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Step Down Rn Jobs in Minnesota (NOW HIRING)

AHS Staffing

Travel Intermediate Care RN

Duluth, MN · On-site

$2.4K/wk

Travel Registered Nurse - PCU - Step Down - IMC - Travel | Duluth, Minnesota Estimated Weekly Pay: $2471.72 Start Date: 08/31/2026 | Duration: 13 Weeks Shift: 3 x 12hr Nights Job Details AHS Staffing ...

Saint Cloud Hospital

RN - Neuro

Saint Augusta, MN · On-site

RN - Neuro About the Position Specialty: RN - Neuro Experience: 1-2+ years of experience in neurology, neuro ICU, or neuro step-down unit preferred License: Active State or Compact RN License ...

TotalMed RN

Travel Intermediate Care RN

Duluth, MN · On-site

The PCU RN is sometimes also called a step-down nurse, and the PCU is also known as cardiac stepdown, medical stepdown, neuro stepdown, surgical stepdown and ER holding. As a PCU Travel Nurse, you ...

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Step Down Rn information

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$31

$47

$59

How much do step down rn jobs pay per hour?

As of Sep 10, 2026, the average hourly pay for step down rn in Minnesota is $47.21, according to ZipRecruiter salary data. Most workers in this role earn between $39.47 and $55.35 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 Minnesota as of August 2026, with employment types broken down into 1% As Needed, 73% Full Time, 17% Part Time, 8% Contract, and 1% Nights. Highlights an 91% Physical, 1% Hybrid, and 8% Remote job distribution, with an average salary of $98,206 per year, or $47.2 per hour.

Local Travel Per Diem RN PCU / Step-Down

Saint Paul, MN • On-site

Ambition 24Hours Inc
See more jobs at Ambition 24Hours Incexternal

$51.60 - $60.20/hr

Contractor

Re-posted 8 days ago

Job description

Local Travel Per Diem RN — PCU / Step-Down

 St. Paul, MN | ZIP: 55102

Shift Types Available:  Day Shift (7:00 AM – 3:00 PM)

Estimated Pay:  $51.60 – $60.20/hr

Pediatric Hospital | PCU/Step-Down experience required | Active MN RN license

Per Diem | Flexible Scheduling | Pick Your Shifts | Apply Today!