Travel Step Down RN - $2,246 per week

American Traveler is seeking a travel nurse RN Stepdown for a travel nursing job in St. Louis, Missouri.

Job Description & Requirements

• Specialty: Stepdown
• Discipline: RN
• Start Date: 10/19/2026
• Duration: 13 weeks
• 36 hours per week
• Shift: 12 hours, nights
• Employment Type: Travel

Assignment Overview

• Shift: Nights, 3x12hrs
• Hours: 36 hrs/wk
• Start Date: Oct 19, 2026
• Length: 13 weeks
• Openings: 1

Description

American Traveler is seeking an experienced RN for a Step Down (Telemetry) Unit position on nights, requiring 2+ years of stepdown/ICU experience and vasopressor titration skills.

Details

• Step Down Unit within an acute care hospital
• Patient ratio of 1:4
• Night shift, 3x12 hours, 19:00-07:30
• Every other weekend required (Friday/Saturday or Saturday/Sunday rotation)
• No on-call requirements
• Float to lower acuity units within scope as needed
• Uses Epic charting system

Requirements

• Active MO or compact RN license required
• Current BLS, ACLS, and NIHSS certifications required
• Minimum 2 years of RN experience required
• Recent bedside experience within the last 6 months required
• ICU or high acuity stepdown experience required due to unit acuity
• Trauma Level II hospital experience required
• Recent travel nursing experience within the last 6 months required
• Proficiency in titration of vasopressors, sedation medications, and insulin drips required
• Experience managing trach vents, arterial lines, external pacemakers, and chest tubes required
• Epic charting experience preferred

Additional Information

• Provide advanced nursing care to high-acuity stepdown patients including cardiac, neurological, and respiratory cases
• Responsible for cardiac monitoring, dysrhythmia interpretation, and rapid response coordination
• Navy scrub color required
• No guaranteed schedule accommodations for block scheduling
• Facial hair must allow for proper respirator fit testing or must be shaved
• Candidates must reside outside a 75-mile radius as local candidates are not accepted
• Maximum of 7 days RTO per 13-week contract with no RTO during the first week
• Previous permanent BJC or Saint Luke's employees must wait 1 year before returning as a travelers
• Travelers who completed an 18-month assignment must take a 3-month break before returning
• First-time travelers are not accepted for this position

American Traveler Job ID #P-750787. Pay package is based on 12 hour shifts and 36.0 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title: Travel RN - Telemetry - Stepdown

About American Traveler