Inactive

Community Health System

Regional hospital network delivering medical care

RN Critical Care Specialist - Medical ICU

Nursing & Frontline Patient CarePosted on Oct 13

Full-timeFresno, CA, USAIn-person

About the Job

Requirements

A high school diploma, high school equivalency, or completion of a CHS-approved individualized education plan certificate is required.
A bachelor's degree or higher in a healthcare-related field, or current national certification related to the nursing specialty, is required; healthcare-related degrees may require approval by the ACNO/CNO group.
Completion of ECMO management training with documented ECMO specialist skills validated by the Medical Director is required within 180 days of hire or transfer.
Completion of training on continuous renal replacement therapy, balloon pumps, and Impella is required within 180 days of hire or transfer.
Six months of open-heart experience is required.
Consistent demonstration of proficient clinical nursing practice is required.
At least one year of ECMO experience in critical care is required.
A current, valid Registered Nurse license to work in California is required.
Current Basic Life Support for Healthcare Providers certification from the American Heart Association is required.
National certification related to the specialty and applicable to the role is required if qualifying through the certification option.

Responsibilities

Manage and monitor the extracorporeal membrane oxygenation system, including circuit management and medical and mechanical emergencies, under the direction and supervision of a licensed, ECMO-trained physician.
Care for open-heart surgery patients as assigned.
Manage other extracorporeal and critical care devices, including continuous renal replacement therapy, Impella, and balloon pumps.
Work closely with a multidisciplinary team to deliver care and support outcomes for critically ill patients.

Overview

Opportunities for you!

Direct impact on quality patient care in a 24-bed unit with an RN-patient ratio of 1:2 but can be 1:1 based on patient acuity.
Comprehensive relocation package and concierge service
Progressive sign-on incentive paidover timefor eligible candidates
Consecutively recognized as a top employer by Forbes, and in 2025 by Newsweek
Time and a half after 8hrs+ weekend and night differential (call pay for procedural areas)
RN Advancement Pathway for growth, built for nurses, by nurses
Free Continuing Education and certification including BLS, ACLS and PALS
Tuition reimbursement, educationprogramsand 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 food options with on-demand ordering
Free parking and electric charging

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

We know that our ability to provide the highest level of care is through taking care of our incredible teams. Learn more on our Benefits page

Responsibilities

The RN Critical Care Specialist is a technical specialist trained to manage the ECMO (Extracorporeal Membrane Oxygenation) system and the clinical needs of patients under the direction and supervision of a licensed, ECMO-trained physician. This includes the management and monitoring of the ECMO machine, as well as circuit management and medical and mechanical emergencies.

This role will care for open-heart surgery patients as assigned and manage other extracorporeal and critical care devices, such as continuous renal replacement therapy (CRRT), Impella, and balloon pumps. Works closely with a multidisciplinary team to deliver high-quality care and ensure the best outcomes for critically ill patients.

Qualifications

Education

• High School Diploma, High School Equivalency (HSE) or Completion of a CHS Approved Individualized Education Plan (IEP) Certificate required

• Bachelor's Degree or higher in a healthcare-related field OR maintains national certification related to nursing specialty required

o Healthcare-related degrees may be subject to approval by the ACNO/CNO group prior to approval

o Completion of ECMO Management training course with documented necessary skills as an ECMO Specialist that is validated by the Medical Director within 180 days of hire or transfer into position required

o Completion of training on CRRT, balloon pumps, and Impella within 180 days of hire or transfer into position required

Experience

• 6 months of open heart experience required

• Consistent demonstration of proficient clinical nursing practice proficiency required

• Experience in critical care, with at least one year of ECMO experience required

Licenses and Certifications

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

• BLS - Current Basic Life Support (BLS) for Healthcare Providers by American Heart Association (AHA) required

• NATIONAL - National Certification related to specialty and applicable to role (if qualifying with this option) 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.

About the Company

Community Health System

Regional hospital network delivering medical care

Community Health System operates a regional health network across Central California, running hospitals and care facilities such as Community Regional Medical Center, Clovis Community Medical Center, and Fresno Heart Surgical Hospital. It provides inpatient and outpatient services across specialties including cancer care, neuroscience, orthopedics, obstetrics, pediatrics, cardiology, imaging, and mental health, supported by tools like MyChart for patient access and pre-registration. It differentiates itself by running regional centers of excellence and integrated campuses—such as a cancer center, trauma center, NICU, and specialized heart and brain services—across the San Joaquin Valley. Its goal is to extend advanced medical care, improve patient outcomes, and ensure comprehensive, accessible health services for the Central Valley community.

Company size: 1,001-5,000
Company stage: Grant
Total funding: $10.7M
Headquarters: Clovis, CA
Founded: 1897

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