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Step Down Unit Rn Jobs in Dallas, TX (NOW HIRING)

Prime

RN - PCU Step Down

Decatur, TX · On-site

$1.8K - $2.4K/wk

RN - PCU Step Down Prime HealthCare Staffing, a national health care staffing company with over 20 years in the business, is looking for an experienced RN - PCU Step Down for our customer in Decatur ...

ARMS Staffing

RN - Mother-Baby / Post Partum

Plano, TX · On-site

Registered Nurse - Mother/Baby Care Location: Plano, TX Assignment Duration: This is a 13-week ... Candidates with step-down NICU baby experience are preferred, as our staff may be required to float ...

Stability Healthcare

Travel PCU Registered Nurse

Decatur, TX · On-site

$1.8K - $2.4K/wk

Travel Stability Healthcare is looking for a Tele Step-Down RN contract position in Decatur, TX. The PCU nurse is sometimes also called a step-down nurse and the PCU is also known as cardiac stepdown ...

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All JobsStep Down Unit Rn JobsStep Down Unit Rn Jobs in Dallas, TX

Step Down Unit Rn information

See Dallas, TX salary details

$38.6K

$71.6K

$100.9K

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

As of Jul 1, 2026, the average yearly pay for step down unit rn in Dallas, TX is $71,621.00, according to ZipRecruiter salary data. Most workers in this role earn between $68,300.00 and $68,800.00 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 Dallas, TX? For Step Down Unit Rn jobs in Dallas, TX, the most frequently searched job titles are:
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What cities near Dallas, TX are hiring for Step Down Unit Rn jobs? Cities near Dallas, TX 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 Dallas, TX as of June 2026, with employment types broken down into 1% As Needed, 81% Full Time, 15% Part Time, and 3% Contract. Highlights an 91% Physical, 1% Hybrid, and 8% Remote job distribution, with an average salary of $71,621 per year, or $34.4 per hour.
RN - PCU Step Down

RN - PCU Step Down

Prime

Decatur, TX • On-site

$1.8K - $2.4K/wk

Other

Medical, Dental, Vision, Retirement

Posted 20 days ago

Prime Inc. rating

5.8

Company rating: 5.8 out of 10

Based on 14 frontline employees who took The Breakroom Quiz

Job description

RN - PCU Step Down

Prime HealthCare Staffing, a national health care staffing company with over 20 years in the business, is looking for an experienced RN - PCU Step Down for our customer in Decatur, Texas. The ideal candidate will possess a current Texas license. This is a RN position in the NORTH TEXAS DIVISION (17) Unit. You must have a Nursing License and at least 2 years of recent PCU Step Down US nursing experience as a RN - PCU Step Down. Prime`s team of experienced health care professionals are here to guide you through the process 24/7.

Prime Benefits

  • First Day Medical, Dental, Vision and Rx benefits
  • Housing and Meal stipends
  • 401(k) Savings plan after 90 days
  • Travel/Licensure Reimbursement
  • Competitive pay rates
  • Referral Bonus Plan
  • Assignment Bonus on select assignments (ask your recruiter for details)
  • Weekly Direct Deposit

Qualifications

  • At least 2-years total experience in your specialty
  • Current BLS and/or ACLS (AHA Preferred) and/or Specialty Certifications
  • Active Nursing License per state
  • Current Updated Resume
  • Supervisory Professional References
  • Must complete Drug Screen and Background Screen

What Prime Inc. employees say

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