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

RN - ICU ICU registered nurses (RNs) provide care to critical medical, surgical and traumatized patients. Close monitoring and observation of the patient's heart rate, blood pressure and respiration ...

RN - ICU ICU registered nurses (RNs) provide care to critical medical, surgical and traumatized patients. Close monitoring and observation of the patient's heart rate, blood pressure and respiration ...

RN - ICU ICU registered nurses (RNs) provide care to critical medical, surgical and traumatized patients. Close monitoring and observation of the patient's heart rate, blood pressure and respiration ...

Registered Nurse (RN) - Intensive Care Unit (ICU) | PRN | Raleigh, NC | $43/hr Shifts Available: 7:00 AM - 7:00 PM & 7:00 PM - 7:00 AM Location: Raleigh, NC Pay Rate: $43/hour Job Type: PRN Why Join ...

Registered Nurse (RN) - Intensive Care Unit (ICU) | PRN | Raleigh, NC | $43/hr Shifts Available: 7:00 AM - 7:00 PM & 7:00 PM - 7:00 AM Location: Raleigh, NC Pay Rate: $43/hour Job Type: PRN Why Join ...

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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 May 30, 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 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 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.

Can you make $200,000 as a nurse?

Step Down Unit RNs typically earn between $70,000 and $100,000 annually, depending on experience, location, and shift differentials. Earning $200,000 usually requires working in high-paying regions, overtime, or holding specialized certifications, which can increase income significantly.

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 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 May 2026, with employment types broken down into 1% As Needed, 60% Full Time, 24% Part Time, and 15% Contract. Highlights an 91% Physical, and 9% Remote job distribution, with an average salary of $70,379 per year, or $33.8 per hour.
Travel Nurse RN - ICU - Intensive Care Unit - $2,070 per week

Travel Nurse RN - ICU - Intensive Care Unit - $2,070 per week

Vibra Travels

Chapel Hill, NC

$2.07K/wk

Other

Posted 8 days ago


Job description

Vibra Travels is seeking a travel nurse RN ICU - Intensive Care Unit for a travel nursing job in Chapel Hill, North Carolina.

Job Description & Requirements
  • Specialty: ICU - Intensive Care Unit
  • Discipline: RN
  • Duration: 13 weeks
  • 36 hours per week
  • Shift: 12 hours, days
  • Employment Type: Travel

VIBRA TRAVELS is looking for a CORPORATE TRAVEL REGISTERED NURSE to join our team. We look for nurses with acute care experience in ICU, step down, med surg/tele or Critical Illness Recovery Hospitals.
Benefits/Perks of working with VIBRA TRAVELS:
• Work with 1 recruiter from start to finish and assignment to assignment
• Local and Non-local positions available
• Competitive hourly rate in addition to tax-free stipend (if applicable)
• No pay cuts mid-contract
• Referral bonus (up to $1000 per referral!)
• License reimbursement if traveling to new state where new license is required
• Your pick of assignments at facilities we own and operate nationwide (70+) or partner facilities
Qualifications/Skills:
- Required Certifications: ACLS, BLS
- State Licensure Requirements: NC RN license or compact state RN license
- Minimum year’s experience: 2+ years clinical Bedside experience
- Required experience: vent experience; trach experience
- Diploma or Associate of Science Degree in Nursing required
Additional Qualifications/Skills:
• Previous acute care experience is strongly preferred.
• Ability to project a professional image.
• Knowledge of regulatory standards and compliance requirements.
• Strong organizational, prioritizing and analytical skills.
• Ability to make independent decisions when circumstances warrant.
• Working knowledge of computer and software applications used in job functions.
• Freedom from illegal use of and effects of use of drugs and alcohol in the workplace
As an employee of Vibra Travels, you will be eligible to enroll in Medical and Prescription benefits once you meet the eligibility requirements outlined by the Affordable Care Act (ACA)
What you see is what you get. We believe travel clinicans deserve full transparency. Every job we post includes a real pay range based on current bill rates. Before we submit you, we review the exact compensation package so there are no surprises later in the process

Vibra Travels Job ID #20260520-02. Pay package is based on 12 hour shifts and 36 hours per week (subject to confirmation) with tax-free stipend amount to be determined.

About Vibra Travels

Regardless of the placement you’re seeking, you’ll experience the same great benefits when choosing Vibra Travels for your next contract.

White-glove service, every step of the way:

At Vibra Travels, we believe in providing top-notch service to our travel nurses. From the moment you first contact us, you’ll experience a level of support and care that sets us apart from the rest.

Your recruiter, your partner:

Unlike other travel nursing agencies, we believe in building one-on-one relationships with our clinicians. Your dedicated recruiter will be your advocate, guiding you through the entire process and ensuring your needs are met.

Clinical support at your fingertips:

We understand that being a traveler can sometimes be challenging. That’s why we have a dedicated clinical support team available to answer any questions or concerns you may have during your assignments.

Nationwide placements, endless opportunities:

With Vibra Travels, you’ll have access to placements across the nation. Whether you’re looking for an acute care, rehabilitation, critical care, or behavioral health hospital, we have opportunities waiting for you in every corner of the country.

Join us today and experience traveling done different!

Why Vivian Health?

Be sure to apply via Vivian Health to increase your chances of landing your perfect job. Just complete your Vivian Health profileonce, and get access to thousands of opportunities across the country. Then keep up to date with your job application process and conversations with our easy to use app.

Benefits
  • Holiday Pay
  • License and certification reimbursement
  • Medical benefits
  • Referral bonus

Vibra Travels logo

About Vibra Travels

Sourced by ZipRecruiter

Vibra Healthcare, known for its commitment to patient wellness, provides compassionate medical and rehabilitation services to individuals recovering from serious injuries, illnesses, and medical conditions. The dedicated team at Vibra works tirelessly to deliver personalized care, maintaining a culture of teamwork and clinical service excellence. The pay package is based on 12-hour shifts and 36 hours per week (subject to confirmation), and a tax-free stipend will be determined accordingly.

Industry

Health care and social assistance

Company size

5,001 - 10,000 Employees

Headquarters location

Mechanicsburg, PA, US

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