Registered Nurse / Step Down Unit

Job Summary Registered Nurse, Step Down Unit - St. Louis, Missouri. The position provides direct nursing care for patients with complex medical and respiratory conditions in an intermediate-care setting. Responsibilities include assessment, care planning, implementation, evaluation, patient coordination, and collaboration with ancillary departments to support safe, effective care. Job Details

• Schedule: Night shift, 7:00 PM–7:30 AM; 12-hour shifts; minimum 36 hours per week. Weekend coverage is required as needed, including every other weekend. Night-shift orientation is conducted on day shift, and availability for the full orientation week is required.
• Required Qualifications: Current Registered Nurse license eligible for licensure in Missouri or active Missouri licensure; American Heart Association (AHA) Basic Life Support (BLS) and Advanced Cardiovascular Life Support (ACLS) certifications; at least 1 year of inpatient Step Down experience; tracheostomy and ventilator experience.
• Additional Information: Provides care for patients with respiratory failure, alcohol-related conditions, overdose, gastrointestinal bleeding, electrolyte imbalance, chronic obstructive pulmonary disease, cancer, post-trauma conditions, surgical interventions, and medical comorbidities. The role includes caring for patients across age groups, maintaining patient rights and confidentiality, evaluating care provided by direct caregivers, and coordinating care with other departments. Common equipment includes tracheostomy devices, ventilators, Vapotherm systems, and bilevel positive airway pressure equipment. Patient assignments generally range from 1:3 to 1:4. Black scrubs are required. Influenza vaccination or an approved exemption is required for assignments occurring between 11/01/2026 and 04/01/2027; declinations are not accepted.

Benefits

• The benefits of taking a travel assignment with Cross Country include:
• Private housing or generous housing allowance
• Comprehensive health insurance with prescription coverage
• Dependent health insurance with prescription coverage
• Competitive salaries
• Referral bonuses
• Travel reimbursement
• 401(k) retirement plan
• Direct deposit/free checking
• Unlimited free CE credits