Telemetry RN Jobs in North Carolina
Telemetry RN jobs in North Carolina are consistently in demand, concentrated across major hospital systems, cardiac units, and step-down facilities, with openings at every level from new graduate through senior clinical staff. The heaviest hiring activity is in Charlotte, Raleigh, and Durham, where large systems like Atrium Health, Duke University Health System, and UNC Health maintain ongoing telemetry staffing needs. The most sought-after specialties in North Carolina include cardiac telemetry, progressive care, and post-surgical step-down monitoring. Find a role that fits below and apply directly.
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Assignment Overview
- Shift: Nights, 3x12hrs
- Hours: 36 hrs/wk
- Start Date: Sep 14, 2026
- Length: 13 weeks
- Openings: 1
Description
American Traveler is hiring an experienced Cardiac Telemetry RN with a minimum of 2 years of cardiac floor experience for a night shift position requiring NC or Compact RN licensure.
Details
- Cardiac Telemetry/PCU/DOU/IMC Stepdown unit setting
- Patient ratios vary by acuity: 1:4 for surgical step down and 1:5-6 for lower acuity
- Treats patients with Atrial Fibrillation, CHF, ACS, CAD, valve disorders, endocarditis, cardiomyopathy, PVD/PAD, vasculitis, carotid stenosis, and venous stasis
- Supports patients undergoing CABG, AVR, MVR, TAVR, Mitral Clip, LAAO/Watchman, VATS, carotid endarterectomy, fem-pop bypass, amputations, and other cardiac/vascular/thoracic surgeries
- Manages post-cath, post-DCCV, post-electrophysiology, and pacemaker placement patients
- Uses arterial lines, Doppler, bladder scanner, EKG, femoral sheaths, TR band, Fem-stop, chest tubes, and epicardial pacing wires
- Utilizes Pyxis, EPIC, and SBAR communication systems
- Night shift schedule: 3x12-hour shifts, 18:45-7:15
- 36 hours per week only
- 13-26 week contract lengths accepted
- Weekend requirement of 4 shifts per 4-week period, with some flexibility
- Floating required within unit rotation; not first to float
- May be assigned to Storm Team or Hurricane Team and required to report during catastrophic events or mass casualty situations
- Possible mid-contract consolidation to a Centralized Office with reassignment to units as needed
Requirements
- Active NC or Compact RN license (pending license/certs OK for consideration)
- Current BLS and ACLS certifications required; NIHSS preferred
- Minimum 2 years of cardiac floor experience required
- Cardiac med/surg tele or step down charge experience preferred
- Prior travel experience required unless candidate has more than 24 months of cardiac experience
- Skilled in cardiac telemetry, dysrhythmia interpretation and management, and sheath removal
- Experience managing cardiac drips required; titration skills preferred
- Experience with chest tubes (Emerson/PleurEvac), external CPAP/BiPAP, nasal cannula, and non-invasive airway management
- Arterial line management, wound care/wound vac, and charge experience preferred
- Epic charting experience preferred
- Must pass EKG testing prior to start
- Two professional references from a supervisor within the past 2 years required (pending references OK at submission)
- Must pass state board of nursing license verification and NURSYS verification
Additional Information
- Provide direct patient care for a cardiac telemetry population including monitoring, dysrhythmia management, and post-procedural care
- Unit orientation is 24 hours with weekly orientation schedule
- Navy scrubs required
- Pre-start modules (approximately 8-10 hours for acute care roles) must be completed online prior to start and annually
- Must work 2 of 3 major holidays
- RTO of 7 days or less can be auto-approved as long as it does not fall on a holiday; additional RTO requires facility approval
- No RTO permitted during the first week of the assignment
- RTO cannot be requested after signing
- Local candidates within 50 miles accepted at a lower rate
- Travel pairs allowed if placed on different units with separate schedules disclosed
- First-time travelers considered only if they have more than 24 months of cardiac experience
- Former Novant Health or New Hanover PERM/PRN/EP employees must wait 12 months before reapplying and must disclose prior employment details for facility approval
- Current travel or per diem clinicians at the facility must choose between their current status and a new travel contract
- Every candidate will be interviewed by the hiring manager before an offer is made
See All 68 Telemetry RN Jobs in North Carolina
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Find Telemetry RN JobsTelemetry RN Jobs by City in North Carolina
Where North Carolina roles are concentrated, by current openings.
Telemetry RN Job Market in North Carolina
A snapshot from current North Carolina openings, updated as new roles post.
Who's Hiring
- American Traveler21

- Advocate Aurora Health10

- Atrium Health9

- Voyage Health8V
- Iredell Memorial Hospital Incorporated4

Top Industries Hiring
- Healthcare & Medical Services
What North Carolina Employers Look For
The qualifications that appear most often in telemetry RN jobs across North Carolina.
- Active registered nurse license issued or recognized by the North Carolina Board of Nursing
- Current Basic Life Support certification required by most North Carolina hospital employers
- Minimum one year of telemetry or cardiac monitoring experience preferred for most positions
- Advanced Cardiac Life Support certification required for progressive care and step-down units
- Proficiency reading and interpreting cardiac rhythms and EKG strips in a clinical setting
- Experience with electronic health records systems such as Epic or Meditech commonly required
Telemetry RN Jobs in North Carolina: Frequently Asked Questions
How do you become a telemetry rn in North Carolina?
You become a telemetry rn in North Carolina by first earning an associate or bachelor's degree in nursing, then passing the NCLEX-RN exam and obtaining licensure through the North Carolina Board of Nursing. North Carolina participates in the Nurse Licensure Compact, so nurses already licensed in another compact state can work without obtaining a separate North Carolina license. Most telemetry positions also require completing a cardiac monitoring or dysrhythmia course before or shortly after hire.
How much do telemetry RNs make in North Carolina?
Telemetry RNs in North Carolina earn a median of about $84,350 a year, based on May 2025 Bureau of Labor Statistics wage data, ranging from around $67,660 for the lowest 10% to over $110,220 for the top 10%. Pay rises with experience, specialty, and employer.
Which companies hire telemetry rns in North Carolina?
Employers hiring telemetry rns in North Carolina right now include American Traveler, Advocate Aurora Health, and Atrium Health, based on current listings on Migrate Mate as of August 2026. North Carolina's large integrated health systems drive the majority of postings, with consistent openings across both urban medical centers and regional community hospitals throughout the state.
Which North Carolina cities have the most telemetry rn jobs?
The cities with the most telemetry rn openings in North Carolina are Charlotte, Monroe, and Asheville. Charlotte leads because of the scale of Atrium Health's network, while Raleigh and Durham benefit from the research triangle's concentration of major academic medical centers, including Duke University Health System and UNC Health, which maintain large inpatient cardiac and progressive care units.
Are there remote telemetry rn jobs in North Carolina?
Yes, but they're rare. Telemetry nursing is a hands-on bedside role that requires physical presence for patient monitoring, so remote positions are uncommon. About 0% of telemetry rn openings tied to North Carolina are remote or hybrid as of August 2026, and those that exist tend to involve remote cardiac monitoring or telephonic triage roles rather than direct patient care.
How can I get hired as a telemetry rn in North Carolina with little or no experience?
The most realistic entry path is applying to a new graduate nurse residency program at a major North Carolina health system. Atrium Health, Duke University Health System, and UNC Health all run structured residencies that place new graduates into telemetry and progressive care units with mentorship and orientation support. Candidates coming from med-surg or emergency technician roles also make strong transitions. Completing a dysrhythmia interpretation course and obtaining ACLS certification before applying gives candidates a meaningful edge.
Where can I find and apply to telemetry rn jobs in North Carolina?
You can find and apply to telemetry rn jobs in North Carolina on Migrate Mate, which lists current openings from employers hiring in the state right now. Search the listings to find roles that match your experience and location, then apply directly to the ones that fit.
See All 68 Telemetry RN Jobs in North Carolina
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