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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