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

Mission Hospital

RN STEP DOWN

Aventura, FL · On-site

As a RN STEP DOWN, your voice to influence patient care is valued and empowered at every turn -whether through open, collaborative relationships with your direct manager or more formal opportunities ...

HCA Florida Aventura Hospital

RN STEP DOWN

Aventura, FL · On-site

As a RN STEP DOWN, your voice to influence patient care is valued and empowered at every turn -whether through open, collaborative relationships with your direct manager or more formal opportunities ...

HCA Florida Aventura Hospital

RN STEP DOWN

Aventura, FL · On-site

As a RN STEP DOWN, your voice to influence patient care is valued and empowered at every turn -whether through open, collaborative relationships with your direct manager or more formal opportunities ...

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All JobsStep Down Unit Rn JobsStep Down Unit Rn Jobs in Miami, FL

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.
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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.
Step Down RN Full Time Nights Job ID- 1722570

Step Down RN Full Time Nights Job ID- 1722570

North Shore Medical Center

Miami, FL

Full-time

Medical, Dental, Vision

Posted 4 days ago

Job description

We are North Shore Medical Center. Our primary function is to offer continuous nursing, medical, and other health and social services on a 24-hour basis, under physician directed care and RN supervision.

We service a multitude of patients and their families across our vast network, while remaining committed to the professional development of our staff, the functional improvement of our patients, and the cultivation of strong partnerships within our communities.

WHAT WE OFFER

Essential/stable and growing company with many opportunities for training and advancement within the medical field that all employees and team members (including Full-Time and Part-Time) can benefit from.

Hourly pay is negotiable based on experience. We offer competitive market pay and opportunities for bonus depending on great work performance (bonuses only apply for Full Time).

Comprehensive Employee Benefits: Full-Time employees are eligible for various plans for medical, dental, and vision insurance.

Job Summary

The delivery of quality care through the nursing process of assessment, planning, implementation, and evaluation/re-assessment. The provision of direct and indirect patient care in the IMCU/Step-down unit. Communicates with physicians about changes in patient's clinical condition including results of diagnostic studies and symptomatology. Can respond quickly and accurately to changes in condition or response to treatment. Additionally, can perform general nursing duties in all departments with adequate supervision. Participates in performance improvement and CQI activities.

EDUCATION/EXPERIENCE/LICENSURE/TECHNICAL/OTHER:

License/Certification: Other: Florida State License

Education: Associate Degree or BSN

Experience: Two or more years of medical/surgical experience preferred

Software/Hardware: Basic computer knowledge.

Current State (FL) Registered Nurse Licensure

ACLS and BLS certification


Must be able to pass Background and Drug Test screenings.

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