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$37.3K

$69.2K

$97.6K

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

As of Aug 23, 2026, the average yearly pay for step down unit rn in Miami, FL is $69,247.00, according to ZipRecruiter salary data. Most workers in this role earn between $66,000.00 and $66,500.00 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 Miami, FL?

For Step Down Unit Rn jobs in Miami, FL, the most frequently searched job titles are:

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

The top searched job categories for Step Down Unit Rn jobs in Miami, FL are:

What cities near Miami, FL are hiring for Step Down Unit Rn jobs?

Cities near Miami, FL 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 Miami, FL as of August 2026, with employment types broken down into 1% As Needed, 74% Full Time, 17% Part Time, and 8% Contract. Highlights an 92% Physical, 1% Hybrid, and 7% Remote job distribution, with an average salary of $69,247 per year, or $33.3 per hour.

Nurse Manager - Neuro Cardiac Step Down Unit

Trinity Health

Fort Lauderdale, FL • On-site

Full-time

Posted 26 days ago

Trinity Health rating

6.6

Company rating: 6.6 out of 10

Based on 354 frontline employees who took The Breakroom Quiz

570th of 893 rated healthcare providers

Job description

Employment Type:
Full timeShift:
Day Shift
Description:
Position Summary:
The Nurse Manager provides clinical, operational, and administrative leadership to ensure the delivery of safe, high-quality, patient-centered care. This role is responsible for managing daily unit operations, staffing, budget performance, regulatory compliance, quality outcomes, and employee engagement. The Nurse Manager fosters a culture of service excellence, accountability, safety, and continuous improvement while developing and mentoring nursing staff to achieve professional growth and organizational goals. Working collaboratively with physicians, interdisciplinary teams, and hospital leadership, the Nurse Manager drives patient satisfaction, supports strategic initiatives, promotes evidence-based practice, and ensures compliance with all regulatory, accreditation, and organizational standards in alignment with Holy Cross Hospital's mission and core values.
What the Nurse Manager - Neuro Cardiac Step Down Unit will need:
Education:
  • Bachelor of Science in Nursing

Experience & Skills:
  • Previous 2-3 years experience as a Nurse Manager
  • Excellent leadership and organizational skills, focused on customer service

Licensure/Certification:
  • Florida RN license
  • ACLS
  • BLS

What the Nurse Manager - Neuro Cardiac Step Down Unit need:
  • Lead daily nursing operations, ensuring the delivery of safe, high-quality, patient-centered care while maintaining compliance with hospital, regulatory, and accreditation standards.
  • Manage staffing, scheduling, productivity, and budget performance to ensure appropriate coverage, operational efficiency, and effective resource utilization.
  • Recruit, develop, coach, and evaluate nursing staff, fostering a culture of accountability, professional growth, employee engagement, and retention.
  • Drive quality, safety, and patient experience initiatives by monitoring performance metrics, implementing process improvements, and addressing opportunities to improve outcomes.
  • Collaborate with physicians, interdisciplinary teams, and hospital leadership to coordinate care delivery, support strategic objectives, and promote exceptional customer service and patient satisfaction.

Our Commitment
Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.

What Trinity Health employees say

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About Trinity Health

Sourced by ZipRecruiter

Trinity Health Ann Arbor is a 537 -bed teaching hospital located on 340 acre campus. Recognized by IBM Watson as a Top 100 Hospital and #1 Teaching Hospital, Trinity Health Ann Arbor has been a leading health care provider for more than 100 years. Trinity Health has received numerous local and national awards in recognition of our leadership, quality outcomes, and clinical excellence.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Livonia, MI, US

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