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Step Down Unit Rn Jobs in California (NOW HIRING)

Bileddo Associates

Travel RN Step down

San Francisco, CA

$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 ...

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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 Jun 24, 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.

What are Step Down Unit RNs?

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 are the key skills and qualifications needed to thrive as a Step Down Unit RN, and why are they important?

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 some 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.
What are popular job titles related to Step Down Unit Rn jobs in California? For Step Down Unit Rn jobs in California, the most frequently searched job titles are:
What job categories do people searching Step Down Unit Rn jobs in California look for? The top searched job categories for Step Down Unit Rn jobs in California are:
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 June 2026, with employment types broken down into 1% As Needed, 80% Full Time, 16% Part Time, 1% Temporary, and 2% Contract. Highlights an 90% Physical, 1% Hybrid, and 9% Remote job distribution, with an average salary of $71,453 per year, or $34.4 per hour.
RN- Step-down unit - $50/hr- 13 week contract

RN- Step-down unit - $50/hr- 13 week contract

National Coalition Of Healthcare Recruiters

Redding, CA

$50/hr

Contractor

Posted 18 days ago

Job description

(Only QUALIFIED Healthcare Professionals accepted) Registered Nurse Step Down Unit
Location: Redding CA
RNs: SDU Step-Down Unit
# of Needs: 2
Shift: 12hrs- Nights
Length: 13 weeks
Pay Rate: $50/hr
Requirements
CA- RN license in good standing
2 years of current experience
BLS/ACLS
2- Current references
Current Physical (within-12 months)
Current PPD (within- 12 months)
Titers/MMR/Varicella/Hep B
Fit testing (within 12 months)
Must be able to past a back ground screening
Must be able to past urine drug testing
Must have a minimum, of 2 yrs. of acute care/hospital experience
If you meet the above requirements please forward your resume to: info@starnursing.com or fax your resume to: 877-687-7400. An account manager will reach out to you with next steps
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About National Coalition Of Healthcare Recruiters

Sourced by ZipRecruiter

The National Coalition of Healthcare Recruiters (NCHCR) is an established company based in Blennerhassett, West Virginia that operates within the healthcare industry. With a commitment to maintaining high standards of professionalism, they offer specialized recruitment services to healthcare professionals and institutions across the country. Operating as a coalition, they implement a powerful networking platform to connect employers and job seekers in the healthcare sector. The organization’s mission revolves around ensuring that healthcare services across the nation have access to the best talent available and potential candidates can find rewarding opportunities.

Industry

Recruiting and staffing services

Company size

1 - 10 Employees

Headquarters location

Blennerhassett, WV, US

Year founded

2005

Social media

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