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Advanced RN - Emergency Department (ED) Clinical Nurse II

Costa Mesa, CA
$67,199 - $88,599 a year

Start date:

02 Feb 2026

Job Type:

Full Time

Job Details

Position Overview

This role is for an experienced Emergency Department Registered Nurse at the Clinical Nurse II level, essential to delivering compassionate, patient-focused care. The position demands advanced clinical skills, specialized certifications, and the ability to work independently while collaborating with a multidisciplinary team to ensure patient safety and excellent outcomes.

Key Responsibilities

  • Patient Care:
    • Lead coordination of the healthcare team to provide safe, timely, and equitable care tailored to each patient.
    • Perform thorough assessments to identify individual patient needs.
    • Create and implement personalized care plans.
    • Monitor patient responses to interventions and ensure prompt follow-up.
    • Advocate for patients, maintaining their dignity and confidentiality.
    • Evaluate the effectiveness of care provided by the team and the impact of systems and environment on patient progress.
    • Educate patients and families on medical conditions, medications, and lifestyle changes.
    • Promote evidence-based practices within emergency care.
  • Safety and Compliance:
    • Maintain a clean, safe work environment following infection control and hospital policies.
    • Strictly adhere to aseptic techniques and regulatory standards including OSHA and The Joint Commission guidelines.
    • Identify and report safety concerns, actively addressing systemic issues.
  • Documentation:
    • Accurately document care, interventions, patient progress, and incidents in the electronic medical record system.
  • Professional Development and Leadership:
    • Mentor and precept new graduate nurses, new hires, and students to support their growth.
    • Engage in continuing education, certifications, workshops, and quality improvement projects.
    • Serve as a resource and advocate for best practices within the emergency department.
    • Perform triage nursing duties and assume charge nurse or MICN roles as needed.
  • Emergency Preparedness:
    • Respond decisively and calmly in critical situations such as cardiac arrest, demonstrating advanced clinical expertise.

Qualifications

Experience

  • At least two years of experience as a Registered Nurse in an emergency department or acute care setting; urgent care experience may be considered.
  • Proven ability to manage complex clinical cases.

Competencies

  • Technical Skills: Proficiency with advanced critical care equipment and technology; strong knowledge of anatomy, physiology, and pharmacology related to critical care.
  • Critical Thinking: Ability to make rapid decisions in high-pressure situations and prioritize effectively.
  • Communication: Excellent verbal and written communication skills to collaborate with team members, patients, and families.

Education

  • Bachelor of Science in Nursing (BSN) preferred; Associate Degree in Nursing (ADN) with five years of emergency room nursing experience may be considered in lieu of BSN.

Licenses and Certifications

  • Current Registered Nurse (RN) license.
  • Current BLS and ACLS certifications from the American Heart Association.
  • NIH Stroke Scale (NIHSS) certification.
  • Current PALS certification.
  • Nonviolent Crisis Intervention (NVCI) certification or equivalent, to be obtained within 90 days if not already held.
  • Certified Emergency Nurse (CEN) or equivalent certification is preferred.

All candidates must successfully complete a physical evaluation, drug screening, and background checks prior to employment.

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