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Step Down Unit Rn Jobs in California (NOW HIRING)

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 ...

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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 Jul 15, 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.

How to make 200,000 a year as a nurse?

To earn $200,000 annually as a Step Down Unit RN, gaining extensive experience, pursuing advanced certifications, and working in high-demand or high-paying regions can help increase income. Specializing in critical care, taking on leadership roles, or working overtime and per diem shifts also contribute to higher earnings.

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 does a stepdown RN do?

A stepdown RN provides care to patients who require more monitoring than in a general ward but less than intensive care. They assess patient conditions, administer medications, monitor vital signs, and collaborate with healthcare teams to ensure safe recovery. This role often involves using specialized equipment and requires strong clinical skills and critical thinking.

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.

How to make $300,000 as a nurse?

Step Down Unit RNs can increase their earnings by gaining specialized certifications, working overtime or extra shifts, and pursuing higher-paying roles such as charge nurse or nurse manager. Working in high-demand areas, gaining experience, and obtaining advanced degrees like a BSN or MSN can also lead to higher salaries, especially in regions with higher pay scales.

How to make an extra 2000 a month as a nurse?

Step Down Unit RNs can increase their income by taking on per diem or overtime shifts, which often pay higher rates, or by working in travel nursing assignments that offer additional stipends. Developing specialized skills or certifications, such as in critical care or advanced cardiac life support, can also qualify for higher-paying roles or bonuses. Additionally, some nurses supplement income through side jobs like telehealth or teaching nursing courses.

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.
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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 July 2026, with employment types broken down into 2% As Needed, 66% Full Time, 24% Part Time, 5% Temporary, and 3% Contract. Highlights an 89% Physical, 1% Hybrid, and 10% 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 • On-site

$50/hr

Temporary

Re-posted 8 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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