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Nurses

Clinical RN II- Med Surg Tele OBS

Palomar Health logoPalomar Health$54.15–$78.82/hrPart timePosted 2w agoStill open, checked every night

Open in 1 location

Palomar Health posts this job as separate openings, each with its own application: the unit, shifts, schedule and pay can differ between them.

California

3 open

How this pay compares

This posting states $54.15–$78.82 an hour. Open registered nurse jobs in California post a median of $68.19 an hour, the middle half $60.38–$76.88, across 2,514 jobs that state their pay, so this one is within the middle half of what they post. Registered nurses employed in California earn a median of $67.44 an hour (source: BLS Occupational Employment and Wage Statistics), according to the Bureau of Labor Statistics (May 2025) (source: BLS Occupational Employment and Wage Statistics).

Registered nurses in California: pay by town and employer

The Registered Nurses & LPNs job market: pay, applicant demand and hiring, researched nightly

Union record

By the bargaining notices filed with the Federal Mediation and Conciliation Service, unions bargain for workers at Palomar Health here: Caregiver & Healthcare Employees Union/California Nurses Association at Escondido, CA (1,562 workers, contract up for renewal 31 Jul 2024); California Nurses Association at Escondido, CA (1,500 workers, contract up for renewal 31 Jul 2024). Each union represents its own unit: ask the recruiter whether this position is in one. Healthcare union contracts.

Medicare rating of Palomar Health Downtown Campus

Medicare gives Palomar Health Downtown Campus 3 of 5 stars (Jul 2026; California's hospitals average 3.1). 74% of its patients said their nurses always communicated well (the middle US hospital: 79%). Patients' ratings of their care, not employees' of the job. Its other hospitals · California hospitals by rating.

OSHA inspections here

OSHA inspected Palomar Health Escondido in Escondido, CA on 4 May 2022 and cited 3 violations, most under California's workplace violence prevention rule for health care, $1,310 in penalties as they stand. OSHA inspected Palomar Health in Escondido, CA on 10 May 2021 and cited 8 violations (1 serious), most under California's injury and illness prevention program, $3,085 in penalties as they stand. A citation says what OSHA found then, not how the site is now. Workplace injuries and OSHA citations.

What this hospital paid

By Palomar Health Downtown Campus's report to Medicare, its registered nurse hours averaged $44.92 an hour in 2022 pay periods, its own and contract staff together, before benefits, against $85.20 an hour across California's hospitals. An average over every such hour, not this job's pay: the posting states its own. What California hospitals pay nurses.

Public Service Loan Forgiveness

Medicare lists Palomar Health Downtown Campus as a government hospital: the kind of employer PSLF counts (a government organization or a 501(c)(3) non-profit) for its own full-time staff, toward forgiveness of federal Direct Loans after 120 qualifying payments. The federal PSLF Help Tool confirms an employer by the EIN on your W-2. Every PSLF-eligible hospital hiring.

What California law says about nurse staffing

  • Minimum nurse-to-patient ratios: General acute care hospitals must keep licensed nurse-to-patient ratios by unit, for example 1:2 in critical care and 1:5 in medical-surgical units. Cal. Code Regs. tit. 22, § 70217(a) (source: Cal. Code Regs. tit. 22, § 70217(a))

Every state's nurse staffing law, in its own words

Registered nurse and LPN jobs in our research

  • How long these jobs stay listed: Still listed at 7 days 81.0%
  • Applicant demand per open job on this site (1.00x is the average job): Index 0.45x · Clicks 134
  • How often these jobs state their pay: Jobs stating any pay 54.7% · Stating an hourly rate 33.9%

From every open job we read and every apply click on this site, as of 9 Nov 2026. Every figure for Registered nurse and LPN jobs

About the job

Department

9W MEDICAL SURGICAL TELE

Union

CNA

Shift

12-hour Shift - Night (United States of America)

Hours Per Pay Period

48

Salary Range

$54.15 - $78.82

Job Description

Posting Date: 10/20/2026

Internal Closing Date: 10/26/26

  • Internal candidates must apply by midnight on the Closing Date in order to have bidding rights.

Primarily responsible for the delivery of coordinated nursing care for a patient or an assigned group of patients within an assigned unit and for the day-to-day management and supervision of the related clinical activities. Coordinates plan of care with the client, their family and the interdisciplinary team. Also responsible for supervising and responsibly directing the activities of various levels of assigned nursing and ancillary personnel, utilizing both professional and supervisory discretion and independent judgment. Understands and adheres to the California Nurse Practice Act, The American Nurses Association (ANA) Code of Ethics for Nurses, the ANA Bill of Rights for Registered Nurses and the ANA Scope and Standards of Practice for Nursing. The Registered Nurse shall be responsible for the observation and direction of patient lifts and mobilization and shall participate as needed in patient handling.

Speak and read English at a level that is sufficient to satisfactorily perform the essential functions of the position. Knowledge of standard office equipment (i.e., calculator, fax, photocopier) and personal computer and computer software skills (i.e., MS Windows, Excel, Access, Word, Powerpoint, internet, e-mail). Windows computer skills including proficient use of keyboarding, use of mouse or keys for functions such as selecting items, use of drop down menus, scroll bars, opening folders, copying and similar operations required upon employment or within the 1st two weeks of employment to perform the essential functions of the job. Performs other duties as assigned. Follows Palomar Health rules, policies, procedures, applicable laws and standards. Carries out the mission, vision, and quality commitment of Palomar Health.

Job Requirements

Minimum Education: As required by certification and/or licensure

Preferred Education: Bachelor's Degree

Minimum Experience: 1 year of directly related RN experience in area of specialty

Preferred Experience: 2+ years of directly related RN experience in area of specialty

Required License: Current CA RN License

Preferred License: Not Applicable

Required Certification: American Heart Association recognized BLS - Healthcare Provider

Preferred Certification: Not Applicable

We are an equal opportunity employer and do not discriminate against applicants or employees based on race, color, gender, religion, creed, national origin, ancestry, age, disability, sexual orientation, marital status or any other characteristic protected by law.

From Palomar Health's job posting for Escondido, CA, checked 9 Nov 2026. The employer's own page is the final word on requirements and availability.

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About Palomar Health

Public healthcare district in northern San Diego County with two medical center campuses, in Escondido and Poway, offering acute care, obstetrics, rehabilitation and behavioral health.

Based in Escondido, CAHires in CaliforniaPay on its listings: 49.5% of its open jobs state an hourly rate

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