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

USPI, INC.

RN PACU

Shenandoah, TX · On-site

RN PACU Memorial Hermann Surgery Center Pinecroft is hiring a RN PACU Welcome to Memorial Hermann Surgery Center Pinecroft. We have 6 OR rooms and 2 treatment rooms. We perform outpatient surgical ...

USPI, INC.

RN PACU

Cypress, TX · On-site

RN PACU Memorial Hermann Endoscopy Cypress is hiring a RN PACU Welcome to Memorial Hermann Endoscopy Cypress We have 1 OR rooms and 3 Procedure room. We perform outpatient surgical procedures in ...

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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 Aug 17, 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 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 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 NICU Registered Nurse - $2,264 per week

HCS 247

Sugar Land, TX • On-site

$2.2K/wk

Other

Medical, Dental, Vision, Life, Retirement

Posted 4 days ago

Job description

HCS 247 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: 09/08/2026
  • Duration: 13 weeks
  • 36 hours per week
  • Shift: 12 hours, days
  • Employment Type: Travel
  • Aggressive Compensation Packages
  • Lodging Per-Diem for those who qualify
  • Meals and Incidentals Allowance for those who qualify
  • Travel Expense Allowance for those who qualify
  • Medical Dental and Vision Benefits available (For you and family)
  • Day 1 Medical and Voluntary Insurance eligibility for all full-time contracted professionals
  • 401K
  • Daily Pay Available
  • Direct deposit
  • Free CEUs
  • 24/7 Clinical Support
  • Professional and General Liability Coverage
  • Accident Insurance
  • Critical Illness Insurance
  • Disability Insurance
  • Term Life Insurance
  • Bridge Insurance
  • Identity Theft Protection
  • State License Assistance
  • New graduates are welcome to apply (Allied Only)
  • Unlimited Referral Bonus Program
  • Personal Staffing Assistance and Large Support Staff
  • Exceptional Customer Service (available 24 hours)
  • Travel Tax Filing Resources

HCS 24/7 is currently looking for NICU Nurse in Sugar Land, TX. This will be a 15-week assignment, 7A-7P shift starting 09/08/2026 working 36 hours per week. This will be a Local Contract and will offer the most competitive rates in the industry. Compensation will include great rates as well as maximum subsidies to those who qualify. HCS 24/7 offers both daily and weekly pay through direct deposit or cash cards as well as DAY 1 Health Benefits. You will be supported by our Clinical Director and our 24-hour support team.

HCS 247 Job ID #15134970. Pay package is based on 12 hour shifts and 36 hours per week (subject to confirmation) with tax-free stipend amount to be determined.

About HCS 247

HCS 24/7 is a national healthcare staffing organization specializing in the placement of Registered Nurses and Allied health professionals across acute care and other clinical settings. We support travel assignments, local short- and long-term contracts, per diem, temp-to-perm, and direct hire opportunities nationwide.

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 allied and imaging professionals, including Respiratory Therapists, Surgical Technicians, X-Ray Techs, CT Techs, MRI Techs, Interventional Radiology (IR) Techs, Cath Lab Techs, Ultrasound/Sonographers, Mammography Techs, and Nuclear Medicine Techs.

With competitive compensation and benefits, consistent opportunities, and a clinician-first approach backed by top-rated customer service, HCS 24/7 delivers a seamless experience from initial application through assignment completion. 

Why Vivian Health?

Be sure to apply via Vivian Health to increase your chances of landing your perfect job. Just complete your Vivian Health profileonce, and get access to thousands of opportunities across the country. Then keep up to date with your job application process and conversations with our easy to use app.

Benefits
  • Holiday Pay
  • Guaranteed Hours
  • Continuing Education
  • Mileage reimbursement
  • Referral bonus
  • Medical benefits
  • Dental benefits
  • Vision benefits
  • License and certification reimbursement
  • Life insurance
  • Benefits start day 1
  • Weekly pay

Apply