarterly American Heart Association (AHA) Resuscitation Quality Improvement (RQI) competency certification post-hire. This ongoing competency is required through resources internal to the facility; outside RQI competency resources are not acceptable for CommonSpirit Health compliance requirements.

Where You'll Work

Founded in 1873, Dignity Health - Mercy Medical Center is a 186‑bed, acute care, nonprofit hospital located in Merced, California. Serving over 150,000 patients annually, the hospital offers a full complement of services including a Level II NICU, heart care, the Mercy Cancer Center, and a family birth center. Additionally, Merced Medical Center has been recognized as an LGBTQ+ Healthcare Equality High Performer by the Human Rights Campaign Foundation and is a Joint Commission‑certified Primary Stroke Center.

[One Community. One Mission. One California ](https://youtu.be/RrPuiSnALJY?si=pvQgPZ6ZWZM60TPV)

Pay Range

$54.76 - $81.45 /hour