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

HCS 247

Travel NICU RN - $1,824 per week

Webster, TX · On-site

$1.8K/wk

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

Our clinical coverage includes Registered Nurse specialties such as ER, ICU, Med-Surg, Telemetry, Step-Down, OR, PACU, L&D, Mother/Baby, NICU, Cath Lab, Endoscopy, and more along with a full range of ...

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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 Aug 16, 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.

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 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 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 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 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 August 2026, with employment types broken down into 1% As Needed, 79% Full Time, 14% Part Time, and 6% Contract. Highlights an 91% Physical, 1% Hybrid, and 8% Remote job distribution, with an average salary of $69,141 per year, or $33.2 per hour.

Travel Nurse RN - NICU - Neonatal Intensive Care

First Connect Health

Sugar Land, TX • On-site

Contractor

Retirement

Posted 9 days ago

Job description

First Connect Health is seeking a travel nurse RN NICU - Neonatal Intensive Care for a travel nursing job in Sugar Land, Texas.

Job Description & Requirements
  • Specialty: NICU - Neonatal Intensive Care
  • Discipline: RN
  • Start Date: 08/31/2026
  • Duration: 13 weeks
  • 36 hours per week
  • Shift: 12 hours, days, nights
  • Employment Type: Travel

NICU (Neonatal Intensive Care Unit) RN Opportunity – Sugar Land, TX

Requirements:

  • Minimum 2 years of NICU RN experience
  • Active TX or Compact State RN License
  • BLS (AHA) Certification
  • NRP (Neonatal Resuscitation Program) Certification
  • COVID-19 Vaccination Required
About First Connect Health

At First Connect Health, we take pride in being a Joint Commission–certified healthcare staffing agency, headquartered in Newark, New Jersey. This prestigious certification is more than just a seal — it's a reflection of our commitment to excellence, safety, and quality in everything we do.

By meeting the rigorous standards set by The Joint Commission, one of the most respected accrediting bodies in healthcare, we've demonstrated that our processes, compliance, and patient care standards are aligned with the highest levels of quality in the industry.

But our dedication goes beyond certifications. Nurses choose First Connect Health because:

  • ✅ Trust and Transparency: We foster honest communication, timely updates, and full transparency throughout your placement journey.
  • ✅ Best Pay & Benefits: We offer industry-leading compensation packages, along with benefits that support your career goals.
  • ✅ Flexibility & Choice: Whether you're seeking short-term assignments, long-term contracts, or local opportunities, we provide the flexibility to suit your preferences.
  • ✅ Personalized Support: Our recruiters take the time to understand your needs, guiding you with care, respect, and responsiveness at every step.

When you work with First Connect Health, you're not just another number — you're a valued professional. Join a team that’s focused on your success, your well-being, and your future in healthcare.

Benefits
  • Sick pay
  • 401k retirement plan
  • Weekly pay
  • Referral bonus

Apply