Registered Nurse IMC/PCU/Stepdown
Location: St. Louis, MO
Profession: Registered Nurse
Posted: 9/16/2026
Salary: $2200/weekly
Weekly Hours: 36
Shift: Days
Job Details
Job Title
Registered Nurse – IMC/PCU/Step-Down
Location
Saint Louis, MO | Acute Care Hospital
Schedule / Job Type
Contract | Full-Time | Days | 3x12-Hour Shifts (7:00–19:30) | 36 Hours Guaranteed
Key Responsibilities
- Provide direct patient care in a Step-Down/IMC/PCU setting with a 1:4 nurse-to-patient ratio
- Perform titration of vasopressors, sedation medications, and insulin drips
- Manage patients requiring trach vents, arterial lines, external pacemakers, and chest tubes
- Document patient care accurately using EPIC electronic health records
- Float to lower-acuity floors within service line as needed to meet facility staffing needs
- Fulfill weekend requirement of 2 shifts every other weekend (Saturday and Sunday)
Required Qualifications
- Active RN license in Missouri or a qualifying compact state (must match permanent residence); Illinois license must be in hand at time of submittal
- Minimum 2 years of Step-Down, IMC, or PCU nursing experience
- ACLS certification required
- BLS/BCLS certification required
- NIH Stroke Scale certification required
- Must reside more than 75 miles from the facility to be eligible — no local candidates accepted
Preferred Experience / Skills
- Prior experience with vasopressor and sedation drip management in a monitored care environment
- Familiarity with EPIC charting system
- Experience managing patients with arterial lines, external pacemakers, and chest tubes
Why Join Us
- Work at a 233-bed acute care hospital with guaranteed hours of 36 hours per week on a 3x12 schedule
- Complimentary on-site parking provided for the duration of your assignment
Apply Now
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