Job Title
Registered Nurse – IMC / PCU / Stepdown (MSDU)
Location
Rochester, NY | Intermediate Care / Step-Down Unit
Schedule / Job Type
Contract | Nights | 3x12-Hour Shifts (19:00–07:00) | Every Other Weekend
Key Responsibilities
- Provide direct patient care in a 26-bed Intermediate Care Unit (IMCU), a critical care step-down setting serving adult acute care patients requiring more specialized monitoring than a general medical-surgical floor
- Manage continuous pulse-oximetry and telemetry monitoring, including interpretation and management of dysrhythmias
- Perform IV therapy and phlebotomy, including peripheral line care and management; care for patients with arterial lines, central lines, and titrated medicated IV infusions
- Provide respiratory support including nasal cannula, oxygen face masks, portable oxygen tanks, non-invasive airway management, and acute BIPAP support
- Participate in Rapid Response and Code Team activations as needed
- Maintain isolation precautions and adapt care plans using a multidisciplinary approach for patients arriving from the ED, PACU, ICU, and medical-surgical floors
Required Qualifications
- Active New York State RN license required — must be in hand at time of submission; no exceptions
- BLS certification required
- NIHSS certification required — must be included at time of submission
- Minimum 1 year of relevant RN experience
- Ability to manage a 1:5 to 1:7 patient ratio in a MedSurg/step-down environment
- EPIC electronic health record experience is a hard requirement
- Candidates must reside more than 75 miles from the facility to be eligible
Preferred Experience / Skills
- Experience caring for patients requiring arterial lines, central lines, or titrated IV medication infusions
- Background in a tertiary care or high-acuity hospital environment
- Familiarity with step-down or intermediate care unit workflows and multidisciplinary team collaboration
Why Join Us
- Opportunity to work in a high-acuity, evidence-based intermediate care environment within a large tertiary care hospital with 528 staffed beds
- First-time travelers are welcome to apply