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Advanced Emergency Room RN | Clinical Nurse II

Solana Beach, CA
$67,199 - $88,599 a year

Start date:

01 Feb 2026

Job Type:

Full Time

Job Details

Position Overview

This role is essential within the Emergency Department, requiring a Registered Nurse at the Clinical Nurse II level to provide exceptional, patient-focused care. The position demands advanced skills, specialized certifications, and the ability to work independently while collaborating with a multidisciplinary team to ensure patient safety and optimal health outcomes.

Key Responsibilities

  • Patient Care:
    • Lead coordination of the healthcare team to deliver 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 all team members and the healthcare environment in achieving desired outcomes.
    • 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 adhering to infection control and institutional policies.
    • Strictly follow aseptic techniques and infection prevention protocols.
    • Comply with regulatory standards including those from The Joint Commission and OSHA.
    • Identify and report safety concerns, actively addressing systemic issues.
  • Documentation:
    • Accurately record care activities, interventions, patient progress, and incidents in electronic medical records.
  • 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 skillfully in critical situations such as cardiac arrest, demonstrating advanced clinical expertise and calm under pressure.

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 nursing experience may be considered in lieu of BSN.

Licenses and Certifications

  • Current Registered Nurse license in the relevant state.
  • 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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