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Step Down Rn Jobs in Miami, FL (NOW HIRING)

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Step Down Rn information

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 Miami, FL as of August 2026, with employment types broken down into 1% As Needed, 74% Full Time, 17% Part Time, and 8% Contract. Highlights an 92% Physical, 1% Hybrid, and 7% Remote job distribution.

Registered Nurse, Step Down-PCU-Progressive Care-IMCU, Full Time, 7A-7P

Miami, FL • On-site

Baptist Health South Florida
Health Care and Social Assistance • 10K+ employees
Learn more about Baptist Health South Floridaexternal

$1.9K - $2.6K/wk

Full-time

Medical

Re-posted 28 days ago

Baptist Health South Florida rating

8.1

Company rating: 8.1 out of 10

Based on 99 frontline employees who took The Breakroom Quiz

Job description

Baptist Health is the region's largest not-for-profit healthcare organization, with 12 hospitals, over 29,000 employees, 4,500 physicians and 200 outpatient centers, urgent care facilities and physician practices across Miami-Dade, Monroe, Broward and Palm Beach counties. With internationally renowned centers of excellence in cancer, cardiovascular care, orthopedics and sports medicine, and neurosciences, Baptist Health is supported by philanthropy and driven by its faith-based mission of medical excellence. For 26 years, we've been named one of Fortune's 100 Best Companies to Work For, and in the 2025-2026 U.S. News & World Report Best Hospital Rankings, Baptist Health was the most awarded healthcare system in South Florida, earning 63 high-performing honors.
What truly sets us apart is our people. At Baptist Health, we create personal connections with our colleagues that go beyond the workplace, and we form meaningful relationships with patients and their families that extend beyond delivering care. Many of us have walked in our patients' shoes ourselves and that shared experience fuels our commitment to compassion and quality. Our culture is rooted in purpose, and every team member plays a part in making a positive impact - because when it comes to caring for people, we're all in.
At Baptist Health, we're committed to supporting our employees at every stage of their journey, both personally and professionally. Our approach is rooted in a "grow our own" philosophy, designed to help our team members build meaningful, long-term careers with us, supported by benefits that make a real difference, including:
  • Career growth and development opportunities, with clear pathways and ongoing support
  • Comprehensive health and wellness resources that go beyond traditional benefits
  • A wellness program that can help employees eliminate their medical plan deductible, reducing out-of-pocket healthcare costs
  • Tuition reimbursement to support continued learning and advancement
  • And so much more

Together, these benefits and others reflect our commitment to caring for our people, so they can build fulfilling careers with us while making a meaningful impact every day.
Description
The Direct Patient Care Registered Nurse- DPC RN is a licensed professional able to demonstrate the following proficiency and mastery of the core competencies: assessment, technical skills, communication, critical thinking, interpersonal skills, planning, intervention, evaluation, flexibility, organizational skills, professional accountability, leadership and service who delivers patient-family centered care in a culturally competent manner utilizing and promoting evidence based practice standards of quality, safety and service.
Qualifications:
The Direct Patient Care Registered Nurse- DPC RN is a licensed professional able to demonstrate the following proficiency and mastery of the core competencies: assessment, technical skills, communication, critical thinking, interpersonal skills, planning, intervention, evaluation, flexibility, organizational skills, professional accountability, leadership and service who delivers patient-family centered care in a culturally competent manner utilizing and promoting evidence based practice standards of quality, safety and service.
  • FL RN License Required
  • Bachelor's Degree in Nursing Degree Preferred
  • Associate's Degree in Nursing Required. RNs hired with an Associate degree will have 3 years from their date of hire to complete the BSN degree
  • BLS and ACLS Certifications Required
  • 7 months of Step Down, PCU Progressive Care, IMCU Intermediate Care Unit RN Experience Required
  • FL RN License Required
  • Bachelor's Degree in Nursing Degree Preferred
  • Associate's Degree in Nursing Required. RNs hired with an Associate degree will have 3 years from their date of hire to complete the BSN degree
  • BLS and ACLS Certifications Required
  • 7 months of Step Down, PCU Progressive Care, IMCU Intermediate Care Unit RN Experience Required

What Baptist Health South Florida employees say

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About Baptist Health South Florida

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Baptist Health South Florida is the largest healthcare organization in the region, with 12 hospitals, more than 27,000 employees, 4,000 physicians and 100 outpatient centers, urgent care facilities and physician practices spanning across Miami-Dade, Monroe, Broward and Palm Beach counties. Baptist Health has internationally renowned centers of excellence in cancer, cardiovascular care, orthopedics and sports medicine, and neurosciences. A not-for-profit organization supported by philanthropy and committed to its faith-based charitable mission of medical excellence, Baptist Health has been recognized by Fortune as one of the 100 Best Companies to Work For in America and by Ethisphere as one of the World's Most Ethical Companies.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Miami, FL, US

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