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Step Down Rn Jobs in Massachusetts (NOW HIRING)

Salem Hospital, Inc.

RN - Step Down / PCU

Salem, MA · On-site

$2.2K - $3.0K/wk

Travel Rn Specialty Step Down / Pcu Shift 2x12 Nights Start Date 10/04/2026 End Date 01/02/2027 Duration 13 Week(s) City Salem State Ma Equal Opportunity Employer: MedSource LLC is an equal ...

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Step Down Rn information

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$34

$52

$66

How much do step down rn jobs pay per hour?

As of Sep 11, 2026, the average hourly pay for step down rn in Massachusetts is $52.13, according to ZipRecruiter salary data. Most workers in this role earn between $43.58 and $61.12 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.
Step Down Rn jobs near you
Infographic showing various Step Down Rn job openings in Massachusetts 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 $108,430 per year, or $52.1 per hour.

RN - Step Down / PCU

Salem, MA • On-site

Salem Hospital, Inc.
See more jobs at Salem Hospital, Inc.external

$2.2K - $3.0K/wk

Other

Re-posted just now

Job description

Travel Rn Specialty Step Down / Pcu

Shift 2x12 Nights

Start Date 10/04/2026 End Date 01/02/2027 Duration 13 Week(s)

City Salem State Ma

Equal Opportunity Employer: MedSource LLC is an equal opportunity employer and does not discriminate against any individual based on race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status. All qualified candidates are encouraged to apply.

Accuracy of Information: MedSource LLC strives to provide accurate and up-to-date job listings, but we do not guarantee the completeness, accuracy, or reliability of the information provided. Job listings are subject to change without notice.

Privacy and Confidentiality: Candidates and clients must adhere to strict confidentiality and privacy standards by the Health Insurance Portability and Accountability Act (HIPAA) and other relevant privacy laws.

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