RN, ED Inpatient Stepdown

Community Health System

Fresno, CA
30+ days ago

Highlights

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. 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.

Numbers & Facts

Location	Fresno, CA
Industry	Healthcare Services
Company Size	10,000 employees or more
Year Founded	1985
Website	http://www.chs.net/

Description

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.

About Company

Community Health Systems, Inc. is a non-profit 501 (c) (3) 330 HRSA Grantee with Federally Qualified Health Center (FQHC) status. Established from the roots of Inland Empire Community Health Center in Bloomington, CHSI has grown with community health centers in the counties of Riverside, San Bernardino, and San Diego. These centers have been developed in accordance with standards established for safety net providers by the U.S. Department of Health and Human Services (HHS), the Health Resources Services Administration (HRSA), the Public Health Service (PHS), and the Bureau of Primary Health Care (BPHC).

As such, services are offered to the neediest in each community - the un-insured and under-insured, the working poor, those with limited ability to pay, the homeless, and the indigent. Services are provided at discounted (sliding fee scale) rates for those who qualify based on gross annual income and family size.