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Step Down Rn Jobs in Chicago, IL (NOW HIRING)

Sinai Chicago

MEDICAL STEP DOWN REGISTRY RN

Chicago, IL · On-site

... by registered nurses, CNAs, Unit Secretaries, and Telemetry Techs. Imbedded within 5 North is a four-bed Medical Step-down Unit (MSU), to which patients requiring a higher level of monitoring and ...

Sinai Chicago

MEDICAL STEP DOWN REGISTRY RN

Chicago, IL · On-site

... by registered nurses, CNAs, Unit Secretaries, and Telemetry Techs. Imbedded within 5 North is a four-bed Medical Step-down Unit (MSU), to which patients requiring a higher level of monitoring and ...

Sinai Chicago

MEDICAL STEP DOWN REGISTRY RN

Chicago, IL · On-site

... by registered nurses, CNAs, Unit Secretaries, and Telemetry Techs. Imbedded within 5 North is a four-bed Medical Step-down Unit (MSU), to which patients requiring a higher level of monitoring and ...

MDA Edge

RN Step Down

Chicago, IL · On-site

Neuro Stepdown Unit Registered Nurse Shift Timings: 19:00 - 07:30 Hours, Monday to Friday 3 days 12 hours shift. Per week: 36 Hours. 30 Bed Neuro/stroke/vent/trach Stepdown Unit Ratio for Stepdown ...

UnitiMed

RN Step Down Unit

Chicago, IL · On-site

A dedicated recruiter and support team that will help you every step of the way to ensure you start on time and have an exceptional experience * * Referral bonus up to $700 Registered Nurse (RN) ...

GQR Global Markets

RN - Step Down Unit

Chicago, IL · On-site

Step Down Unit Provider Opportunity GQR Healthcare is representing a well-known health system seeking experienced Step Down Unit providers to add to their team. If you are passionate about providing ...

Sinai Chicago

MEDICAL STEP-DOWN STAFF NURSE

Chicago, IL · On-site

Imbedded within 5 North is a four-bed Medical Step-down Unit (MSU), to which patients requiring a ... We are moving toward a patient: RN ratio of 4:1 and expanding our MSU to nine beds to better meet ...

Sinai Chicago

MEDICAL STEP-DOWN STAFF NURSE

Chicago, IL · On-site

$31.62 - $39.52/hr

Imbedded within 5 North is a four-bed Medical Step-down Unit (MSU), to which patients requiring a ... We are moving toward a patient: RN ratio of 4:1 and expanding our MSU to nine beds to better meet ...

Sinai Chicago

MEDICAL STEP DOWN STAFF NURSE

Chicago, IL · On-site

Imbedded within 5 North is a four-bed Medical Step-down Unit (MSU), to which patients requiring a ... We are moving toward a patient: RN ratio of 4:1 and expanding our MSU to nine beds to better meet ...

Sinai Chicago

MEDICAL STEP-DOWN STAFF NURSE

Chicago, IL · On-site

Imbedded within 5 North is a four-bed Medical Step-down Unit (MSU), to which patients requiring a ... We are moving toward a patient: RN ratio of 4:1 and expanding our MSU to nine beds to better meet ...

Sinai Chicago

MEDICAL STEP DOWN STAFF NURSE

Chicago, IL · On-site

$31.62 - $39.52/hr

Imbedded within 5 North is a four-bed Medical Step-down Unit (MSU), to which patients requiring a ... We are moving toward a patient: RN ratio of 4:1 and expanding our MSU to nine beds to better meet ...

GQR

RN - Step Down Unit

Chicago, IL · On-site

GQR Healthcare is representing a well-known health system seeking experienced Step Down Unit providers to add to their team. If you are passionate about providing exceptional care and looking to ...

Nextaff Healthcare

Be Seen First

Registered Nurse (RN) Immediate Openings

Chicago, IL · On-site

$80 - $100/hr

Step-Down / Progressive Care * Behavioral Health / Psych * Long-Term Care / Skilled Nursing ... Active RN license * Current required BLS and ACLS certifications * Relevant clinical experience in ...

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Step Down Rn information

See Chicago, IL salary details

$33

$49

$63

How much do step down rn jobs pay per hour?

As of Sep 12, 2026, the average hourly pay for step down rn in Chicago, IL is $49.88, according to ZipRecruiter salary data. Most workers in this role earn between $41.70 and $58.48 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 Chicago, IL as of August 2026, with employment types broken down into 1% As Needed, 74% Full Time, 17% Part Time, and 8% Contract. Highlights an 90% Physical, 2% Hybrid, and 8% Remote job distribution, with an average salary of $103,745 per year, or $49.9 per hour.

MEDICAL STEP DOWN REGISTRY RN

Chicago, IL • On-site

Sinai Chicago
Health Care and Social Assistance • 5 - 10K employees
Learn more about Sinai Chicagoexternal

Per diem

Medical, Dental, Vision, Retirement, PTO

Re-posted 19 days ago

Sinai Chicago rating

7.8

Company rating: 7.8 out of 10

Based on 15 frontline employees who took The Breakroom Quiz

Job description

Job Summary

 

 About Sinai Health System

Located on Chicago’s West and Southwest Side, Sinai Health System comprises Mount Sinai Hospital, Holy Cross Hospital, Schwab Rehabilitation Hospital, Sinai Children’s Hospital, Sinai Community Institute, Sinai Medical Group, and Sinai Urban Health Institute.

The entities of Sinai Health System collectively deliver a full range of quality inpatient and outpatient services, as well as numerous innovative, community-based health, research and social service programs. We focus our collective depth of expertise and passion on improving the health of the 1.5 million people who live in our diverse service area. With our team of dedicated caregivers, Sinai Health System is committed to building stronger, healthier communities.

A partner with the Jewish United Fund in serving our community

Mount Sinai Hospital 5 North is a 43-bed medical/surgical unit staffed by registered nurses, CNAs, Unit Secretaries, and Telemetry Techs. Imbedded within 5 North is a four-bed Medical Step-down Unit (MSU), to which patients requiring a higher level of monitoring and care are admitted. The patients who are admitted to 5 North require non-invasive cardiac monitoring due to acute or chronic illnesses. Patients who require long-term mechanical ventilation also make up our patient population. Mt. Sinai Hospital is a Certified Chest Pain Center and a Primary Stroke Center; patients meeting inclusion criteria for either of these are admitted to 5 North as well. 
The caregivers on 5 North/MSU are committed to providing excellent care to all patients that we serve. We believe that education and discharge planning are the keys to patients and families having the tools necessary to provide self-care at home. We work closely with our physicians, social workers, physical therapists, dietitians, and other members of the healthcare team to ensure that our patients and their families receive the highest level of care and information so that the best healthcare decisions can be made. 
Staffing and scheduling is always of concern to our nursing staff. Caregivers can enter their requested schedule via self-scheduling, as well as request days off, shift switches, and overtime shifts. We are moving toward a patient: RN ratio of 4:1 and expanding our MSU to nine beds to better meet the needs of our patients. If you want a challenging work environment where you can meet a variety of patient care needs, 5 North is the unit for you!

BENEFITS:

  • Tuition Reimbursement
  • Clinical Ladder
  • Certification Differential
  • 403 b with Matching Contributions
  • PTO
  • Medical / Dental / Vision
  • CE


EDUCATION:

  • Graduate of an accredited school of nursing.
  • BSN Preferred
  • Successful completion of Hospital and Departmental orientation programs.
     

LICENSE / CERTIFICATION:

  • CPR
  • Currently licensed as a Registered Professional Nurse in the State of Illinois.

What Sinai Chicago employees say

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Benefits

Hours and flexibility

Workplace

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Sinai Chicago logo

About Sinai Chicago

Sourced by ZipRecruiter

Sinai Chicago is an integral part of the healthcare industry, established to provide quality and accessible healthcare for the Chicago, IL, US community. The organization operates across various healthcare sectors including teaching, research, and providing clinical care. Since its inception in 1919, Sinai Chicago has been resolute in improving the health of the people and communities it serves, with a focus on delivering value-based care to areas with pressing health needs. The core values of Sinai Chicago include respect, integrity, teamwork, accountability, and quality. The company's mission and commitment lie in nurturing healthier communities through the provision of accessible, quality healthcare.

Industry

Health care and social assistance and hospitals

Company size

5,001 - 10,000 Employees

Headquarters location

Chicago, IL, US

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