ICU Stepdown Registered Nurse (RN)

Job Description

Job Description

Company Description

ICU Stepdown Registered Nurse (RN) – Altamonte Springs, FL

Full-Time | Days or Nights (Rotating Weekends)

Annual Salary Range : $63,000 – $96,000 (based on experience and shift differentials)

Sign-On Bonus : $15,000 (Days) | $20,000 (Nights – Urgent Need)

Relocation Assistance : Case by Case

Job Description

Overview

Join a collaborative ICU Stepdown (Intermediate Care) team providing advanced care for patients requiring close monitoring, frequent assessments, and complex therapies. This 15-bed unit serves as a true stepdown from critical care, offering a 3 : 1 nurse-to-patient ratio (occasionally 4 : 1). You’ll care for patients on drips, long-term ventilators, and other advanced therapies—bridging the gap between ICU and Med-Surg while working alongside an expert interdisciplinary team.

Responsibilities

Perform frequent patient assessments and monitor for acute status changes.

Manage cardiac drips, ventilators, and other stepdown-level interventions.

Utilize clinical judgment to assess, plan, and implement individualized care plans.

Collaborate with physicians and care teams to achieve optimal outcomes.

Educate patients and families regarding conditions, treatments, and discharge planning.

Maintain safe, high-quality, and evidence-based nursing care in all activities.

Qualifications

Qualifications

Required :

Active RN license (Florida or Compact)

Minimum 1 year of recent ICU Stepdown or Progressive Care experience

ADN or Nursing Diploma

Preferred : BSN degree

RNs with 3+ years of Cardiac or Multisystem PCU experience will be considered

NIH Stroke Scale within 30 days of hire

BLS within 30 days; ACLS within 6 months

Additional Information

Compensation & Benefits

Estimated Annual Range :

Days : ~$63,000 – $85,000

Nights (with differentials) : ~$72,000 – $96,000

Comprehensive medical, dental, and vision coverage (includes preventive care & telemedicine)

401(k) with up to 9% employer match

Employee Stock Purchase Plan (10% discount)

Paid family leave, PTO, and disability coverage

Tuition reimbursement up to $5,250 / year + $100 / month student loan assistance

Fertility and adoption assistance, dependent scholarships, and continuing education support

Wellness resources including counseling, legal / financial services, consumer discounts, and pet insurance

Ideal For

This position is ideal for experienced ICU Stepdown or PCU nurses seeking to advance their clinical skills in a supportive, high-acuity setting. Nurses who thrive in progressive care environments with strong teamwork and growth potential will excel here.

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