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RN - DOU - Green Hospital - La Jolla (NIGHTS)

Join the fast-paced Definitive Observation Unit (DOU) as a Registered Nurse.

Eligibility
Sign-on bonus

Posted Sep 26

Shift and hours
12-⁠hour nights · Nights, including weekends 12-hour Night shifts (including weekends - 5 shifts (1 Friday, 1 Saturday, 1 Sunday +2 F/Sa/Sun of choice) per 4 week schedule36 hours a week (72 hours per two-week pay period)
Unit and setting
Definitive Observation Unit (DOU) · Hospital This 38-bed, stepdown-level unit provides care for postoperative spine surgery patients, higher-acuity medical-surgical patients, and stroke and neurology patients.postoperative spine surgery, higher-acuity medical-surgical, and stroke and neurology patients
License
RN licenseCurrent CA RN License
Term
Permanent Registered Nurse (RN) - Full Time - DOUFull time

Do you qualify?

License
Current CA RN License Check your license
Certification
Current American Heart Association Healthcare Provider BLS Current American Heart Association, Healthcare Provider, BLS Certification
Education
Registered nursing degree from an accredited school of nursing
Experience
One (1) year of RN experience One (1) year of RN experience, 6 months in Inpatient environment
Experience
6 months in inpatient environment
Also asks
Speak, read and follow instructions in English Must be able to speak, read and follow instructions in English
Also asks
Demonstrate positive behaviors Must be able to demonstrate positive behaviors

Preferred

Certification
ACLS certification
Certification
NIHSS certification
Education
Bachelor's degree in Nursing
Experience
6 months RN experience in Tele, DOU, PCU or Stepdown Six (6) months of RN experience Tele, DOU, PCU or Stepdown

What it pays

Against similar roles
In range for California staff rolesCalifornia staff postings that state pay run $34/hr to $96/hr, the middle half $45/hr to $73/hr, across 3,751 postings.
Sign-on bonus
$7,000
Bonus
New hire and relocation incentives up to $7K This position is eligible for New Hire and Relocation Incentives up to $7K .
Bonus
Retention incentive In order to remain eligible for your retention incentive the following criteria must be met:Remain in original hired FTE status and shift (if specified in offer letter), original department/specialty, and original job title
Bonus
Remaining incentive may be forfeited on transfer to other locations Transfers to other locations will be reviewed on a case-by-case basis and may result in forfeiting remaining incentive bonus unless specifically noted in your offer letter.Transfer to other locations, unless specifically noted in your offer letter
Bonus
Not eligible for hiring incentives Rehires that left Scripps less than 3 years ago

The role and schedule

Day to day
Coordinate and provide individualized patient care in a stepdown/observation setting Coordinate and provide individualized patient care in a stepdown/observation setting
Day to day
Monitor postoperative patients, including vital signs and clinical status Monitor postoperative patients, including vital signs and clinical status
Day to day
Recognize and communicate changes in patient condition promptly to physicians and the care team Recognize and communicate changes in patient condition promptly to physicians and the care team
Day to day
Collaborate with interdisciplinary team members to support safe, effective care transitions Collaborate with interdisciplinary team members to support safe, effective care transitions
Day to day
Maintain clear, compassionate communication with patients and their families Maintain clear, compassionate communication with patients and their families
Day to day
Promote restoring function, optimizing care, and honoring each patient's dignity, autonomy, and individuality Promote an environment focused on restoring function, optimizing care, and honoring each patient’s dignity, autonomy, and individuality
Unit size
38-bed stepdown-level unit This 38-bed, stepdown-level unit provides care for postoperative spine surgery patients, higher-acuity medical-surgical patients, and stroke and neurology patients.
Weekends
Weekend shifts included: 1 Saturday, 1 Sunday, and 2 F/Sa/Sun of choice per 4-week schedule 12-hour Night shifts (including weekends - 5 shifts (1 Friday, 1 Saturday, 1 Sunday +2 F/Sa/Sun of choice) per 4 week schedule
Details
173-bed hospital Scripps Green Hospital is a 173-bed facility serving the La Jolla and greater San Diego communities since 1977.
Details
Primarily private patient rooms The DOU features primarily private patient rooms, many with views of the Pacific Ocean and Torrey Pines Golf Course.

Support on this unit

Nurse to patient
1:3–1:4 Nurse-to-patient ratios are typically <b>1:3 or 1:4</b>, based on patient acuity.</p> <p><b> Responsibilities</b></p> <p>As a Definitive Observation RN, you wilstated in this posting

The workplaceFrom Medicare Care Compare, Sep 2026.

Scripps Health logo
Scripps Health
Health system employer
Hospital
Scripps GREEN Hospital
Address
10666 NORTH TORREY PINES ROAD, LA JOLLA, CA, 92037
CMS rating
5 of 5 stars
Beds
150

About SCRIPPS GREEN HOSPITAL

Worth asking

  • Can you walk me through base pay range, differentials, and sign-on bonus repayment terms?
  • What should I expect for holiday, call, and rotation?
More questions to ask
  • What orientation, preceptor time, and ongoing unit support are included?
  • How are floating and staffing support handled day to day?
Build questions for this role

Your fit

Original listing

Read full text

Located on the Torrey Pines Mesa near I-5 and Genesee Avenue in La Jolla, Scripps Green Hospital has served the greater San Diego community since 1977. We provide some of the region’s best care, including several nationally ranked specialty programs.

Scripps Green Hospital is attached to Scripps Clinic Torrey Pines. Together we offer dozens of medical and surgical services, including cancer care, orthopedic surgery and organ transplantation.

Registered Nurse (RN) – Full Time - DOU

Schedule

72 hours per 2-week pay period | 12-hour Night shifts (including weekends – 5 shifts (1 Friday, 1 Saturday, 1 Sunday +2 F/Sa/Sun of choice) per 4 week schedule Location: Scripps Green Hospital in La Jolla

This position is eligible for New Hire and Relocation Incentives up to $7K .

Scripps Green Hospital is a 173-bed facility serving the La Jolla and greater San Diego communities since 1977. Known for outstanding clinical care, the hospital offers a broad range of medical and surgical services, including organ transplantation, oncology, orthopedic surgery, and blood and bone marrow transplantation.

Join the fast-paced Definitive Observation Unit (DOU) as a Registered Nurse. This 38-bed, stepdown-level unit provides care for postoperative spine surgery patients, higher-acuity medical-surgical patients, and stroke and neurology patients. Nurse-to-patient ratios are typically 1:3 or 1:4 , based on patient acuity.

Responsibilities

As a Definitive Observation RN, you will

  • Coordinate and provide individualized patient care in a stepdown/observation setting
  • Monitor postoperative patients, including vital signs and clinical status
  • Recognize and communicate changes in patient condition promptly to physicians and the care team
  • Collaborate with interdisciplinary team members to support safe, effective care transitions
  • Maintain clear, compassionate communication with patients and their families
  • Promote an environment focused on restoring function, optimizing care, and honoring each patient’s dignity, autonomy, and individuality

The DOU features primarily private patient rooms, many with views of the Pacific Ocean and Torrey Pines Golf Course. You will join a supportive team dedicated to delivering exceptional care for patients with complex and evolving clinical needs.

The following are not eligible for hiring incentives

  • Internal candidates
  • Rehires that left Scripps less than 3 years ago

In order to remain eligible for your retention incentive the following criteria must be met:

  • Must remain in original hired FTE Status and Shift (if specified in offer letter)
  • Must remain in original department/specialty
  • Must remain in original Job Title
  • Transfers to other locations will be reviewed on a case-by-case basis and may result in forfeiting remaining incentive bonus unless specifically noted in your offer letter.

Required Qualifications

  • Registered nursing degree from an accredited school of nursing
  • Current CA RN License
  • One (1) year of RN experience, 6 months in Inpatient environment
  • Current American Heart Association, Healthcare Provider, BLS Certification
  • Must be able to speak, read and follow instructions in English
  • Must be able to demonstrate positive behaviors

Preferred Qualifications

  • Six (6) months of RN experience Tele, DOU, PCU or Stepdown
  • ACLS certification
  • NIHSS certification
  • Bachelor's degree in Nursing

At Scripps Health, you will experience the pride, support and respect of an organization that has been repeatedly recognized as one of the nation’s Top 100 Places to Work.

You’ll be surrounded by people committed to making a difference in the lives of their patients and their teammates. So if you’re open to change, go ahead and unlock your potential.

Position Pay Range: $59.16-$85.68/hour

What's around it?

Scripps GREEN Hospital · La Jolla, CA

La Jolla, CA

Living costs about 11% above the US average

See La Jolla, CA

Nurses on this role

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