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Cardiac Step Down Jobs (NOW HIRING)

Phsorg

$39.69 - $53.55/hr

Progressive Care units include Acute Medical Step-Down, Cardiac Step-Down, and Neuro Step-Down. In Progressive Care, there are opportunities for RNs to gain leadership experience through Preceptor ...

Presbyterian Healthcare Services

$39.69 - $53.55/hr

Progressive Care units include Acute Medical Step-Down, Cardiac Step-Down, and Neuro Step-Down. In Progressive Care, there are opportunities for RNs to gain leadership experience through Preceptor ...

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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.
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What job categories do people searching Cardiac Step Down jobs look for? The top searched job categories for Cardiac Step Down jobs are:
Cardiac Step Down jobs near you
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.
Registered Nurse - Cardiac Step Down Unit

Registered Nurse - Cardiac Step Down Unit

Rochester Regional Health

Rochester, NY

$38.67 - $51.92/hr

Full-time, Part-time

Re-posted 29 days ago

Rochester Regional Health rating

7.4

Company rating: 7.4 out of 10

Based on 216 frontline employees who took The Breakroom Quiz

265th of 885 rated healthcare providers

Job description

Job Title: Registered Nurse - Cardiac Step Down Unit

Department: Cardiac - Cardiac Step Down Unit (4400)

Location: Rochester General Hospital 

Hours Per Week: Part-Time (24 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:

AS: 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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