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Cardiac Step Down Jobs (NOW HIRING)

$39.69 - $58.17/hr

Presbyterian is hiring an RN for their Cardiac Step Down unit. We welcome applications from both new graduates and experienced RNs! New graduates have the opportunity to participate in our mandatory ...

$39.69 - $58.17/hr

Presbyterian is hiring an RN for their Cardiac Step Down unit. We welcome applications from both new graduates and experienced RNs! New graduates have the opportunity to participate in our mandatory ...

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Cardiac Step Down information

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How much do cardiac step down jobs pay per hour?

As of Aug 26, 2026, the average hourly pay for cardiac step down in the United States is $22.71, according to ZipRecruiter salary data. Most workers in this role earn between $18.75 and $24.04 per hour, depending on experience, location, and employer.

What is a cardiac step down nurse?

Cardiac Step Down nurses are specialized registered nurses who care for patients transitioning from the intensive care unit (ICU) to a lower level of monitoring, typically after cardiac events or surgeries. These nurses monitor vital signs, administer medications, and respond to any changes in a patient's cardiac status. They play a critical role in patient recovery by providing close observation and support during this crucial period. Cardiac Step Down nurses also educate patients and families about cardiac health and recovery processes.

What skills and qualifications are needed to thrive as a cardiac step down nurse?

To thrive as a Cardiac Step Down nurse, you need strong cardiac assessment skills, advanced knowledge of cardiovascular conditions, and a valid RN license, often with ACLS certification. Familiarity with cardiac monitoring systems, telemetry equipment, and electronic health records is typically required. Critical thinking, attention to detail, and effective communication help nurses excel in fast-paced, high-acuity environments. These skills ensure timely intervention, accurate patient monitoring, and optimal care outcomes for patients recovering from cardiac events.

What are common challenges faced by nurses working in a cardiac step down unit, and how can they be addressed?

Nurses in Cardiac Step Down units often manage patients with complex cardiac conditions who require close monitoring but not intensive care. Common challenges include balancing high patient acuity with time management, staying updated on rapidly changing patient statuses, and coordinating care with multidisciplinary teams. To address these challenges, strong communication skills, ongoing cardiac-specific education, and effective collaboration with physicians and allied health professionals are essential. Many units also provide mentorship programs and regular training to support professional growth and build confidence in managing complex cases.

What is the difference between Cardiac Step Down vs Cardiac Telemetry Nurse?

AspectCardiac Step DownCardiac Telemetry Nurse
CertificationsRN, ACLS, BLSRN, ACLS, BLS
Work EnvironmentSpecialized cardiac units, intermediate careTelemetry units, monitoring patients remotely
Job FocusMonitoring and caring for patients with complex cardiac conditionsMonitoring cardiac rhythms, early detection of arrhythmias

Both roles require RN licensure and similar certifications, but Cardiac Step Down nurses work in intermediate care units with more hands-on patient care, while Cardiac Telemetry Nurses focus on rhythm monitoring and early detection in telemetry units. The roles are closely related, with overlapping skills but different daily responsibilities.

Do cardiac step down nurses get paid more?

Cardiac step down nurses typically earn higher salaries than general medical-surgical nurses due to the specialized skills required for cardiac care and the complexity of patients they manage. Factors such as experience, certifications like ACLS, and geographic location can also influence pay rates for this role.

How much do cardiac step down nurses make?

Cardiac step down nurses typically earn between $65,000 and $85,000 annually, depending on experience, location, and certifications. They often work in hospital units requiring specialized skills in cardiac care and patient monitoring.
More about Cardiac Step Down jobs
Infographic showing various Cardiac Step Down job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 73% Full Time, 17% Part Time, and 9% Contract. Highlights an 91% Physical, 1% Hybrid, and 8% Remote job distribution, with an average salary of $47,233 per year, or $22.7 per hour.

RN Cardiac Telemetry/Cardiac Step Down

Hired by Matrix

Cleveland, OH โ€ข On-site

Other

Re-posted 17 days ago


Job description

Job Title: RN Cardiac Telemetry/Cardiac Step Down
City: Cleveland
State: OH
Job Type: Travel
Discipline: RN
Speciality: Cardiac Telemetry/Cardiac Step Down
Facility Setting: Short Term Acute Care (STAC)
Accepting Locals per Radius Rule? -
Contract Length: 13 weeks
Shifts: Flexible
Shift Details: 3x12-Hour
Weekly Schedule: 36 Hours
Certifications:
  • Mandatory Qualifications: Current Ohio RN license, BLS from the American Heart Association.
Mandatory Experience:
  • RN - CLINICAL NURSE
  • Will discuss during Interview: Days 7:00am-7:30pm or Nights shift 7:00pm-7:30am Every other weekend and holiday rotation required
  • Cardiac Telemetry/Cardiac Step Down
  • Responsibilities: Clinical care of Cardiac Telemetry and Cardiac Step-Down patients. May float to other units as needed.
  • Mandatory Qualifications: Current Ohio RN license, BLS from the American Heart Association only.
  • Preferred Qualifications: 1 year cardiac telemetry/cardiac step-down experience..
Get in Touch:
We want to hear from you! If you think you'd be a good match, submit your resume and reach out to Prashant at (201)-878-3276 to learn more.