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Step Down Unit Rn Jobs (NOW HIRING)

Presbyterian Healthcare Services

RN - Cardiac Step Down

$39.69 - $58.17/hr

Cardiac Step Down Unit Registered Nurse Location: 1100 Central Ave SE Albuquerque, NM 87106-4930 Compensation Pay Range: Minimum Offer $39.69 Maximum Offer $58.17 Summary: Presbyterian is hiring an R ...

Skybridge Resources

RN Step Down

Franklin, WI · On-site

Registered Nurse Step Down Unit SkyBridge Healthcare is currently seeking a Registered Nurse with Step Down Unit experience for a 13-week contract in Franklin, WI. SkyBridge Healthcare is a premier ...

MEDICAL CITY PLANO (MCP)

RN - PCU/Step Down

Plano, TX · On-site

$1.9K - $2.6K/wk

RN - PCU/Step Down Medical City Plano (MCP) is seeking an RN for a travel position in the PCU/Step Down unit. The shift is from 07:00 PM to 07:30 AM, with three shifts per week for a total of 36 ...

Medical City Plano (MCP)

RN - PCU/Step Down

Plano, TX · On-site

$1.9K - $2.6K/wk

RN - PCU/Step Down Medical City Plano (MCP) is seeking an RN for a travel position in the PCU/Step Down unit. The shift is from 07:00 PM to 07:30 AM, with three shifts per week for a total of 36 ...

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Step Down Unit Rn information

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$39K

$72.4K

$102K

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

As of Sep 15, 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 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.
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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 September 2026, with employment types broken down into 1% As Needed, 70% Full Time, 19% Part Time, and 10% Contract. Highlights an 88% Physical, 1% Hybrid, and 11% Remote job distribution, with an average salary of $72,401 per year, or $34.8 per hour.

RN - PCU Step Down

Saginaw, MI • On-site

MyMichigan Medical Center Saginaw
See more jobs at MyMichigan Medical Center Saginawexternal

$1.9K - $2.5K/wk

Other

Medical, Dental, Vision, Retirement

Re-posted 4 days ago

Job description

Travel Rn - Pcu Step Down

Prime HealthCare Staffing, a national health care staffing company with over 20 years in the business, is looking for an experienced RN - PCU Step Down for our customer in Saginaw, Michigan. The ideal candidate will possess a current Michigan license. This is a RN position in the PCU Cardiac Step Down Unit. You must have a Nursing License and at least 2 years of recent PCU Step Down US nursing experience as a RN - PCU Step Down. Prime`s team of experienced health care professionals are here to guide you through the process 24/7.

Prime Benefits

  • First Day Medical, Dental, Vision and Rx benefits
  • Housing and Meal stipends
  • 401(k) Savings plan after 90 days
  • Travel/Licensure Reimbursement
  • Competitive pay rates
  • Referral Bonus Plan
  • Assignment Bonus on select assignments (ask your recruiter for details)
  • Weekly Direct Deposit

Qualifications

  • At least 2-years total experience in your specialty
  • Current BLS and/or ACLS (AHA Preferred) and/or Specialty Certifications
  • Active Nursing License per state
  • Current Updated Resume
  • Supervisory Professional References
  • Must complete Drug Screen and Background Screen

Prime HealthCare Staffing has day and night shifts available. Submit your resume and experience the Prime difference.

Apply