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/Stepdown (Step Down Unit)
Location
Saint Louis, MO | Acute Care Hospital
Schedule / Job Type
Contract | Days | 3x12-Hour Shifts (7:00–19:30) | 36 Hours Guaranteed per Week
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
- Complete required weekend shifts (2 shifts every other weekend, Saturday and Sunday for day shift)
- Float to lower-acuity floors within the service line as needed to meet facility staffing needs
- Document all patient care accurately using EPIC electronic health records
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
- BCLS/BLS certification required
- NIH Stroke Scale (NIHSS) 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 management, sedation drips, and hemodynamic monitoring
- Familiarity with EPIC charting system
- Experience managing patients on mechanical ventilation via tracheostomy
Why Join Us
- Guaranteed 36 hours per week on a consistent day shift schedule with no on-call requirement
- Complimentary on-site parking provided
Apply Now
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