RN (Registered Nurse) Tele

Registered Nurse Telemetry (High Acuity / Stepdown)

Facility: Mercy Medical Center Merced Merced, CA 95340 Start Date: January 12, 2026 Duration: 13 Weeks Shift: 12-Hour Nights (36 hrs/week, every other weekend, 2 of 3 major holidays)

Position Overview

We're seeking an experienced Telemetry RN to join the 4th Floor Telemetry Unit at Mercy Medical Center Merced, a Level II facility with a high-acuity, PCU/Stepdown environment. This role requires strong clinical judgment, cardiac rhythm interpretation skills, and the ability to thrive in a fast-paced setting.

Key Details

• Unit: Telemetry (4th Floor)
• Beds: 34
• Patient Ratio: 1:4
• EMR: Cerner (preferred experience)
• Scrub Color: Navy
• Orientation: 2 shifts (with Cerner experience) or 3 shifts (without Cerner)

Responsibilities

• Provide direct patient care for telemetry/PCU-level patients, including cardiac, post-CVA, CHF, respiratory failure, HTN, and post-op cases.
• Interpret cardiac rhythms (Client monitoring system).
• Administer and monitor non-titrating drips (e.g., Cardizem, Heparin).
• Float to Med-Surg as needed (travelers float first).
• Maintain accurate documentation and ensure safe, evidence-based care.
• Function independently in a primary nursing model when nurse aides are unavailable.

Unit Support

• Charge Nurse: On every shift (does not take patients)
• Nurse Aides: Present but not guaranteed
• RT: 24/7
• Pharmacy: 24/7
• Hospitalist: In-house 24/7
• No IV Team or Call Requirement

Requirements

• Experience: Minimum 2 years (Telemetry or PCU preferred)
• Certifications: BLS, ACLS, NIHSS (required)
• License: Active California RN license (required at submission)
• Restrictions:
• Must reside 50+ miles from the facility (no local rates).
• Cannot be perm or per diem at any CommonSpirit facility in the past 12 months.
• Cannot hold a second job; must prioritize this travel assignment.

Compensation

• Competitive weekly pay (based on experience and compliance completion).
• Overtime, holiday, and extension opportunities available.

Screening & Interview Process

• Profile review ? Smartsheet completion ? Clinical review & recommendation.
• If recommended, Zoom interview with manager (no prescreen call required).