Travel Step Down RN - $2,276 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: 11/16/2026
• 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: Nov 16, 2026
• Length: 13 weeks
• Openings: 1

Description

American Traveler is hiring an experienced RN for a Step Down Unit night shift position requiring 2+ years of high-acuity stepdown or ICU experience and vasopressor titration skills.

Details

• Step Down Unit in an acute care hospital setting
• 1:4 patient ratios
• Night shift schedule, 3x12 hours (19:00-07:30)
• Every other weekend required (Friday/Saturday or Saturday/Sunday rotation)
• Float to lower acuity floors within service line as needed
• No on-call responsibilities
• Epic charting system used

Requirements

• Active MO RN license or compact license in hand required
• Current certifications: ACLS, BLS, and NIHSS
• Minimum 2 years of recent bedside experience required, within the last 6 months
• ICU or high-acuity stepdown experience required due to high patient acuity
• Trauma Level II hospital experience required
• Recent travel nursing experience within the last 6 months required
• Required skills: titration of vasopressors, sedation medication, insulin drips, trach vents, art lines, external pacemakers, and chest tubes

Additional Information

• Manage high-acuity stepdown patients including those requiring vasopressor and sedation titration, trach vent management, arterial lines, external pacemakers, and chest tubes
• Navy scrub color required
• Must be clean-shaven or have facial hair that allows for proper respirator fit testing
• First-time travelers are not accepted for this position
• Local candidates not accepted within a 75-mile radius of the facility
• Permanent employees must wait 1 year before returning to this health system as a traveler
• Travelers with less than an 18-month tenure and 3-month break in service are not eligible
• Maximum of 7 days RTO per 13-week contract, with no RTO allowed during the first week of the assignment

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