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Cardiac Step Down Unit Jobs (NOW HIRING)

Presbyterian Healthcare Services

$37.80 - $51/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 ...

Phsorg

$37.80 - $51/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 Unit information

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How much do cardiac step down unit jobs pay per hour?

As of Jun 29, 2026, the average hourly pay for cardiac step down unit 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 Unit nurse, and why are they important?

To thrive as a Cardiac Step Down Unit nurse, you need a solid background in cardiac care, advanced patient monitoring, and acute care nursing, typically supported by a BSN degree and current RN licensure. Familiarity with cardiac telemetry, EKG interpretation, and advanced life support certifications (like ACLS) are commonly required. Exceptional communication, critical thinking, and the ability to remain calm under pressure are vital soft skills for this role. These competencies ensure the delivery of safe, timely, and effective care to patients with complex cardiac conditions during their recovery.

What is a Cardiac Step Down Unit?

A Cardiac Step Down Unit is a specialized hospital unit where patients with heart conditions receive care that is less intensive than what is provided in a cardiac intensive care unit (ICU), but more closely monitored than a general medical-surgical unit. Patients in this unit typically require continuous cardiac monitoring, frequent assessments, and specialized nursing care as they recover from cardiac events, surgeries, or procedures. The Cardiac Step Down Unit acts as a transitional area to ensure patients are stable enough before being discharged home or transferred to a regular hospital floor.

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

To earn $200,000 annually as a nurse, working in specialized roles such as a cardiac step down unit can help, especially with overtime, shift differentials, and advanced certifications like CCRN. Gaining experience, pursuing leadership positions, or obtaining advanced degrees like a nurse practitioner license can also increase earning potential.

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

AspectCardiac Step Down UnitCardiac Telemetry Nurse
CertificationsRN, ACLS, BLSRN, ACLS, BLS
Work EnvironmentIntermediate care for post-acute cardiac patientsMonitoring patients via telemetry, often in a less intensive setting
Patient Care FocusPost-acute, complex cardiac cases requiring close monitoringContinuous cardiac monitoring, early detection of arrhythmias

Cardiac Step Down Units provide care for patients transitioning from ICU to general wards, handling more complex cases. Cardiac Telemetry Nurses focus on continuous cardiac monitoring, often in less intensive settings. Both roles require similar certifications but differ in patient acuity and care scope.

What jobs pay 2000 a day?

In healthcare, highly specialized roles such as cardiac nurse practitioners, anesthesiologists, or surgeons can earn around $2,000 or more per day, especially with extensive experience, certifications, and working in high-demand environments. These positions often require advanced degrees, licensure, and working long or irregular hours. Other high-paying freelance or consulting roles in finance, law, or technology may also reach this daily rate depending on expertise and project scope.

How to make an extra $2000 a month as a nurse?

Cardiac Step Down Unit nurses can increase their income by taking on overtime shifts, working per diem, or obtaining specialized certifications like ACLS or CCRN to qualify for higher-paying roles. Additionally, some nurses supplement income through travel nursing, moonlighting, or teaching nursing courses, depending on their schedule and experience.

What do cardiac stepdown nurses do?

Cardiac stepdown nurses provide specialized care to patients with cardiac conditions who require close monitoring but do not need intensive care. They assess patient status, administer medications, monitor vital signs and cardiac rhythms, and collaborate with healthcare teams to develop and implement care plans. These nurses typically work in a hospital setting, using tools like telemetry monitors and requiring certification such as ACLS or BLS.

What are some common challenges faced by nurses working in a Cardiac Step Down Unit, and how can they be managed?

Nurses in a Cardiac Step Down Unit often care for patients transitioning from intensive care after cardiac events or surgery, which means they must closely monitor for subtle changes in patient condition. Managing high patient acuity, frequent telemetry monitoring, and rapidly responding to deteriorations can be challenging. Effective time management, strong communication with the cardiology team, and ongoing education about cardiac protocols help nurses succeed in this fast-paced environment. Teamwork and support from experienced colleagues are also key to managing complex cases and maintaining patient safety.
More about Cardiac Step Down Unit jobs
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Cardiac Step Down Unit jobs near you
Infographic showing various Cardiac Step Down Unit job openings in the United States as of June 2026, with employment types broken down into 1% As Needed, 72% Full Time, 17% Part Time, and 10% Contract. Highlights an 90% Physical, 1% Hybrid, and 9% Remote job distribution, with an average salary of $47,233 per year, or $22.7 per hour.
RN Cardiac Step-Down Unit in Rochester, NY

RN Cardiac Step-Down Unit in Rochester, NY

Vivian Health

Rochester, NY • On-site

$38.67 - $51.92/hr

Other

Posted 11 days ago

Job description

Registered Nurse - Cardiac Step Down Unit

Job Title: Registered Nurse - Cardiac Step Down Unit

Department: Cardiac - Cardiac Step Down Unit (4400)

Location: Rochester General Hospital 

Hours Per Week: Part-Time (20 hours per week)

Schedule: DAY/EVENING/NIGHT, Every Other Weekend, Every Other Holiday

SUMMARY: As a Registered Nurse (RN), you’re the engine and the heart of patient care at Rochester Regional Health. You make a positive difference every single day in the lives of our patients, their family members and visitors – going above and beyond to meet their needs with courtesy, kindness, respect and compassion.

Join our Cardiothoracic Step-Down Unit, a high-acuity telemetry unit caring for patients recovering from open-heart and thoracic surgeries, including those with Left Ventricular Assist Devices (LVADs). As a step-down from the CTICU, the unit offers a consistent, specialized cardiac patient population with occasional overflow from cardiac medicine.

All RNs receive comprehensive LVAD training during orientation, making this an excellent opportunity for nurses seeking to develop critical care skills in a supportive, team-oriented environment.

RESPONSIBILITIES:

· Provides high-quality, patient-centered, clinical care

· Performs initial and ongoing assessment of the patient, utilizing appropriate data (i.e. physical, psychological, educational and risk-screen data appropriate for the chronological / developmental age of the patient).

· Communicates and documents assessment of patient with the interdisciplinary team. Utilizes all available resources in order to meet the needs of the patient and family.

· Develops and documents plan of care, treatment and services which is individualized and appropriate for the patient needs, strengths, limitations and goals.

· Complies with organizational policies, procedures and protocols including policies governing safety, medication administration and documentation.

· Revises plan of care based on ongoing evaluations and updates documentation appropriately.

· Completes at least one clinical research utilization (CRU) form for submission to Nursing Research Department utilizing a research article from the last 5 years from research performed in the United States.

COMPLIANCE:

· Completes a minimum of 5 nationally approved contact hours (CNE or CEU) per year.

· Completes mandatory in-services and health screens in timely manner.

· Maintains Basic Life Support (BLS) certification.

REQUIRED QUALIFICATIONS:

· Diploma or Associate’s Degree in Nursing

· Registered Nurse license in New York State.

· Basic Life Support (BLS) certification.

PREFERRED QUALIFICATIONS:

· Bachelor’s Degree in Nursing preferred.

· At least 6 months RN experience preferred.

EDUCATION:

BS: Nursing (Required)

LICENSES / CERTIFICATIONS: 

BLS - Basic Life Support - American Heart Association (AHA)American Heart Association (AHA), RN - Registered Nurse - New York State Education Department (NYSED)New York State Education Department (NYSED)

PHYSICAL REQUIREMENTS:

M - Medium Work - Exerting 20 to 50 pounds of force occasionally, and/or 10 to 25 pounds of force frequently, and/or greater than negligible up to 10 pounds of force constantly to move objects; Requires frequent walking, standing or squatting.

For disease specific care programs refer to the program specific requirements of the department for further specifications on experience and educational expectations, including continuing education requirements.

Any physical requirements reported by a prospective employee and/or employee’s physician or delegate will be considered for accommodations.

PAY RANGE:

$38.67 - $51.92

CITY:

Rochester

POSTAL CODE:

14621

The listed base pay range is a good faith representation of current potential base pay for a successful full time applicant. It may be modified in the future and eligible for additional pay components. Pay is determined by factors including experience, relevant qualifications, specialty, internal equity, location, and contracts.

Rochester Regional Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, creed, religion, sex (including pregnancy, childbirth, and related medical conditions), sexual orientation, gender identity or expression, national origin, age, disability, predisposing genetic characteristics, marital or familial status, military or veteran status, citizenship or immigration status, or any other characteristic protected by federal, state, or local law.

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