ZipRecruiter

Log In

1

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

USPI, INC.

PACU Registered Nurse

Webster, TX · On-site

PRN PACU Registered Nurse Opportunity Welcome to Houston Physicians Hospital! Are you a skilled and compassionate PACU Registered Nurse seeking an extraordinary career opportunity at a ...

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 rooms. We perform outpatient surgical procedures in ...

previous page

Showing results 41-60

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 Sep 6, 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, 74% Full Time, 15% Part Time, 2% Temporary, and 8% Contract. Highlights an 88% Physical, 1% Hybrid, and 11% Remote job distribution, with an average salary of $69,141 per year, or $33.2 per hour.

PACU Registered Nurse

United Surgical Partners

Webster, TX • On-site

Other

Re-posted 4 days ago

United Surgical Partners International rating

5.3

Company rating: 5.3 out of 10

Based on 16 frontline employees who took The Breakroom Quiz

Job description

RN PACU

Pediatric Surgery Center of Odessa is hiring a PACU Registered Nurse

Welcome to Pediatric Surgery Center of Odessa
Pediatric Surgery Center is designed to meet both the emotional and medical needs of children and their families before, during and after a procedure. We believe an environment that reduces a child’s anxiety helps them recover faster. Everything about us, from our staff of pediatric specialists to our family-friendly policies on visitation, is a reflection of our commitment to providing the best possible environment for the physical, social and psychological well-being of the patient and their family.

PACU Registered Nurse (PACU RN) at Pediatric Surgery Center of Odessa
The PACU Registered Nurse provides continuity and quality nursing care for all patients, with continual evaluation of the patient's condition, providing patient safety, comfort, and privacy at all times. May assist the physicians in the procedure rooms with various tasks, conscious sedation, and utilizing sterile techniques as deemed appropriate. Will provide total comprehensive patient care to patients emerging from general anesthesia and/or sedation; assessment, planning, implementation, and evaluation of the patient and family in preparation for discharge

Qualifications

  • Graduate of an accredited RN School of Nursing
  • Active RN license in the state
  • BLS and ACLS Required, PALS if required by the center
  • 2 years experience in PACU or Critical Care preferred
  • Ability to make decisions based on nursing judgment
  • Able to prioritize and organize workload to meet the needs of patients and the unit
  • Strong communication skills, verbal and written

Who We Are
At USPI, we create relationships that create better care. We partner with physicians and healthcare systems to provide first-class ambulatory solutions throughout the United States. We are committed to providing surgical services in the most efficient and clinically excellent manner.

USPI is committed to, and proud of our inclusive culture. An inclusive culture, in our view, is respectful of differences and nurtures and supports the contributions of each individual, while also embracing and leveraging diversity. A diverse workforce, combined with an inclusive culture, makes USPI stronger and better able to meet the needs of our diverse patient and physician population.

Required Skills

Required Experience

What United Surgical Partners International employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

Apply