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Step Down Jobs (NOW HIRING)

UHS

STEP-DOWN NAVIGATOR

Orlando, FL

$17.25 - $22.75/hr

Overview of Position - Step-Down Navigator The Step-Down Navigator plays a critical role in ensuring patients transition successfully to the appropriate continuum of care following inpatient ...

UHS

STEP-DOWN NAVIGATOR

Orlando, FL

$17.25 - $22.75/hr

Overview of Position - Step-Down Navigator The Step-Down Navigator plays a critical role in ensuring patients transition successfully to the appropriate continuum of care following inpatient ...

Voyage Health

Travel Step Down

Davenport, IA · On-site

$1.9K - $2.0K/wk

Step Down Location: Davenport, Iowa Employment Type: Travel/Contract Pay: $1927 - $2028 per week Shift: 3x12 Days Start Date: ASAP Contract Length: 13-week Position: Step Down (Travel/Contract) We're ...

UHS

STEP-DOWN NAVIGATOR

Orlando, FL · On-site

$17.25 - $22.75/hr

Overview of Position - Step-Down Navigator The Step-Down Navigator plays a critical role in ensuring patients transition successfully to the appropriate continuum of care following inpatient ...

Wayne Memorial Hospital

RN - Step Down

Honesdale, PA · On-site

$2.2K/wk

Details Client Name Wayne Memorial Hospital Job Type Travel Offering Nursing Profession RN Specialty Step Down Job ID 37825834 Job Title RN - Step Down Weekly Pay $2235.96 Shift Details Shift 12-Hour ...

Veracity

RN Step Down

Saginaw, MI · On-site

RN Step Down Implements and monitors patient care plans. Monitors, records and communicates patient condition as appropriate. Serves as a primary coordinator of all disciplines for well-coordinated ...

Phaxis

Med Surge / Step Down

Rome, NY · On-site

$63 - $66/hr

Med-Surg/Step-Down RN -Rome, NY $63-$66/hour We're hiring experienced Med-Surg/Step-Down RNs for an immediate opening in Rome, NY! Requirements: * 2+ years of RN experience preferred (strong ...

Jedy Network

Registered Nurse/Step down

Auburn, NY · On-site

Step-Down RN Step-Down RN - 2+ years of recent Step-Down experience 36 hrs guaranteed EOW & EOH No blocked scheduling Local candidates accepted (lower BR by ***) Ratio: 1:4-5 Medication System Pyxis ...

WellStar Kennestone Hospital

RN - Step Down

Brunswick, GA · On-site

$1.7K/wk

Details Client Name Southeast Georgia Health System - Brunswick Campus Job Type Travel Offering Nursing Profession RN Specialty Step Down Job ID 37305410 Job Title RN - Step Down Weekly Pay $1783.0 ...

Sanford USD Medical Center

RN - Step-Down

Sioux Falls, SD · On-site

$2.1K - $2.2K/wk

Travel Rn Step-Down Job Type: Travel Profession: RN Specialty: Step-Down Job ID: 37757370 Weekly Pay: $2190 - $2290 Shift Details: Shift 3 x 12 Nights Scheduled Hours: 36 Start Date: 09/08/2026 End ...

Samaritan Medical Center

RN - Step Down

Watertown, NY · On-site

$2.2K/wk

Details Client Name Samaritan Medical Center Job Type Travel Offering Nursing Profession RN Specialty Step Down Job ID 37647343 Job Title RN - Step Down Weekly Pay $2277.0 Shift Details Shift 12 hour ...

Mission Hospital

RN - Step Down

Boone, NC · On-site

$2.1K/wk

Details Client Name Watauga Medical Center Job Type Travel Offering Nursing Profession RN Specialty Step Down Job ID 37789715 Job Title RN - Step Down Weekly Pay $2142.0 Shift Details Shift 12 hour ...

Magnet Medical

RN - Step Down

Clarkston, WA · On-site

$2.5K/wk

Details Client Name Tri-State Memorial Hospital Job Type Travel Offering Nursing Profession RN Specialty Step Down Job ID 37787480 Job Title RN - Step Down Weekly Pay $2551.0 Shift Details Shift 8 ...

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Step Down information

What is a step down nurse?

Step down nurses are registered nurses who work in step-down units, also known as progressive care units (PCUs) or intermediate care units. These units care for patients who are not critical enough for the intensive care unit (ICU) but still require close monitoring and specialized nursing care. Step down nurses manage patients with complex conditions, administer medications, monitor vital signs, and respond to changes in patient status. They play a crucial role in helping patients transition from intensive care to general medical-surgical units or home.

What are the key skills and qualifications needed to thrive as a step down nurse?

To thrive as a Step Down Nurse, you need a solid background in acute care nursing, advanced patient assessment, and cardiac or critical care certifications such as ACLS, typically supported by an RN license. Familiarity with telemetry monitoring systems, electronic health records (EHRs), and specialized equipment for high-acuity patients is essential. Strong critical thinking, communication, and the ability to remain calm under pressure are crucial soft skills in this role. These competencies are vital for providing safe, effective care to patients transitioning from intensive to standard care, ensuring positive outcomes in a high-stakes environment.

What are some key challenges nurses face when working on a step down unit, and how can they prepare for them?

Nurses working on a Step Down unit often manage patients who are transitioning from intensive care but still require close monitoring, which can make patient acuity unpredictable. A major challenge is balancing the needs of multiple patients with varying levels of stability while responding quickly to changes in their conditions. To prepare, nurses should hone their assessment and prioritization skills, familiarize themselves with telemetry monitoring, and practice effective communication with multidisciplinary teams. Regular collaboration with physicians, respiratory therapists, and other support staff is essential for ensuring positive patient outcomes.

What is the difference between Step Down vs Nurse?

AspectStep DownNurse
CredentialsVaries; often requires RN license, specialized trainingRN license typically required
Work EnvironmentStep-down units, specialized hospital wardsHospitals, clinics, healthcare facilities
Employer & IndustryHospitals, healthcare providersHospitals, clinics, healthcare settings
Common Search/ComparisonYesYes

Both roles involve patient care in healthcare settings, with Step Down nurses working in specialized units providing intermediate care, while general nurses work across various healthcare environments. The main difference lies in the level of patient acuity and specialized training required.

What cities are hiring for Step Down jobs?

Cities with the most Step Down job openings:

What states have the most Step Down jobs?

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

Step Down jobs near you
Infographic showing various Step Down job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 73% Full Time, 17% Part Time, and 9% Contract. Highlights an 91% Physical, 1% Hybrid, and 8% Remote job distribution.

RN Intermediate Step Down

GENIEPRO TECHNOLOGIES INC

Atlanta, GA • On-site

$50/hr

Full-time

This job post has expired today. Applications are no longer accepted.

Job description

Benefits:
  • Bonus based on performance
  • Competitive salary
  • Flexible schedule
  • Wellness resources

Job Opportunity: RN Intermediate / Step Down
Location: Atlanta, Georgia, 30342
Contract Duration: 12 Weeks
Start Date: 06/15/2026 – 09/05/2026
Shift: Varies | Night Shift | 3x12 | 07:00 PM – 07:00 AM Guaranteed 36 Hours Per Week
Candidate Requirements:
Minimum 2 years of RN Intermediate / Step Down experience within specialty required
No local candidates within 50 miles
Active Georgia RN State License or Compact License Required
AHA BLS & ACLS Required
NIHSS Preferred
Experience with respiratory and high-acuity patient populations preferred
Position Overview:
The RN Intermediate / Step Down Nurse will provide specialized patient care in a fast-paced intermediate care environment treating a wide variety of complex medical and surgical patients.
Patient population may include:
Intermediate medical patients
High-risk respiratory patients
Cardiac thoracic surgery patients
Hepatobiliary surgery patients
Head & neck surgery patients
Patients requiring respiratory support from Room Air (RA) to BiPAP or Optiflow
 
The ideal candidate will:
Deliver exceptional patient-centered care
Monitor and assess complex patient conditions
Collaborate effectively with multidisciplinary teams
Thrive in a high-acuity step-down environment
 
Unfeigned Regards,
Saikumar Thathari | Health Care Recruiter
Phone No:- 404 - 844 - 5073 Ext No : 1003
Email: saikumar.t@genieprohealthcare.com
GeniePro Healthcare Inc | Alpharetta GA 30022| www.genieprohealthcare.com
GeniePro Tech Inc is an Equal Opportunity/Affirmative Action Employer committed to diversity in our workforce