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Step Down Rn Jobs in California (NOW HIRING)

Voyage Health

Travel RN Step Down

Castro Valley, CA · On-site

$2.4K - $2.5K/wk

Position Details Specialty: RN Step Down Location: Castro Valley, California Employment Type: Travel/Contract Pay: $2415 - $2542 per week Shift: 3x12 Days Start Date: ASAP Contract Length: 13-week ...

Bileddo Associates

Travel RN Step down

San Francisco, CA · On-site

$67.50 - $82.50/hr

Travel RN Step down Bring it to the Bay area! San Francisco Shift: 3 x 12 Night 19.00 pm -07.30 am. Weekend call required. Here are some of the benefits our client offers! Medical insurance Dental ...

Voyage Health

Travel RN Step Down

San Francisco, CA · On-site

$2.4K - $2.6K/wk

Position Details Specialty: RN Step Down Location: San Francisco, California Employment Type: Travel/Contract Pay: $2482 - $2613 per week Shift: 3x12 Flex Start Date: ASAP Contract Length: 13-week ...

Prime Staffing

Travel Step Down RN

San Francisco, CA · On-site

Discipline: RN * Start Date: 10/06/2026 * Duration: 13 weeks * 36 hours per week * Shift: 12 hours * Employment Type: Travel About the Position Specialty: RN - Long-Term Care (LTC) Experience: 1-2 ...

Prime Staffing

Travel Step Down RN

San Francisco, CA · On-site

Discipline: RN * Start Date: 10/06/2026 * Duration: 13 weeks * 36 hours per week * Shift: 12 hours * Employment Type: Travel About the Position Specialty: RN - Long-Term Care (LTC) Experience: 1-2 ...

Solomon Page

Travel Step Down RN

San Francisco, CA · On-site

Discipline: RN * Start Date: 10/06/2026 * Duration: 13 weeks * 36 hours per week * Shift: 12 hours, rotating * Employment Type: Travel Our client is looking to add a Registered Nurse to their team.

Solomon Page

Travel Step Down RN

San Francisco, CA · On-site

Discipline: RN * Start Date: 10/06/2026 * Duration: 13 weeks * 36 hours per week * Shift: 12 hours, rotating * Employment Type: Travel Our client is looking to add a Registered Nurse to their team.

UCSF Medical Center

RN - Step Down / PCU

San Francisco, CA · On-site

$2.2K/wk

Details Client Name UCSF Medical Center Job Type Travel Offering Nursing Profession RN Specialty Step Down / PCU Job ID 38018735 Job Title RN - Step Down / PCU Weekly Pay $2276.55 Shift Details Shift ...

Mission Hospital

RN - Step Down

Eureka, CA · On-site

$2.2K/wk

Joseph Hospital - Eureka Job Type Travel Offering Nursing Profession RN Specialty Step Down Job ID 37967912 Job Title RN - Step Down Weekly Pay $2247.24 Shift Details Shift 12-Hour NOC Scheduled ...

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Step Down Rn information

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$47

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How much do step down rn jobs pay per hour?

As of Sep 10, 2026, the average hourly pay for step down rn in California is $47.58, according to ZipRecruiter salary data. Most workers in this role earn between $39.78 and $55.79 per hour, depending on experience, location, and employer.

What is a Step Down RN?

Step Down RNs are registered nurses who work in step-down units, which are transitional care areas between the intensive care unit (ICU) and general medical-surgical floors. These nurses care for patients who require close monitoring and specialized care but are not as critically ill as those in the ICU. Step Down RNs monitor vital signs, administer medications, manage care plans, and respond to changes in patient conditions. Their role is crucial in helping patients recover and transition to lower levels of care safely.

What skills and qualifications are needed to be a Step Down RN?

To thrive as a Step Down RN, you need a strong clinical background in acute and progressive care, typically supported by an active RN license and experience in critical or intermediate care settings. Familiarity with cardiac monitors, electronic health records (EHRs), and advanced life support certifications (such as ACLS) is often required. Excellent critical thinking, communication, and teamwork skills help nurses respond to rapidly changing patient conditions and coordinate with multidisciplinary teams. These competencies are vital to ensure patient safety, timely interventions, and optimal recovery in this high-acuity care environment.

How does a Step Down RN collaborate with other healthcare professionals?

Step Down RNs work closely with a multidisciplinary team, including physicians, respiratory therapists, physical therapists, and case managers, to coordinate patient care. They play a vital role in monitoring patients who require more intensive observation than a general medical-surgical floor but not as much as in the ICU. Effective communication and detailed handoffs are essential, as Step Down RNs often advocate for their patients during care plan meetings and rounds. This collaboration helps ensure that changes in patient status are addressed promptly and that each patient's transition to a lower level of care is safe and well-managed.

What is the difference between Step Down Rn vs Med-Surg Nurse?

AspectStep Down RnMed-Surg Nurse
CertificationsRN license, possibly CCRN or specialty certificationsRN license, often no specialty certification required
Work EnvironmentIntermediate to high-acuity units, closer patient monitoringGeneral medical-surgical units, lower acuity
Patient Care FocusPatients with complex, unstable conditionsPatients with less critical, stable conditions
Typical EmployerHospitals with step-down or progressive care unitsGeneral hospitals, medical-surgical wards

Step Down Rns and Med-Surg Nurses both provide vital patient care but differ mainly in patient acuity and required certifications. Step Down Rns handle more complex cases in intermediate care units, requiring specialized skills and certifications, while Med-Surg Nurses work in general wards with less critical patients. Understanding these differences helps in choosing the right career path or job opportunity.

Do step down RNs get paid more?

Step down RNs typically earn higher salaries than staff RNs due to the specialized skills, increased responsibilities, and critical care environment involved. Their compensation may also reflect additional certifications such as CCRN and experience in intensive care settings.

What cities in California are hiring for Step Down Rn jobs?

Cities in California with the most Step Down Rn job openings:

Step Down Rn jobs near you
Infographic showing various Step Down Rn job openings in California as of August 2026, with employment types broken down into 1% As Needed, 78% Full Time, 14% Part Time, and 7% Contract. Highlights an 91% Physical, 1% Hybrid, and 8% Remote job distribution, with an average salary of $98,975 per year, or $47.6 per hour.

Travel RN Step down

San Francisco, CA • On-site

Bileddo Associates
See more jobs at Bileddo Associatesexternal

Other

Re-posted 20 days ago

Job description

Provides direct nursing care for patients of all age/developmental stages in assigned areas using the nursing process of assessment, planning, implementation, and evaluation. Looking for an Step down ICU RN with proficiency in Step down procedures, vascular procedures and Neuro Stroke procedures.
EDUCATION:

  • Associate Degree in Nursing.
CERTIFICATION & LICENSURE:
  • BLS-Basic Life Support Healthcare Provider
  • ACLS
  • CA RN Licensure
  • NIHSS certified.
PREFERRED EXPERIENCE AS TYPICALLY ACQUIRED IN:
  • Two (2) years ICU RN experience preferred
SKILLS AND KNOWLEDGE:
  • Basic knowledge of surgical procedures, equipment, and supplies.
  • Requires communication, organization and interpersonal skills.
  • Requires flexibility to accommodate emergencies as well as changing schedules and priorities.
  • $10,000 Sign-On Bonus Included

Our client offers exceptional compensation (INCLUDING A BONUS of 10,000.00!), world class benefits and the opportunity to grow your career as far as your talent and hard work will take it!
For prompt and confidential consideration, please apply to the link below!
Click here to apply online

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