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Step Down Unit Rn Jobs (NOW HIRING)

LeaderStat

Travel RN Step-Down Unit

Cleveland, OH · On-site

Step Down Unit - Registered Nurse About LeaderStat LeaderStat is a National staffing, recruiting, and consulting firm dedicated to the healthcare industry. For 20 years, LeaderStat has been dedicated ...

Presbyterian Healthcare Services

$37.80 - $51/hr

Cardiac ICU Step Down is comprised of 2 units totaling 50 beds. This unit provides patient-focused ... As a Registered Nurse at Presbyterian, you'll be eligible for: * Night and weekend differentials

Phsorg

$37.80 - $51/hr

Cardiac ICU Step Down is comprised of 2 units totaling 50 beds. This unit provides patient-focused ... As a Registered Nurse at Presbyterian, you'll be eligible for: * Night and weekend differentials

LeaderStat

Travel Step Down RN

Cleveland, OH · On-site

Step Down Unit - Registered Nurse About LeaderStat LeaderStat is a National staffing, recruiting, and consulting firm dedicated to the healthcare industry. For 20 years, LeaderStat has been dedicated ...

LeaderStat

Travel Step Down RN

Cleveland, OH · On-site

Step Down Unit - Registered Nurse About LeaderStat LeaderStat is a National staffing, recruiting, and consulting firm dedicated to the healthcare industry. For 20 years, LeaderStat has been dedicated ...

Prime Healthcare

Cardiac Stepdown RN

Gadsden, AL

We are seeking a Cardiac Step-Down Charge RN , sometimes referred to as our Step-Down Unit RN or Step-Down Cardiac Nurse. A Cardiac Step-Down RN is a registered nurse who is responsible and ...

LeaderStat

Travel Step Down RN

Cleveland, OH · On-site

Step Down Unit - Registered Nurse About LeaderStat LeaderStat is a National staffing, recruiting, and consulting firm dedicated to the healthcare industry. For 20 years, LeaderStat has been dedicated ...

LeaderStat

Travel RN Step Down

Cleveland, OH · On-site

Step Down Unit - Registered Nurse About LeaderStat LeaderStat is a National staffing, recruiting, and consulting firm dedicated to the healthcare industry. For 20 years, LeaderStat has been dedicated ...

Stability Healthcare

Travel Step-Down Unit RN

Saint Louis, MO · On-site

$2.0K - $2.7K/wk

Travel Stability Healthcare is looking for a Tele Step-Down RN contract position in Saint Louis, MO. The PCU nurse is sometimes also called a step-down nurse and the PCU is also known as cardiac ...

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

As of Jun 25, 2026, the average yearly pay for step down unit rn in the United States is $72,401.00, according to ZipRecruiter salary data. Most workers in this role earn between $69,000.00 and $69,500.00 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.

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.
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What cities are hiring for Step Down Unit Rn jobs? Cities with the most Step Down Unit Rn job openings:
What states have the most Step Down Unit Rn jobs? States with the most job openings for Step Down Unit Rn jobs include:
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Step Down Unit Rn jobs near you
Infographic showing various Step Down Unit Rn job openings in the United States as of June 2026, with employment types broken down into 1% As Needed, 80% Full Time, 16% Part Time, and 3% Contract. Highlights an 90% Physical, 1% Hybrid, and 9% Remote job distribution, with an average salary of $72,401 per year, or $34.8 per hour.
Registered Nurse - Cardiac Step Down Unit

Registered Nurse - Cardiac Step Down Unit

Rochester Regional Health

Rochester, NY

$38.67 - $51.92/hr

Full-time

Posted 9 days ago

Rochester Regional Health rating

7.4

Company rating: 7.4 out of 10

Based on 214 frontline employees who took The Breakroom Quiz

255th of 875 rated healthcare providers

Job description

Job Title: Registered Nurse - Cardiac Step Down Unit

Department: Cardiac - Cardiac Step Down Unit (4400)

Location: Rochester General Hospital

Hours Per Week: Full-Time (36 hours per week)

Schedule: Days, Every Other Weekend, Every Other Holiday

SUMMARY: As a Registered Nurse (RN), you're the engine and the heart of patient care at Rochester Regional Health. You make a positive difference every single day in the lives of our patients, their family members and visitors – going above and beyond to meet their needs with courtesy, kindness, respect and compassion.

Join our Cardiothoracic Step-Down Unit, a high-acuity telemetry unit caring for patients recovering from open-heart and thoracic surgeries, including those with Left Ventricular Assist Devices (LVADs). As a step-down from the CTICU, the unit offers a consistent, specialized cardiac patient population with occasional overflow from cardiac medicine.

All RNs receive comprehensive LVAD training during orientation, making this an excellent opportunity for nurses seeking to develop critical care skills in a supportive, team-oriented environment.

RESPONSIBILITIES:

· Provides high-quality, patient-centered, clinical care

· Performs initial and ongoing assessment of the patient, utilizing appropriate data (i.e. physical, psychological, educational and risk-screen data appropriate for the chronological / developmental age of the patient).

· Communicates and documents assessment of patient with the interdisciplinary team. Utilizes all available resources in order to meet the needs of the patient and family.

· Develops and documents plan of care, treatment and services which is individualized and appropriate for the patient needs, strengths, limitations and goals.

· Complies with organizational policies, procedures and protocols including policies governing safety, medication administration and documentation.

· Revises plan of care based on ongoing evaluations and updates documentation appropriately.

· Completes at least one clinical research utilization (CRU) form for submission to Nursing Research Department utilizing a research article from the last 5 years from research performed in the United States.

COMPLIANCE:

· Completes a minimum of 5 nationally approved contact hours (CNE or CEU) per year.

· Completes mandatory in-services and health screens in timely manner.

· Maintains Basic Life Support (BLS) certification.

REQUIRED QUALIFICATIONS:

· Diploma or Associate's Degree in Nursing

· Registered Nurse license in New York State.

· Basic Life Support (BLS) certification.

PREFERRED QUALIFICATIONS:

· Bachelor's Degree in Nursing preferred.

· At least 6 months RN experience preferred.

EDUCATION:

AS: Nursing (Required)

LICENSES / CERTIFICATIONS:

BLS - Basic Life Support - American Heart Association (AHA)American Heart Association (AHA), RN - Registered Nurse - New York State Education Department (NYSED)New York State Education Department (NYSED)

PHYSICAL REQUIREMENTS:

M - Medium Work - Exerting 20 to 50 pounds of force occasionally, and/or 10 to 25 pounds of force frequently, and/or greater than negligible up to 10 pounds of force constantly to move objects; Requires frequent walking, standing or squatting.

For disease specific care programs refer to the program specific requirements of the department for further specifications on experience and educational expectations, including continuing education requirements.

Any physical requirements reported by a prospective employee and/or employee's physician or delegate will be considered for accommodations.

PAY RANGE:

$38.67 - $51.92

CITY:

Rochester

POSTAL CODE:

14621

The listed base pay range is a good faith representation of current potential base pay for a successful full time applicant. It may be modified in the future and eligible for additional pay components. Pay is determined by factors including experience, relevant qualifications, specialty, internal equity, location, and contracts.

Rochester Regional Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, creed, religion, sex (including pregnancy, childbirth, and related medical conditions), sexual orientation, gender identity or expression, national origin, age, disability, predisposing genetic characteristics, marital or familial status, military or veteran status, citizenship or immigration status, or any other characteristic protected by federal, state, or local law.

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