Community Health System

RN, ED Inpatient Stepdown

Requisition ID
2026-R6270
Category
Registered Nurse
Shift Type
Full-Time
Shift
12 Hour
Shift Schedule
Varies
Additional Shift Details
Day and Night Shifts Available
Facility
Community Regional Medical Center (CRMC)
Location
US-CA-Fresno
Posted Date
10/26/2026
Min
USD $48.16/Hr.
Max
USD $66.92/Hr.

Overview

When patients require a higher level of monitoring and clinical intervention, skilled nursing care can make all the difference. As an Inpatient Stepdown RN with the Admit Hold team within the ED at Community Regional, you will join a newly established team caring for some of the highest-acuity patients across Central California.

Opportunities for you!

  • Consecutively recognized as a top employer by Forbes, and Newsweek in 2026
  • Eligible for progressive sign-on incentive and comprehensive relocation package
  • Time and a half after 8 hrs + weekend and night differential
  • RN Advancement Pathway for growth, built for nurses, by nurses
  • Tuition reimbursement, education programs and scholarships
  • Vacation time starts building on Day 1, and builds with your seniority
  • Free money toward retirement with a 403(b) and matching contributions
  • Great on-demand dining options, plus free parking and EV charging ordering

 

Commitment to diversity and inclusion is a cornerstone of our culture at Community. All are welcome as valued members of our community.

Responsibilities

You love what you do, now love where you do it.  

You will assess, plan, implement and evaluate care for stepdown patients in our ED, using evidence-based nursing practice to support safe and effective outcomes. Working closely with physicians and interdisciplinary team members, you will coordinate care, educate patients and families and respond to changing patient conditions with sound clinical judgment. You will assist with patient movement within the Emergency Department and support transfers to inpatient units, including critical care. You will also contribute to quality improvement, support a collaborative team while maintaining professional competencies that reflect best practices.

Qualifications

Education & Experience

  • High School Diploma, High School Equivalency (HSE), or Completion of a CHS Approved Individualized Education Plan (IEP) Certificate required
  • Consistent demonstration of Competent clinical nursing practice proficiency required
  • 1 year of stepdown experience as a Registered Nurse required

Licenses and Certifications

  • RN - Current and valid Registered Nurse license to work within the state of California required

Disclaimers

• Pay ranges listed are an estimate and subject to change.
• If any bonuses are noted, they are only applicable to external hires meeting criteria.

Options

Sorry the Share function is not working properly at this moment. Please refresh the page and try again later.
Share on your newsfeed