RN ICU Per Diem
Palomar Health

Clinical RN II- Intensive Care Unit

Palomar Health Escondido, CA, US
Posting Date: 06/09/2026 Internal Closing Date: 6/15/26* 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 licensurePreferred Education: Bachelor's DegreeMinimum Experience: 1 year of directly related RN experience in area of specialtyPreferred Experience: 2+ years of directly related RN experience in area of specialtyRequired Certification: American Heart Association recognized BLS - Healthcare Provider
American Heart Association recognized Advanced Cardiac Life SupportPreferred Certification: Not ApplicableRequired License: Current CA RN LicensePreferred License: Not Applicable

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Other accolades include: the American Heart Association/American Stroke Association’s Get With The Guidelines® - Stroke GOLD PLUS with Target: Stroke Honor Roll Elite and Target: Type 2 Diabetes Honor Roll, Mission Lifeline® - STEMI Receiving Center – GOLD PLUS, Mission Lifeline® - NSTEMI – GOLD, Blue Distinction® Center Designation for Quality in Knee and Hip Replacement Surgeries, The Joint Commission’s Gold Seal of Approval for Certification for Hip and Knee Replacement, first hospital in the state of California to achieve certification as a Gluten-Free Food Service facility, 3 Star Medicare Hospital Compare Rating, the American College of Cardiology Chest Pain Center with Primary PCI and Resuscitation Accreditation, the honor of the Inland Empire’s Top Workplaces 2017 and 2018, has been designated an Aetna Institute of Quality Cardiac Care Facility for comprehensive heart and vascular treatment-including Cardiac Medical Intervention, Cardiac Rhythm Programs and Cardiac Surgery. For more information, please visit www.SWHtemeculavalley.com . Registered Nurse ICU The ICU Registered Nurse performs initial assessment and documents appropriately for the level of care appropriate to the patient’s clinical presentation/diagnosis, care setting, age development level, and cultural and religious orientation. Initiates discharge planning for each patient upon admission as appropriate. Is able to calculate and titrate vasoactive drugs used in the ICU in response to changing patient condition. Is also able to care for patients receiving mechanical ventilation, i.e. assessment of effective ventilation, suctioning techniques, etc. Has the ability to interpret cardiac arrhythmias and intervene appropriately, including alerting physician to significant changes. Qualifications Essential Job Duties : Identifies and prioritizes the need for further assessment based on the patient’s clinical presentation/diagnosis, care setting, desire for care and responses to any previous care. Initiates discharge planning for each patient upon admission as appropriate. Is able to monitor hemodynamic status of patient and correctly interpret the results. Demonstrates knowledge of cardiac monitoring and identifies dysrhythmias and treats appropriately. The ER RN must be able to accurately assign triage categories using Emergency Severity Index. Is able to assist emergency room physician with diagnosis and interventional procedures, i.e., central lines, closed reductions, advanced airway management. Is competent to monitor the patient undergoing procedural sedation. Is competent to perform ACLS and PALS algorithms and protocols. Maintains current competencies on all Emergency Department equipment including defibrillator, pacer, infusion pumps, etc. Job Requirements: One (1) year Emergency or Critical Care experience in an acute care facility Registered Nurse with current California RN license NIHSS required within 3 months of hire BLS, ACLS, PALS (AHA) certifications required This opportunity offers the following: Challenging and rewarding work environment Growth and development opportunities within UHS and its subsidiaries Competitive compensation About Universal Health Services One of the nation’s largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (NYSE: UHS) has built an impressive record of achievement and performance, growing since its inception into a Fortune 500 corporation. Headquartered in King of Prussia, PA, UHS has 89,000 employees. Through its subsidiaries, UHS operates 28 acute care hospitals, 335 behavioral health facilities, 40 outpatient facilities and ambulatory care access points in 39 U.S. states, Washington, D.C., Puerto Rico and the United Kingdom. *UHS is a registered trademark of UHS of Delaware, Inc., the management company for Universal Health Services, Inc. and a wholly-owned subsidiary of Universal Health Services, Inc. Universal Health Services, Inc. is a holding company and operates through its subsidiaries including its management company, UHS of Delaware, Inc. All healthcare and management operations are conducted by subsidiaries of Universal Health Services, Inc. To the extent any reference to "UHS or UHS facilities" on this website including any statements, articles or other publications contained herein relates to our healthcare or management operations it is referring to Universal Health Services' subsidiaries including UHS of Delaware. Further, the terms "we," "us," "our" or "the company" in such context similarly refer to the operations of Universal Health Services' subsidiaries including UHS of Delaware. Any employment referenced in this website is not with Universal Health Services, Inc. but solely with one of its subsidiaries including but not limited to UHS of Delaware, Inc. UHS is not accepting unsolicited assistance from search firms for this employment opportunity. Please, no phone calls or emails. All resumes submitted by search firms to any employee at UHS via-email, the Internet or in any form and/or method without a valid written search agreement in place for this position will be deemed the sole property of UHS. No fee will be paid in the event the candidate is hired by UHS as a result of the referral or through other means. EEO Statement All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws. We believe that diversity and inclusion among our teammates is critical to our success. Notice At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skillset and experience with the best possible career path at UHS and our subsidiaries. We take pride in creating a highly efficient and best in class candidate experience. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card or bank information, etc.) from you via email. The recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc. If you are suspicious of a job posting or job-related email mentioning UHS or its subsidiaries, let us know by contacting us at: https://uhs.alertline.com or 1-800-852-3449 .