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Step Down Unit Rn Jobs in Buffalo, NY (NOW HIRING)

RN Unit Manager

Buffalo, NY

$38.50 - $50.75/hr

RN Nurse Manager | Skilled Nursing Leadership Ready to step into a leadership role where your voice ... Lead a beautiful 50-bed skilled nursing unit with all private rooms. * Join a tight-knit leadership ...

RN - Registered Nurse

Lockport, NY · On-site

$40 - $45/hr

Our rehab unit features a spacious, fully equipped therapy gym, while our dementia care program ... Step into a role where your skills are valued, your voice is heard, and your leadership supports ...

GHR Healthcare - Travel is seeking a travel nurse RN CCU - Coronary Care for a travel nursing job in Niagara Falls, New York. & Requirements * Specialty: CCU - Coronary Care * Discipline: RN * Start ...

GHR Healthcare - Travel is seeking a travel nurse RN CCU - Coronary Care for a travel nursing job in Niagara Falls, New York. & Requirements * Specialty: CCU - Coronary Care * Discipline: RN * Start ...

RN - Registered Nurse

Lockport, NY · On-site

$40 - $45/hr

Our rehab unit features a spacious, fully equipped therapy gym, while our dementia care program ... Step into a role where your skills are valued, your voice is heard, and your leadership supports ...

GHR Healthcare - Travel is seeking a travel nurse RN CCU - Coronary Care for a travel nursing job in Niagara Falls, New York. & Requirements * Specialty: CCU - Coronary Care * Discipline: RN * Start ...

Registered Nurse ASCWNY

Buffalo, NY · On-site

$34.02 - $51.02/hr

Shift 1 Status: Full Time FTE: 1.066667 Bargaining Unit: Catholic Health Emmaus Exempt from ... The Ambulatory Surgery Unit Registered Nurse is responsible for delivery of patient care through ...

RN - Registered Nurse

Lockport, NY · On-site

$40 - $45/hr

Our rehab unit features a spacious, fully equipped therapy gym, while our dementia care program ... Step into a role where your skills are valued, your voice is heard, and your leadership supports ...

Salary Up to $105,000 / Year Overview Unit Manager (RN) - Skilled Nursing Lead a Unit. Build a Team. Set the Standard. Shift Monday- Friday 8:00am- 4:00pm This Role is for a True Nurse Leader.

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Step Down Unit Rn information

See Buffalo, NY salary details

$37.8K

$70.1K

$98.8K

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

As of Jul 29, 2026, the average yearly pay for step down unit rn in Buffalo, NY is $70,132.00, according to ZipRecruiter salary data. Most workers in this role earn between $66,800.00 and $67,300.00 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.
What are popular job titles related to Step Down Unit Rn jobs in Buffalo, NY? For Step Down Unit Rn jobs in Buffalo, NY, the most frequently searched job titles are:
What job categories do people searching Step Down Unit Rn jobs in Buffalo, NY look for? The top searched job categories for Step Down Unit Rn jobs in Buffalo, NY are:
Infographic showing various Step Down Unit Rn job openings in Buffalo, NY as of July 2026, with employment types broken down into 2% As Needed, 68% Full Time, 24% Part Time, 2% Temporary, 3% Contract, and 1% Nights. Highlights an 89% Physical, 1% Hybrid, and 10% Remote job distribution, with an average salary of $70,132 per year, or $33.7 per hour.

Part-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 20 days ago


Job description

What's in it for you? Hospice offers a Robust Total Rewards Package

Employer 401k contribution regardless of employee participation, and additional contribution given as match with employee participation

Health Insurance with vision component copayment plan, or high-deductible plan (FT status)

HSA with high-deductible health plan twice annual Employer contribution (FT status)

Dental Insurance (FT status)

Flexible Spending Account (FT status)

Paid Time Off PTO & NYS Sick Leave

Tuition Assistance Program

And Much More!

Part-time (2 shifts/week) split shift RN, 10am-6pm with rotating holidays and every other weekend rotation.

Primary responsibilities admissions/discharges. Backup charge RN. Patient assignment as needed.

Our Inpatient Unit on the Mitchell Campus in Cheektowaga, NY, provides a relaxing home-like setting for select patients and their families. Our unique unit is only offered to patients whose pain or symptoms cannot be managed at home or are approaching their final stage. Hospice patients can also be admitted to the unit for short-term respite care.

A Hospice Inpatient Unit Registered Nurse renders professional nursing services, in accordance with physicians' orders, for individualized patient care and psychosocial/spiritual interventions for assigned patients/families. Provides nursing care in accordance with Hospice objectives and follows policies and procedures of the organization and the State Nurse Practice Act.

Essential Duties and Responsibilities for a Hospice Inpatient Unit Registered Nurse:

Demonstrates ability to perform comprehensive assessments to identify all physical, psychosocial, environmental, safety, emotional and spiritual needs related to the terminal illness that must be addressed in order to promote the patient's well-being, comfort, and dignity throughout the dying process and documents findings on all appropriate forms and on the plan of care.

Performs pain assessments using Edmonton Scale, adhering to pain protocols, knowledgeable in equi-analgesic dosing and assures optimal pain relief using an interdisciplinary focus and timely appropriate interventions.

Organizes and prioritizes assignments to consistently meet productivity standards and complete documentation requirements within identified time parameters.

Appropriately explains duties and functions of the interdisciplinary team; articulates disease progression of cancer(s), lung disease, heart disease, liver disease, dementia, and other neurologic disease states.

Able to articulate etiologies of symptom manifestation (nausea, vomiting, anorexia, fluid and electrolyte imbalance, diarrhea, constipation, mucositis, weakness/fatigue, dysphasia, edema, dyspnea, cognitive impairment, urinary retention, depression, delirium) related to a disease process.

Modifies the plan of care timely and appropriately with a demonstrated skill in anticipating problems that may cause or create a threat to patient safety or lack of symptom control.

Demonstrates knowledge in usage, indication, adverse side effects, contraindications and negative interactions of most commonly used steroids, NSAIDs, benzodiazepines, antidepressants, anticonvulsants, narcotics, antifungals, and diuretics.

Documents to agency standards, timely completion, timely signatures, and documents care using A-I-R protocol to support hospice stay in program and level of care.

Elicited no founded patient/family complaints or unusual occurrences (i.e. reportable incidents).

Demonstrates proper sharps disposal, hand hygiene, waste disposal, use of personal protective equipment.

Adheres to requirements of both CHPC and Hospice Buffalo policies and procedures that are both patient focused (clinical) and organizational focused (administrative); Adheres to HIPPA regulations and policies.

Maintains the security of patient electronic/written records.

Incorporates computer documentation into patient visit and/or as much as appropriately possible without compromising the quality of care and/or communication.

Assures the timely completion and return of all initial, renewal and modified orders and reviews all PPOC's for procedural compliance.

Qualifications for a Hospice Inpatient Unit Registered Nurse:

Education/Certification

Graduate of an accredited school of nursing with current RN licensure in the State of New York.

Certification in Hospice and Palliative Care Nursing preferred.

Valid Driver's License, free of serious violations, and vehicle required for use when on duty or on-call.

Experience

Year of nursing practice as a professional nurse is preferred.