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Palomar Health

Health system in Escondido, CA

  • Sign-on bonus up to $30,000 on 2+ roles
  • Hiring nights and days
See 157 open roles
Palomar Health photo

From 157 postings and nurse reviews · Employer research Sep 17, 2026Sources

The short version

Palomar Health posts RN pay in public ranges — roughly $45/hour at the low end for charge and forensic roles, and $54 to $79/hour for critical care — with large hiring incentives attached to hard-to-fill lines.

Employer research, Sep 17, 2026

  1. Critical care and CSU clinical RN roles are listed starting around $54/hour and running to roughly $79/hour.

    For experienced nurses
    Sources
    As of 2026-09-17Source: glassdoor.com
  2. RN hiring bonuses have been advertised up to $45,000 depending on specialty and whether you take full-time or part-time hours.

    If you are moving here
    Sources
  3. Charge RN in skilled nursing and Forensic RN I postings both start near $45/hour, so entry points outside acute care are not a pay cut.

    For new grads
    Sources
    As of 2026-09-15 · 2026-09Source: glassdoor.com

Who it fits

Best fit

  • Med surg nurses: 21 of the 48 roles on this page

Not a fit

Nursing here

Nursing leadership

Mel Russell, MSN, RN · Chief Nurse Executive and COO

Palomar Health

Sources

Benefits

Cash incentives are the headline benefit here: $30,000 on the weekend-only step-down posting and up to $45,000 for RN hires depending on specialty and hours. A weekend differential of $18/hour applies to the Friday-through-Sunday Weekend Only Worker Program.

Published pay and benefits

Hourly pay

Clinical Educator pay range

As of 2026-09

Sources
Hourly pay

Charge RN Skilled Nursing pay range minimum

As of 2026-09-15

Sources
Hourly pay

Forensic RN I pay range minimum

As of 2026-09

Sources
Hourly pay

CSU Clinical RN / Clinical RN II Critical Care pay range ($54 - $79/hr)

As of 2026-09-17

Sources
Shift pay

$18.00

Weekend differential for Weekend Only Worker Program (Fri, Sat, Sun)

As of 2026-03-20

Shift pay

$3.00

Night Shift differential at Palomar ER

Sources
Sign-on bonus

$30,000.00

Hiring incentive for Clinical RN II - FT Weekend Only Worker-IMC - Medical Step-Down

As of 2026-03-20

Sign-on bonus

RN hiring bonus up to $45,000 depending on specialty and part-time/full-time status

As of 2026

Sources
Sign-on bonus

$10,000.00

Sign-on bonus for ER RN

Sources

Workplace photos

  • Palomar Health

What nurses say

Themes from public reviews

Summaries of published reviews, with the original sources.

Management and Leadership Dissatisfaction
Staff express severe frustration with upper executive management, citing poor decision-making, disconnect from staff, and leadership compensation controversies.
Sources
Coworker Camaraderie
Nurses report strong, supportive relationships and great teamwork among bedside colleagues across various units.
Sources
Staffing and Overtime
Substantial overtime opportunities exist, but frequent understaffing and high patient ratios contribute to heavy workload and nurse burnout.
Sources
More review themes
Appearance and Tattoo Policies
Employees note rigid grooming policies that alienate staff members who have visible tattoos.
Sources
As of 2026-06-24Source: glassdoor.com

The hard parts

  • Reviews are blunt about executive leadership — nurses cite poor decision-making and a disconnect from staff — and the same reviews flag understaffing and high ratios behind all that overtime.

    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 Escondido, CA

Escondido, CA on the map· Open the live map

Tucked in a North County valley, Escondido blends agricultural roots with suburban ease. Stone Brewing's flagship taproom, a revived downtown arts district, and weekly farmers markets give the city a grounded, unhurried feel—while Palomar Medical Center anchors steady demand for nurses. Coast and desert are each an hour away.

Browse roles in Escondido
State price level · California
11% above the national average
State index 110.7 (100 = national)
Median gross rent
$2,046/mo
rent and tenant-paid utilities
Median household income
$91,967/yr
all local households, not nurse pay

U.S. Bureau of Economic Analysis · 2024 Regional Price Parities · Census ACS 2024

Common questions

Does Palomar Health hire new grads?

30 of the 48 roles on this page ask for nursing experience, and none says it welcomes new grads.

Is there a sign-on bonus?

Yes, on 2 of the 48 roles on this page, up to $30,000.

Which shifts are open?

Of the 48 roles with a stated shift on this page, 25 are night shifts, 20 are day shifts, 2 are evening shifts and 1 is a rotating shift.

Which units are hiring?

Med surg (21), ICU (3), oncology (1) and OR (1).

How do I apply?

Choose a role and press Apply. Your application comes to our team, we send it to Palomar Health, and we tell you what happens next.

Roles from Palomar Health

Palomar Health logo

Palomar Health

Escondido, CA · Health system employer

  • RN
  • 8-⁠hour days
Palomar Health logo

Palomar Health

Escondido, CA · Health system employer

  • RN
  • 8-⁠hour days
Palomar Health logo

Palomar Health

Escondido, CA · Health system employer

  • Sign-on bonus
  • RN
  • 12-⁠hour nights
Palomar Health logo

Palomar Health

Escondido, CA · Health system employer

Clinical Educator

Posted today

$54–$80

  • RN
  • 10-⁠hour days
Palomar Health logo

Palomar Health

Escondido, CA · Health system employer

CSU Clinical RN

Posted 5 days ago

$54–$79

  • RN
  • 12-⁠hour nights
Palomar Health logo

Palomar Health

Poway, CA · Health system employer

Clinical RN II- Med Surg Tele

Posted 6 days ago

$54–$79

  • RN
  • 12-⁠hour nights
Palomar Health logo

Palomar Health

Poway, CA · Health system employer

Clinical RN II- Med Surg Tele

Posted 6 days ago

$54–$79

  • RN
  • 12-⁠hour days
Palomar Health logo

Palomar Health

Escondido, CA · Health system employer

Clinical RN II- Med Surg Tele

Posted 6 days ago

$54–$79

  • RN
  • Night shift
Palomar Health logo

Palomar Health

Escondido, CA · Health system employer

Clinical RN II- Med Surg Tele OBS

Posted 6 days ago

$54–$79

  • RN
  • 12-⁠hour nights
Palomar Health logo

Palomar Health

Escondido, CA · Health system employer

Clinical RN II- Med Surg Tele OBS

Posted 6 days ago

$54–$79

  • RN
  • 12-⁠hour nights
Palomar Health logo

Palomar Health

Escondido, CA · Health system employer

Clinical RN II- Med Surg Tele OBS

Posted 6 days ago

$54–$79

  • RN
  • 12-⁠hour days
Palomar Health logo

Palomar Health

Escondido, CA · Health system employer

Clinical RN II - IMC

Posted 6 days ago

$54–$79

  • RN
  • 12-⁠hour days
Palomar Health logo

Palomar Health

Escondido, CA · Health system employer

Clinical RN II- Med Surg Tele OBS

Posted 6 days ago

$54–$79

  • RN
  • 12-⁠hour days
Palomar Health logo

Palomar Health

Poway, CA · Health system employer

  • Sign-on bonus
  • CNA
  • 8-⁠hour evenings
Palomar Health logo

Palomar Health

Poway, CA · Health system employer

CNA SNFc

Posted last week

  • CNA
  • 8-⁠hour evenings
Palomar Health logo

Palomar Health

Escondido, CA · Health system employer

CNA- ICU

Posted last week

$23–$29

  • CNA
  • 10-⁠hour nights
Palomar Health logo

Palomar Health

Poway, CA · Health system employer

CNA Med Surg Tele

Posted last week

$23–$29

  • CNA
  • 12-⁠hour days
Palomar Health logo

Palomar Health

Escondido, CA · Health system employer

CNA- Cardiovascular Acute

Posted last week

$23–$29

  • CNA
  • 12-⁠hour nights
Palomar Health logo

Palomar Health

Poway, CA · Health system employer

CNA- Med Surg Tele

Posted last week

$23–$29

  • CNA
  • 12-⁠hour days
Palomar Health logo

Palomar Health

Escondido, CA · Health system employer

CNA - Med Surg Tele

Posted last week

$23–$28

  • CNA
  • 12-⁠hour days
Palomar Health logo

Palomar Health

Escondido, CA · Health system employer

CNA-Cardiovascular Acute

Posted last week

  • CNA
  • 12-⁠hour nights
Palomar Health logo

Palomar Health

Escondido, CA · Health system employer

  • CNA
  • 12-⁠hour nights
Palomar Health logo

Palomar Health

Poway, CA · Health system employer

CNA Med Surg with Tele

Posted last week

  • CNA
  • 12-⁠hour nights
Palomar Health logo

Palomar Health

Escondido, CA · Health system employer

  • CNA
  • 12-⁠hour days
Palomar Health logo

Palomar Health

Escondido, CA · Health system employer

  • CNA
  • 12-⁠hour nights
Palomar Health logo

Palomar Health

Escondido, CA · Health system employer

CNA- IMC

Posted last week

$23–$29

  • CNA
  • 12-⁠hour days
Palomar Health logo

Palomar Health

Poway, CA · Health system employer

CNA- Med Surg Tele

Posted last week

$23–$29

  • CNA
  • 12-⁠hour days
Palomar Health logo

Palomar Health

Escondido, CA · Health system employer

CNA - Med Surg Tele

Posted last week

$23–$29

  • CNA
  • 12-⁠hour days
Palomar Health logo

Palomar Health

Escondido, CA · Health system employer

CNA - Med Surg Tele

Posted last week

$23–$29

  • CNA
  • 12-⁠hour nights
Palomar Health logo

Palomar Health

Escondido, CA · Health system employer

CNA - Med Surg Tele

Posted last week

$23–$29

  • CNA
  • 12-⁠hour days
Palomar Health logo

Palomar Health

Escondido, CA · Health system employer

CNA- Medical Oncology

Posted last week

  • CNA
  • 12-⁠hour nights
Palomar Health logo

Palomar Health

Escondido, CA · Health system employer

  • RN
  • 12-⁠hour nights
  • Per diem
Palomar Health logo

Palomar Health

Escondido, CA · Health system employer

  • RN
  • 12-⁠hour nights
Palomar Health logo

Palomar Health

Poway, CA · Health system employer

Clinical RN II- Med Surg Tele

Posted last week

$54–$79

  • RN
  • 12-⁠hour days
Palomar Health logo

Palomar Health

Escondido, CA · Health system employer

Clinical RN - ICU

Posted last week

$54–$79

  • RN
  • 12-⁠hour days
Palomar Health logo

Palomar Health

Escondido, CA · Health system employer

Float Pool RN IV Med Surg Tele

Posted last week

$64–$89

  • RN
  • 12-⁠hour nights
Palomar Health logo

Palomar Health

Escondido, CA · Health system employer

Clinical RN - ICU

Posted last week

$54–$79

  • RN
  • 12-⁠hour days
Palomar Health logo

Palomar Health

Escondido, CA · Health system employer

  • RN
  • 12-⁠hour nights
Palomar Health logo

Palomar Health

Escondido, CA · Health system employer

Clinical RN II Emergecy

Posted last week

  • RN
  • 12-⁠hour nights
Palomar Health logo

Palomar Health

Escondido, CA · Health system employer

Clinical RN II Emergency

Posted last week

  • RN
  • 12-⁠hour nights
Palomar Health logo

Palomar Health

Escondido, CA · Health system employer

  • RN
  • 12-⁠hour nights
Palomar Health logo

Palomar Health

Escondido, CA · Health system employer

Clinical RN II- Ortho Acute

Posted last week

$54–$79

  • RN
  • 12-⁠hour nights
Palomar Health logo

Palomar Health

Escondido, CA · Health system employer

Clinical RN II- Surgical Acute

Posted last week

$54–$79

  • RN
  • 12-⁠hour days
Palomar Health logo

Palomar Health

Escondido, CA · Health system employer

Clinical RN II

Posted last week

$54–$79

  • RN
  • 12-⁠hour nights
Palomar Health logo

Palomar Health

Poway, CA · Health system employer

Forensic RN I

Posted last week

  • RN
  • 12-⁠hour rotating
  • Per diem
Palomar Health logo

Palomar Health

Poway, CA · Health system employer

Clinical RN II- Med Surg Tele

Posted last week

$54–$79

  • RN
  • 12-⁠hour days
Palomar Health logo

Palomar Health

Escondido, CA · Health system employer

  • RN
  • 12-⁠hour nights
Palomar Health logo

Palomar Health

Poway, CA · Health system employer

Clinical RN II- Med Surg Tele

Posted last week

$54–$79

  • RN
  • 12-⁠hour nights

Sources

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From nurses, to nurses

Call for help the minute your patient looks off to you, not once you are sure. Needing help is not a mark against you. It puts more eyes on the patient, sooner.

a nurse looking back on her first year, American Nurse Journal, 2026

Thirty-four years in the ICU and there is still plenty I do not know. The nurse who keeps asking questions is the one giving good care.

an ICU nurse, 34 years in, a health system feature, 2021