Job Opportunity – Progressive Care / Step-Down RN – New York
Start Date: November 2, 2026
Location: Rochester, New York
Compensation: Details provided to qualified applicants
Schedule: 12-bed progressive care unit with 1:3 nurse-to-patient ratios across all shifts. Every other weekend required. Float to medical-surgical units as needed. 8-hour orientation provided.
Highlights:
- Fast-paced PCU/Step-Down environment serving adult and geriatric populations with complex, acute care needs
- Diverse case mix including DKA, acute respiratory patients (BiPAP, high flow, vents/trachs), ETOH withdrawal, sepsis, and other nursing-intensive conditions
- Epic charting system with comprehensive interdisciplinary support including IV teams, respiratory services, rapid response teams, pharmacy, and more
- First-time travelers welcome with 1+ year of relevant experience
- Work with specialized equipment including CADDS and PCA pumps
- Navy blue and white scrubs provided
Requirements:
- Active New York RN license required at time of submittal
- ACLS and BLS certifications (current)
- Minimum 1 year of progressive care, step-down, or telemetry experience
- Epic charting experience required
- Proficiency in phlebotomy and IV placement (mandatory competency verification required)
- Strong skills in telemetry monitoring, dysrhythmia interpretation and management, central line care, IV insulin protocols, heparin protocols, and insulin drip titration
- Experience with blood product administration, high flow nasal cannula, non-invasive airway management, tracheostomy care, wound care/wound vac, and isolation precautions
- Must reside more than 75 miles from facility location
- No more than 10 days of requested time off during assignment
Why It's a Great Opportunity:
This progressive care position offers the chance to develop advanced clinical skills while caring for critically complex patients in a supportive, team-oriented environment. With comprehensive interdisciplinary support and a manageable 1:3 patient ratio, you'll deliver high-quality, nursing-intensive care to patients requiring close monitoring and intervention. The facility welcomes first-time travelers and provides thorough orientation to ensure your success from day one.