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Overnight Rn Observation Unit Jobs in Atlanta, GA

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Overnight Rn Observation Unit information

See Atlanta, GA salary details

$23

$44

$67

How much do overnight rn observation unit jobs pay per hour?

As of Aug 10, 2026, the average hourly pay for overnight rn observation unit in Atlanta, GA is $44.21, according to ZipRecruiter salary data. Most workers in this role earn between $36.78 and $48.56 per hour, depending on experience, location, and employer.

What are some common challenges faced by overnight RNs in an observation unit, and how can they be managed?

Overnight RNs in an Observation Unit often face challenges such as managing patient care with limited on-site resources, staying alert during overnight hours, and coordinating care transitions as patients are admitted, discharged, or transferred. Effective communication with the interdisciplinary team, strong time management skills, and utilizing available support staff can help manage these challenges. Building routines to stay focused and prioritizing self-care during off hours are also important for maintaining performance and well-being.

What does an overnight RN in an observation unit do?

An Overnight RN in an Observation Unit is responsible for monitoring and caring for patients who require further evaluation or short-term treatment, typically for less than 24 hours. Their duties include assessing patient conditions, administering medications, collaborating with physicians, and ensuring patient safety throughout the night. They play a key role in determining if patients need to be admitted for inpatient care or can be safely discharged. This role requires strong clinical judgment, attention to detail, and the ability to work independently during overnight hours.

What is the difference between Overnight Rn Observation Unit vs Emergency Room Nurse?

AspectOvernight Rn Observation UnitEmergency Room Nurse
CredentialsRegistered Nurse (RN) license, possibly specialized in observation careRegistered Nurse (RN) license, often with emergency or trauma certification
Work EnvironmentHospital observation units, typically overnight shifts, focused on patient monitoringEmergency departments, fast-paced, high-stress environment with acute care
Employer & IndustryHospitals, outpatient clinics, healthcare facilitiesHospitals, trauma centers, urgent care facilities
Common Search & ComparisonYesYes

The Overnight Rn Observation Unit and Emergency Room Nurse roles both require RN licensure and involve patient care in hospital settings. However, the Observation Unit focuses on monitoring patients overnight who need less intensive care, while ER Nurses handle acute emergencies in a fast-paced environment. Understanding these differences helps healthcare professionals choose the right career path or job opportunity.

What are the key skills and qualifications needed to thrive as an overnight RN in an observation unit?

To thrive as an Overnight RN in an Observation Unit, you need strong clinical assessment skills, acute care experience, and an active RN license, often supported by certifications like BLS or ACLS. Familiarity with electronic health records (EHRs), telemetry monitoring systems, and patient tracking tools is also essential. Excellent communication, problem-solving abilities, and the capacity to stay focused during night shifts are vital soft skills. These competencies ensure patient safety, accurate monitoring, and effective collaboration with healthcare teams during critical overnight hours.
What are the most commonly searched types of Rn Observation Unit jobs in Atlanta, GA? The most popular types of Rn Observation Unit jobs in Atlanta, GA are:
Overnight Rn Observation Unit jobs near you
Infographic showing various Overnight Rn Observation Unit job openings in Atlanta, GA as of July 2026, with employment types broken down into 1% As Needed, 89% Full Time, 9% Part Time, and 1% Contract. Highlights an 99% Physical, and 1% Remote job distribution, with an average salary of $91,955 per year, or $44.2 per hour.

Registered Nurse - Days

DeKalb Community Service Board

Decatur, GA • On-site

Other

Re-posted 17 hours ago

Job description

About Claratel Behavioral Health
Claratel Behavioral Health is an innovative, community-based behavioral health and developmental disabilities services organization offering a full range of mental health, developmental disabilities, and substance use disorder services to underserved individuals. As a public, not-for-profit organization, Claratel Behavioral Health operates in more than 20 locations in DeKalb County, Georgia, with a diverse workforce of more than 400 direct-care and support staff.
If you are passionate about driving change in behavioral health and developmental services and are eager to work in an environment that values innovation and inclusivity, Claratel Behavioral Health is the place for you. Here, your work is impactful, your growth is prioritized, and your well-being is supported. Together, we can forge pathways to a healthier future for all.
Claratel Behavioral Health (formerly known as DeKalb Community Service Board) is an innovative, community-based behavioral health and developmental disabilities services organization located in metropolitan Atlanta, Georgia, offering a full range of mental health services, developmental disabilities programs and substance abuse treatment to more than 11,000 citizens annually who are uninsured and underinsured.
As a public, not-for-profit organization, Claratel BH operates in DeKalb County with a diverse workforce of more than 500 direct-care and support staff and more than 20 locations across the county. Our staff of physicians, nurses, clinicians and support personnel are dedicated to helping our clients and their families recover from these debilitating disabilities and resume productive lives. We strive to provide the highest quality, evidence-based services in the least restrictive settings, and we envision a community in which disabilities no longer limit potential. Claratel BH is accredited by the Commission on Accreditation of Rehabilitation Facilities (CARF).
The DeKalb Regional Crisis Center provides crisis intervention and stabilization services for adults. The Center offers three levels of care starting with the Crisis Services Center unit that receives walk-ins, transfers from emergency rooms, and involuntary referrals for evaluation.
If further observation is needed, individuals are monitored in the Temporary Observation Unit for 12-24 hours. Individuals needing a longer period of stabilization or substance withdrawal management (usually 5-7 days) are admitted to the Crisis Stabilization Unit where ongoing care includes crisis counseling, medication, and assistance with discharge planning.
The DeKalb Regional Crisis Center (DRCC) provides crisis intervention and stabilization services for adults across three levels of care:
  • Psychiatric Emergency Services (PES): Rapid intake, triage, and evaluation of walk-ins, law enforcement drop-offs, ER transfers, and involuntary referrals.
  • Temporary Observation (Temp Observations): 12-24 hours of monitoring and evaluation for clients needing extended stabilization.
  • Crisis Stabilization Unit (CSU): 5-7-day admissions for psychiatric stabilization and/or withdrawal management, with crisis counseling, medication, and discharge planning.

Position Summary
The Registered Nurse (RN) at the DRCC provides direct nursing care to individuals experiencing acute psychiatric crises. RNs perform comprehensive assessments, support medical and psychiatric stabilization, manage withdrawal protocols, and collaborate with the multidisciplinary team to ensure safe, recovery-oriented, trauma-informed, and client-centered care. RNs are central to both emergency psychiatric triage in PES and ongoing stabilization in CSU, serving as frontline responders to crises, skilled clinicians in assessment and medical management, and educators for clients and families.
Duties and Responsibilities
Client Assessment & Monitoring
  • Conduct initial psychiatric triage and medical screening exams (in PES) to determine acuity, level of care, and safety risks.
  • Complete bio-psychosocial and nursing assessments; collect vitals, weight, and baseline labs as indicated.
  • Continuously reassess clients in PES and CSU to monitor stability, identify emerging risks, and guide treatment planning.
  • Screen for withdrawal symptoms and monitor clients on detox/withdrawal protocols (CIWA, COWS).
  • Identify and report medical emergencies or changes in condition promptly to providers.

Medication Administration & Management
  • Administer prescribed medications safely and accurately, documenting in the Medication Administration Record (MAR).
  • Monitor for side effects, adverse reactions, and effectiveness of medications, reporting concerns to prescribing providers.
  • Provide medication education to clients and families, promoting adherence and safety.
  • Manage controlled substances per agency protocols, ensuring accurate counts and documentation.

Crisis Management & Safety
  • Participate in and lead Behavioral Emergency Response Team (BERT) interventions to de-escalate psychiatric emergencies.
  • Utilize trauma-informed crisis intervention techniques to ensure safety of clients, staff, and peers.
  • Assist with seclusion and restraint procedures when necessary, ensuring compliance with policy and regulatory requirements.
  • Conduct contraband and safety checks as part of maintaining a ligature-resistant, therapeutic environment.

Clinical Nursing Care
  • Perform venipuncture and collect lab specimens, ensuring proper labeling and requisitions.
  • Provide wound care, basic first aid, and coordination of outside medical care when indicated.
  • Monitor clients undergoing detoxification or with co-occurring medical conditions (e.g., hypertension, diabetes).
  • Facilitate nursing groups on health education, medication management, and wellness topics.

Collaboration & Care Coordination
  • Work closely with psychiatrists, APRNs, clinicians, case managers, and peer specialists to deliver integrated care.
  • Assist with treatment team meetings and discharge planning, contributing nursing observations and recommendations.
  • Coordinate care with community hospitals, outpatient providers, and families to ensure smooth transitions post-discharge.
  • Support involuntary admission processes (1013/1014) with accurate nursing documentation and clinical justification.

Documentation & Compliance
  • Maintain thorough and timely documentation in the Electronic Health Record (EHR) for all assessments, interventions, and observations.
  • Complete incident reports and safety event documentation per policy.
  • Ensure compliance with DBHDD, CARF, HIPAA, and agency standards for behavioral health crisis care.
  • Contribute to audit readiness by ensuring records meet regulatory and accreditation standards.

Professional Development & Standards
  • Maintain active Georgia RN license.
  • Stay current with training in Mindset, CPR, First Aid, and infection control.
  • Participate in staff meetings, in-service training, and performance improvement activities.
  • Support onboarding and mentoring of new nursing staff and nursing students.

Work Schedule
  • Full-time Day Shift RNs are scheduled from 7am to 7:45pm for rotating days including holidays and weekends to ensure 24 hour coverage.
  • Staff will be scheduled for a minimum of four weekend shifts per month, distributed based on unit and staffing needs.

Qualifications
Minimum Qualifications
  • Current Georgia license as a Registered Professional Nurse (RN).
  • Basic computer literacy and experience with Electronic Health Records (EHR).

Preferred Experience & Training
  • Prior experience in psychiatric, behavioral health, detox/withdrawal management, or crisis stabilization settings.
  • Certifications in CPR, First Aid, and Mindset/behavioral de-escalation training.

Skills & Competencies
  • Strong assessment and critical thinking skills, particularly in psychiatric and medical triage.
  • Ability to manage and de-escalate psychiatric and behavioral crises.
  • Proficient in venipuncture, medication administration, and detox monitoring.
    • Collaborative, team-oriented approach to client care.
    • Effective verbal and written communication with diverse populations.
  • Physical & Work Environment Requirements
    • Ability to stand, walk, and perform clinical duties for extended periods.
    • Lift up to 25 pounds and assist with client mobility as needed.
    • Respond rapidly to psychiatric or medical emergencies.
    • Work in high-intensity environments with clients experiencing acute psychiatric or
    • substance-related crises.

For more information visit www.claratel.org/careers
Claratel Behavioral Health is an equal opportunity employer regarding disability under VEVRRA and ADA
Pre-employment drug screening and successful completion of a criminal history background check is required.
Claratel Behavioral Health participates in E-Verify (Company ID: 226305)
Claratel Behavioral Health is an Equal Opportunity Employer. Candidates who may require an accommodation under the Americans with Disabilities Act or similar law to perform the essential functions of this job are encouraged to contact Human Resources at hrhelp@claratel.org.

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