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

TNAA TotalMed RN

Travel ICU RN

Fort Lauderdale, FL · On-site

TNAA TotalMed RN is seeking a travel nurse RN ICU - Intensive Care Unit for a travel nursing job in Fort Lauderdale, Florida. & Requirements * Specialty: ICU - Intensive Care Unit * Discipline: RN * ...

TNAA TotalMed RN

Travel ICU RN

Fort Lauderdale, FL · On-site

TNAA TotalMed RN is seeking a travel nurse RN ICU - Intensive Care Unit for a travel nursing job in Fort Lauderdale, Florida. & Requirements * Specialty: ICU - Intensive Care Unit * Discipline: RN * ...

TNAA TotalMed RN

Travel ICU RN

Fort Lauderdale, FL · On-site

TNAA TotalMed RN is seeking a travel nurse RN ICU - Intensive Care Unit for a travel nursing job in Fort Lauderdale, Florida. & Requirements * Specialty: ICU - Intensive Care Unit * Discipline: RN * ...

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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 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.

Registered Nurse, Step Down Respiratory, Per-diem

University of Miami

Miami, FL • On-site

Part-time

Medical, Dental

Posted 3 days ago

New

University Of Miami rating

7.7

Company rating: 7.7 out of 10

Based on 52 frontline employees who took The Breakroom Quiz

263rd of 622 rated colleges and universities

Job description

Current Employees:

If you are a current Staff, Faculty or Temporary employee at the University of Miami, please click here to log in to Workday to use the internal application process. To learn how to apply for a faculty or staff position, please review this tip sheet.

Location : UTower Step Down Respiratory

The University of Miami Hospital at UTower, Step Down Respiratory department has an exciting opportunity for a Registered Nurse.

The Per-Diem Registered Nurse delivers patient-family centered care in a culturally competent manner utilizing evidence-based standards of quality, safety, and service while ensuring population-specific patient care.

MININUM QUALIFICATIONS:

  • Graduate from an accredited school of nursing, Bachelor's degree (BSN) preferred. RNs hired with an Associates (ASN) degree have 2 years to complete the BSN degree.

  • Registered Nurse License

  • Basic Life Support Certification (BLS-CPR Certification )

  • ACLS

  • One (1) year Acute Care Respiratory Nursing experience

The University of Miami offers competitive salaries and a comprehensive benefits package including medical, dental, tuition remission and more.

UHealth-University of Miami Health System, South Florida's only university-based health system, provides leading-edge patient care powered by the ground breaking research and medical education at the Miller School of Medicine. As an academic medical center, we are proud to serve South Florida, Latin America and the Caribbean. Our physicians represent more than 100 specialties and sub-specialties, and have more than one million patient encounters each year. Our tradition of excellence has earned worldwide recognition for outstanding teaching, research and patient care. We're the challenge you've been looking for.

The University of Miami is an Equal Opportunity Employer. Applicants and employees are protected from discrimination based on certain categories protected by Federal law.

Job Status:

Part time

Employee Type:

Temporary-Intermittent

What University Of Miami employees say

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About University of Miami

Sourced by ZipRecruiter

The University of Miami, located in the beautiful Coral Gables, Florida, is a comprehensive, private research institution in the United States. Operating within the higher education industry, the institution offers a multitude of degree programs spanning over 180 majors and program through its 12 colleges. The University was founded in 1925 with the mission to disseminate knowledge, transform lives, and change the world - a mission it has held faithfully to this day. Notably, the University of Miami has gained global recognition for its commitment to research and innovation, with over $324 million in research and sponsored project funding awarded annually.

Industry

Colleges, universities, and professional schools

Company size

10,000+ Employees

Headquarters location

Coral Gables, FL, US

Year founded

1925

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