From 2 postings and nurse reviews · Employer research Sep 19, 2026Sources
The short version
Alameda Health System is a public integrated health network founded in 1864, running acute care hospitals, skilled nursing, and wellness centers across Alameda County alongside its role as a medical training institution.
Employer research, Sep 19, 2026
New grads get an assigned preceptor, and the nurse precepting you earns $2.50 an hour for the work, so teaching is paid time rather than a favor.
For new gradsSources
As of 2023-12-31Source: alamedahealthsystem.orgNight shift adds 18.5% and evenings add 13% on top of the Staff Nurse II rate, with $20 per weekend shift of four hours or more.
For experienced nursesSources
As of 2026-09-19 · 2023-12-31Source 1: glassdoor.comSource 2: directlyapply.comSource 3: alamedahealthsystem.orgCharge nurses work off a dedicated scale set 9% above Staff Nurse II, and relief charge picks up $24 per shift.
For experienced nursesSources
As of 2023-12-31Source: alamedahealthsystem.org
Who it fits
Not a fit
- New grads: all 2 roles ask for nursing experienceNew grad jobs near San Leandro
Nursing here
- Preceptors and orientation
Formal preceptor program provides $2.50/hr premium. New grads, RNs entering critical care without prior experience, and RNs returning after 5+ years receive assigned preceptors.
Alameda Health System · employer research
Sources
As of 2023-12-31Source: alamedahealthsystem.org- Career development
Clinical ladder structure exists under Appendix B of the CNA San Leandro Hospital agreement; step progression requires continuous service across established tenures.
Alameda Health System · employer research
Sources
As of 2023-12-31Source: alamedahealthsystem.org- Union representation
Union roles reported
Alameda Health System · employer research
- Scheduling
8-, 10-, and 12-hour shifts; voluntary extra shift programs (+25% pay for regular part-time RNs); mandatory 12-hour rest between shifts; guaranteed weekend rotation options for 20+ year RNs.
Alameda Health System · employer research
Sources
As of 2023-12-31Source: alamedahealthsystem.org- Floating
Contract includes formal floating provisions under Section 14.
Alameda Health System · employer research
Sources
As of 2023-12-31Source: alamedahealthsystem.org- Charge opportunities
Charge Nurse role receives a dedicated wage scale 9% above Staff Nurse II; relief charge roles receive $24 per shift premium.
Alameda Health System · employer research
Sources
As of 2023-12-31Source: alamedahealthsystem.org
Benefits
Medical, surgical, dental, vision, and prescription coverage plus life insurance, long-term disability, and a retiree health plan, all starting day one.
Published pay and benefits
- Hourly pay
$78.00/hr
Clinical Nurse II (San Leandro, CA)
As of 2026-09-19
Sources
- Hourly pay
$62.00/hr
Primary Heart Attack Center Coordinator / SLH House Supervisor
As of 2026-09-19
Sources
- Shift pay
Evening shift differential (13% of Staff Nurse II rate)
As of 2023-12-31
- Shift pay
Night shift differential (18.5% of Staff Nurse II rate)
As of 2023-12-31
- Shift pay
$20.00
Weekend differential per shift of 4+ hours worked
As of 2023-12-31
- Shift pay
$24.00
Relief Charge Nurse premium per shift or partial shift (2+ hours worked)
As of 2023-12-31
- Shift pay
$2.50
Preceptor premium per hour worked
As of 2023-12-31
- Sign-on bonus
$15,000.00
Nurse Anesthetist (CRNA) Full Time Night Shift Highland Hospital
As of 2026-09-19
Sources
What nurses say
Themes from public reviews
Summaries of published reviews, with the original sources.
- Compensation and Mission
- Staff commend the mission of supporting underserved communities, along with solid pay and day-one healthcare benefits.
Sources
As of 2026-08-27Source: glassdoor.com- Management and Scheduling Friction
- Nurses report rigid or unsupportive managers, schedule adjustment difficulties, and communication gaps in policies.
Sources
As of 2026-01-18Source: glassdoor.com- Per Diem Shift Stability
- Per diem nurses value self-scheduling flexibility but report same-day shift cancellations.
Sources
As of 2026-06-22Source: glassdoor.com
The hard parts
Nurses here describe rigid managers, difficulty getting schedule changes, and patchy communication about policy; per diem staff add that shifts sometimes get cancelled the same day.
Sources
What to ask
- How is base pay set for the role, and which differentials apply?
- Which shifts are open, and what are the weekend, holiday and call rules?
- How long is orientation, and will I have one preceptor?
- What is the usual patient load, and how often do nurses float?
- Which hospital or site, and which unit, would I work on?
Living in San Leandro, CA
Nestled in the East Bay, San Leandro puts nurses right between Oakland and Silicon Valley, where shift timing is key to bypassing notoriously heavy Interstate 880 traffic. Commutes link across Alameda County and San Francisco via San Leandro and Bay Fair BART stations, though hospital staff heading home late often prefer driving.
Browse roles in San Leandro- State price level · California
- 11% above the national average
- State index 110.7 (100 = national)
U.S. Bureau of Economic Analysis · 2024 Regional Price Parities
Common questions
Does Alameda Health System hire new grads?
All 2 roles ask for nursing experience, and none says it welcomes new grads.
How do I apply?
Choose a role and press Apply. Your application comes to our team, we send it to Alameda Health System, and we tell you what happens next.
Roles from Alameda Health System
SLH House Supervisor
$62–$103/hr
- RN
- Night shift
- SLH Nursing Administration
Sources
- alamedahealthsystem.org/wp-content/uploads/2022/11/AHS-CNA-San-Leandro-MOU-Jan-1-2019-to-Dec-31-2023-1.pdf
The short version, Nursing here · as of 2023-12-31
- directlyapply.com/job/6a91fa23b80735ac7fd01fa1
The short version, Nursing here · as of 2026-09-19 · 2023-12-31
- glassdoor.com/Reviews/Alameda-Health-System-Registered-Nurse-Reviews-EI_IE844633.0,21_KO22,38.htm
The short version, Nursing here, What nurses say, The hard parts · as of 2026-09-19 · 2023-12-31
- glassdoor.com/Reviews/Alameda-Health-System-Reviews-E844633.htm
What nurses say, The hard parts · as of 2026-08-27
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Claim or manage this pageFrom nurses, to nurses
Three or four years went by before the overwhelmed feeling lifted, and close to six before I felt expert at the bedside. Measure this in years, not months.
“I do not see that I do much good to these wounded and dying; but I cannot leave them.”