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

GiaMed, Inc

Progressive Care , RN IMCU/PCU BAMC

Houston, TX · On-site

$1.9K - $2.6K/wk

... Registered Nurses to work at Brooke Army Medical Center , serving our military heroes and their ... We have positions available in a Neuro Step Down and at the Cardiac Step Down Unit. As a GiaMed JV ...

GiaMed, Inc

Progressive Care , RN IMCU/PCU BAMC

Houston, TX · On-site

$1.9K - $2.6K/wk

... Registered Nurses to work at Brooke Army Medical Center , serving our military heroes and their ... We have positions available in a Neuro Step Down and at the Cardiac Step Down Unit. As a GiaMed JV ...

Access Healthcare Staffing

RN - ICU RN

Webster, TX · On-site

ICU RN Job Type: Travel Profession: RN Specialty: ICU RN Shift: 12 Hour Nights - 7PM Start Shifts Per Week: 1 Scheduled Hours: 12 Start Date: 06/15/2026 End Date: 06/12/2027 Duration: 52 Week(s) City:

Protouch Staffing

RN PACU - Contract

Houston, TX

$1.9K/wk

RN - PACU (Post-Anesthesia Care Unit) Houston, TX | Competitive Weekly Pay | 40 Hours/Week Protouch ... Apply today and let Protouch Staffing help you take the next step in your nursing career!

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

Step Down Unit Rn information

See Houston, TX salary details

$37.2K

$69.1K

$97.4K

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

As of Jul 27, 2026, the average yearly pay for step down unit rn in Houston, TX is $69,141.00, according to ZipRecruiter salary data. Most workers in this role earn between $65,900.00 and $66,400.00 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 Houston, TX? For Step Down Unit Rn jobs in Houston, TX, the most frequently searched job titles are:
What job categories do people searching Step Down Unit Rn jobs in Houston, TX look for? The top searched job categories for Step Down Unit Rn jobs in Houston, TX are:
What cities near Houston, TX are hiring for Step Down Unit Rn jobs? Cities near Houston, 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 Houston, TX as of July 2026, with employment types broken down into 2% As Needed, 70% Full Time, 23% Part Time, 2% Temporary, and 3% Contract. Highlights an 90% Physical, 1% Hybrid, and 9% Remote job distribution, with an average salary of $69,141 per year, or $33.2 per hour.

Progressive Care , RN IMCU/PCU BAMC

GiaMed, Inc

Houston, TX • On-site

$1.9K - $2.6K/wk

Full-time

Posted 25 days ago

Job description

PCU Progressive Care IMCU - Brook Army Medical Center
Are you looking for a rewarding career, in a patient focused environment, without feeling overwhelmed?
Would you like to work for a prestigious hospital known as the Department of Defense's largest facility
and only Level 1 Trauma Center? If so, look no further! GiaMed JV, a joint venture between MedTrust LLC and
GiaCare Inc., is now hiring civilian Registered Nurses to work at Brooke Army Medical Center,
serving our military heroes and their families. We have positions available in a Neuro Step Down and at the
Cardiac Step Down Unit.
As a GiaMed JV employee, you can expect:
  • A structured environment
  • Low patient ratios
  • A team that consists of LVN's and Techs to work with
  • No On-Call
  • Competitve pay and generous benefits
  • Schedule consists of 3 months days and 3 months nights- 36-40 hours

Responsibilities
As a GiaMed employee, your duties and responsibilities will be the same as any other registered nurse on the same unit. Duties can include but are not limited to the following: team lead, precept, orientate, rapid response, and other tasks as needed. As an RN on either of the stepdown units, you can expect to provide healing to patients needing a higher level of skilled nursing care than on a Medical Surgical floor, but do not need an intensive level of care in the ICU.
Qualifications
-Must be U.S. citizen
-Valid Registered Nursing license for any U.S. jurisdiction
-BLS, ACLS current
-The RN shall have at least one (1) year of full-time experience working as an RN in an Adult Intermediate Care Unit (IMCU) or equivalent, and a minimum of two (2) years (full-time) in clinical nursing within the last four (4) years.
Apply today and start on the path towards the exciting and fulfilling career you always hoped for!

Apply