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

Concentric Healthcare Staffing

Travel PCU RN

Plano, TX · On-site

$1.9K - $2.6K/wk

Job Title Travel RN - ICU Step-Down / PCU (Nights) Location Plano, Texas Schedule / Job Type Contract - Travel Assignment | 13 Weeks | Night Shift (7:00 PM - 7:00 AM) | Onsite Key Responsibilities

GHR Healthcare

Travel PCU RN

Denton, TX · On-site

$1.4K - $1.5K/wk

Minimum 1 year of recent acute care, telemetry, step-down, or Progressive Care Unit experience ... Competitive travel RN pay for a PCU nursing assignment * Opportunity to build experience in a high ...

TNAA TotalMed RN

Travel PCU RN

Plano, TX · On-site

$1.9K - $2.6K/wk

The PCU RN is sometimes also called a step-down nurse, and the PCU is also known as cardiac stepdown, medical stepdown, neuro stepdown, surgical stepdown and ER holding. As a PCU Travel Nurse, you ...

TNAA TotalMed RN

Travel PCU RN

Dallas, TX · On-site

$2.0K - $2.7K/wk

The PCU RN is sometimes also called a step-down nurse, and the PCU is also known as cardiac stepdown, medical stepdown, neuro stepdown, surgical stepdown and ER holding. As a PCU Travel Nurse, you ...

TNAA TotalMed RN

Travel PCU RN

Dallas, TX · On-site

$2.0K - $2.7K/wk

The PCU RN is sometimes also called a step-down nurse, and the PCU is also known as cardiac stepdown, medical stepdown, neuro stepdown, surgical stepdown and ER holding. As a PCU Travel Nurse, you ...

TNAA TotalMed RN

Travel PCU RN

Plano, TX · On-site

$1.9K - $2.6K/wk

The PCU RN is sometimes also called a step-down nurse, and the PCU is also known as cardiac stepdown, medical stepdown, neuro stepdown, surgical stepdown and ER holding. As a PCU Travel Nurse, you ...

TNAA TotalMed RN

Travel PCU RN

Plano, TX · On-site

$1.9K - $2.6K/wk

The PCU RN is sometimes also called a step-down nurse, and the PCU is also known as cardiac stepdown, medical stepdown, neuro stepdown, surgical stepdown and ER holding. As a PCU Travel Nurse, you ...

TNAA TotalMed RN

Travel PCU RN

Denton, TX · On-site

$1.9K - $2.5K/wk

The PCU RN is sometimes also called a step-down nurse, and the PCU is also known as cardiac stepdown, medical stepdown, neuro stepdown, surgical stepdown and ER holding. As a PCU Travel Nurse, you ...

TNAA TotalMed RN

Travel PCU RN

Dallas, TX · On-site

$2.0K - $2.7K/wk

The PCU RN is sometimes also called a step-down nurse, and the PCU is also known as cardiac stepdown, medical stepdown, neuro stepdown, surgical stepdown and ER holding. As a PCU Travel Nurse, you ...

TNAA TotalMed RN

Travel PCU RN

Dallas, TX · On-site

$2.0K - $2.7K/wk

The PCU RN is sometimes also called a step-down nurse, and the PCU is also known as cardiac stepdown, medical stepdown, neuro stepdown, surgical stepdown and ER holding. As a PCU Travel Nurse, you ...

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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 Sep 6, 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 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 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.

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.

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 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:

What job categories do people searching Step Down Unit Rn jobs in Dallas, TX look for?

The top searched job categories for Step Down Unit Rn jobs in Dallas, TX are:

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 August 2026, with employment types broken down into 1% As Needed, 75% Full Time, 16% Part Time, and 8% Contract. Highlights an 89% Physical, 1% Hybrid, and 10% Remote job distribution, with an average salary of $71,621 per year, or $34.4 per hour.

Travel PCU RN

Concentric Healthcare Staffing

Plano, TX • On-site

$1.9K - $2.6K/wk

Contractor

Posted 4 days ago

Job description

Concentric Healthcare Staffing is seeking a travel nurse RN PCU - Progressive Care Unit for a travel nursing job in Plano, Texas.

Job Description & Requirements
  • Specialty: PCU - Progressive Care Unit
  • Discipline: RN
  • Start Date: ASAP
  • Duration: 13 weeks
  • 36 hours per week
  • Shift: 12 hours, nights
  • Employment Type: Travel

Candidates residing within 50–100 miles of the facility may be subject to a reduced rate or may not be accepted.

Applicants must have worked in this unit or setting within the past year to be considered for this position.


Job Title

Travel RN – ICU Step-Down / PCU (Nights)

Location

Plano, Texas

Schedule / Job Type

Contract – Travel Assignment | 13 Weeks | Night Shift (7:00 PM – 7:00 AM) | Onsite

Key Responsibilities
  • Provide direct patient care in a PCU/Step-Down setting with a nurse-to-patient ratio of 4:1
  • Monitor and manage PCU and medical-surgical level patients requiring standard drip therapies
  • Assess, plan, implement, and evaluate individualized patient care plans in accordance with unit protocols
  • Fulfill weekend shift requirements of 2 weekend shifts per 2-week scheduling period
  • Collaborate with interdisciplinary care teams to ensure safe and effective patient outcomes
Required Qualifications
  • Active Registered Nurse (RN) license valid in the state of Texas or a compact state license
  • Minimum of 1 year of experience in a PCU, Step-Down, or IMC setting
  • Proficiency with standard PCU drip therapies (excluding insulin drips and vasopressors)
  • Ability to work night shifts (7:00 PM – 7:00 AM)
  • Compliance with all travel contract and facility credentialing requirements
Preferred Experience / Skills
  • Prior travel nursing experience in a PCU or Step-Down unit
  • Familiarity with a wide range of medical-surgical patient populations
  • Strong adaptability and ability to integrate quickly into new clinical environments
Why Join Us
  • Minimal float requirements, allowing you to focus and build consistency within your assigned unit
  • 13-week contract with a projected start date in August 2026, offering a defined and structured travel opportunity

Concentric Healthcare Staffing Job ID #771901. Pay package is based on 12 hour shifts and 36.0 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title: Registered Nurse - IMC/PCU/Stepdown

About Concentric Healthcare Staffing

Recognized by both RNVIP and AlliedVIP as a Top Agency for 2024 and 2025, Concentric Healthcare Staffing continues to set the standard for transparency, education, and partnership in healthcare staffing. Concentric connects nursing, allied, therapy, and behavioral health professionals to rewarding travel and PRN opportunities across the country, building experiences rooted in clarity and trust.

The company believes healthcare professionals deserve more than job listings; they deserve insight. Recruiters act as consultants who explain market trends, pay structures, and facility expectations so every clinician understands the “why” behind each opportunity. This educational approach empowers travelers and PRN staff to make decisions that align with their personal goals and professional growth.

Concentric offers both travel contracts and per diem (PRN) staffing, giving healthcare professionals flexibility and facilities dependable coverage. With dedicated Travel Nursing, Allied and Therapy, and Per Diem Divisions, the team provides specialized support tailored to each discipline.

Concentric measures success by the confidence and satisfaction of the professionals it serves. Whether guiding a nurse to their next adventure, an allied clinician seeking balance, or a behavioral health professional choosing flexible PRN work, Concentric’s mission remains clear: to support, educate, and empower those who care for others

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