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Valley Children's Healthcare

Registered Nurse II - PICU

Madera, California

$49.49–$70.6/hr

Posted pay

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RNPICUPediatric Intensive CareCritical CarePediatrics

Posted Aug 4, 2026 · Last seen active Aug 5, 2026

What the posting states

Base pay
$49.49–$70.6/hr

About this role

Show full description
The Registered Nurse (RN) is accountable for providing competent nursing care. Responsible for coordination of the patient's plan of care through assessment, planning, implementation, and evaluation of nursing interventions that lead to established outcomes. This position practices under the direction of the designated nurse executive, within the scope of the Nursing Practice Act, and in accordance with Valley Children's Hospital policies. The PICU has 42 beds, is part of a level 2 trauma center, and handles high acuity patients including cardiac (30%), neuroscience (30%), and acutely ill (40%).

Requirements

  • Accredited nursing program (required)
  • Bachelor's degree in Nursing (preferred)
  • RN License - CA-BRN - California Board of Registered Nursing (required)
  • BLS - Basic Life Support - AHA within 30 days of hire (required)
  • PALS - Pediatric Advanced Life Support - AHA within 12 months of hire (required)
  • Experience to correlate with Clinical Advancement Program (required)
  • Bilingual Skills (preferred)
  • PICU experience

About the employer

Valley Children's Healthcare
Specialty Hospital

Valley Children's Healthcare is a pediatric healthcare network founded more than 70 years ago by five visionary mothers who sought to bring high-quality children's healthcare to California's Central Valley. Today, the organization includes more than 740 physicians and 4,000 staff,…

3.8 Google rating
Valley Children's Healthcare workplace

What reviewers appreciate

  • Recognized as a top place to work by The Business Journal
  • U.S. News & World Report recognition for 2025-2026 best hospitals
  • Clear sense of purpose and mission-driven pediatric care

What reviewers flag

  • Management rated lowest category at 2.9 out of 5 on Indeed
  • Job security and advancement rated below average at 3.0 out of 5
  • Pay and benefits rated 3.4 out of 5, below the overall average
pediatric-focusedfamily-centeredpurpose-drivendiversity-valuingcompliance-orientedpatient-safety-focused

Living in Madera, CA

Madera sits in California's Central Valley, offering a small-city pace with easy access to Fresno's metro amenities and the Sierra Nevada foothills. Known for its agricultural roots and wine grape vineyards, it serves as a practical gateway community to Yosemite National Park for outdoor-minded nurses.

Map showing the location of Madera, CA
Madera, CA on the map · © Mapbox © OpenStreetMap· Open the live map
State price level · California
110.7
11% above the national average
Median gross rent
$1,353/mo
rent and tenant-paid utilities

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

Browse open roles in Madera

On your path

ICU / Critical Care is a first-year unit lane. The classic route: base year, then transfer in.

Worth asking

The posting doesn’t answer these. Good ones to ask a recruiter or in the interview.

  • Can you walk me through the differentials?
  • What should I expect for shifts, 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?
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