New Graduate RN Residency Program – Medical Cardiac IMCU

Position Overview

Begin your nursing career in a fast-paced, high-acuity Medical Cardiac Intermediate Care Unit (IMCU) where you will develop strong clinical judgment, critical-thinking skills, and confidence caring for medically complex patients.

Our IMCU provides care for a wide range of complex cardiac, medical, pulmonary, and renal patients, including patients with congestive heart failure (CHF) requiring intensive fluid management and diuresis. This is an ideal environment for a new graduate nurse who is eager to learn, grow, and develop advanced assessment and clinical skills.

Our unit is busy and dynamic, with frequent transfers to and from the ICU and medical-surgical floors, admissions from the Emergency Department and procedural areas, and patients requiring close monitoring and advanced therapies.

What You Will Learn

As a new graduate RN, you will have the opportunity to develop competency in caring for patients with:

• Complex cardiac and medical conditions requiring intermediate-level monitoring

• Congestive heart failure (CHF) and complex volume-management needs

• Aggressive diuresis and fluid-volume management

• Multiple cardiac drips, including management of up to five cardiac drips

• Patients transitioning to and from the ICU

• Patients transferring to and from medical-surgical floors based on changes in acuity

• Tracheostomies and mechanical ventilation

• Chest tubes and pericardial drains

• TAVR and other post-procedural cardiac patients

• Pulmonary hypertension and complex cardiopulmonary disease

• Peritoneal dialysis

• Patient-controlled analgesia (PCA)

• High-risk post-procedure patients requiring close assessment and monitoring

• Complex medical patients with multiple comorbidities and rapidly changing clinical conditions

A Fast-Paced Learning Environment

The IMCU offers a unique opportunity to bridge the gap between traditional medical-surgical nursing and critical care. Nurses develop the ability to recognize subtle changes in patient condition, prioritize competing clinical needs, communicate effectively with providers, and intervene early when a patient's condition begins to deteriorate.

With frequent movement of patients into and out of the ICU and to and from the medical-surgical floors, our nurses gain valuable experience caring for patients across the continuum of acuity. The unit provides exposure to complex cardiac, respiratory, renal, and fluid-management needs while developing the clinical judgment necessary to manage rapidly changing situations.

New Graduate Residency Experience

Our residency program is designed to support the transition from nursing student to confident professional nurse. New graduate nurses receive structured education, hands-on clinical experience, preceptorship, and ongoing support throughout the orientation and transition-to-practice period.

You will have the opportunity to:

• Build a strong foundation in cardiac, medical, pulmonary, and critical-care nursing

• Strengthen clinical assessment and prioritization skills

• Develop confidence recognizing and responding to patient deterioration

• Learn advanced cardiac monitoring and medication management

• Develop skills in fluid balance, diuresis, and management of complex CHF patients

• Gain experience with complex devices, drains, and therapies

• Care for patients requiring mechanical ventilation, cardiac drips, and advanced cardiac therapies

• Experience patient movement across levels of care through transfers to and from the ICU and medical-surgical floors

• Work closely with experienced RNs and a multidisciplinary team including cardiology, respiratory therapy, pharmacy, nephrology, physicians, and advanced practice providers

• Develop communication, delegation, time-management, and teamwork skills

• Progress toward greater independence while maintaining a strong support system

Who We Are Looking For

We are seeking new graduate nurses who are:

• Curious, motivated, and eager to learn

• Comfortable working in a fast-paced and highly dynamic environment

• Interested in cardiac, medical, pulmonary, and critical-care nursing

• Strong communicators and collaborative team members

• Able to prioritize and organize care for multiple complex patients

• Committed to patient safety and evidence-based practice

• Resilient, adaptable, and willing to ask questions

• Passionate about developing their clinical skills and professional practice

Why Choose Our IMCU?

If you are looking for a new graduate experience that will challenge you, strengthen your clinical judgment, and prepare you for a broad range of nursing opportunities, our Medical Cardiac IMCU offers an exceptional foundation.

You will care for patients with a level of complexity that will continually challenge you to learn and grow, while being supported by experienced nurses and a multidisciplinary team dedicated to your development.

Come build your nursing career with us and develop the skills, confidence, and clinical judgment to care for some of the most complex medical and cardiac patients in the hospital.

New Graduate RN Residency, Step Down (36 hours, Night, rotating weekends), expected start date March 2027

The New Graduate Nurse Residency Program at BMC assists in the transition to practice for newly licensed nurses. Nurse residency or nurse transition programs reduce turnover and improve critical thinking/ clinical decision-making skills thus impacting patient outcomes and nurse satisfaction. Please read the application instructions thoroughly.

Boston Medical Center has developed a comprehensive new graduate nurse transition to practice program incorporating the Nurse of the Future Nursing Core Competencies. New graduate nurses are hired into the institution in cohorts. After the training (4 Months), RN's will assume a position on a Step Down unit. The units requires a two-year commitment after investing in the new graduate RN.

The role is designated for nurses who have graduated from nursing school within the twelve (12) months before their date of hire and encompasses nursing assessment, diagnosis, planning, intervention, evaluation, and coordination of care for patients and their families across the health care continuum. The registered nurse is accountable for clinical, educational, quality, and fiscal patient care outcomes using the model of care designed by the nursing department and following established agency policies, procedures, protocols, guidelines, and standards of practice. Reports to the Unit Nurse Director.

HOW TO APPLY

Complete an online application which includes attaching the following (as one PDF):

• Resume
• Letter of Intent

Candidates must apply only to the Step Down New Grad program. Candidates who also apply to posted RN positions for experienced nurses will not be considered. The only entry into BMC as a new grad is via a New Grad Residency.

Active BLS/CPR for Healthcare Providers is required.

Flu Vaccine required prior to start.

Registration and current RN licensure in the state of MA in good standing preferred prior to start date

Nurses who are new graduates in Critical Care are expected to remain in their critical care role for a minimum of 2 years from the date of hire.

New graduate nurses in all other BMC practice areas are expected to remain in their roles for a minimum of 1 year from the completion of their orientation. The completion of orientation is marked by the ability to practice independently with a full assignment.

NursingNewGrad

NursingCC

Compensation Range: $38.05- $75.33

This range offers an estimate based on the minimum job qualifications. However, our approach to determining base pay is comprehensive, and a broad range of factors is considered when making an offer. This includes education, experience, and licensure/certifications directly related to position requirements. In addition, BMCHS offers generous total compensation that includes, but is not limited to, benefits (medical, dental, vision, pharmacy), contract increases, Flexible Spending Accounts, 403(b) savings matches, earned time cash out, paid time off, career advancement opportunities, and resources to support employee and family wellbeing.

Equal Opportunity Employer/Disabled/Veterans

According to the FTC, there has been a rise in employment offer scams. Our current job openings are listed on our website and applications are received only through our website. We do not ask or require downloads of any applications, or “apps” job offers are not extended over text messages or social media platforms. We do not ask individuals to purchase equipment for or prior to employment.