Registered Nurse IMC/PCU/Stepdown

Job Title

Registered Nurse – IMC/PCU/Stepdown (Step Down Unit)

Location

Saint Louis, MO | Acute Care Hospital

Schedule / Job Type

Contract | Nights | 3x12-Hour Shifts (19:00–07:30) | 36 Guaranteed Hours per Week

Key Responsibilities

• Provide direct patient care in a Step Down Unit 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 (Friday/Saturday or Saturday/Sunday depending on rotation)

Required Qualifications

• Active RN license in Missouri or a qualifying compact state (must match permanent residence); pending MO license submissions accepted
• Minimum 2 years of Step Down or comparable acute care RN experience
• ACLS certification required
• BLS/BCLS certification required
• NIH Stroke Scale certification required
• Must have been actively practicing at the bedside within the last 6 months
• Must reside more than 75 miles from the facility to be eligible — local candidates are not accepted

Preferred Experience / Skills

• Prior experience with vasopressor titration and hemodynamic monitoring in a step down or ICU-adjacent setting
• Familiarity with EPIC charting system
• Experience managing tracheostomy, ventilator, and chest tube patients

Why Join Us

• Work in a 233-bed acute care facility with no on-call requirements and complimentary parking
• Guaranteed 36 hours per week on a consistent night shift schedule with no block scheduling conflicts