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

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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 Sep 6, 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 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 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:

Step Down Unit Rn jobs near you
Infographic showing various Step Down Unit Rn job openings in Seattle, WA as of August 2026, with employment types broken down into 47% Full Time, 8% Part Time, and 45% Contract. Highlights an 96% In-person, 2% Hybrid, and 2% Remote job distribution, with an average salary of $82,394 per year, or $39.6 per hour.

Intensive Care Unit (ICU) Registered Nurse RN

Premier Medical Staffing Services

Seattle, WA • On-site

$59.69/hr

Contractor

Medical, Dental, Vision

Re-posted 12 days ago

Job description

We are looking for a Travel ICU RN for a great Travel nursing job in Seattle, WA.

This ICU Travel nursing job pays for 36 hours a week for 13 weeks. With Wanderly you can compare Travel nurse salary from leading Travel nurse agencies in the United States.

With Wanderly you can chat and apply to any agency with Wanderly’s Universal Application, below are the details of this Travel Nursing Job including the Travel nurse salary:

  • Specialty: ICU RN
  • Travel Intensive Care Unit (ICU) Registered Nurse : Seattle, WA
  • Travel Nurse Salary: $2149/Week
  • Start Date: September 28, 2026
  • Travel Nursing Job Assignment Length: 13 weeks
  • Travel Nurse Hours: 36 hours per week
  • Shift: 12 hours, day

Join Premier Medical Staffing Services

We connect skilled, compassionate healthcare professionals with travel and local assignments nationwide. Guided by our values — Personal Attention, Relationships, Empathy, Giving More, Integrity, Excellence, and Respect — we match you with opportunities that fit your life.

Requirements

  • Active state license/certification
  • 1-2 years of recent specialty experience
  • Physical
  • BLS (AHA) or any advanced certifications required for your specialty

Benefits

  • Weekly pay + direct deposit
  • Referral bonuses
  • CEU reimbursement after 1,040 hrs
  • 24/7 on-call support
  • Day-one health, dental & vision
  • Joint Commission Certified

About Premier

We’re a women-owned, award-winning healthcare staffing agency based in Milwaukee, WI, serving healthcare professionals nationwide. Owned and operated by medical professionals, we understand the challenges and rewards of your work — and your priorities. Our team is committed to matching you with opportunities that align with your skills, lifestyle, and career goals, while providing the support you need every step of the way.

PK-665998

Premier Medical Staffing logo

About Premier Medical Staffing

Sourced by ZipRecruiter

Premier Medical Staffing Services, LLC is a nationally expanding healthcare staffing firm for healthcare professionals and companies. We understand our clients' need for highly qualified, expertly trained medical professionals and are passionate about helping clinicians find employment opportunities that fit their personality and needs. Able to accommodate the ever-changing needs of the healthcare landscape, we offer per-diem, contract and direct hire placements to support the unique needs of each industry sector. Premier Medical Staffing Services is Joint Commission Certified, a Military Spouse Employment Partner and is certified as a Women's Business Enterprise. We are proudly nurse owned.

Industry

Recruiting and staffing services

Company size

11 - 50 Employees

Headquarters location

West Allis, WI, US

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