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Step Down Unit Rn Jobs in Seattle, WA (NOW HIRING)

NICU Registered Nurse (RN)

Auburn, WA ยท On-site

$70 - $71/hr

Minimum of 1-year experience as a NICU Registered Nurse (RN) required. Command your healthcare career and define your life's balance with CareRev. Sign up today to begin claiming NICU Registered ...

NICU Registered Nurse (RN)

Kent, WA ยท On-site

$70 - $71/hr

Minimum of 1-year experience as a NICU Registered Nurse (RN) required. Command your healthcare career and define your life's balance with CareRev. Sign up today to begin claiming NICU Registered ...

Minimum of 1-year experience as a NICU Registered Nurse (RN) required. Command your healthcare career and define your life's balance with CareRev. Sign up today to begin claiming NICU Registered ...

Minimum of 1-year experience as a NICU Registered Nurse (RN) required. Command your healthcare career and define your life's balance with CareRev. Sign up today to begin claiming NICU Registered ...

Minimum of 1-year experience as a NICU Registered Nurse (RN) required. Command your healthcare career and define your life's balance with CareRev. Sign up today to begin claiming NICU Registered ...

Minimum of 1-year experience as a NICU Registered Nurse (RN) required. Command your healthcare career and define your life's balance with CareRev. Sign up today to begin claiming NICU Registered ...

NICU Registered Nurse (RN)

Renton, WA ยท On-site

$70 - $71/hr

Minimum of 1-year experience as a NICU Registered Nurse (RN) required. Command your healthcare career and define your life's balance with CareRev. Sign up today to begin claiming NICU Registered ...

NICU Registered Nurse (RN)

Bellevue, WA ยท On-site

$70 - $71/hr

Minimum of 1-year experience as a NICU Registered Nurse (RN) required. Command your healthcare career and define your life's balance with CareRev. Sign up today to begin claiming NICU Registered ...

Minimum of 1-year experience as a NICU Registered Nurse (RN) required. Command your healthcare career and define your life's balance with CareRev. Sign up today to begin claiming NICU Registered ...

Minimum of 1-year experience as a NICU Registered Nurse (RN) required. Command your healthcare career and define your life's balance with CareRev. Sign up today to begin claiming NICU Registered ...

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Showing results 1-20

Step Down Unit Rn information

See Seattle, WA salary details

$44.4K

$82.4K

$116.1K

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

As of Jun 10, 2026, the average yearly pay for step down unit rn in Seattle, WA is $82,394.00, according to ZipRecruiter salary data. Most workers in this role earn between $78,500.00 and $79,100.00 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.

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 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 popular job titles related to Step Down Unit Rn jobs in Seattle, WA? For Step Down Unit Rn jobs in Seattle, WA, the most frequently searched job titles are:
What job categories do people searching Step Down Unit Rn jobs in Seattle, WA look for? The top searched job categories for Step Down Unit Rn jobs in Seattle, WA are:
Infographic showing various Step Down Unit Rn job openings in Seattle, WA as of June 2026, with employment types broken down into 3% As Needed, 64% Full Time, 30% Part Time, and 3% Contract. Highlights an 96% Physical, 2% Hybrid, and 2% Remote job distribution, with an average salary of $82,394 per year, or $39.6 per hour.
RN Resident - Emergency Room - Start Date October 26, 2026

RN Resident - Emergency Room - Start Date October 26, 2026

Evergreen Health

Kirkland, WA โ€ข On-site

$48.21 - $87.11/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 15 days ago


Job description

Wage Range: $48.21 - $87.11

Relocation assistance available

Additional pay for BSN / MSN

Posted wage ranges represent the entire range from minimum to maximum. For jobs with more than one level, the posted range reflects the minimum of the lowest level and the maximum of the highest level. Some positions also offer additional premiums based on shift, certifications, or degrees. Job offers are determined based on a candidate's years of relevant experience, level of education and internal equity.

EvergreenHealth is seeking a new RN graduate to join the well - established, fast - paced team in the EvergreenHealth Emergency Department.

Job Summary:

Responsible for the total direct nursing care of all patients within established standards of care, hospital and unit policies, procedures, and guidelines.

RN RESIDENCY PROGRAM DETAILS: EvergreenHealth's Residency Program consists of group practicums and lectures that support the graduate RN to mitigate the education-to-industry gap. We foster growth in the clinical, professional, and transitional aspects of professional nursing practice. The Residency program incorporates collaborative team support by managers, preceptors, and clinical nurse educators.

RN Residents require a Washington State RN license and a Healthcare Provider BLS card by your hire date.

To be considered for this RN Resident program, pleasesubmit an application to include a comprehensive resume (that includes rotation and practicum information) anda personalized one-page cover letter that describes why you want to become an Emergency Department RN and give a description of your personal and professional attributes that you bring to this program.

Applications close at noon on June 5, 2026 at 12:00 noon.

For more information about the RN Residency programclick here.

Primary Duties:

1. Provides direct patient care and functions as a patient advocate.

2. Assesses the comprehensive nursing needs of an assigned group of patients.

3. Coordinates the patient and family/significant other education process.

4. Continuously plans, implements, and evaluates patient care, incorporating patient and family/significant other into the process.

5. Participates with physician partners and other interdisciplinary team members to develop and implement patient and family/significant other plan of care.

6. Effectively communicates all relevant information (e.g., patient information, safety issues, problems with equipment, quality issues, etc.) to immediate supervisor, in timely way.

7. Communicates and documents changes in patient condition, on a timely basis, to charge nurse/supervisor and physician.

8. Accountable for following the guidelines for attendance, punctuality and overall dependability. Accountable for effective performance and follow-through of all assigned responsibilities and for completing responsibilities within designated (or agreed upon) timeframes. Completes responsibilities in a manner consistent with organizational policy, goals, and values.

License, Certification, Education or Experience:

REQUIRED for the position:

  • Graduate of a nursing program (Diploma or Associate Degree in Nursing ADN) required
  • Licensed as a Registered Nurse in the State of Washington by date of hire
  • CurrentHealthcare Provider BLS - American Heart Association by date of hire
  • Healthcare Provider ACLS - American Heart Association within 6 months of date of hire.

DESIRED for the position:

  • Bachelor's or Master's in Nursing
  • Senior Practicum in Critical Care or Intermediate/ Step down unit or Emergency Room.


Benefit Information:
Choices that care for you and your family

At EvergreenHealth, we appreciate our employees' commitment and contribution to our success. We are proud to offer a suite of quality benefits and resources that are comprehensive, flexible, and competitive to help our staff and their loved ones maintain and improve health and financial well-being.

  • Medical, vision and dental insurance
  • On-demand virtual health care
  • Health Savings Account
  • Flexible Spending Account
  • Life and disability insurance
  • Retirement plans 457(b) and 401(a) with employer contribution)
  • Tuition assistance for undergraduate and graduate degrees
  • Federal Public Service Loan Forgiveness program
  • Paid Time Off/Vacation
  • Extended Illness Bank/Sick Leave
  • Paid holidays
  • Voluntary hospital indemnity insurance
  • Voluntary identity theft protection
  • Voluntary legal insurance
  • Pay in lieu of benefits premium program
  • Free parking
  • Commuter benefits
  • Cafeteria & Gift Shop Discount

View a summary of our total rewards available to full and part time benefit eligible EvergreenHealth team members by clicking on the link below.

EvergreenHealth Benefits Guide

EvergreenHealth is committed to providing the highest quality of care to our patients.

This position is covered by a collective bargaining agreement between EvergreenHealth and the Washington State Nurses Association (WSNA). Union membership is optional.

Employment Type: Full-Time