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Caregiver Med Tech NOC SHIFT 10 PM-630 AM

Fair Oaks Estates


Job Location:

Carmichael, CA - USA

Monthly Salary: Not provided by the employer
Posted: 18 August 2026 (26 days ago)
Application Deadline: 15 November 2026
Vacancies: 1 Vacancy

Job Summary

THE ROLE

Fair Oaks Estates is hiring a full-time overnight Caregiver who is also trained and certified as a Medication Technician.

Read that in the right order because it matters: this is a caregiving job first. The bulk of your night is direct resident care the same as any other NOC caregiver. Only a limited number of medications go out during overnight hours so the Med Tech side is a real responsibility but a small slice of the shift.

It does mean a longer runway before you are on your own. You complete caregiver training first then medication training and supervised med room time on top of it. All of it is paid and none of it is rushed.

Nights are quieter but they are not easy and we wont pretend otherwise. Youll be the one awake while our residents sleep: doing safety checks turning and repositioning answering call lights helping people to the bathroom at 2am and keeping someone who wakes up confused and frightened calm until they can settle again. With a memory care neighborhood here nighttime wandering and disorientation are a real and regular part of this shift.

When something goes wrong at night youre the one who catches it first. Because a manager is not always on site overnight you also help make sure the building is staffed that your coworkers get their breaks and that the morning team walks into a clear picture of the night.

It suits a particular kind of person: steady observant self-directed and comfortable being trusted with more than one job at once. If you do your best thinking in the quiet and youd rather be relied on than hovered over this shift tends to be a good fit.

THE SCHEDULE: WHAT 4 ON 2 OFF ACTUALLY MEANS

If you havent worked this kind of rotation before heres how it works:

You work four nights in a row. Then you get two days off. Then the pattern starts over. Four on two off continuously.

Because the cycle is six days long and a week is seven your nights off move through the calendar rather than landing on the same days every week. One cycle your nights off might be Tuesday and Wednesday; the next they might be Monday and Tuesday; eventually they land on a weekend. Everyone on this rotation gets weekends off regularly. They just come around on a cycle instead of every week.

What this means for you in practice:

  You get a two-day break every six days instead of working five straight and waiting for Saturday.

  You work about 20 nights a month rather than the usual 22 for full-time hours.

  Your schedule lives in an app not on a break room wall. You can see your rotation weeks ahead pick up open shifts when you want extra hours swap shifts directly with a coworker and request time off from your phone.

  You will work some weekends and some holidays. Were telling you that up front rather than letting you discover it later.

  Four nights in a row is genuinely easier on your body than scattered single nights. Your sleep gets a chance to settle into a rhythm instead of flipping back and forth all week.

  One honest note: this shift crosses midnight so a shift that starts Monday at 10:00 PM ends Tuesday at 6:30 AM. Well map out exactly how your four nights fall on the calendar before your first week.

 

Shift hours: 10:00 PM to 6:30 AM.

Full-time scheduled on a six-week rotation.

PAY

Starting pay: $16.90 per hour (California minimum wage)

Top of range: $17.90 per hour

Overtime: paid at time-and-a-half per California law

Raises are based on performance experience and attendance not on time served.

WHAT YOULL DO

  Take a full handoff from the evening shift including whos unsettled whos unwell and what to watch for

  Perform safety checks and rounds throughout the night

  Turn and reposition residents on schedule to prevent pressure sores

  Answer call lights within minutes and assist with overnight toileting and incontinence care

  Change soiled linens and clothing discreetly without ever making anyone feel ashamed

  Redirect and reassure memory care residents who wake disoriented anxious or trying to leave

  Monitor for and respond to falls breathing changes pain and other changes in condition

  Escalate to Care Managers per protocol when a resident needs more than caregiver support

  Report any change in a residents condition immediately: weight mood falls skin tears bruises or not eating

  Monitor oxygen and the call system; complete incident reports as needed

  Keep exterior doors secure and the community safe through the night

  Handle overnight laundry and housekeeping during quiet stretches

  Prepare for the morning shift by setting out supplies and staging the days needs

  Document in Eldermark before the end of your shift and give a clear complete handoff to the AM shift

  Escalate emergencies per protocol

THE MED TECH PART OF THE ROLE

Only a limited set of medications goes out overnight so this is a smaller part of your night than the caregiving is. It still has to be done exactly right.

The training stacks. You complete the full caregiver orientation and floor training first then medication training and supervised time in the med room on top of it. You are a caregiver who also passes medications in that order and you are trained in that order too.

  Pour and pass the overnight medication schedule and PRNs per doctors orders

  Document every med pass and make sure the EMAR is complete before you leave

  Verify the narcotic count at shift change and report any discrepancy to a manager immediately

  Audit the med cart so no expired medication stays in it

  Check Fax for new physician orders and follow up on them

  Keep a seven-day supply of each residents medications on hand and reorder before it runs short

  Keep the med room operating within company guidelines and Title 22 at all times

  When no manager is on site confirm staffing levels are met and make calls if coverage falls short

  Make sure your coworkers actually get their meal periods and rest breaks and that showers and skin checks are documented

  Run the change of shift meeting so the morning team knows exactly where things stand

  Alert management to any change in a residents condition as soon as you notice it

  Make sure your hall is covered before you clock out

WHAT WE OFFER

  A rotation you can build a life around. Four on two off visible weeks ahead in the scheduling app.

  Scheduling you control from your phone. Our app shows your rotation weeks out lists open shifts you can pick up when you want extra hours lets you swap shifts directly with a coworker and handles time-off requests. No paper schedule taped to a wall and no chasing down a manager to trade a day.

  Your days are open. Daytime appointments classes and school pickup are all possible on this schedule in a way they arent on days.

  A calmer pace than day shift and real autonomy in how you run your night.

  You are not on your own out there. Calls to the facility are answered 24 hours a day and managers are reachable by digital communication through the night.

  Paid initial training delivered onsite and through accredited online training providers. It covers ADLs building and fire safety emergency response postural supports and restricted health conditions plus dementia care and hands-on shadowing.

  Training happens on day shift so you learn the residents and the routines before your first night.

  Medication Technician training on top of your caregiver training all on the clock. You finish caregiver orientation and floor training first then complete the medication training California requires including the hands-on shadowing hours you do before assisting anyone with medications plus supervised floor time in the med room.

  Paid annual medication in-service after that. If you arrive without Med Tech training that is fine. What you learn here stays with you.

  Paid continuing education every year onsite and online including dementia care.

  The same residents every night. Youll know who wakes at 3am like clockwork and what settles them.

  Health coverage for regular full-time employees. Youre eligible the first of the month after your 90-day anniversary.

  Paid sick leave for every employee accrued at one hour for every 30 hours worked and available to use after 90 days.

  Paid vacation for regular full-time employees after one year of continuous employment.


Qualifications :

  • REQUIRED

      18 years or older authorized to work in the United States

      Fingerprint clearance through Community Care Licensing completed before your first day

      A health screening and TB test from a licensed physician completed before your first day

      A valid First Aid card which must be kept current. Cards renew every two years.

      Scrubs on the floor plus low-heeled closed-toe slip-resistant shoes. You supply your own.

      Able to assist another caregiver in transferring residents weighing 100 to 250 pounds daily and to turn and reposition residents safely

      Comfortable providing hands-on personal care including toileting and incontinence care

      Able to stay alert and attentive through a full overnight shift

      Sound judgment working independently. Youll make first-response calls before anyone else is on site.

      Reliable transportation to Carmichael for a late-night start and early-morning end

      Available to work overnights on a four-nights-on two-days-off rotation which includes some weekends and holidays

      Willing to complete the full caregiver training first then Medication Technician training on top of it including 16 hours of hands-on shadowing before you assist anyone with medications supervised med room floor training and a competency exam. We provide all of it paid.

      Careful consistent documentation. Medication records and narcotic counts have to be exact.

    PREFERRED NOT REQUIRED

      Previous overnight or night shift experience in any field

      Previous caregiving experience whether professional or caring for your own family

      High school diploma or GED

      Current Medication Technician training though we will train you if you dont have it

      Comfortable with electronic documentation

    WHO DOES WELL HERE

    Night people genuinely not people hoping to sleep through the shift. This job needs someone awake alert and moving.

    Beyond that: people who are careful. Passing medications and counting narcotics rewards the same trait that good caregiving does which is paying close attention when nobody is watching. If you are the sort of person who double-checks rather than assumes both halves of this job will suit you.

    And people who stay calm when something happens at 3am and the first decision is theirs to make. Who can walk into a dark room where someone is frightened and confused and be the reason that person settles instead of escalates.

    If youve been the person your family turned to when someone needed care you already have the part of this job we cant teach.


Additional Information :

Fair Oaks Estates

8845 Fair Oaks Boulevard Carmichael CA 95608

 

Reports to: Resident Care Director Resident Care Coordinators and Med Room Supervisor

SCHEDULE SUMMARY

Overnight shift (NOC) 10:00 PM to 6:30 AM. Four nights on two days off rotating. You work four consecutive nights then have two consecutive days off and the cycle repeats. Nights off rotate through the week so weekends off come around regularly rather than falling on the same days each week. Schedules are managed in our scheduling app where you can view your rotation weeks ahead pick up open shifts swap with coworkers and submit time-off requests.

Because this shift crosses midnight a shift beginning on one calendar day ends the following morning. Well map out exactly how your four nights fall before your first week.

We also hire for AM (6 AM to 2:30 PM) and PM (2 PM to 10:30 PM) shifts. If overnights dont fit your life ask us about the others.

GOOD TO KNOW BEFORE YOU APPLY

  Scrubs are required on the floor along with low-heeled closed-toe slip-resistant shoes. You supply your own.

  No cell phones on the floor at any time. Personal calls happen on your break.

  There is a mandatory staff meeting once a month.

  We do not handle resident money ever. That protects you as much as it protects them.

  We provide and pay for the training this job requires onsite and through accredited online providers. We do not sponsor or pay for outside professional licenses such as CNA or LVN.

  Med Tech time-off requests are submitted 30 days in advance and Med Tech coverage runs on a rotation that includes weekends and holidays.

  Your meal period must start before the end of your fifth hour. If the floor makes that impossible tell a supervisor right away rather than skipping it.

 

HOW TO APPLY

Apply online through this posting. Upload your resume and a cover letter if you have one. If you dont apply anyway. We care more about who you are than how the paperwork looks.

Questions before you apply Call us at .

We read every resume and cover letter daily and we respond within 48 to 60 hours. You will not be left wondering.

 

What happens next:

1.   You apply here and we review your resume and cover letter.

2.   If wed like to move forward we send you an email invitation to complete a short online questionnaire about 10 minutes along with a few remaining application items.

3.   Selected applicants are invited to an in-person interview here at the community so you can see where youd be working and meet the people youd be working with.

4.   Fingerprint clearance health screening and TB test. California Community Care Licensing requires all three before your first day. These are completed at your own expense and well walk you through exactly where to go.

5.   Paid orientation and your first shift. Orientation is on day shift so you learn the residents and the routines before your first night.

 

Fair Oaks Estates is an Equal Opportunity Employer. We welcome applicants of every race color religion sex sexual orientation gender identity national origin age disability and veteran status. If you need an accommodation during the application process call us at .

 


Remote Work :

No


Employment Type :

Full-time


About Company

Join Our Team as a Resident Care Coordinator (RCD)Are you a compassionate leader with exceptional organizational skills and a passion for senior care? Fair Oaks Estates is seeking a Resident Care Coordinator (RCD) to oversee our 106-bed Assisted Living and Memory Care community in Car ... View more

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