ICU Stepdown Registered Nurse (RN)
3/1/2026
The ICU Stepdown Registered Nurse provides high-acuity nursing care, including managing patients on drips and long-term ventilators, requiring frequent assessments and advanced clinical interventions. Key duties involve collecting comprehensive patient data, using clinical judgment to prioritize care, monitoring vital signs, and advocating for patients within the interdisciplinary team.
Salary
31.86 - 46.28 USD
Working Hours
40 hours/week
Company Size
51-200 employees
Language
English
Visa Sponsorship
No
Description
Heartline Staffing, Strategic Talent Partners with Purple Cow Recruiting, is seeking an ICU Stepdown Registered Nurse (RN) for a permanent opportunity in Sanford, Florida.
The ICU Stepdown RN provides high-acuity nursing care to patients requiring close monitoring, frequent assessments, and advanced clinical interventions. This role supports patients transitioning from ICU-level care and requires strong clinical judgment, autonomy, and collaboration within an interdisciplinary care team.
Key Responsibilities
• Collect comprehensive data pertinent to the patient’s health status and clinical condition.
• Provide high-acuity nursing care to stepdown-level patients, including those on drips and long-term ventilator support.
• Use clinical judgment to safely manage and prioritize patient care.
• Monitor critical vital signs and intervene appropriately in life-threatening situations.
• Advocate for patients as part of the interdisciplinary healthcare team.
• Educate patients and families regarding medications, procedures, and treatment plans.
• Deliver compassionate, patient-centered care in a fast-paced environment.
Compensation
Hourly Pay Range (Based on Experience)
• $31.86/hour (minimum)
• $36.12/hour (approximately 5 years of experience)
• $40.44/hour (approximately 10 years of experience)
• $46.28/hour (17+ years of experience)
Shift Differentials
• Night shift: $4.50/hour
• Weekend shift: $1.50/hour
Sign-On Bonus
• $15,000 – Day Shift (through end of Q3; subject to reevaluation)
• $20,000 – Night Shift (through end of Q3; subject to reevaluation)
Additional Information
• Relocation assistance available on a case-by-case basis
Requirements
• Active, unrestricted Registered Nurse (RN) license for the position you are applying for.
• Florida RN license or valid multistate compact license required (Florida licensure required within 60 days if compact).
• Registered Nurse Diploma or Associate Degree required; BSN preferred.
• Minimum of 1 year of recent acute care ICU Stepdown RN experience required.
– Candidates with 3 years of Cardiac PCU or Multisystem PCU experience will be considered.
• NIH Stroke Scale certification required within 30 days of employment start date.
• Basic Life Support (BLS/BCLS) certification required within 30 days of employment start date.
• American Heart Association ACLS Provider certification required within 6 months of employment start date.
• Strong critical care assessment and clinical decision-making skills.
Heartline Staffing is a Strategic Talent Partner with Purple Cow Recruiting. Applications are securely processed through Purple Cow’s system.
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