1

Step Down Unit Rn Jobs in Raleigh, NC (NOW HIRING)

next page

Showing results 1-20

Step Down Unit Rn information

See Raleigh, NC salary details

$37.9K

$70.4K

$99.2K

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

As of Aug 4, 2026, the average yearly pay for step down unit rn in Raleigh, NC is $70,379.00, according to ZipRecruiter salary data. Most workers in this role earn between $67,100.00 and $67,600.00 per year, depending on experience, location, and employer.

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 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 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 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 are popular job titles related to Step Down Unit Rn jobs in Raleigh, NC? For Step Down Unit Rn jobs in Raleigh, NC, the most frequently searched job titles are:
What job categories do people searching Step Down Unit Rn jobs in Raleigh, NC look for? The top searched job categories for Step Down Unit Rn jobs in Raleigh, NC are:
Infographic showing various Step Down Unit Rn job openings in Raleigh, NC as of July 2026, with employment types broken down into 2% As Needed, 70% Full Time, 23% Part Time, 2% Temporary, and 3% Contract. Highlights an 89% Physical, 1% Hybrid, and 10% Remote job distribution, with an average salary of $70,379 per year, or $33.8 per hour.

FT Operating Room Charge RN

United Surgical Partners

Raleigh, NC • On-site

Other

Posted 2 days ago

New


United Surgical Partners International rating

5.7

Company rating: 5.7 out of 10

Based on 15 frontline employees who took The Breakroom Quiz


Job description

I BELIEVE THAT BETTER CARE BEGINS AT HOME. Compassionate care, uncompromising service and clinical excellence – that’s what our patients have come to expect from our clinicians. Kindred at Home, a division of Kindred Healthcare Inc., is the nation’s leading provider of comprehensive home health, hospice, and non-medical home care services.

Kindred at Home, and its affiliates, delivers compassionate, high-quality care to patients and clients in their homes or places of residence, including non-medical personal assistance, skilled nursing and rehabilitation and hospice and palliative care. Our caregivers focus on each unique patient to deliver the appropriate care and emotional support to our patients and their families.

I BELIEVE IN WORKING FOR A COMPANY THAT CARES AS MUCH AS I DO.

We offer a unique employment package that includes:

  • Unprecedented opportunities for career growth.
  • Clinical ladder for professional credentialing and advancement.
  • Innovative specialties with cutting-edge training and development.

I BELIEVE MY WORK IS MY CALLING.

As a HOME HEALTH REGISTERED NURSE, you will:

  • Provide admission, case management, and follow-up skilled nursing visits for home health patients.
  • Administer on-going care and case management for each patient, provide necessary follow-up as directed by the Clinical Manager.
  • Confer with physician in developing the initial plan of treatment based on physician's orders and initial patient assessment.  Provide hands-on care, management and evaluation of the care plan and teaching of the patient in accordance with physician orders, under Clinical Manager's supervision.  Revise plan in consultation with physician based on ongoing assessments and as required by policy/regulation.
  • Coordinate appropriate care, encompassing various healthcare personnel (such as Physical Therapists, Occupational Therapists, Home Health Aides and external providers).
  • Report patient care/condition/progress to patient's physician and Clinical Manager on a continuous basis. 
  • Implement patient care plan in conjunction with patient and family to assist them in achieving optimal resolution of needs/problems. 
  • Coordinate/oversee/supervise the work of Home Health Aides, Certified Home Health Aides and Personal Care Workers and provides written personal care instructions/care plan that reflect current plan of care.  Monitor the appropriate completion of documentation by home health aides/personal care workers as part of the supervisory/leadership responsibility.
  • Discharge patients after consultation with the physician and Clinical Manager, preparing and completing needed clinical documentation.
  • Prepare appropriate medical documentation on all patients, including any case conferences, patient contacts, medication order changes, re-certifications, progress updates, and care plan changes.  Prepare visit/shift reports, updates/summarizes patient records, and confers with other health care disciplines in providing optimum patient care.

Required Skills

QUALIFICATIONS

  • Diploma, Associate or Bachelor Degree in Nursing
  • Minimum of one year nursing experience preferred
  • Strong med surg, ICU, ER, acute experience
  • Home Health experience a plus
  • Current and unrestricted Registered Nurse licensure
  • Current CPR certification
  • Strong organizational and communication skills 

Required Experience

KEYWORDS: ACLS, ANA, Acute care, Admissions Nurse, Admission Nurse, BLS, BSN, cardio nurse, cardio RN, cardio registered nurse, cardiac nurse, cardiac RN, cardiac registered nurse, case management, case manager, critical care, ER, Emergency Room, Healthcare, health care, Homecare, home care, home health, homehealth, hospital, ICU, intensive care unit, MSN, medical, medical care, med surg, med-surg, medicare, Nurse, Nurse Care Manager, Nurse Job, Nurse Jobs, oncology RN, oncology nurse, oncology registered nurse, palliative care nurse, ortho nurse, ortho RN, ortho registered nurse, palliative care RN, palliative care registered nurse, registered nurse, RN Job, RN Jobs, Registered Nurse Job, Registered Nurse Jobs, Nursing, Oasis, PRN, PDM, progressive care nurse, rehab RN, rehab registered nurse, rehab nurse, Registered Nurse, Registered Nurse Case Manager, RN, R.N., RN Case Manager, skilled visit, staff RN, staff nurse, staff registered nurse, step down unit, step-down unit, step down unit RN, tele, telemetry, telemetry nurse, telemetry RN, travel nurse, travel RN, travel registered nurse, visit nurse ~MON~

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity or national origin.

TO LEARN MORE, PLEASE CONTACT YOUR LOCAL RECRUITER AT (TOLL FREE) 855-KND-AT-HOME 

Qualifications:
QUALIFICATIONS

  • Diploma, Associate or Bachelor Degree in Nursing
  • Minimum of one year nursing experience preferred
  • Strong med surg, ICU, ER, acute experience
  • Home Health experience a plus
  • Current and unrestricted Registered Nurse licensure
  • Current CPR certification
  • Strong organizational and communication skills

What United Surgical Partners International employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom