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Rn Cardiac Step Down Unit Jobs (NOW HIRING)

$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 ...

$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 ...

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Rn Cardiac Step Down Unit information

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$16

$48

$88

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

As of Sep 9, 2026, the average hourly pay for rn cardiac step down unit 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.

What is an RN Cardiac Step Down Unit?

RN Cardiac Step Down Unit nurses are registered nurses who care for patients with heart-related conditions who require close monitoring but do not need intensive care. These nurses work in specialized hospital units that serve as an intermediate level between the intensive care unit (ICU) and the general medical-surgical floor. They monitor cardiac patients, administer medications, respond to emergencies, and provide education to patients and their families about heart health. Their role is critical in helping patients transition from acute care to recovery.

What are the key skills and qualifications needed to thrive as an RN in a Cardiac Step Down Unit?

To thrive as an RN in a Cardiac Step Down Unit, you need strong clinical assessment skills, advanced cardiac knowledge, and an active RN license, often with ACLS certification. Familiarity with cardiac monitoring systems, EHRs, and telemetry equipment is essential for managing complex cardiac patients. Exceptional critical thinking, teamwork, and effective communication set outstanding nurses apart in this high-acuity environment. These skills are crucial for ensuring patient safety, rapid response to cardiac events, and seamless coordination of care.

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

RNs in a Cardiac Step Down Unit often encounter challenges such as managing patients with complex cardiac conditions, responding to rapid changes in patient status, and balancing a fast-paced environment with detailed documentation requirements. Effective time management, strong clinical assessment skills, and open communication with the multidisciplinary team are essential to navigate these challenges. Many hospitals provide ongoing training and mentorship programs to support nurses in staying current with cardiac care best practices and to foster professional growth.

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

AspectRn Cardiac Step Down UnitRn Telemetry Unit
Work EnvironmentPatients recovering from cardiac surgeries or acute cardiac events requiring close monitoring but not intensive carePatients with continuous cardiac monitoring, often stable but needing ongoing observation
CertificationsRN license, ACLS often preferredRN license, ACLS recommended
Patient Care FocusPost-acute cardiac care, monitoring vital signs, managing medicationsContinuous cardiac rhythm monitoring, early detection of arrhythmias

Both units require RNs with cardiac care knowledge and certifications like ACLS. The main difference lies in patient acuity: the Cardiac Step Down Unit cares for patients transitioning from ICU, while the Telemetry Unit focuses on continuous rhythm monitoring for stable patients. Understanding these distinctions helps in choosing the right job environment based on your skills and career goals.

What cities are hiring for Rn Cardiac Step Down Unit jobs?

Cities with the most Rn Cardiac Step Down Unit job openings:

What states have the most Rn Cardiac Step Down Unit jobs?

States with the most job openings for Rn Cardiac Step Down Unit jobs include:

What are popular job titles related to Rn Cardiac Step Down Unit jobs?

For Rn Cardiac Step Down Unit jobs, the most frequently searched job titles are:

Registered Nurse - Cardiac Step Down Unit

Rochester, NY

Rochester Regional Health
Hospitals • 10K+ employees

$38.67 - $51.92/hr

Full-time

Re-posted 25 days ago


Rochester Regional Health rating

7.3

Company rating: 7.3 out of 10

Based on 221 frontline employees who took The Breakroom Quiz

305th of 898 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: Full-Time (36 hours per week)

Schedule: Nights, Every Other Weekend, Every Other Holiday

Preferred Experience: Telemetry, Step Down, Acute Care, Cardiac

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 - NYS Office of ProfessionsNew York State Education Department (NYSED)

PHYSICAL REQUIREMENTS:

Moderate - Clinical - Moderate clinical roles are patient facing roles that require continual movement, including standing, walking, and lifting 20–50 lbs., along with pushing and pulling medical equipment and assisting with patient positioning. Employees perform frequent bending, twisting, and reaching while completing fine motor tasks in busy or confined clinical environments. High sensory acuity is essential for monitoring patient status and responding to alarms or safety concerns. Emotional and cognitive demands are substantial, involving decision-making under pressure, responding to emergencies, and maintaining sustained focus. Environmental exposures include infectious agents, bodily fluids, chemicals, and radiation. TB testing, mask-fit testing, and physical exams are common requirements.

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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