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Clinical RN II- IMC-Medical Step Down

You'll coordinate nursing care for your assigned group of patients on the unit and supervise the nursing and ancillary staff.

Posted Oct 14

Shift and hours
12-⁠hour nights · nights 12-hour Shift - Night (United States of America)
Unit and setting
6W Medical Acute
License
RN license Required License: Current CA RN LicenseCurrent California RN license
Term
Permanent

Do you qualify?

License
Current California RN license Required License: Current CA RN License Check your license
Certification
AHA BLS for Healthcare Providers American Heart Association recognized BLS - Healthcare Provider
Certification
AHA ACLS American Heart Association recognized Advanced Cardiac Life Support
Experience
1 year of directly related RN experience in the specialty Minimum Experience: 1 year of directly related RN experience in area of specialty
Also asks
Speak and read English well enough to do the job Speak and read English at a level that is sufficient to satisfactorily perform the essential functions of the position.

Preferred

Education
Bachelor's degree Preferred Education: Bachelor's Degree
Experience
2+ years of directly related RN experience in the specialty Preferred Experience: 2+ years of directly related RN experience in area of specialty

The role and schedule

Union
Union position
Day to day
coordinating plan of care with patients, families and the interdisciplinary team Coordinates plan of care with the client, their family and the interdisciplinary team.
Day to day
directing assigned nursing and ancillary staff supervising and responsibly directing the activities of various levels of assigned nursing and ancillary personnel
Day to day
directing patient lifts and mobilization The Registered Nurse shall be responsible for the observation and direction of patient lifts and mobilization and shall participate as needed in patient handling.
Details
Internal applications due by midnight 10/20/2026 to get bidding rights * Internal candidates must apply by midnight on the Closing Date in order to have bidding rights.

The workplace

Palomar Health logo
Palomar Health
Health system employer

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. Escondido sits about 30…

Your fit

Questions to ask

  • Can you walk me through the pay period for the posted pay range and differentials?
  • What should I expect for weekly hours, weekend, holiday, call, and rotation?
  • What orientation, preceptor time, and ongoing unit support are included?
  • How are patient load, floating, and staffing support handled day to day?
Build questions for this role

On your path

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

Original listing

Posted on Palomar Health’s careers page.

Read full text
Department
6W Medical Acute
Union
CNA
Shift
12-hour Shift - Night (United States of America)
Hours per pay period
72
Salary range
$54.15 - $78.82

Posting Date: 10/14/2026 Internal Closing Date: 10/20/2026

  • Internal candidates must apply by midnight on the Closing Date in order to have bidding rights.

Primarily responsible for the delivery of coordinated nursing care for a patient or an assigned group of patients within an assigned unit and for the day-to-day management and supervision of the related clinical activities. Coordinates plan of care with the client, their family and the interdisciplinary team. Also responsible for supervising and responsibly directing the activities of various levels of assigned nursing and ancillary personnel, utilizing both professional and supervisory discretion and independent judgment.

Understands and adheres to the California Nurse Practice Act, The American Nurses Association (ANA) Code of Ethics for Nurses, the ANA Bill of Rights for Registered Nurses and the ANA Scope and Standards of Practice for Nursing. The Registered Nurse shall be responsible for the observation and direction of patient lifts and mobilization and shall participate as needed in patient handling. Speak and read English at a level that is sufficient to satisfactorily perform the essential functions of the position.

Knowledge of standard office equipment (i.e., calculator, fax, photocopier) and personal computer and computer software skills (i.e., MS Windows, Excel, Access, Word, PowerPoint, internet, e-mail). Windows computer skills including proficient use of keyboarding, use of mouse or keys for functions such as selecting items, use of drop-down menus, scroll bars, opening folders, copying and similar operations required upon employment or within the 1st two weeks of employment to perform the essential functions of the job. Performs other duties as assigned.

Follows Palomar Health rules, policies, procedures, applicable laws and standards. Carries out the mission, vision, and quality commitment of Palomar Health. Job Requirements Minimum

Education

As required by certification and/or licensure Preferred

Education

Bachelor's Degree Minimum

Experience

1 year of directly related RN experience in area of specialty Preferred

Experience

  • 2+ years of directly related RN experience in area of specialty
  • Required License: Current CA RN License
  • Preferred License: Not Applicable
  • Required

Certification

  • American Heart Association recognized BLS - Healthcare Provider
  • American Heart Association recognized Advanced Cardiac Life Support
  • Preferred

Certification

Not Applicable We are an equal opportunity employer and do not discriminate against applicants or employees based on race, color, gender, religion, creed, national origin, ancestry, age, disability, sexual orientation, marital status or any other characteristic protected by law.

What's around it?

In Escondido, CA

Escondido, CAFrom Census ACS 2024.

Living costs about 11% above the US average

Median rent
$2,046/mo
Household income
$91,967/yr, all local households, not nurse pay

See Escondido, CA

Nurses on this role

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