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Overnight Rn Observation Unit Jobs in Fresno, CA

North Star Staffing Solutions

ICU RN

Fresno, CA

Registered Nurse (RN) ICU - TRAVEL & PER DIEM POSITIONS AVAILABLE Job ID: 13992 Salary Range ... observe the patient's vital signs and reactions to medical procedures. Primary Duties Include ...

Community Health System

RN, ICU

Fresno, CA

$50.33 - $64.04/hr

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 ...

Community Health System

RN, ICU

Fresno, CA

$50.33 - $64.04/hr

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 ...

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Overnight Rn Observation Unit information

See Fresno, CA salary details

$24

$45

$69

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

As of Aug 16, 2026, the average hourly pay for overnight rn observation unit in Fresno, CA is $45.65, according to ZipRecruiter salary data. Most workers in this role earn between $37.93 and $50.14 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 cities near Fresno, CA are hiring for Overnight Rn Observation Unit jobs?

Cities near Fresno, CA with the most Overnight Rn Observation Unit job openings:

Overnight Rn Observation Unit jobs near you
Infographic showing various Overnight Rn Observation Unit job openings in Fresno, CA as of June 2026, with employment types broken down into 1% As Needed, 77% Full Time, 14% Part Time, and 8% Contract. Highlights an 90% Physical, and 10% Remote job distribution, with an average salary of $94,944 per year, or $45.6 per hour.

Emergency Medicine Physician Assistant - Observation Unit

Inspire Health Medical Group

Fresno, CA • On-site

$99K - $134K/yr

Full-time

Retirement, PTO

Re-posted 12 days ago

Job description

Description

Inspire Health Medical Group (IHMG), affiliated with UCSF Fresno, has a full-time opportunity for a physician assistant (PA) to join our team in the observation unit of our emergency department (ED) at Community Regional Medical Center (CRMC) in Fresno, California. These observation units have 24 hours of emergency physician coverage and 10 hours of PA coverage. The observation unit is fast-paced and works closely with the emergency department, consultants, and observation unit nursing/support staff. PAs are responsible for providing comprehensive care to patients with urgent medical needs after initial evaluation is completed in the ED. Duties include completing focused history and physical exams on patients, ordering medications, ordering and interpreting labs, EKGs, and other diagnostic studies, as well as coordinating patient care with other specialties.


Types of cases include cardiac, neurological, surgical, medical, orthopedic, post-procedural, and more. There is 24/7 on-site supervising physician oversight. A full panel of specialists is available. Preferred candidates include those with clinical experience in emergency medicine, hospital medicine, or critical care medicine. However, we are open to considering a new graduate as well.

CRMC is the only Level 1 Trauma Center/Burn Center serving multiple counties in Central California and is a teaching institution with residency programs in all of the major medical specialties. 


Residents of Fresno enjoy a high standard of living combined with a low cost of living. While there is much to see and do in Fresno, the city is ideally located for fast, convenient getaways to the majestic Sierra, including renowned Yosemite National Park, as well as the scenic Central Coast. 


We offer a competitive salary, full benefits (including 401k match), paid time off, malpractice, and CME allowance.

For more information and to apply, please contact Kristi Adams, Inspire Health Recruiter, at Kristi.Adams@inspirehealth.org


$700 per 10-hour shift. 1.0 FTE = approximately 16 shifts/month

The range listed is exclusively for base compensation for full-time employment and does not include incentive compensation or benefits. Actual compensation may be adjusted for experience, training, hospital/community need and other factors. Actual compensation may also vary based on additional services, including call coverage, administrative services, performance bonus, and/or productivity 

Requirements

California Physician Assistant license or eligible to obtain prior to hire.

ED/Urgent Care, critical care, or inpatient medicine experience preferred or completion of an Emergency Medicine PA residency/fellowship. New graduates will be considered.

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