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$16

$48

$88

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

As of Jul 18, 2026, the average hourly pay for rn cardiac step down in the United States is $48.76, according to ZipRecruiter salary data. Most workers in this role earn between $32.69 and $61.30 per hour, depending on experience, location, and employer.

How to make $300,000 as a nurse?

To earn $300,000 as an RN in a cardiac step-down unit, nurses can increase their income by gaining specialized certifications, working overtime or in high-demand shifts, and pursuing advanced roles such as charge nurse or nurse manager. Working in high-paying regions or facilities with sign-on bonuses can also contribute to higher earnings.

What are the key skills and qualifications needed to thrive as an RN Cardiac Step Down Nurse, and why are they important?

To thrive as an RN Cardiac Step Down Nurse, you need strong cardiac assessment skills, knowledge of telemetry, and a valid RN license with experience in cardiac care. Proficiency with cardiac monitoring systems, electronic health records (EHRs), and possibly certifications like ACLS are typically required. Exceptional critical thinking, teamwork, and effective communication are essential soft skills in this role. These competencies ensure safe, high-quality care for patients with complex cardiac needs and support rapid response to changes in patient conditions.

What jobs can I do if I don't want to be a nurse anymore?

If you are an RN working in a cardiac step-down unit, you can transition to roles such as medical case manager, healthcare educator, or clinical supervisor, which utilize your nursing knowledge and patient care skills. Other options include administrative positions, health coaching, or working in healthcare consulting, often requiring additional certifications or training. These roles typically involve less direct patient care and may offer different schedules or work environments.

What is an RN Cardiac Step Down nurse?

An RN Cardiac Step Down nurse is a registered nurse who provides specialized care for patients recovering from serious heart conditions or procedures, but who do not require the intensive monitoring of a cardiac ICU. These nurses monitor vital signs, administer medications, and respond to changes in patient status, often using advanced cardiac monitoring equipment. They act as a bridge between intensive care and general medical-surgical units, ensuring patients are stable enough to move toward recovery. In addition to clinical care, they educate patients and families about heart health, recovery, and prevention strategies.

What are the typical challenges faced by an RN in a Cardiac Step Down unit and how can I prepare for them?

RNs in Cardiac Step Down units often manage patients who are transitioning from the Intensive Care Unit but still require close cardiac monitoring and frequent assessment. Common challenges include handling rapidly changing patient conditions, interpreting complex cardiac rhythms, and responding promptly to emergencies. To prepare, it’s helpful to strengthen your cardiac telemetry skills, stay up to date on cardiac medications and interventions, and practice effective communication with the interdisciplinary team. Building resilience and adaptability will also help you thrive in this fast-paced, high-acuity environment.

What is the difference between Rn Cardiac Step Down vs Rn Telemetry?

AspectRn Cardiac Step DownRn Telemetry
CertificationsRN license, ACLS, BLSRN license, ACLS, BLS
Work EnvironmentStep-down units, cardiac careTelemetry units, monitoring patients
Patient Care FocusPost-acute cardiac patients, complex casesMonitoring cardiac rhythms, less invasive care
Common UsageUsed interchangeably in hospitals for cardiac careFocuses on rhythm monitoring and data interpretation

Both Rn Cardiac Step Down and Rn Telemetry roles require similar certifications and are found in cardiac care units. The main difference lies in patient care focus: Rn Cardiac Step Down handles more complex, post-acute cardiac patients, while Rn Telemetry primarily monitors cardiac rhythms and less invasive cases. Understanding these distinctions helps in choosing the right nursing role based on patient needs and work environment.

Where do cardiac nurses make the most money?

Cardiac nurses tend to earn higher salaries in regions with a high cost of living and strong healthcare industries, such as metropolitan areas and states with competitive pay scales. Factors like experience, certifications, and working in specialized units like cardiac step-down can also influence earning potential.
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What job categories do people searching Rn Cardiac Step Down jobs look for? The top searched job categories for Rn Cardiac Step Down jobs are:
Rn Cardiac Step Down jobs near you
Infographic showing various Rn 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 $101,418 per year, or $48.8 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

Re-posted 29 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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