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Advanced Telemetry RN | Clinical Nurse II

Encinitas, CA
$65,399 - $85,799 a year

Start date:

31 Jan 2026

Job Type:

Full Time

Job Details

Position Overview

This role is essential for delivering expert, patient-focused care within a telemetry unit in a regional healthcare setting in the Pacific Northwest. The Advanced Telemetry RN at the Clinical Nurse II level combines specialized skills and certifications to provide autonomous, high-quality care while collaborating closely with interdisciplinary teams to ensure patient safety and optimal outcomes.

Key Responsibilities

  • Patient Care: Monitor patients requiring continuous cardiac observation, perform detailed assessments, respond swiftly to changes in cardiac rhythms and neurological status, administer medications including non-titratable drips, and develop individualized care plans. Act as a compassionate patient advocate and provide education to patients and families on medical conditions, medications, and lifestyle adjustments.
  • Safety and Compliance: Maintain a safe and clean environment adhering to infection control and regulatory standards such as The Joint Commission and OSHA. Participate actively in quality improvement initiatives and report safety concerns promptly.
  • Documentation: Accurately document all patient care activities, interventions, and responses in the Electronic Health Record (EHR) following established standards.
  • Professional Development and Leadership: Mentor new graduate nurses, new hires, and students, support ongoing education, serve as a resource for telemetry best practices, and act as Relief Charge Nurse when needed.
  • Emergency Preparedness: Respond promptly and effectively to cardiac emergencies, including arrhythmias and chest pain, utilizing advanced clinical skills.

Qualifications

  • Experience: Minimum of two years as a Registered Nurse in telemetry or an equivalent intermediate care setting. Transitional RN candidates should have two years in acute care or similar environments.
  • Proficiency in ECG/EKG interpretation and arrhythmia management.
  • Ability to thrive in a fast-paced, high-acuity environment requiring quick decision-making and teamwork.

Competencies

  • Technical expertise with centralized cardiac monitoring systems.
  • Strong clinical judgment, critical thinking, and problem-solving skills.
  • Excellent communication skills with patients, families, and healthcare teams.

Education

  • Bachelor of Science in Nursing (BSN) preferred. Associate Degree in Nursing (ADN) with five years of telemetry or equivalent intermediate care experience may be considered.

Licenses and Certifications

  • Current Registered Nurse license valid in the region.
  • Current BLS and ACLS certifications from the American Heart Association.
  • NIH Stroke Scale (NIHSS) certification.
  • ONS Chemotherapy Immunotherapy Certificate required for progressive care units; transitional RNs must obtain within six months of hire.
  • Preferred: Progressive Care Certified Nurse (PCCN) or Certified Critical Care Nurse (CCRN Adult) or equivalent.

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

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