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RN, Stepdown PRN

Key Information

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Position details
  • Status: Variable Time
  • Pay Range: $59.39 - $77.21 / Hourly
  • Shift: Days
  • Shifts Per Pay Period: PRN
  • Shift Length: 12 Hour
  • Location: Fresno
  • Reference: 2026-R7444
  • Facility: Community Health System

Overview

Join our all-PRN team! Designed for flexibility, and full of opportunity, this could be the next perfect fit for you.  

Opportunities for you!

  • Top notch compensation with 18% added to base!
  • Flexible self-scheduling — pick up shifts when and where you want
  • Consecutively recognized as a top employer by Forbes, and in 2025 by Newsweek
  • Direct impact on quality patient care in a system with 1,200+ licensed beds
  • Work knowing you have the support and resources of an experienced leadership team
  • Free parking and electric charging
  • Great food options with on-demand ordering
  • Enroll in DailyPay, access your earned pay on your own schedule

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

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

As a PRN RN member of our Internal Resource Pool nursing team, you’ll have the flexibility to pick up shifts, between 200 and 900 hours per year (12 months from hire). From Labor & Delivery and Emergency to Med Surg, Telemetry and more, you’ll work with diverse patient populations and clinical environments while supporting and advancing the standard of excellence in care that Community is known for. Deliver high-quality, evidence-based nursing care through assessment, planning, implementation and evaluation of patient needs. 

  • Adapt to various unit environments while maintaining a strong commitment to patient safety and clinical excellence. 
  • Collaborate effectively with multidisciplinary teams to coordinate care, ensure continuity and enhance patient outcomes. 
  • Serve as a vital resource in times of staffing needs, helping maintain operational flow and continuity of care across departments. 

This flexible role offers you the opportunity to expand your experience, sharpen your skills and support a healthcare system that serves more than 2 million people who live in our primary five-county service area. 

Qualifications

Education

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

o Bachelor's Degree in Nursing preferred 

Experience

o Consistent demonstration of Competent clinical nursing practice proficiency required 

Licenses and Certifications

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

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

CHS HealthStream Courses

o ALS-OB - Advanced Life Support OB Program required within 6 months of hire or transfer into position for the following departments: 01-74000 Labor & Delivery, 01-74003 Antepartum, 01-74004 OB Triage. Clovis: 02-74000 Labor & Delivery, 02-74001 Antepartum Testing, 02-74004 OB Triage. 

o BAC - Basic Arrhythmia Course required within 6 months of hire or transfer into position for the following departments: 04-87301 Centralized Flex Staffing, 04-87302 Centralized Float, 01-61100 Burn Center, 01-61701 Med Surg 2 Central, 01-61702 Med Surg 5 Central, 01-61703 Med Surg 7 West, 01-61730 Med Surg Oncology, 01-61770 Orthopedics 5 West, 01-61790 CPCU, 01-61791 CVS Progressive 8W, 01-74270 PACU-Recovery, 01-74276 FH PACU, 01-74300 Short Stay Surgery, 01-74306 FH Short Stay Surgery, 01-87300 Nurse Float-PR Only. Clovis: 02-61700 Med-Surg Acute Care, 02-61708 Med-Surg Acute Care 5/5N, 02-61790 Med-Surg/CPCU, 02-61792 Surgical CPCU, 02-74270 PACU-Recovery, 02-74300 Short Stay Surgery, 02-87300 Nurse Float-PR Only. 

o NIHSS - National Institutes of Health Stroke Scale Exam required within 6 months of hire or transfer into position for the following departments: 04-87301 Centralized Flex Staffing, 04-87302 Centralized Float, 01-60100 ICU 4th Floor, 01-60101 ICU 5th Floor, 01-60102 Neuroscience ICU, 01-60103 Neuroscience ICU-4 North, 01-61704 Neuroscience 9W, 01-61780 ICU Stepdown, 01-70100 Emergency, 01-87300 Nurse Float-PR Only. Clovis: 02-60100 ICU, 02-70100 Emergency, 02-87300 Nurse Float-PR Only. 

Other Qualifications / Notes

Refer to the department’s specific requirements, orientation skills checklists, and competencies

Additional Certification Requirements

o Adult Cardiac Life Support (ACLS) certification required upon entry or transfer into job for the following departments: 01-60300 CVU, 01-60306 FH CVU, 01-61705 FH CPCU, 01-70710 FH ES Cardiac Treatment Ctr, 01-74230 Cardiac Surgery, 01-75700 Cath Lab, 01-75706 FH Cath Lab, 01-75900 Cardiology, 01-75931 Cardiac Pulmonary Rehab, 01-78700 Interventional Pre Proc PICA, 01-87206 FH Nursing Admin. Clovis: 02-60300 ICU 2 North, 02-75701 Cath Lab, 02-75720 Post Interventional Cardiac Area PICA, 02-76400 Interventional Radiology.

o Adult Cardiac Life Support (ACLS) certification must be obtained within 6 months of hire or transfer into job for the following departments: 04-87301 Centralized Flex Staffing, 04-87302 Centralized Float, 01-60102 Neuroscience ICU, 01-60103 Neuroscience ICU-4 North, 01-61780 ICU Stepdown, 01-74000 Labor & Delivery, 01-74003 Antepartum, 01-74004 OB Triage, 01-87300 Nurse Float-PR Only. Clovis: 02-61780 ICU Stepdown, 02-61792 Surgical CPCU, 02-74000 Labor & Delivery, 02-74001 Antepartum Testing, 02-74004 OB Triage, 02-87300 Nurse Float-PR Only.

o Adult Cardiac Life Support (ACLS) certification must be obtained within 1 year of hire or transfer into job for the following departments: 01-60100 ICU 4th Floor, 01-60101 ICU 5th Floor, 01-61100 Burn Center, 01-61701 Med Surg 2 Central, 01-61702 Med Surg 5 Central, 01-61703 Med Surg 7 West, 01-61704 Neuroscience 9W, 01-61730 Med Surg Oncology, 01-61770 Orthopedics 5 West, 01-61790 CPCU, 01-61791 CVS Progressive 8W, 01-70100 Emergency, 01-72000 FH ADTC-Advanced Diag Test Ctr, 01-73900 Burn Therapy, 01-74206 FH Surgery, 01-74240 Neurosurgery, 01-74270 PACU-Recovery, 01-74276 FH PACU, 01-74300 Short Stay Surgery, 01-74306 FH Short Stay Surgery, 01-76306 FH Radiology Diagnostic, 01-76400 Radiography Therapeutic, 01-77401 Renal Dialysis-IP, 01-77610 Endoscopy. Clovis: 02-60100 ICU, 02-61700 Med-Surg Acute Care, 02-61708 Med-Surg Acute Care 5/5N, 02-61790 Med Surg CPCU, 02-70100 Emergency, 02-74270 PACU-Recovery, 02-74300 Short Stay Surgery, 02-77401 Renal Dialysis-IP, 02-77610 Endoscopy.

o Pediatric Advanced Life Support (PALS) certification must be obtained within 6 months of hire or transfer into job for the following departments: 04-87301 Centralized Flex Staffing, 04-87302 Centralized Float, 01-87300 Nurse Float-PR Only. Clovis: 02-87300 Nurse Float-PR Only.

o Pediatric Advanced Life Support (PALS) certification must be obtained within 1 year of hire or transfer into job for the following departments: 01-60500 Pediatric ICU, 01-61100 Burn Center, 01-62900 Pediatrics, 01-70100 Emergency, 01-73900 Burn Therapy, 01-74270 PACU-Recovery, 01-74300 Short Stay Surgery, 01-76400 Radiography Therapeutic, 01-77610 Endoscopy (except for nurses in pre-admission testing). Clovis: 02-70100 Emergency, 02-74270 PACU-Recovery.

o Electronic Fetal Monitoring (EFM) Course must be obtained within 6 months of date of hire or transfer into job for the following departments (exceptions may apply, refer to Policy #10925): 01-74000 Labor & Delivery, 01-74003 Antepartum, 01-74004 OB Triage. Clovis: 02-74000 Labor & Delivery, 02-74001 Antepartum Testing, 02-74004 OB Triage.

o Neonatal Resuscitation Program (NRP) certification must be obtained within 6 months of hire or transfer into job for the following departments: 01-60500 Pediatric ICU, 01-60700 NICU, 01-62900 Pediatrics, 01-63800 Obstetrics, 01-65320 Newborn Nursery, 01-74000 Labor & Delivery, 01-74003 Antepartum, 01-74004 OB Triage. Clovis: 02-60700 Neonatal ICU, 02-63800 Obstetrics, 02-74000 Labor & Delivery, 02-74001 Antepartum Testing, 02-74004 OB Triage.

o Oncology Nursing Society (ONS) Chemotherapy/Biotherapy certification must be obtained within 6 months of hire or transfer into job for the following departments: 01-61730 Med Surg Oncology, 01-73911 Ambulatory Infusion Ctr-EMP, 01-73913 Ambulatory Infusion Ctr-Clovis. Clovis: 02-73917 CCI-Infusion Services.

o Certified Electronic Fetal Monitoring (C-EFM) by the National Certification Corporation (NCC) must be obtained within 1 year of hire or transfer into job for the following departments (exceptions may apply, refer to Policy #10925): 01-74000 Labor & Delivery, 01-74003 Antepartum, 01-74004 OB Triage. Clovis: 02-74000 Labor & Delivery, 02-74001 Antepartum Testing, 02-74004 OB Triage.

Disclaimer

• Pay ranges listed are an estimate and subject to change.

• If any bonuses are noted, they are only applicable to external hires meeting criteria.

Perks you can use

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Daily Pay

You earned it! Get your $$$ when you need it.

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Referral Rewards

Who you know can get you paid.

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Dine On Demand

Skip the line! Order ahead.

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C.A.R.E. Program

Earn points to purchase real prizes for being a great teammate! 

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Here’s what you can expect from start to finish as you move through our hiring process

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You apply in just 5 minutes

Apply to a position that aligns with your experience, interests and qualifications.

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An initial screening call may be held

Each application is reviewed by one of our Recruiters — not an AI bot — for minimum qualification and alignment for the role. For some job openings, a Recruiter may reach out to learn more about you and have a short phone interview before your application is shared with a Hiring Manager. The Recruiter will send those candidates best matched to the Hiring Manager for review.

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The Hiring Manager reviews your application

Hiring managers will review your resume and kick off the process to connect and schedule an interview. You may receive a call from the Talent Acquisition team or the unit to set up your interview. You may be invited to one, or more interviews depending on the role and career area.

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You hear about our decision and may receive an offer

If chosen for the position, an official offer will be extended, outlining everything you need to know about the role, compensation and next steps. If not selected, we encourage you to browse for other job openings that appeal to you.

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Welcome to our team

If you accept our offer, the team will share all information about the onboarding process and we will be with you each step of the way to help make the process a smooth one.