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Step Down Rn Jobs in Houston, TX (NOW HIRING)

HCS 247

Travel L&D RN - $1,986 per week

Conroe, TX · On-site

$1.9K/day

Our clinical coverage includes Registered Nurse specialties such as ER, ICU, Med-Surg, Telemetry, Step-Down, OR, PACU, L&D, Mother/Baby, NICU, Cath Lab, Endoscopy, and more along with a full range of ...

HCS 247

Travel CVICU RN - $2,235 per week

Houston, TX · On-site

$2.2K/wk

Our clinical coverage includes Registered Nurse specialties such as ER, ICU, Med-Surg, Telemetry, Step-Down, OR, PACU, L&D, Mother/Baby, NICU, Cath Lab, Endoscopy, and more along with a full range of ...

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HCS 247

Travel CVOR RN - $2,068 per week

Webster, TX · On-site

$2.0K/wk

Our clinical coverage includes Registered Nurse specialties such as ER, ICU, Med-Surg, Telemetry, Step-Down, OR, PACU, L&D, Mother/Baby, NICU, Cath Lab, Endoscopy, and more along with a full range of ...

HCS 247

Travel CVOR RN - $2,235 per week

Houston, TX · On-site

$2.2K/wk

Our clinical coverage includes Registered Nurse specialties such as ER, ICU, Med-Surg, Telemetry, Step-Down, OR, PACU, L&D, Mother/Baby, NICU, Cath Lab, Endoscopy, and more along with a full range of ...

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All JobsStep Down Rn JobsStep Down Rn Jobs in Houston, TX

Step Down Rn information

See Houston, TX salary details

$31

$47

$59

How much do step down rn jobs pay per hour?

As of Sep 11, 2026, the average hourly pay for step down rn in Houston, TX is $47.10, according to ZipRecruiter salary data. Most workers in this role earn between $39.37 and $55.22 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 Houston, TX as of September 2026, with employment types broken down into 6% As Needed, 55% Full Time, 28% Part Time, and 11% Contract. Highlights an 100% In-person job distribution, with an average salary of $97,963 per year, or $47.1 per hour.

Travel OR Registered Nurse - $2,145 per week

Houston, TX • On-site

HCS 247
See more jobs at HCS 247external

$2.1K/wk

Contractor

Medical, Dental, Vision, Life, Retirement

This job post has expired 2 days ago. Applications are no longer accepted.

Job description

HCS 247 is seeking a travel nurse RN OR - Operating Room for a travel nursing job in Houston, Texas.

Job Description & Requirements
  • Specialty: OR - Operating Room
  • Discipline: RN
  • Start Date: 09/14/2026
  • Duration: 13 weeks
  • 40 hours per week
  • Shift: 10 hours, days
  • Employment Type: Travel
  • Aggressive Compensation Packages
  • Lodging Per-Diem for those who qualify
  • Meals and Incidentals Allowance for those who qualify
  • Travel Expense Allowance for those who qualify
  • Medical Dental and Vision Benefits available (For you and family)
  • Day 1 Medical and Voluntary Insurance eligibility for all full-time contracted professionals
  • 401K
  • Daily Pay Available
  • Direct deposit
  • Free CEUs
  • 24/7 Clinical Support
  • Professional and General Liability Coverage
  • Accident Insurance
  • Critical Illness Insurance
  • Disability Insurance
  • Term Life Insurance
  • Bridge Insurance
  • Identity Theft Protection
  • State License Assistance
  • New graduates are welcome to apply (Allied Only)
  • Unlimited Referral Bonus Program
  • Personal Staffing Assistance and Large Support Staff
  • Exceptional Customer Service (available 24 hours)
  • Travel Tax Filing Resources

HCS 24/7 is currently looking for OR Nurse in Houston, TX. This will be a 13-week assignment, 7A-5P shift starting 09/14/2026 working 40 hours per week. This will be a Local Contract and will offer the most competitive rates in the industry. Compensation will include great rates as well as maximum subsidies to those who qualify. HCS 24/7 offers both daily and weekly pay through direct deposit or cash cards as well as DAY 1 Health Benefits. You will be supported by our Clinical Director and our 24-hour support team.

HCS 247 Job ID #15337880. Pay package is based on 10 hour shifts and 40 hours per week (subject to confirmation) with tax-free stipend amount to be determined.

About HCS 247

HCS 24/7 is a national healthcare staffing organization specializing in the placement of Registered Nurses and Allied health professionals across acute care and other clinical settings. We support travel assignments, local short- and long-term contracts, per diem, temp-to-perm, and direct hire opportunities nationwide.

Our clinical coverage includes Registered Nurse specialties such as ER, ICU, Med-Surg, Telemetry, Step-Down, OR, PACU, L&D, Mother/Baby, NICU, Cath Lab, Endoscopy, and more along with a full range of allied and imaging professionals, including Respiratory Therapists, Surgical Technicians, X-Ray Techs, CT Techs, MRI Techs, Interventional Radiology (IR) Techs, Cath Lab Techs, Ultrasound/Sonographers, Mammography Techs, and Nuclear Medicine Techs.

With competitive compensation and benefits, consistent opportunities, and a clinician-first approach backed by top-rated customer service, HCS 24/7 delivers a seamless experience from initial application through assignment completion. 


Benefits
  • Holiday Pay
  • Guaranteed Hours
  • Continuing Education
  • Mileage reimbursement
  • Referral bonus
  • Medical benefits
  • Dental benefits
  • Vision benefits
  • License and certification reimbursement
  • Life insurance
  • Benefits start day 1
  • Weekly pay

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