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How much do stepdown rn jobs pay per hour?

As of Aug 15, 2026, the average hourly pay for stepdown rn in Atlanta, GA is $49.34, according to ZipRecruiter salary data. Most workers in this role earn between $35.58 and $61.01 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a Stepdown RN?

To thrive as a Stepdown RN, you need strong critical care nursing skills, experience with patient assessment, and a valid RN license—often with certifications like ACLS. Familiarity with telemetry monitoring systems, intravenous therapy, and electronic health records is essential for success in this role. Excellent communication, attention to detail, and the ability to stay calm under pressure are key soft skills. These skills enable Stepdown RNs to provide safe, effective care for patients transitioning from intensive care while collaborating efficiently with multidisciplinary teams.

What does a stepdown RN do?

A stepdown RN is a registered nurse who provides care to patients transitioning from intensive care to less acute settings. They monitor vital signs, administer medications, and assess patient progress, often working with specialized equipment and following detailed care plans. This role requires strong clinical skills and the ability to respond quickly to patient changes.

What are the typical responsibilities of a Stepdown RN?

A Stepdown RN is responsible for closely monitoring patients who are stable enough to leave intensive care but still require frequent assessments and intervention. Daily tasks include performing vital sign checks, interpreting cardiac telemetry, administering medications, coordinating with doctors and other nurses, and educating patients and families about care plans. The role often involves handling rapidly changing situations, so adaptability and quick critical thinking are important. Stepdown RNs work closely with interdisciplinary teams and play a vital part in ensuring patients’ smooth transition to general care or discharge.

What is a Stepdown RN?

A Stepdown RN cares for patients who are transitioning from the ICU to a general medical-surgical unit. They monitor vital signs, manage IV drips, and provide intermediate-level care for patients who still require close observation. These nurses work in progressive care or telemetry units and handle a higher patient acuity than typical med-surg nurses. Strong critical thinking and quick decision-making skills are essential in this role.

Do stepdown RNs get paid more?

Stepdown RNs typically earn higher salaries than staff RNs due to the increased complexity of patient care and the need for specialized skills. Their advanced responsibilities and experience often lead to higher pay rates, especially in hospitals or facilities with demanding patient needs.

What are popular job titles related to Stepdown Rn jobs in Atlanta, GA?

For Stepdown Rn jobs in Atlanta, GA, the most frequently searched job titles are:

What job categories do people searching Stepdown Rn jobs in Atlanta, GA look for?

The top searched job categories for Stepdown Rn jobs in Atlanta, GA are:

Stepdown Rn jobs near you
Infographic showing various Stepdown Rn job openings in Atlanta, GA as of August 2026, with employment types broken down into 75% Full Time, and 25% Contract. Highlights an 100% In-person job distribution, with an average salary of $102,617 per year, or $49.3 per hour.

Critical Care Stepdown Registered Nurse

Emory Healthcare

Decatur, GA

Full-time

Re-posted 10 days ago

Emory Healthcare rating

7.7

Company rating: 7.7 out of 10

Based on 217 frontline employees who took The Breakroom Quiz

157th of 887 rated healthcare providers

Job description

Overview

Be inspired.  Be rewarded. Belong. At Emory Healthcare. 

At Emory Healthcare we fuel your professional journey with better benefits, valuable resources, ongoing mentorship and leadership programs for all types of jobs, and a supportive environment that enables you to reach new heights in your career and be what you want to be.  We provide: 

  • Comprehensive health benefits that start day one! 
  • Student Loan Repayment Assistance & Reimbursement Programs 
  • Family-focused benefits  
  • Wellness incentives 
  • Ongoing mentorship, development, and leadership programs... and more!  

Join a team today! At Emory Decatur Hospital our Intermediate Care Unit takes care of patients that require continuous 24-hour monitoring. Our stepdown unit is fast paced and receives Critical as well as Rapid Response patients usually related to respiratory distress and arrythmia changes.  

  • Number of Beds: 22 (Expansion to 33 beds early 2027!)  
  • Patient Population: Intermediate care does take titratable drips including Nicardipine, Nitroglycerine (for BP) and Cardizem. Patients can be on continuous bipap.
  • Nurse-to-Patient Ratio: 1:3 with a maximum ratio is 1:4
  • Required: ACLS, BLS and NIHSS certifications.
  • Other: There is an orientation period of 4 weeks.
Description

Magnet Designation!

ICU Stepdown

Will Train Acute Care RNs

The RN Clinician is an experienced healthcare professional with a strong understanding of patient care for a specific population. Using clinical knowledge, research, and experience, they adapt to changing situations and personalize care based on the AACN Synergy Model for Patient Care. They serve as a resource for colleagues and advocate for patients and families.

Primary duties and responsibilities:

  • Clinical Practice & Patient Care 1. Delivers safe, effective, and independent nursing care using the nursing process. 2. Performs thorough patient assessments and recognizes the impact of nursing care on outcomes. 3. Develops and implements patient care plans, incorporating patient/family input and adjusting as needed. 4. Documents care accurately and efficiently in electronic and physical records. 5. Identifies patient and family learning needs, recommending appropriate resources. 6. Recognizes cultural differences and individualizes care accordingly.
  • Leadership & Team Collaboration: 1. Delegates appropriately using the Synergy Model of Care. 2. Works effectively with the interdisciplinary team, patient, and family care partners. 3. Functions in a developing leadership role, including Charge Nurse responsibilities when assigned. 4. Assists in orienting staff and students in the absence of a designated preceptor. 5. Demonstrates strong communication and conflict resolution skills.
  • Quality Improvement & Professional Development: 1. Identifies the need for policy revisions based on evidence-based research. 2. Engages in professional growth and actively applies the Synergy Model for Care in practice. 3. Collects, reports, and analyzes data to improve patient care and meet organizational standards. 4. Participates in surveys, interviews, and other methods to identify and resolve areas for improvement. 5. Maintains required points and contact hours per the clinical lattice PLAN system. Required

Minimum Qualifications: 

  • *Graduate of an accredited prelicensure Bachelor of Science in Nursing (BSN), AND A. 12 months of recent nursing experience within the past five years, OR B. Recent completion of a re-entry nursing program. OR, 2. Graduate of an accredited prelicensure Associate Degree in Nursing (ADN) with a minimum of 2 years of recent nursing experience within the past five years. *Exceptions: Current LPNs employed within the Emory Healthcare (EHC) system who have completed an accredited RN program and obtain RN licensure are eligible to transition into this role while completing the RN Resident Program. Emory LPNs enrolled in an Emory ADN program as of 3/30/2025 must sign an obligation agreement to complete an ADN-to-BSN program within two years of entering the RN Clinician role. 3. Emory Warner Robins, Perry and affiliated Physician Groups location RN Clinicians with an Associate's Degree in Nursing with less than 2 year's experience as a new hire or transferring as of 3/29/2026, must sign an obligation agreement to complete an ADN-to-BSN program within two years of entering the RN Clinician role.
  • A valid, unencumbered Registered Nursing License approved by the Georgia Board of Nursing.
  • BLS certification
  • ACLS may be required for certain departments, post hire
  • Additional certifications may be required based on department and specialty
  • If completing virtual care activities that may include multi-state practice, an active compact/multistate license (eNLC) is required within 60 days of hire.

PHYSICAL REQUIREMENTS: (Medium-Heavy) 36-75 lbs, 0-33% of the work day (occasionally); 20-35 lbs, 34-66% of the workday; (frequently); 10-20 lbs, 67-100% of the workday (constantly); Lifting 75 lbs max; Carrying of objects up to 35 lbs; Occasional to frequent standing & walking; Occasional sitting; Close eye work (computers, typing, reading, writing); Physical demands may vary depending on assigned work area and work tasks. ENVIRONMENTAL FACTORS: Factors affecting environmental conditions may vary depending on the assigned work area and tasks. Environmental exposures include, but are not limited to: Blood-borne pathogen exposure; Bio-hazardous waste Chemicals/gases/fumes/vapors; Communicable diseases; Electrical shock; Floor Surfaces; Hot/Cold Temperatures; Indoor/Outdoor conditions; Latex; Lighting; Patient care/handling injuries; Radiation; Shift work; Travel may be required; Use of personal protective equipment, including respirators; environmental conditions may vary depending on assigned work area and work tasks.

Additional Details

Emory is an equal opportunity employer, and qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, protected veteran status or other characteristics protected by state or federal law.

Emory Healthcare is committed to providing reasonable accommodations to qualified individuals with disabilities upon request. Please contact Emory Healthcare's Human Resources at careers@emoryhealthcare.org. Please note that one week's advance notice is preferred.

PHYSICAL REQUIREMENTS: (Medium-Heavy) 36-75 lbs, 0-33% of the work day (occasionally); 20-35 lbs, 34-66% of the workday; (frequently); 10-20 lbs, 67-100% of the workday (constantly); Lifting 75 lbs max; Carrying of objects up to 35 lbs; Occasional to frequent standing & walking; Occasional sitting; Close eye work (computers, typing, reading, writing); Physical demands may vary depending on assigned work area and work tasks. ENVIRONMENTAL FACTORS: Factors affecting environmental conditions may vary depending on the assigned work area and tasks. Environmental exposures include, but are not limited to: Blood-borne pathogen exposure; Bio-hazardous waste Chemicals/gases/fumes/vapors; Communicable diseases; Electrical shock; Floor Surfaces; Hot/Cold Temperatures; Indoor/Outdoor conditions; Latex; Lighting; Patient care/handling injuries; Radiation; Shift work; Travel may be required; Use of personal protective equipment, including respirators; environmental conditions may vary depending on assigned work area and work tasks.

Employment Type: FULL_TIME

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