RN, ED Inpatient Stepdown

Community Medical Centers; Fresno (CA); On-site; USD 90,000 - 120,000; Full time

Benefits offered by this job

Relocation package

Sign-on incentive

Tuition reimbursement

Education programs and scholarships

Free parking

Job summary

Community Medical Centers seeks a Registered Nurse to join our team in California. You will deliver direct patient care, develop individualized plans, and collaborate with multidisciplinary teams to ensure high-quality outcomes.

The role emphasizes safety, documentation, and patient-centered care within a dynamic hospital setting. Successful candidates will hold CA RN licensure, BLS, and meet ACLS/PALS requirements within the stated timeframes, with a focus on professional growth and adherence

Qualifications

• RN licensure in California required, active and valid.
• BLS for Healthcare Providers required.
• ACLS/PALS certifications required within specified timeframes.
• NIHSS certification required within 6 months for specific departments.

Responsibilities

• Provide direct patient care using evidence-based practices and develop care plans.
• Coordinate with physicians, ancillary staff and families to ensure continuity of care and timely documentation.

Skills

RN Licensure CA

BLS Certification

NIHSS Certification

ACLS within 6 months

PALS within 6–12 months

Education

High School Diploma / HSE

Bachelor's Degree in Nursing preferred

Job description

Overview

Opportunities for you!

• Comprehensive relocation package and concierge service
• Progressive sign‑on incentive paidover timefor eligible candidates
• Consecutively recognized as a top employer by Forbes, and in 2025 by Newsweek
• Time and a half after 8hrs+ weekend and night differential (call pay for procedural areas)
• RN Advancement Pathway for growth, built for nurses, by nurses
• Free Continuing Education and certification including BLS, ACLS and PALS
• Tuition reimbursement, educationprogramsand scholarships
• Vacation time starts building on Day 1, and builds with your seniority
• Free money toward retirement with a 403(b) and matching contributions
• Great food options with on-demand ordering
• Free parking and electric charging

Commitment to diversity and inclusion is a cornerstone of our culture at Community. All are welcome as valued members of our community.

We know that our ability to provide the highest level of care is through taking care of our incredible teams. Learn more on our Benefits page.

Responsibilities

You love what you do, now love where you do it.

At Community Health System,you’llbe part of a dedicated nursing team committed to delivering safe,skilledand compassionate care across ourhospitals.As a Registered Nurse,you’llsupport a diverse patient population and collaborate closely with interdisciplinary teams to ensure high‑quality, patient-centered outcomes. This role offers the opportunity to apply your clinicalexpertisein an environment built on teamwork, learning, and continuous improvement.

In this role, you provide direct patient care using evidence‑based practices, complete thoroughassessmentsand implement individualized care plans to supportoptimalrecovery. You coordinate and communicate with physicians, ancillarystaffand families to ensure continuity and clarity throughout each patient’s stay. Youmaintainaccurate,timelydocumentation and uphold all safety and regulatory standards while actively contributing to a culture of collaboration, professionalism, and accountability.

Qualifications

• Education
• High School Diploma, High School Equivalency (HSE), or Completion of a CHS Approved Individualized Education Plan (IEP) Certificate required
• Bachelor's Degree in Nursing preferredExperience
• Consistent demonstration of Novice / Advance Beginner clinical nursing practice proficiency requiredLicenses and Certifications
• RN - Current and valid Registered Nurse license to work within the state of California required
• BLS - Current Basic Life Support (BLS) for Healthcare Providers by American Heart Association (AHA) requiredCHS HealthStream Courses
• ALS-OB - Advanced Life Support OB Program required within 6 months of hire or transfer into position for the following departments: 01-74000 Labor & Delivery, 01-74003 Antepartum, 01-74004 OB Triage. Clovis: 02-74000 Labor & Delivery, 02-74001 Antepartum Testing, 02-74004 OB Triage.
• BAC - Basic Arrhythmia Course required within 6 months of hire or transfer into position for the following departments: 04-87301 Centralized Flex Staffing, 04-87302 Centralized Float, 01-61100 Burn Center, 01-61701 Med Surg 2 Central, 01-61702 Med Surg 5 Central, 01-61703 Med Surg 7 West, 01-61730 Med Surg Oncology, 01-61770 Orthopedics 5 West, 01-61790 CPCU, 01-61791 CVS Progressive 8W, 01-74270 PACU-Recovery, 01-74276 FH PACU, 01-74300 Short Stay Surgery, 01-74306 FH Short Stay Surgery, 01-87300 Nurse Float-PR Only. Clovis: 02-61700 Med-Surg Acute Care, 02-61708 Med-Surg Acute Care 5/5N, 02-61790 Med-Surg/CPCU, 02-61792 Surgical CPCU, 02-74270 PACU-Recovery, 02-74300 Short Stay Surgery, 02-87300 Nurse Float-PR Only.
• NIHSS - National Institutes of Health Stroke Scale Exam required within 6 months of hire or transfer into position for the following departments: 04-87301 Centralized Flex Staffing, 04-87302 Centralized Float, 01-60100 ICU 4th Floor, 01-60101 ICU 5th Floor, 01-60102 Neuroscience ICU, 01-60103 Neuroscience ICU-4 North, 01-61704 Neuroscience 9W, 01-61780 ICU Stepdown, 01-70100 Emergency, 01-87300 Nurse Float-PR Only. Clovis: 02-60100 ICU, 02-70100 Emergency, 02-87300 Nurse Float-PR Only.
• Other Qualifications / NotesRefer to the department’s specific requirements, orientation skills checklists, and competenciesAdditional Certification Requirements
• Adult Cardiac Life Support (ACLS) certification required within 3 months of hire or transfer into position for the following departments: 01-60300 CVU, 01-74230 Cardiac Surgery, 01-75700 Cath Lab, 01-75706 FH Cath Lab, 01-75900 Cardiology, 01-75931 Cardiac Pulmonary Rehab, 01-78700 Interventional Pre Proc PICA. Clovis: 02-60300 ICU 2 North, 02-75701 Cath Lab, 02-75720 Post Interventional Cardiac Area PICA, 02-76400 Interventional Radiology.
• Adult Cardiac Life Support (ACLS) certification required within 6 months of hire or transfer into position for the following departments: 04-87301 Centralized Flex Staffing, 04-87302 Centralized Float, 01-60102 Neuroscience ICU, 01-60103 Neuroscience ICU-4 North, 01-60306 FH CVU, 01-61705 FH CPCU, 01-61780 ICU Stepdown, 01-70701 Clinic-OMFS, 01-70710 FH ES Cardiac Treatment Ctr, 01-74000 Labor & Delivery, 01-74003 Antepartum, 01-74004 OB Triage, 01-87206 FH Nursing Admin, 01-87300 Nurse Float-PR Only. Clovis: 02-61780 ICU Stepdown, 02-61792 Surgical CPCU, 02-74000 Labor & Delivery, 02-74001 Antepartum Testing, 02-74004 OB Triage, 02-87300 Nurse Float-PR Only.
• Adult Cardiac Life Support (ACLS) certification required within 1 year of hire or transfer into position for the following departments: 01-60100 ICU 4th Floor, 01-60101 ICU 5th Floor, 01-61100 Burn Center, 01-61701 Med Surg 2 Central, 01-61702 Med Surg 5 Central, 01-61703 Med Surg 7 West, 01-61704 Neuroscience 9W, 01-61730 Med Surg Oncology, 01-61770 Orthopedics 5 West, 01-61790 CPCU, 01-61791 CVS Progressive 8W, 01-70100 Emergency, 01-72000 FH ADTC-Advanced Diag Test Ctr, 01-73900 Burn Therapy, 01-74206 FH Surgery, 01-74240 Neurosurgery, 01-74270 PACU-Recovery, 01-74276 FH PACU, 01-74300 Short Stay Surgery, 01-74306 FH Short Stay Surgery, 01-76306 FH Radiology Diagnostic, 01-76400 Radiography Therapeutic, 01-77401 Renal Dialysis-IP, 01-77610 Endoscopy. Clovis: 02-60100 ICU, 02-61700 Med-Surg Acute Care, 02-61708 Med-Surg Acute Care 5/5N, 02-61790 Med Surg CPCU, 02-70100 Emergency, 02-74270 PACU-Recovery, 02-74300 Short Stay Surgery, 02-77401 Renal Dialysis-IP, 02-77610 Endoscopy.
• Pediatric Advanced Life Support (PALS) certification required within 6 months of hire or transfer into position for the following departments: 04-87301 Centralized Flex Staffing, 04-87302 Centralized Float, 01-87300 Nurse Float-PR ...
• Pediatric Advanced Life Support (PALS) certification required within 1 year of hire or transfer into position for the following departments: 01-60500 Pediatric ICU, 01-61100 Burn Center, 01-62900 Pediatrics, 01-70100 Emergency, 01-70701 Clinic-OMFS, 01-