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Step Down Unit Rn Jobs in California (NOW HIRING)

GQR

RN - Step Down Unit

Palm Springs, CA · On-site

Step Down Unit RN Job Location: Palm Springs, CA Profession: Registered Nurse Estimated Pay: $ Duration (weeks): 13 Specialty: Step Down Unit Shift Details: *Estimated weekly pay includes projected ...

Bileddo Associates

Travel RN Step down

San Francisco, CA · On-site

$67.50 - $82.50/hr

Looking for an Step down ICU RN with proficiency in Step down procedures, vascular procedures and Neuro Stroke procedures. EDUCATION: * Associate Degree in Nursing. CERTIFICATION & LICENSURE: * BLS ...

TLC NURSING SERVICES

RN - PCU

San Luis Obispo, CA · On-site

$2.3K/wk

Step Down Unit Duration: 13 weeks Shift: Night Shift Hours per Shift: 12 hours Experience: 6 months of cardiac step-down or telemetry experience in the last 2 years preferred License: Current RN ...

Thrive Staffing

Travel Step Down RN

San Luis Obispo, CA · On-site

... of nursing care to patients in the step down unit. Accurately interprets ECG rhythm and manages ... PCU,19:00:00-07:00:00 About Thrive Staffing At the heart of Thrive Staffing is our mission to ...

Thrive Staffing

Travel Step Down RN

San Luis Obispo, CA · On-site

... of nursing care to patients in the step down unit. Accurately interprets ECG rhythm and manages ... PCU,19:00:00-07:00:00 About Thrive Staffing At the heart of Thrive Staffing is our mission to ...

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Step Down Unit Rn information

See California salary details

$38.5K

$71.5K

$100.7K

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

As of Aug 7, 2026, the average yearly pay for step down unit rn in California is $71,453.00, according to ZipRecruiter salary data. Most workers in this role earn between $68,100.00 and $68,600.00 per year, depending on experience, location, and employer.

Do step down unit RNs get paid more?

Step Down Unit RNs typically earn higher salaries than those working in general medical-surgical units due to the increased complexity of patient care and the specialized skills required. Their advanced training, certifications, and experience in critical care contribute to higher compensation levels.

What is a step down unit RN?

Step Down Unit RNs are registered nurses who care for patients who require more attention than those on a general medical-surgical floor but are not critical enough for the intensive care unit (ICU). They monitor patients closely, administer medications, and respond quickly to changes in condition. Step Down Unit RNs often work with patients recovering from surgery, cardiac events, or severe illnesses, providing advanced monitoring and support to help them transition to lower levels of care.

What is the difference between Step Down Unit Rn vs Medical-Surgical Nurse?

AspectStep Down Unit RnMedical-Surgical Nurse
CredentialsRN license, possibly CCRN or specialty certificationsRN license, often same certifications
Work EnvironmentIntermediate care units, closer patient monitoringGeneral hospital floors, broader patient care
Patient AcuityHigher acuity, more complex casesModerate acuity, routine cases
Job FocusMonitoring critical signs, managing unstable patientsProviding basic nursing care, patient education

The main difference between a Step Down Unit Rn and a Medical-Surgical Nurse lies in patient acuity and care complexity. Step Down Unit Rns handle higher acuity patients requiring closer monitoring, while Medical-Surgical Nurses care for patients with moderate needs. Both roles require an RN license and similar certifications, but the work environment and patient care focus differ significantly.

What skills and qualifications are needed to thrive as a step down unit RN?

To thrive as a Step Down Unit RN, you need strong clinical assessment skills, acute care experience, and an active RN license, often with ACLS certification. Familiarity with telemetry monitoring, electronic health records (EHRs), and advanced life support protocols is essential. Excellent communication, critical thinking, and resilience help you manage complex patient needs and collaborate effectively with multidisciplinary teams. These skills and qualities are crucial for ensuring patient safety and optimal outcomes in a high-acuity, fast-paced environment.

What are common challenges faced by step down unit RNs, and how can they be addressed?

Step Down Unit RNs often manage patients who are too ill for general medical-surgical floors but do not require intensive care, which means rapidly changing patient conditions can present significant challenges. Balancing a higher patient-to-nurse ratio than in the ICU while still providing vigilant monitoring requires strong organizational and prioritization skills. Effective communication with multidisciplinary teams and quick decision-making are essential to ensure patient safety. Many RNs find that actively seeking mentorship, participating in continuing education, and using available support resources can help manage these challenges and support professional growth.
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What cities in California are hiring for Step Down Unit Rn jobs? Cities in California with the most Step Down Unit Rn job openings:
Step Down Unit Rn jobs near you
Infographic showing various Step Down Unit Rn job openings in California as of August 2026, with employment types broken down into 50% Full Time, 10% Part Time, and 40% Contract. Highlights an 100% In-person job distribution, with an average salary of $71,453 per year, or $34.4 per hour.

RN - Step Down Unit

GQR

Palm Springs, CA • On-site

Other

Medical, Dental, Vision

Re-posted yesterday

Job description

Step Down Unit RN Job
Location: Palm Springs, CA
Profession: Registered Nurse
Estimated Pay: $
Duration (weeks): 13
Specialty: Step Down Unit
Shift Details:
*Estimated weekly pay includes projected hourly wages and weekly meal and lodging per diems for eligible clinicians based on nationally published GSA rates. Actual weekly pay and per diems may differ from the amount shown and are subject to change during an assignment.
Benefits:
  • Day 1 Insurance
  • Cigna medical, MetLife dental and vision insurance
  • License reimbursement for new licenses needed for each assignment
  • Discounts with hotels and rental cars
  • A dedicated recruiter and support team that will help you every step of the way to sure you start on time and have an exceptional experience
  • Referral bonus up to $700
    About the Company:
    Finding the right role is about more than just matching skills to a job-it's about aligning with your goals, values, and the way you want to work. As an award-winning talent partner, we support healthcare professionals through every step of that process, offering meaningful opportunities, clear guidance, and long-term partnership. From our first conversation to your first day on the job (and beyond!), we're here to help you move forward with confidence.

    • Apply