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Cardiac Step Down Jobs (NOW HIRING)

As a Cardiac Step Down Nurse, your voice to influence patient care is valued and empowered at every turn -whether through open, collaborative relationships with your direct manager or more formal ...

$42.69 - $56.55/hr

Presbyterian is seeking a skilled Charge RN for their Cardiac Step Down Unit. How you grow, learn and thrive matters here. Educational and career development options, including tuition and ...

$39.69 - $53.55/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 ...

$42.69 - $56.55/hr

Presbyterian is seeking a skilled Charge RN for their Cardiac Step Down Unit. How you grow, learn and thrive matters here. Educational and career development options, including tuition and ...

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Cardiac Step Down information

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How much do cardiac step down jobs pay per hour?

As of Jul 15, 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 are the key skills and qualifications needed to thrive as a Cardiac Step Down nurse, and why are they important?

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 jobs can I do with a heart condition?

Individuals with a heart condition can pursue various jobs depending on their health status, including roles that involve desk work, administrative tasks, or remote work. It is important to consider job demands, physical activity levels, and any medical restrictions, and consulting a healthcare provider can help determine suitable employment options.

What are some 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.

How to make 200,000 a year as a nurse?

To earn $200,000 annually as a cardiac step down nurse, gaining extensive experience, obtaining advanced certifications such as CCRN, and working in high-paying settings like specialty hospitals or private clinics can help increase income. Working overtime, taking on leadership roles, or pursuing additional education like a nurse practitioner degree can also boost earning potential.

What do cardiac stepdown nurses do?

Cardiac stepdown nurses care for patients with various heart conditions who require close monitoring and specialized care beyond the general ward. They assess vital signs, administer medications, and use equipment like cardiac monitors to detect changes in patient status, often working in a team with physicians and other healthcare professionals. Certification in cardiac or critical care nursing is typically preferred for this role.

What jobs pay 4000 a week without a degree?

High-paying jobs that can reach $4,000 a week without a degree often include roles such as experienced commercial drivers, sales managers, real estate brokers, or skilled trades like electricians and plumbers. These positions typically require specialized skills, certifications, or extensive experience rather than formal college degrees.

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.

What are Cardiac Step Down nurses?

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.
More about Cardiac Step Down jobs
What job categories do people searching Cardiac Step Down jobs look for? The top searched job categories for Cardiac Step Down jobs are:
Infographic showing various Cardiac Step Down job openings in the United States as of July 2026, with employment types broken down into 1% Locum Tenens, 4% As Needed, 69% Full Time, 13% Part Time, and 13% Contract. Highlights an 99% Physical, and 1% Remote job distribution, with an average salary of $47,233 per year, or $22.7 per hour.
Cardiac Step Down Nurse

Cardiac Step Down Nurse

Mission Hospital

Nashville, TN • On-site

Other

Medical, Dental, Vision, Life, Retirement, PTO

This job post has expired 1 day ago. Applications are no longer accepted.


Mission Hospital (Asheville) rating

6.3

Company rating: 6.3 out of 10

Based on 44 frontline employees who took The Breakroom Quiz

756th of 1,020 rated hospitals


Job description

As a Cardiac Step Down Nurse, your voice to influence patient care is valued and empowered at every turn -whether through open, collaborative relationships with your direct manager or more formal opportunities through hospital councils and national nursing initiatives. You'll help shape decisions that elevate both patient outcomes and the future of nursing.
Job Summary and Qualifications
The Progressive Care Registered Nurse coordinates and delivers high quality, patient-centered care. In collaboration with medical providers, the RN provides pre-operative and post-operative nursing care. The RN serves as an advocate for patients to support an unparalleled patient experience.
What you will do in this role:

  • Assess patient condition during admission and during each shift, identifying and reporting any changes in patient status.
  • Perform procedures or other functions as ordered by the medical provider.
  • Document the administration of care in the patient medical record in a timely and thorough manner.
  • Perform the administration of prescribed medications and monitors response.
  • Maintain a knowledge of medications, procedures, and equipment used in the care of cardiac and medical-surgical patients.
What qualifications you will need:
  • Advanced Cardiac Life Spt must be obtained within 6 months of employment start dateBasic Cardiac Life Support must be obtained within 30 days of employment start date(RN) Registered Nurse
  • Associate Degree, or Bachelors Degree, or Registered Nurse Diploma
  • No Travel Required
  • One year of acute care experience required
Benefits
TriStar Centennial Medical Center, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:
  • Comprehensive benefits for medical, prescription drug, dental, vision, behavioral health and telemedicine services
  • Wellbeing support, including free counseling and referral services
  • Time away from work programs for paid time off, paid family leave, long- and short-term disability coverage and leaves of absence
  • Savings and retirement resources, including a 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service), Employee Stock Purchase Plan, flexible spending accounts, preferred banking partnerships, retirement readiness tools, rollover support and financial wellbeing counseling
  • Education support through tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of Nursing
  • Additional benefits for fertility and family building, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection and consumer discounts

Learn more about Employee Benefits
Note: Eligibility for benefits may vary by location.
"Nurses are essential to the delivery of healthcare and serve as its foundation. At HCA Healthcare, we are committed to equipping nurses with the tools and resources they need to deliver exceptional patient care, championing the profession, and supporting the advancement of nursing's future."
Erica Rossitto, MBA/HCM, BSN, RN, NEA-BC
Senior Vice President and Chief Nurse Executive
HCA Healthcare
TriStar Centennial Medical Center is a 740+ bed comprehensive facility. We offer medical and surgical programs. These include behavioral health and 24-hour emergency. These also include heart and vascular and imaging. These also include neurosciences, oncology, orthopedics, pediatrics, rehabilitation, sleep disorder, and women's services. We are an affiliate of TriStar Health. TriStar Centennial Medical Center is a 43-acre campus. We are home to TriStar Centennial Heart & Vascular Center. We are home to TriStar Centennial Women's Hospital. Our campus includes The Children's Hospital at TriStar Centennial, Sarah Cannon Cancer Institute at TriStar Centennial Medical Center, TriStar Centennial Advanced Joint Replacement Institute and TriStar Centennial Parthenon Pavilion.
HCA Healthcare has been named one of the World's Most Ethical Companies by Ethisphere Institute for ten consecutive years (2010-2019). In 2019, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.
If this opportunity is your next step in your career path, we encourage you to apply for our Cardiac Step Down Nurse opening. We review all applications. Qualified candidates will be contacted by a member of our team. We are interviewing, apply today!
We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.

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