RN, Medical ICU

Community Medical Centers; Fresno (CA); On-site; USD 110,000 - 160,000; Full time

Benefits offered by this job

Relocation package

Sign-on incentive

Tuition reimbursement

Continuing education and certification

403(b) retirement with match

Free parking

Job summary

Community Medical Centers seeks an experienced RN for its Medical ICU in the Fresno area. You will provide evidence-based care in a 24-bed unit, collaborating with an interdisciplinary team to treat complex cases including sepsis and multi-organ failure.

The role emphasizes patient-family advocacy, excellent communication, and a commitment to ongoing education. Relocation and growth opportunities are available.

Qualifications

• RN license in California required.
• BLS certification for Healthcare Providers required.
• ACLS and PALS certifications required within timelines.
• NIHSS certification within 6 months of hire.
• HS diploma required; BSN preferred.

Responsibilities

• Deliver evidence-based care to complex ICU patients in a 24-bed Medical ICU.
• Collaborate with interdisciplinary team to manage sepsis, shock and multi-organ failure.
• Advocate for patients and families with strong communication and problem-solving.
• Support ongoing education and adherence to unit standards.

Skills

RN License California

BLS Certification

ACLS Certification

PALS Certification

NIHSS Certification

Education

HS Diploma or GED

BSN preferred

Job description

Overview

Opportunities for you!

• Direct impact on quality patient care in a 24-bed unit with an RN-patient ratio of 1:2 but can be 1:1 based on patient acuity.
• 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 will be joining an amazing Medical ICU nursing team that is always ready to take care of any patient. In our 24 bed ICU, you will be working closely with an interdisciplinary team to deliver evidence-based care to complex patients with a multitude of diagnoses including sepsis, shock, multi-organ failure, ARDS, heart failure, MI, cardiac abnormalities, and stroke.

You should have the desire to be a patient and family advocate, have excellent communication and problem-solving skills and have the desire to work closely with other disciplines.

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 required
• Licenses 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) required
• CHS 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 / Notes Refer to the department’s specific requirements, orientation skills checklists, and competencies
• Additional 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 Only. Clovis: 02-87300 Nurse Float-PR Only.
• 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, 01-73900 Burn Therapy, 01-74270 PACU-Recovery, 01-74300 Short Stay Surgery, 01-76400 Radiography Therapeutic, 01-77610 Endoscopy (except for nurses in pre-admission testing). Clovis: 02-70100 Emergency, 02-74270 PACU-Recovery, 02-74300 Short Stay Surgery.
• Electronic Fetal Monitoring (EFM) Course required within 6 months of date of hire or transfer into position for the following departments (exceptions may apply, refer to Policy #10925): 01-74000 Labor & Delivery, 01-74003 Antepartum, 01-74004 OB Triage. Clovis: 02-74000 Labor & Delivery, 02-74001 Antepartum Testing, 02-74004 OB Triage.
• Neonatal Resuscitation Program (NRP) certification required within 6 months of hire or transfer into position for the following departments: 01-60500 Pediatric ICU, 01-60700 NICU, 01-62900 Pediatrics, 01-63800 Obstetrics, 01-65320 Newborn Nursery, 01-74000 Labor & Delivery, 01-74003 Antepartum, 01-74004 OB Triage. Clovis: 02-60700 Neonatal ICU, 02-63800 Obstetrics, 02-74000 Labor & Delivery, 02-74001 Antepartum Testing, 02-74004 OB Triage.
• Oncology Nursing Society Chemotherapy/Biotherapy (ONSCHEMO) certification required within 6 months of hire or transfer into position for the following departments: 01-61730 Med Surg Oncology, 01-73911 Ambulatory Infusion Ctr-EMP, 01-73913 Ambulatory Infusion Ctr-Clovis. Clovis: 02-73917 CCI-Infusion Services.
• Certified Electronic Fetal Monitoring (C-EFM) by the National Certification Corporation (NCC) required within 1 year of hire or transfer into position for the following departments (exceptions may apply, refer to Policy #10925): 01-74000 Labor & Delivery, 01-74003 Antepartum, 01-74004 OB Triage. Clovis: 02-74000 Labor & Delivery, 02-74001 Antepartum Testing, 02-74004 OB Triage.

Disclaimers

• Pay ranges listed are an estimate and subject to change.
• If any bonuses are noted, they are only applicable to external hires meeting criteria.