Registered Nurse IMC/PCU/Stepdown

Location: St. Louis, MO
Profession: Registered Nurse

Posted: 9/16/2026
Salary: $2200/weekly

Weekly Hours: 36
Shift: Nights

Job Details

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 demands
  • Fulfill weekend requirements, which may include Friday/Saturday or Saturday/Sunday rotations every other weekend

Required Qualifications

  • Active RN license (MO or compact license required; compact must match permanent residence)
  • Minimum 2 years of Step Down or comparable experience
  • Must have been practicing at the bedside within the last 6 months
  • ACLS, BCLS, and NIH Stroke Scale certifications required
  • First-time travel nurses are not eligible for this position
  • Must live more than 75 miles from the facility to be eligible

Preferred Experience / Skills

  • Experience with vasopressor management and hemodynamic monitoring
  • Familiarity with ventilator management and tracheostomy care
  • Prior travel nursing experience in an acute care or step down setting

Why Join Us

  • Guaranteed 36 hours per week on a consistent 3x12 night schedule with no on-call requirements
  • Complimentary parking and the opportunity to work in a well-established acute care facility using EPIC charting

Apply Now

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