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Step Down Unit Rn Jobs in Miami, FL (NOW HIRING)

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Step Down Unit Rn information

See Miami, FL salary details

$37.3K

$69.2K

$97.6K

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

As of Jun 13, 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 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.

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 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.

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 Miami, FL? For Step Down Unit Rn jobs in Miami, FL, the most frequently searched job titles are:
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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 June 2026, with employment types broken down into 4% As Needed, 65% Full Time, 27% Part Time, and 4% Contract. Highlights an 97% Physical, 1% Hybrid, and 2% Remote job distribution, with an average salary of $69,247 per year, or $33.3 per hour.
Registered Nurse, Step Down-PCU-Progressive Care-IMCU, Full Time, 7A-7P

Registered Nurse, Step Down-PCU-Progressive Care-IMCU, Full Time, 7A-7P

Baptist Health South Florida

Miami, FL • On-site

$1K - $2K/wk

Full-time

Posted 13 days ago

Baptist Health South Florida rating

7.9

Company rating: 7.9 out of 10

Based on 96 frontline employees who took The Breakroom Quiz

1st of 23 rated health and beauty retailers

Job description

The Direct Patient Care Registered Nurse- DPC RN is a licensed professional able to demonstrate the following proficiency and mastery of the core competencies: assessment, technical skills, communication, critical thinking, interpersonal skills, planning, intervention, evaluation, flexibility, organizational skills, professional accountability, leadership and service who delivers patient-family centered care in a culturally competent manner utilizing and promoting evidence based practice standards of quality, safety and service.
  • FL RN License Required
  • Bachelor's Degree in Nursing Degree Preferred
  • Associate's Degree in Nursing Required.  RNs hired with an Associate degree will have 3 years from their date of hire to complete the BSN degree
  • BLS and ACLS Certifications Required
  • 7 months of Step Down, PCU Progressive Care, IMCU Intermediate Care Unit RN Experience Required

What Baptist Health South Florida employees say

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About Baptist Health South Florida

Sourced by ZipRecruiter

Baptist Health South Florida is the largest healthcare organization in the region, with 12 hospitals, more than 27,000 employees, 4,000 physicians and 100 outpatient centers, urgent care facilities and physician practices spanning across Miami-Dade, Monroe, Broward and Palm Beach counties. Baptist Health has internationally renowned centers of excellence in cancer, cardiovascular care, orthopedics and sports medicine, and neurosciences. A not-for-profit organization supported by philanthropy and committed to its faith-based charitable mission of medical excellence, Baptist Health has been recognized by Fortune as one of the 100 Best Companies to Work For in America and by Ethisphere as one of the World's Most Ethical Companies.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Miami, FL, US

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