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Step Down Unit Rn Jobs in St Louis, MO (NOW HIRING)

GQR Healthcare

Travel Cardiac Stepdown RN

Saint Louis, MO · On-site

$1.6K/mo

Travel Step Down Unit RN Job Location: St. Louis, MO Profession: Registered Nurse Estimated Pay: $1670.40 Duration (weeks): 13 Specialty: Step Down Unit Shift Details: Night *Estimated weekly pay ...

Solomon Page

Travel Step-Down Unit RN

Saint Louis, MO · On-site

Posted job title: nurse - rn - pcu | saint louis, missouri About Solomon Page Founded in 1990, Solomon Page has grown to be a leader in the staffing industry. As a member of our healthcare provider ...

Focus Staff

Travel Step Down RN

Saint Louis, MO · On-site

Travel Focus Staff is seeking a Step Down Registered Nurse for a travel contract in SAINT LOUIS, MO. The ideal candidate will have at least 1 year of experience in a Step Down setting. Contract ...

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Step Down Unit Rn information

See St Louis, MO salary details

$37.9K

$70.4K

$99.2K

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

As of Aug 1, 2026, the average yearly pay for step down unit rn in St. Louis, MO is $70,390.00, 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 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.

How to make 200,000 a year as a nurse?

To earn $200,000 annually as a Step Down Unit RN, gaining extensive experience, pursuing advanced certifications, and working in high-demand or high-paying regions can help increase income. Specializing in critical care, taking on leadership roles, or working overtime and per diem shifts also contribute to higher earnings.

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 does a stepdown RN do?

A stepdown RN provides care to patients who require more monitoring than in a general ward but less than intensive care. They assess patient conditions, administer medications, monitor vital signs, and collaborate with healthcare teams to ensure safe recovery. This role often involves using specialized equipment and requires strong clinical skills and critical thinking.

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.

How to make $300,000 as a nurse?

Step Down Unit RNs can increase their earnings by gaining specialized certifications, working overtime or extra shifts, and pursuing higher-paying roles such as charge nurse or nurse manager. Working in high-demand areas, gaining experience, and obtaining advanced degrees like a BSN or MSN can also lead to higher salaries, especially in regions with higher pay scales.

How to make an extra 2000 a month as a nurse?

Step Down Unit RNs can increase their income by taking on per diem or overtime shifts, which often pay higher rates, or by working in travel nursing assignments that offer additional stipends. Developing specialized skills or certifications, such as in critical care or advanced cardiac life support, can also qualify for higher-paying roles or bonuses. Additionally, some nurses supplement income through side jobs like telehealth or teaching nursing courses.

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 St. Louis, MO? For Step Down Unit Rn jobs in St. Louis, MO, the most frequently searched job titles are:
What job categories do people searching Step Down Unit Rn jobs in St. Louis, MO look for? The top searched job categories for Step Down Unit Rn jobs in St. Louis, MO are:
Step Down Unit Rn jobs near you
Infographic showing various Step Down Unit Rn job openings in St. Louis, MO as of July 2026, with employment types broken down into 2% As Needed, 68% Full Time, 24% Part Time, 2% Temporary, and 4% Contract. Highlights an 90% Physical, 1% Hybrid, and 9% Remote job distribution, with an average salary of $70,390 per year, or $33.8 per hour.

Travel Cardiac Step-Down RN

GQR Healthcare

Saint Louis, MO • On-site

$1.6K/mo

Contractor

Medical, Dental, Vision

This job post has expired today. Applications are no longer accepted.

Job description

GQR Healthcare is seeking a travel nurse RN Cardiac Stepdown for a travel nursing job in St. Louis, Missouri.

Job Description & Requirements
  • Specialty: Cardiac Stepdown
  • Discipline: RN
  • Start Date: ASAP
  • Duration: 24 weeks
  • 36 hours per week
  • Shift: 12 hours, nights
  • Employment Type: Travel

Step Down Unit RN Job

Location: St. Louis, MO

Profession: Registered Nurse

Estimated Pay: $1670.40

Duration (weeks): 24

Specialty: Step Down Unit

Shift Details: Night

*Estimated weekly pay includes projected hourly wages and weekly meal and lodging per diems for eligible clinicians based on nationally published GSA rates. Actual weekly pay and per diems may differ from the amount shown and are subject to change during an assignment.

Benefits:
  • Day 1 Insurance
  • Cigna medical, MetLife dental and vision insurance
  • License reimbursement for new licenses needed for each assignment
  • Discounts with hotels and rental cars
  • A dedicated recruiter and support team that will help you every step of the way to sure you start on time and have an exceptional experience
  • Referral bonus up to $700

    About the Company:

    Finding the right role is about more than just matching skills to a job—it’s about aligning with your goals, values, and the way you want to work. As an award-winning talent partner, we support healthcare professionals through every step of that process, offering meaningful opportunities, clear guidance, and long-term partnership. From our first conversation to your first day on the job (and beyond!), we’re here to help you move forward with confidence.

    • GQR Job ID #824642. Pay package is based on 12 hour shifts and 36 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title: Registered Nurse (RN)

    About GQR Healthcare

    GQR’s Healthcare team specializes in connecting experts within the industry to highly skilled healthcare professionals across the US market.

    In the competitive healthcare market, we recognize that the industry’s common goals of improved quality of care and patient outcomes are wholly reliant upon the professionals directly supporting these initiatives. Leveraging our extensive candidate network, we deliver continuity of care for the communities our partners serve to ensure the patient experience is of the highest quality.

    Through deep market specialization and a unique approach to talent acquisition, GQR Healthcare provides an unparalleled and personalized experience across all medical specialties in nursing and within diverse healthcare platforms across the industry.

    GQR Healthcare logo

    About GQR Healthcare

    Sourced by ZipRecruiter

    Leveraging our extensive candidate network, we deliver continuity of care for the communities our partners serve to ensure the patient experience is of the highest quality. Through deep market specialization and a unique approach to talent acquisition, GQR Healthcare provides an unparalleled and personalized experience across all medical specialties in nursing and within diverse healthcare platforms across the industry.

    Industry

    Recruiting and staffing services

    Company size

    201 - 500 Employees

    Headquarters location

    Austin, TX, US

    Year founded

    2019

    Social media

    Facebook

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