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Cardiovascular Stepdown Unit Jobs (NOW HIRING)

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How much do cardiovascular stepdown unit jobs pay per week?

As of Jun 10, 2026, the average weekly pay for cardiovascular stepdown unit in the United States is $2,391.50, according to ZipRecruiter salary data. Most workers in this role earn between $1,961.54 and $2,759.62 per week, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a Cardiovascular Stepdown Unit nurse, and why are they important?

To thrive as a Cardiovascular Stepdown Unit nurse, you need expertise in cardiac care, patient monitoring, and advanced life support, typically supported by a nursing degree, RN licensure, and ACLS certification. Familiarity with telemetry systems, electronic health records, and specialized cardiac monitoring tools is essential. Strong critical thinking, communication, and teamwork skills enable nurses to respond effectively to rapidly changing patient conditions and collaborate with multidisciplinary teams. These competencies are crucial for ensuring patient safety, delivering high-quality care, and supporting positive outcomes in a complex cardiovascular environment.

What is a Cardiovascular Stepdown Unit?

A Cardiovascular Stepdown Unit is a specialized hospital unit that provides care for patients who have undergone cardiovascular procedures or experienced cardiac events but no longer require intensive care. These units serve as an intermediate level between the intensive care unit (ICU) and a regular medical-surgical floor. Patients in a stepdown unit are stable but still need close monitoring, specialized cardiac care, and frequent assessments as they continue their recovery. Nurses in this unit are trained to detect early signs of cardiac complications and respond promptly to changes in a patient’s condition.

What are some common challenges nurses face when working in a Cardiovascular Stepdown Unit?

Nurses in a Cardiovascular Stepdown Unit often encounter challenges such as managing complex patient cases with rapidly changing conditions, prioritizing care for multiple patients, and staying updated with evolving cardiac treatment protocols. The fast-paced environment requires strong clinical judgment, effective communication with interdisciplinary teams, and the ability to respond quickly to cardiac emergencies. Adapting to technological advancements in cardiovascular monitoring and maintaining detailed documentation are also essential aspects of the role.

What is the difference between Cardiovascular Stepdown Unit vs Cardiology Nurse?

AspectCardiovascular Stepdown UnitCardiology Nurse
CertificationsRN license, ACLS, BLS, possibly CCRNRN license, ACLS, BLS, possibly CCRN
Work EnvironmentSpecialized unit caring for post-acute cardiovascular patientsGeneral cardiology care, outpatient clinics, or hospital units
Employer & IndustryHospitals, cardiac centers, specialized unitsHospitals, clinics, outpatient facilities
Job FocusMonitoring, managing post-acute cardiovascular patients in a stepdown settingProviding comprehensive nursing care to cardiology patients across settings

The main difference is that Cardiovascular Stepdown Unit nurses work specifically in specialized units caring for post-acute cardiovascular patients, while Cardiology Nurses may work in broader cardiology settings including outpatient clinics and general hospital units. Both roles require similar certifications but differ in work environment and focus.

More about Cardiovascular Stepdown Unit jobs
What job categories do people searching Cardiovascular Stepdown Unit jobs look for? The top searched job categories for Cardiovascular Stepdown Unit jobs are:
RN Clinical Nurse II Part Time-Cardiovascular Surgery Stepdown

RN Clinical Nurse II Part Time-Cardiovascular Surgery Stepdown

UNC Health

Cary, NC

Part-time

Posted 4 days ago


Job description

Description

Cardiovascular Surgery Stepdown

Unit The Cardiovascular Surgical Stepdown Unit is located on the 5th floor of the Heart and Vascular Hospital. This stepdown unit specializes in the care of structural heart, cardiac and vascular surgical patients that require the titration of inotropes, vasopressors and/or patients with increased oxygen demands, needing advanced non-invasive oxygen delivery.

The Cardiovascular Stepdown Unit is designed for patients who have moved out of intensive care but need more frequent observation/interventions by nurses to proactively detect subtle changes in patients condition and act quickly when patients show signs of deterioration. The design of the Cardiovascular Surgical Stepdown Unit mirrors the ICU layout and allows for quick access to resources within each workstation. The rooms are all equipped with bedside monitors that are capable of advanced hemodynamic monitoring and wall mounted computers for easy access to electronic charts.

Nurses can effectively communicate with advanced practice providers, floor assigned pharmacists and respiratory therapists that are present on the unit. The leadership team is shared between both the Cardiovascular Surgery ICU and the Stepdown Unit to provide an environment that fosters critical thinking and supports personal and professional growth.

Become part of an inclusive organization with over 40,000 teammates, whose mission is to improve the health and well-being of the unique communities we serve.

Summary:
Provides competent clinical nursing care consistent with professional standards. Reporting and accountable to the Nurse Manager/Director, the Clinical Nurse is responsible for coordinating and delivering patient care utilizing the nursing process in a hospital setting.

Responsibilities:

1. Education - Participates in identifying and meeting learning needs of self. Attends education programs based on identified learning needs. With assistance, uses patient education materials relevant to patient population. Assesses readiness to learn of the patient/family/caregivers. Assesses developmental level of patient and factors affecting ability to learn.
2. Evaluation of Care - Identifies expected patient outcomes. Seeks guidance as needed in revision of plan of care. Participates in discussion with members of the interdisciplinary team in evaluation of patient care. Communicates relevant information to promote continuity of care.
3. Implementation - Demonstrates competence in care of patients with complex problems, including population-appropriate physical, psychosocial, educational and safety aspects of care. Performs bedside point of care testing as required for patient care plan. Utilizes healthcare organization and nursing standards, policies and procedures in delivery of care. Organizes and prioritizes care according to patient/family needs. Consults with appropriate resources in a timely fashion regarding patients with complex care issues, unusual teaching needs and/or those at high risk for discharge planning.
4. Leadership - With assistance, develops goals to promote professional growth or minimize limitations. Achieves goals and objectives within identified time frame or renegotiates with supervisor. Is knowledgeable about activities which facilitate intra/interdepartmental collaboration. Participates in development and achievement of unit goals and performance improvement activities. Effectively uses communication systems. Participates in promoting cost-effective care. Gives feedback to co-workers. Is aware of public policy and regulatory guidelines affecting the health care environment. Promotes a safe, clean and secure hospital environment for all.
5. Patient Assessment - Recognizes data from complex situations to determine priorities for care. Includes appropriate physical, psychosocial, education and safety needs. Synthesizes assessment data into meaningful whole prior to communication to others. Assesses and anticipates discharge needs of individual patients and families. Develops relationships with families that promote their ability to advocate for the patient and their own needs.
6. Planning - Collaborates with patient/family to prepare or update the plan of care. Makes use of available multidisciplinary resources in planning care. Begins to use full range of communication as a means to convey planning. Identifies and addresses cultural and ethnic issues in planning patient care. Demonstrates ability to prioritize tasks for patients with complex problems.
7. Research - Reads journals that contain studies or articles that may be applicable to practice. Brings ideas and questions to the staff at large for assessment of applicability.


Other Information

Other information:
Education Requirements:
Graduation from a school of professional nursing.
If hired after January 6, 2014, must be enrolled within four years of employment, and obtain a Bachelor's degree with a major in Nursing or a Master's degree with a major in Nursing within seven years of employment date.
Licensure/Certification Requirements:
Licensed to practice as a Registered Nurse in the state of North Carolina.
Basic Life Support (BLS) for Healthcare Provider certification
Professional Experience Requirements:
One (1) year of nursing experience.
Knowledge/Skills/and Abilities Requirements:


Job Details

Legal Employer: NCHEALTH

Entity: UNC REX Healthcare

Organization Unit: Rex CSICU 5HV

Work Type: Part Time

Standard Hours Per Week: 24.00

Salary Range:$33.88 - $47.91 per hour (Hiring Range)

Pay offers are determined by experience and internal equity

Work Assignment Type: Onsite

Work Schedule: Night Job

Location of Job: US:NC:Raleigh

Exempt From Overtime: Exempt: No


This position is employed by NC Health (Rex Healthcare, Inc., d/b/a NC Health), a private, fully-owned subsidiary of UNC Heath Care System. This is not a State employed position.


Qualified applicants will be considered without regard to their race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
UNC Health makes reasonable accommodations for applicants' and employees' religious practices and beliefs, as well as applicants and employees with disabilities. All interested applicants are invited to apply for career opportunities. Please email applicant.accommodations@unchealth.unc.edu if you need a reasonable accommodation to search and/or to apply for a career opportunity.

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