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Cardiac Step Down Jobs (NOW HIRING)

$42.69 - $61.17/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 ...

$42.69 - $61.17/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 - $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 ...

$42.69 - $61.17/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 - $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 ...

$42.69 - $61.17/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 ...

$42.69 - $61.17/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 Aug 6, 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 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.

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 work in specialized units requiring knowledge of cardiac care, monitoring equipment, and patient assessment skills.

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.
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 August 2026, with employment types broken down into 1% As Needed, 74% Full Time, 17% Part Time, and 8% 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.

Registered Nurse- Cardiac Step-Down/Intermediate Care

Beloit Health System

Beloit, WI • On-site

$36.40 - $57.04/hr

Full-time

Posted 14 days ago


Beloit Health System rating

4.9

Company rating: 4.9 out of 10

Based on 19 frontline employees who took The Breakroom Quiz


Job description

Beloit Health System at Beloit Memorial Hospital is seeking a compassionate and skilled Registered Nurse (RN) to join our Cardiac Step-Down/Intermediate Care Unit. The Cardiac Step-Down RN provides specialized nursing care to patients transitioning from intensive cardiac care who require close monitoring and advanced clinical assessment. This role collaborates with an interdisciplinary team to deliver high-quality, patient-centered care while promoting positive clinical outcomes.

  • Sign-On Bonus: Yes
  • Shift: 1st and 3rd
  • Schedule: 7a-7p or 7p-7a
  • Hours per week: 24-30 hours per week
  • Benefits Status: Benefit Eligible
  • Department: Cardiac Stepdown Unit/ Intermediate Care

In this position the Cardiac Stepdown Registered Nurse will plan, coordinate, supervise, and provide care for patients throughout their lifespan withing the framework of well/illness continuum. This includes optimal service in a cost-effective manner. The Cardiac Stepdown Registered Nurse has additional training to interpret cardiac telemetry monitoring and respond to rapid changes in patient cardiac conditions effectively and accurately.

  • Appropriately assesses basic physical, psychological, and socials needs of the patients and their families.
  • Provides nursing care to patients with complex medical conditions including cardiac rhythm disturbances, Cerebral Vascular Attacks, Peritoneal Dialysis, and other comorbidities.
  • Effectively plans patient care and consistently implements the patient's plan of care.
  • Accurately evaluates patient's health status in relation to outcomes of nursing interventions/medical therapies.
  • Provides patient/family education appropriately.
  • Strictly adheres to infection control policies including body substance isolation and blood born pathogen precautions.
  • Actively participates in Quality Improvement program.
  • Performs unit specific duties according to established unit-based competencies.
  • Completes documentation according to policy.
  • Effectively sets goals and priorities for provision of care to a group of patients according to acuity.
  • Accurately interprets cardiac telemetry every 4 hours and responds to changes in patient condition.
  • Ensures patient safety while handling, transporting and providing medications to patients; protects patients from various hazards, falls, disease exposure, etc.
  • Demonstrates ability to perform functions accurately and efficiently with computer software application appropriate to position. Other duties as assigned.

Job Requirements

  • Graduate of accredited school of nursing.
  • ADN, Diploma, BSN, or MSN degree acceptable.
  • State of Wisconsin nursing licensure, compact license or temporary permit required. (If a compact license, application for a State of Wisconsin nursing license must be initiated in no more than 30 days from start date).
  • Must be CPR/BLS certified within 3 months of hire.
  • Must be ACLS certified within 6 months of hire
  • ASLS and NIHSS stroke certified within 1 year of hire.
  • Cardiac Telemetry course completion within 6 months of hire.
  • Peritoneal Dialysis training within 1 year.

Apply today to join our growing team.


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