Stepdown Director (RN)

Fresno, California

Community Medical Centers is seeking a Registered Nurse (RN) Stepdown Director for a nursing job in Fresno, California. Community Medical Center is a community hospital.

Posted Sep 11

Shift and hours: 8 hours · days40 hours a week
Unit and setting: Stepdown · Hospital
License: RN license RN - Current State of California Registered Nurse license requiredCurrent State of California Registered Nurse license
Term: Permanent

Do you qualify?

License: Current State of California Registered Nurse license RN - Current State of California Registered Nurse license required Check your license
Education: Bachelor's Degree in Nursing (BSN) Bachelor's Degree in Nursing (BSN) required
Experience: 5 years of progressive management experience in a clinical environment 5 years of progressive management experience in a clinical environment required

What it pays

Against similar roles: Top of Fresno staff RN payFresno staff RN postings that state pay run $43/hr to $68/hr, the middle half $46/hr to $57/hr, across 96 postings.
Tuition assistance: Offered
Bonus: progressive sign-on incentive • If any bonuses are noted, they are only applicable to external hires meeting criteria.only applicable to external hires meeting criteria
Bonus: annual incentive program Eligible for annual incentive program
Pay reviews: pay ranges listed are an estimate and subject to change • Pay ranges listed are an estimate and subject to change.

Benefits

Benefitscomprehensive relocation packagecomprehensive relocation package
BenefitsCommunity University leadership training coursesCommunity University leadership training courses
Benefitstuition reimbursement, education programs and scholarshipsTuition reimbursement, education programs and scholarships
Benefitsvacation time accrues from Day 1 at the maximum allowable accrual rateVacation time accrues from Day 1 at the maximum allowable accrual rate
Benefits403(b) with matching contributionsFree money toward retirement with a 403(b) and matching contributions
Benefitsfood options with on-demand orderingGreat food options with on-demand ordering

More benefits (4)

Benefitsfree parking and electric chargingFree parking and electric charging
Eligible for annual incentive program
Free money toward retirement with a 403(b) and matching contributions
Great food options with on-demand ordering

The role and schedule

Day to day: responsibility over the Medical Surgical Services departments at Community Regional Medical Center
Day to day: collaborates with ACNOs, Directors, and Managers of Telemetry & Step-Down across multiple hospitals

The workplace

Community Medical Center

Parking: free parking and electric charging Free parking and electric charging

Organization profile

The team behind this role

Preceptors and orientation

Residents assigned an RN preceptor; mentorship and group meetings continue through the one-year program

Community Medical Center · employer research

Sources

As of 2025Source: rwjbh.org

Explore Community Medical Center

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Your fit

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On your path

Telemetry One of the most open front doors in acute care; ACLS and rhythm.

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Original listing

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Community Medical Centers is seeking a Registered Nurse (RN) Stepdown Director for a nursing job in Fresno, California.

Job Description & Requirements

Specialty: Stepdown

Discipline: RN

Duration: Ongoing

40 hours per week

Shift: 8 hours, days

Employment Type: Staff

Overview

Located in Fresno, CA

Consecutively recognized as a top employer by Forbes, and in 2025 by Newsweek

We’re excited to offer a progressive sign-on incentive and comprehensive relocation package

Eligible for annual incentive program

Community University leadership training courses

Tuition reimbursement, education programs and scholarships

Vacation time accrues from Day 1 at the maximum allowable accrual rate

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

The Director of Telemetry & Step-Down Services is an integral part of the system nursing leadership team with responsibility over the Medical Surgical Services departments at Community Regional Medical Center. Collaborates with ACNOs, Directors, and Managers of Telemetry & Step-Down at Community Regional Medical Center, Clovis Community Medical Center, and Fresno Heart & Surgical Hospital.

Qualifications

Education & Experience

Bachelor's Degree in Nursing (BSN) required

5 years of progressive management experience in a clinical environment required

Licenses and Certifications

RN - Current State of California Registered Nurse license required

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.

Community Medical Centers Job ID #2026-R5513. Posted job title: Director, Telemetry & amp; Step-Down

What's around it?

In Fresno, CA

Fresno, CAFrom Census ACS 2024.

Living costs about 2% above the US average

Median rent: $1,421/mo
Household income: $70,991/yr, all local households, not nurse pay

Life in Fresno, CA

NeighborhoodsReddit locals name ZIP codes 93730, 93711, 93612, and 93619 as containing the strongest pockets, with the right choice depending on commute, space, and budget. Fig Garden is known for tall trees and mid-century houses; northeast Fresno has gated country-club communities; downtown mixes early-1900s homes with revitalization. Young professionals often look at the Tower District for walkable nightlife, while Woodward Park and neighboring Clovis (about 12–15 minutes into central Fresno, at higher prices) skew suburban. Budget renters are steered to the Yosemite, McLane, and Roosevelt neighborhoods, which sit under the citywide rent average.

Reddit locals name ZIP codes 93730, 93711, 93612, and 93619 as containing the strongest pockets, with the right choice depending on commute, space, and budget. Fig Garden is known for tall trees and mid-century houses; northeast Fresno has gated country-club communities; downtown mixes early-1900s homes with revitalization.

Young professionals often look at the Tower District for walkable nightlife, while Woodward Park and neighboring Clovis (about 12–15 minutes into central Fresno, at higher prices) skew suburban. Budget renters are steered to the Yosemite, McLane, and Roosevelt neighborhoods, which sit under the citywide rent average.

Sources

As of Sep 11, 2026Source 1: reddit.com Source 2: youtube.com Source 3: rentcafe.com Source 4: boydrealtors.com Source 5: apartmentguide.com Source 6: buyingandsellingfresno.com

Getting aroundThe typical Fresno commute is about 19 minutes. Highways 99, 41, and 180 meet near downtown, and suburbs line SR 180, 99, 41, and 168; Clovis is roughly 12–15 minutes into central Fresno, while a midday 15-minute run can become 25–40 minutes at peak on SR 99 or SR 180. Most workers drive; Fresno Area Express (FAX) covers the metro and ValleyRides operates countywide, but departures are limited and intercity options are thin. Healthcare is a major local employer with several hospitals in the metro; sources do not name campus-specific drive times or parking.

The typical Fresno commute is about 19 minutes. Highways 99, 41, and 180 meet near downtown, and suburbs line SR 180, 99, 41, and 168; Clovis is roughly 12–15 minutes into central Fresno, while a midday 15-minute run can become 25–40 minutes at peak on SR 99 or SR 180. Most workers drive; Fresno Area Express (FAX) covers the metro and ValleyRides operates countywide, but departures are limited and intercity options are thin.

Healthcare is a major local employer with several hospitals in the metro; sources do not name campus-specific drive times or parking.

Sources

As of Sep 11, 2026Source 1: realestate.usnews.com Source 2: boydrealtors.com Source 3: youtube.com Source 4: reddit.com

OutdoorsWoodward Park, about 300 acres, is the city’s largest green space, with a BMX course, five miles of trails, the Shinzen Friendship Garden, and the September Fresno Koi Show. In-town options also include Roeding Park, Fresno Chaffee Zoo, Forestiere Underground Gardens, the San Joaquin River Parkway, and the Fresno and San Joaquin River Trails. Yosemite is about 1.5 hours away and Kings Canyon and Sequoia about an hour; farther out are Sierra National Forest hiking, Shaver Lake kayaking, and Sierra Nevada skiing in winter.

Woodward Park, about 300 acres, is the city’s largest green space, with a BMX course, five miles of trails, the Shinzen Friendship Garden, and the September Fresno Koi Show. In-town options also include Roeding Park, Fresno Chaffee Zoo, Forestiere Underground Gardens, the San Joaquin River Parkway, and the Fresno and San Joaquin River Trails.

Yosemite is about 1.5 hours away and Kings Canyon and Sequoia about an hour; farther out are Sierra National Forest hiking, Shaver Lake kayaking, and Sierra Nevada skiing in winter.

Sources

As of Sep 11, 2026Source 1: youtube.com Source 2: apartmentguide.com Source 3: youtube.com Source 4: visitfresnocounty.org Source 5: office.elpueblo.org Source 6: rentcafe.com

Others hiring in Fresno, CA

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Moving costs

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Living in Fresno

Fresno is the San Joaquin Valley's agricultural capital and the largest city between Sacramento and Bakersfield. Yosemite is about 90 minutes away; Sequoia and Kings Canyon about an hour. Homes typically run $380,000-$450,000 versus California's $868,000 median, which is why nurses come. Healthcare, schools, and government are major employers; several hospitals sit in the metro. Commutes average about 19 minutes on Highways 99, 41, and 180, though peaks on 99 or 180 can turn 15 minutes into 25–40. Fig Garden and 93711 offer trees and mid-century houses; northeast Fresno and Clovis (12–15 minutes in) are more suburban and gated; the Tower District has music venues and bars. The Yosemite, McLane, and Roosevelt neighborhoods rent under the June 2026 citywide $1,633 average. Summers hit triple digits, valley air worsens with wildfire smoke, and police reported above-average crime in late 2023. Woodward Park's 300 acres, Grizzlies games at Chukchansi, and Gazebo Gardens food trucks are the local payoff. Raisins, grapes, and almonds still shape the economy and the farmers markets. Pack for heat, budget for air conditioning, and treat the Sierra parks as the weekend campus.

AI area guide

Sources

As of 2026Source 1: youtube.com Source 2: realestate.usnews.com Source 3: rentcafe.com Source 4: boydrealtors.com Source 5: apartmentguide.com Source 6: mayflower.com Source 7: youtube.com Source 8: reddit.com

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Do you qualify?

What it pays

Benefits

The role and schedule

The workplace

The team behind this role

Ask Mira

Your fit

Questions to ask

On your path

Original listing

Job Description & Requirements

Overview

Responsibilities

Qualifications

Education & Experience

Licenses and Certifications

Disclaimers

What's around it?

Fresno, CAiFrom Census ACS 2024.

Life in Fresno, CA

Moving for this role?

Nurses on this role

Nurses on this role

The team behind this role

Life in Fresno, CA

Moving for this role?

Nurses on this role

Fresno, CAFrom Census ACS 2024.