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, days
• Employment Type: Travel

Assignment Overview

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

Description

American Traveler is hiring a Step Down RN for a 13-week acute care assignment requiring 2 years of high-acuity/ICU experience and vasopressor titration skills.

Details

• Step Down unit in an acute care hospital setting
• Day shift schedule, 3x12-hour shifts (7:00 AM-7:30 PM)
• Patient ratio of 1:4
• Every other weekend required, both Saturday and Sunday for day shift
• No on-call requirements
• Float to lower acuity floors within scope as needed
• EPIC charting system used

Requirements

• Active MO or compact RN license required (must match permanent residence if compact)
• Minimum 2 years of RN experience required, with bedside experience within the last 6 months
• Some ICU or high-acuity stepdown experience required due to unit acuity
• Trauma Level II experience required
• Travel experience required within the last 6 months
• Required certifications: ACLS, BLS, NIHSS
• Required skills: titration of vasopressors, sedation medication, insulin drips, trach vents, art lines, external pacemakers, and chest tubes
• Additional skills: arterial line management, central and peripheral line care, PICC line management, ventilator patient care, chest tube management, and interpretation of dysrhythmias
• Facial hair must accommodate proper fit testing or must be shaved with no exceptions

Additional Information

• Care for high-acuity stepdown patients requiring close cardiac and respiratory monitoring
• Navy scrubs required
• No first-time travelers accepted for this position
• Candidates must reside outside a 75-mile radius; no local candidates accepted
• Permanent employees must wait 1 year before returning to any BJC facility as a traveler
• Standard travelers may stay for an 18-month period and must take a 3-month break in service afterward
• Maximum of 7 days RTO per 13-week contract, with no RTO permitted during the first week of assignment
• Contract length is firm and considered non-negotiable

American Traveler Job ID #P-750744. 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