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

VyTalent Solutions

Travel Step Down RN

Raleigh, NC · On-site

$500/wk

Discipline: RN * Start Date: 10/05/2026 * Duration: 13 weeks * 36 hours per week * Shift: 12 hours ... Provide specialized care to patients in the step-down unit of a hospital setting. * Monitor patient ...

VyTalent Solutions

Travel Step Down RN

Raleigh, NC · On-site

$500/wk

Discipline: RN * Start Date: 10/05/2026 * Duration: 13 weeks * 36 hours per week * Shift: 12 hours ... Provide specialized nursing care to patients in a step-down unit. * Monitor and assess patient ...

VyTalent Solutions

Travel Step Down RN

Raleigh, NC · On-site

$500/wk

Discipline: RN * Start Date: 10/05/2026 * Duration: 13 weeks * 36 hours per week * Shift: 12 hours ... Provide high-quality nursing care to step down unit patients * Monitor patient vital signs and ...

VyTalent Solutions

Travel Step Down RN

Raleigh, NC · On-site

$500/wk

Discipline: RN * Start Date: 10/05/2026 * Duration: 13 weeks * 36 hours per week * Shift: 12 hours ... Provide high-quality nursing care to patients in the step-down unit. * Monitor patient vital signs ...

GLC On-The-Go

Travel Step Down RN

Raleigh, NC · On-site

$1.9K - $2.0K/wk

Travel Step Down Registered Nurse - IMC/IMU/PCU/STEPDOWN | Raleigh, NC | Contract Quick Look * Weekly Gross Pay: $1,902 - $2,003 * Shift: Night 3x12-Hour (19:00 - 07:30) * Start Date: 10/05/2026

GLC On-The-Go

Travel Step Down RN

Raleigh, NC · On-site

$1.9K - $2.0K/wk

Specialty: PCU - Progressive Care Unit * Discipline: RN * Start Date: 10/05/2026 * Duration: 13 weeks * 36 hours per week * Shift: 12 hours * Employment Type: Travel Step Down Registered Nurse - IMC ...

GLC On-The-Go

Travel Step Down RN

Raleigh, NC · On-site

$1.9K - $2.0K/wk

Specialty: PCU - Progressive Care Unit * Discipline: RN * Start Date: 10/05/2026 * Duration: 13 weeks * 36 hours per week * Shift: 12 hours * Employment Type: Travel Step Down Registered Nurse - IMC ...

Stability Healthcare

Travel Step Down RN

Raleigh, NC · On-site

$1.9K - $2.6K/wk

Specialty: PCU - Progressive Care Unit * Discipline: RN * Duration: 13 weeks * 36 hours per week ... Travel Stability Healthcare is looking for a Tele Step-Down RN contract position in Raleigh, NC.

Stability Healthcare

Travel Step Down RN

Raleigh, NC · On-site

Stepdown * Discipline: RN * Duration: 13 weeks * 36 hours per week * Shift: 12 hours, nights ... The PCU nurse is sometimes also called a step-down nurse and the PCU is also known as cardiac ...

TotalMed RN

Travel Progressive Care Unit RN

Chapel Hill, NC · On-site

$1.6K - $2.2K/wk

The PCU RN is sometimes also called a step-down nurse, and the PCU is also known as cardiac stepdown, medical stepdown, neuro stepdown, surgical stepdown and ER holding. As a PCU Travel Nurse, you ...

Stability Healthcare

Local Contract Step Down RN

Raleigh, NC · On-site

$1.9K - $2.6K/wk

Specialty: PCU - Progressive Care Unit * Discipline: RN * Duration: 13 weeks * 36 hours per week ... The PCU nurse is sometimes also called a step-down nurse and the PCU is also known as cardiac ...

Stability Healthcare

Local Contract Step Down RN

Raleigh, NC · On-site

$1.9K - $2.6K/wk

Specialty: PCU - Progressive Care Unit * Discipline: RN * Duration: 13 weeks * 36 hours per week ... The PCU nurse is sometimes also called a step-down nurse and the PCU is also known as cardiac ...

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All JobsStep Down Unit Rn JobsStep Down Unit Rn Jobs in Raleigh, NC

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 Sep 15, 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.

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 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 September 2026, with employment types broken down into 1% As Needed, 68% Full Time, 19% Part Time, and 12% Contract. Highlights an 84% Physical, 1% Hybrid, and 15% Remote job distribution, with an average salary of $70,379 per year, or $33.8 per hour.

Travel Step Down RN

Raleigh, NC • On-site

VyTalent Solutions
See more jobs at VyTalent Solutionsexternal

$500/wk

Contractor

Medical, Dental, Vision, Life, Retirement

Posted 5 days ago

Job description

VyTalent Solutions is seeking a travel nurse RN Stepdown for a travel nursing job in Raleigh, North Carolina.

Job Description & Requirements
  • Specialty: Stepdown
  • Discipline: RN
  • Start Date: 10/05/2026
  • Duration: 13 weeks
  • 36 hours per week
  • Shift: 12 hours
  • Employment Type: Travel

The right role can make all the difference in your career. At VyTalent Solutions, we support healthcare professionals with opportunities designed to meet today’s workforce needs. We’re currently looking for a Step down Registered Nurse for a Hospital contract.

Job Details:

Job Title: Step down Registered Nurse

Location: Raleigh, NC

Setting: Hospital

Pay Range: 1996.24 - 2096.05

Schedule: 19:00 - 07:30 (D/N)

Contract Length: 13 weeks

Candidate Type: Traveler

Requirements: RN License; BLS; ACLS; NIHSS; 2+ years experience including Telemetry experience; Epic charting experience; NC or Compact license in hand; 3 x 12-hour shifts, full time with every other weekend, one major holiday required; Night shift 19:00 - 07:30

Responsibilities:

  • Provide specialized care to patients in the step-down unit of a hospital setting.
  • Monitor patient vital signs and respond to emergencies promptly.
  • Document patient progress and coordinate with medical teams using Epic charting.
  • Adhere to hospital protocols and maintain compliance with licensure and certification requirements.
  • Collaborate with interdisciplinary teams to ensure quality patient care.

Why Choose VyTalent Solutions?

At VyTalent Solutions, support starts with benefits that work for you, an uncapped referral program, and a recruiter who’s with you every step of the assignment.

Equal Opportunity Employer

VyTalent Solutions is an Equal Employment Opportunity Employer and does not discriminate on the basis of race, color, religion, sex, national origin, sexual orientation, gender identity, disability, age, or any other non-merit factor.

VyTalent Solutions Job ID #108858. Pay package is based on 12 hour shifts and 36.0 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title: Stepdown/IMC/PCU RN - Registered Nurse

About VyTalent Solutions

At VyTalent Solutions, we believe your career should move you forward. Whether you're looking for travel, local, PRN, or permanent opportunities, we're here to connect you with meaningful work where you can make an impact in patient and student care.

Built on more than three decades of experience, VyTalent Solutions partners with hospitals, surgical centers, behavioral health facilities, schools, correctional healthcare environments, and community-based organizations nationwide. Our team is committed to creating an experience that's transparent, responsive, and centered around your goals, because finding your next opportunity should feel exciting, not exhausting.

From your first conversation through every assignment, you'll have real people in your corner, helping you navigate your career with confidence.

Energizing Talent. Delivering Solutions. Powering Innovation.

Benefits

We believe in providing benefits that benefit you. Eligible employees working 30 hours or more can access a comprehensive benefits package designed to help you thrive both personally and professionally.

Benefits include:

  • Medical, dental, vision, life insurance, and 401(k) with company match
  • Employee Assistance Program offering mental health, financial, legal, and wellness resources
  • Wellness program focused on fitness, nutrition, and financial well-being
  • BetterHelp partnership, including one month of free therapy and discounted services
  • Scrubin uniform discounts
  • Hotel Engine travel discounts
  • Working Advantage employee discount program
  • Referral Program: Earn $500 when you refer a friend, and they'll earn $500, too.


Benefits
  • 401k retirement plan
  • Life insurance
  • Medical benefits
  • Dental benefits
  • Vision benefits

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