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Step Down Unit Nurse Jobs (NOW HIRING)

GQR Global Markets

RN Step Down Unit

Beloit, WI · On-site

Step Down Unit RN Job Location: Beloit, WI Profession: Registered Nurse Specialty: Step Down Unit Shift Details: Night *Estimated weekly pay includes projected hourly wages and weekly meal and ...

GQR Global Markets

RN Step Down Unit

Liberty, MO · On-site

Step Down Unit RN Job Location: Liberty, MO Profession: Registered Nurse Duration: 13 weeks Specialty: Step Down Unit Shift Details: Night Estimated weekly pay includes projected hourly wages and ...

GQR Global Markets

RN - Step Down Unit

Saint Louis, MO · On-site

$1.6K/mo

Step Down Unit RN Job Location: St. Louis, MO Profession: Registered Nurse Estimated Pay: $1670.40 Duration (weeks): 13 Specialty: Step Down Unit Shift Details: Night *Estimated weekly pay includes ...

GQR Global Markets

RN Step Down Unit

Farragut, TN · On-site

$1.6K/wk

Step Down Unit RN Job Location: Farragut, TN Profession: Registered Nurse Estimated Pay: $1670.40 Duration (weeks): 13 Specialty: Step Down Unit Shift Details: Night *Estimated weekly pay includes ...

Skybridge Resources

RN Cardiac Stepdown

Nashville, TN · On-site

$46.20 - $54.60/hr

Step Down Unit Nashville, TN SkyBridge Healthcare is currently seeking Registered Nurse with Step Down Unit experience for a 13-week contract in TN. SkyBridge Healthcare is a premier staffing firm ...

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How much do step down unit nurse jobs pay per year?

As of Aug 18, 2026, the average yearly pay for step down unit nurse in the United States is $72,401.00, according to ZipRecruiter salary data. Most workers in this role earn between $69,000.00 and $69,500.00 per year, depending on experience, location, and employer.

What is a step down unit nurse?

A Step Down Unit Nurse is a registered nurse who cares for patients who are too ill for a general medical-surgical unit but not sick enough for intensive care. These nurses work in step-down or intermediate care units, providing specialized monitoring and interventions for patients recovering from surgery, cardiac events, or other serious conditions. Their responsibilities include closely monitoring vital signs, administering medications, and collaborating with physicians to ensure patient safety during the transition from critical to routine care. Step Down Unit Nurses play a critical role in helping patients progress toward recovery and eventual discharge.

How does a step down unit nurse collaborate with other members of the healthcare team to ensure optimal patient care?

Step Down Unit Nurses work closely with physicians, respiratory therapists, pharmacists, and other nurses to monitor and manage patients who require a higher level of care than a general medical-surgical unit but are more stable than those in intensive care. They participate in interdisciplinary rounds, communicate changes in patient status promptly, and coordinate care plans tailored to each patient's needs. This collaborative environment allows for quick decision-making and comprehensive care, which is crucial for patients transitioning between critical and lower-acuity care settings.

What are the key skills and qualifications needed to thrive as a step down unit nurse, and why are they important?

To thrive as a Step Down Unit Nurse, you need strong critical care nursing skills, patient assessment abilities, and a valid RN license, often with experience in intermediate or progressive care. Familiarity with cardiac monitors, intravenous therapy equipment, and electronic health records systems is typically required. Excellent communication, teamwork, and the ability to remain calm under pressure are vital soft skills in this role. These skills are crucial for delivering safe, effective care to patients who require close monitoring and timely interventions during recovery from acute illness or surgery.

Do step down unit nurses get paid more?

Step down unit nurses typically earn higher salaries than general medical-surgical nurses due to the increased complexity of patient care and the need for specialized skills. Their advanced training, certifications, and experience in critical care environments often contribute to higher compensation. However, pay can vary based on location, facility, and years of experience.
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Step Down Unit Nurse jobs near you
Infographic showing various Step Down Unit Nurse job openings in the United States as of August 2026, with employment types broken down into 4% As Needed, 53% Full Time, 16% Part Time, and 27% Contract. Highlights an 99% Physical, and 1% Remote job distribution, with an average salary of $72,401 per year, or $34.8 per hour.

Advertised Graduate Nurse Associate, Step-down Unit

Covenant Health (Tennessee)

Knoxville, TN • On-site

Other

Posted 6 days ago

Job description

Registered Nurse, Step-down Unit

Full Time, 72 hours per pay period, Day shifts

Parkwest Overview:

Headquartered in Knoxville, Covenant Health is a community-owned integrated healthcare delivery system and the area's largest employer.

Parkwest is Covenant Health's and West Knoxville's premier medical facility and a top-performing heart hospital, offering our patients world-class treatment with all the convenience and warmth of home.

In addition to providing the area's leading cardiac services, Parkwest has been nationally recognized for award-winning care throughout our facility. For 2020-21, Parkwest received recognition from U.S. News & World Report as one of the "Top 10" hospitals in Tennessee.

Knoxville located in East Tennessee is the third largest in the state, well-known for its proximity to the Great Smoky Mountains National Park, and is the home of the University of Tennessee. Living in Knoxville means experiencing all four seasons. Best of all, each of them is pretty mild!

Combine all that with the abundant natural beauty of the surrounding mountains, and you have a city that truly offers something for everyone. Knoxville has a vibrant arts culture, seasonal festivals, top-notch foodie and incredible outdoor recreation. It's a perfect blend of big-city amenities and Southern charm.

2 Montvue, Step-down Unit:

2 Montvue is Parkwest's Medical Step-Down Unit that serves patients requiring step-down status due to higher acuity conditions and the need for increased monitoring. Patient diagnoses include respiratory failure, sepsis, gastrointestinal bleed, arrhythmias, hypertensive urgency, electrolyte imbalance, NSTEMI, pulmonary embolus, altered mental status, seizures, substance withdrawal, and strokes and other diagnosis requiring increased care.

The Step-down Unit accepts patients on a variety of intravenous drips that require titrations and frequent monitoring of vital signs, as well as tracheostomy ventilator patients. The unit provides patients with nursing care, medical monitoring, and an array of diagnostic and therapeutic procedures. Bed side report and daily rounding with a multidisciplinary team allow for excellent patient care.

If you are looking for a higher acuity unit, love working in a fun team environment, 2 Montvue, Medical Step-down is the place for you!

Position Summary:

Provides professional nursing care within an assigned unit; coordinates care planning with other disciplines.

Responsibilities
  1. Completes nursing history and initiates patient education.
  2. Collaborates with interdisciplinary team members.
  3. Implements plan of care appropriate to diagnosis. Evaluates care outcomes.
  4. Problem solves and coordinates unit/patient care assignments, with supervision.
  5. Introduces new employees/students to unit routines.
  6. Participates on unit-based committees.
  7. Demonstrates competence in performing critical skills (checklist) to include appropriate delivery of care according to the age-specific needs of the population served.
  8. Supervises LPNs, Nursing Assistants, HUCs, Techs and sitters.
  9. Follows policies, procedures, and safety standards. Completes required education assignments annually. Works toward achieving goals and objectives, and participates in quality improvement initiatives as requested.
  10. Performs other duties as assigned.
Qualifications

Minimum Education: None specified; however, must be sufficient to meet the standards for achievement of the below indicated license and/or certification as required by the issuing authority.

Minimum Experience: New graduate, within first (1st) year of orientation (move to level II after one (1) Year experience).

Licensure Requirement: Must have and maintain Tennessee State RN license. CPR required.

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