Registered Nurse / Step Down Unit

Job Summary Registered Nurse, Step Down Unit. This 13-week assignment provides day-shift care for patients requiring cardiac monitoring, post-surgical assessments, neurological evaluations, and management of complex medical conditions. The role requires strong assessment and critical-thinking skills, recent electronic charting experience, and the ability to care for a diverse step-down patient population. Job Details

• Schedule: Day shift, 12-hour shifts, with a minimum of 36 hours per week. The assignment begins 12/14/2026 and includes every other holiday and three weekends during each six-week schedule.
• Required Qualifications:
• Associate degree or certificate
• Current active compact nursing license
• American Heart Association (AHA) Basic Life Support (BLS)
• American Heart Association (AHA) Advanced Cardiovascular Life Support (ACLS)
• National Institute of Health Stroke Scale (NIHSS) certification
• Minimum of 2 years of Registered Nurse experience
• At least 1 full year of step-down experience
• Completion of at least 1 travel assignment
• Trauma Level II experience
• Recent electronic charting experience, including completion of a required checkoff class
• Telemetry and 12-lead electrocardiogram interpretation, including successful completion of telemetry testing
• Ability to initiate and titrate antiarrhythmic, heparin, insulin, and other medication infusions
• Post-surgical assessment and care
• National Institute of Health Stroke Scale (NIHSS) and neurological assessments
• Dysphagia screening
• Preferred Qualifications:
• Experience with stable home ventilators
• Experience with PleurX and pericardial drains
• Experience with lumbar drains and ventriculoperitoneal shunts
• Experience with naloxone infusions
• Float: Float rotation may be required.
• Additional Information:
• Patient populations include cardiac patients following catheterization, stent placement, or interventions; patients with pacemakers; alcohol withdrawal; behavioral health needs; sepsis; diabetic ketoacidosis; cerebrovascular accidents; continuous positive airway pressure; feeding tubes; postoperative craniotomy care; gastrointestinal bleeding; and hypothermia requiring warming devices.
• The unit includes 16 beds with typical day-shift ratios of 1:3–4.
• Cross-campus floating may be required with advance notice, along with mid-shift floating within the same campus.
• Strong clinical assessment, critical-thinking, adaptability, resilience, teamwork, and communication skills are expected.
• Navy blue scrubs are required, without competing healthcare system or agency logos.
• The role may include precepting students and newly hired staff.

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