ICU Step Down Registered Nurse
Under the direction of the unit manager, the Registered Nurse at Sinai Hospital of Baltimore provides direct clinical patient care.
Posted Oct 7 · New grads welcomed
- Shift and hours
- 7 AM - 7:30 PM
- Unit and setting
- Intermediate Care Unit · Hospital Sinai Hospital's Intermediate Care Unit is a 36-bed ICU step-down unit caring for stable, critically ill adult patients who need close monitoring and frequent intervention.stable, critically ill adult patients who need close monitoring and frequent intervention
- License
- RN license Licenses And Certification: * Registered Nurse License - Current Maryland license or eligibility to obtain Maryland licenseCurrent Maryland license or eligibility to obtain Maryland license
- Term
- PermanentFull Time
Do you qualify?
- New grads
- Welcomed Experience: * Less than one year
- License
- Current Maryland license or eligibility to obtain Maryland license Licenses And Certification: * Registered Nurse License - Current Maryland license or eligibility to obtain Maryland license Check your license
- Certification
- Basic Life Support Certification
- Education
- Associate degree in nursing and/or Bachelor of Science in Nursing and/or Master of Science in Nursing Education: *Associate degree in nursing and/or Bachelor of Science in Nursing and/or Master of Science in Nursing
- Experience
- Less than one year
Your six-month RN application plan
Start about six months before graduation. Some programs open earlier; use each employer’s application dates.
6 months before
Shortlist units
Check application windows. Gather clinical experience, references and your expected graduation date.
Find residencies →4–6 months before
Apply as windows open
Apply before graduation when the program allows it. Keep the cohort date and license deadline with each application.
Explore new grad jobs →2–3 months before
Meet the unit manager
Ask about overtime, a shadow shift, preceptor continuity and the schedule after orientation.
Prepare your questions →Around graduation
Confirm your start
Coordinate NCLEX, the required license and your start date. Get relocation and repayment terms in writing.
Plan your license →
Why start this early?
Advocate describes a 6–9 month application runway for several regional RN programs. These milestones are a planning guide, not deadlines for every employer. See program calendars.
What it pays
- Tuition assistance
- Tuition reimbursement toward advanced degrees and specialty certifications
- Eligibility
- first of the month after start date
Benefits
- BenefitsMedical, dental and vision coverage starting the first of the month after start dateMedical, dental and vision coverage starting the first of the month after start date
- Benefits403(b) retirement plan with employer match + pension403(b) retirement plan with employer match + pension
- BenefitsFree on-site parkingFree on-site parking
- BenefitsTuition reimbursement toward advanced degrees and specialty certificationsTuition reimbursement toward advanced degrees and specialty certifications
- BenefitsGenerous paid time off, short and long-term disability and life insuranceGenerous paid time off, short and long-term disability and life insurance
- BenefitsEmployee wellness programs, mental health support, and fitness discountsEmployee wellness programs, mental health support, and fitness discounts
More benefits (10)
- Medical insurance
- Dental insurance
- Vision insurance
- 403(b)
- Pension
- Tuition reimbursement
- Paid time off
- Disability insurance
- Life insurance
- Wellness programs
The role and schedule
- Patients
- neurologic, respiratory, cardiac, renal, and other complex conditions
- Day to day
- evaluates assigned patient and documents clinical assessments
- Day to day
- assesses and documents patient and family educational needs
- Day to day
- hourly rounding Performs hourly rounding.
- Day to day
- develops and coordinates discharge plans Develops and coordinates discharge plans, independently or in collaboration with other staff.
- Unit size
- 36 beds Sinai Hospital's Intermediate Care Unit is a 36-bed ICU step-down unit caring for stable, critically ill adult patients who need close monitoring and frequent intervention.
The workplace
- Parking
- Free on-site parking Free on-site parking
Worth asking
- Can you walk me through base pay range and differentials?
- What should I expect for weekly hours, weekend, holiday, call, and rotation?
More questions to askFewer questions
- What orientation, preceptor time, and ongoing unit support are included?
- How are patient load, floating, and staffing support handled day to day?
Your fit
On your path
ICU / Critical Care has an opening for new graduates. This employer welcomes new graduates for this role. See the posting’s qualifications and orientation details.
Original listing
Read full text
- Facility: Sinai Hospital of Baltimore
- Department/Specialty: Intermediate Care
- City: Baltimore
- Employment Type: Full Time
- Shift: 7 AM - 7:30 PM
- Date Posted: October 07, 2026
About the Role
Under the direction of the unit manager, the Registered Nurse at Sinai Hospital of Baltimore provides direct clinical patient care. The role will assume responsibility for assessing, planning, implementing direct age-appropriate clinical care to assigned patients on a per shift basis, and unit level.
Unit Highlights
Sinai Hospital's Intermediate Care Unit is a 36-bed ICU step-down unit caring for stable, critically ill adult patients who need close monitoring and frequent intervention. Each private room is equipped with full hemodynamic monitoring, and the unit's broad case mix spans neurologic, respiratory, cardiac, renal, and other complex conditions, giving nurses wide exposure in a fast-paced critical care environment.
Responsibilities
- Accurately evaluates assigned patient and documents clinical assessments, including emotional and physical pain, and required comfort measures; prioritizing patient/family needs into plan of care.
- Assesses and documents patient/family educational needs: to aid in informed decision making about healthcare treatment and to provide a successful transfer within the healthcare environment; coordinates with peers to establish educational resources as needed.
- Performs hourly rounding. Develops and coordinates discharge plans, independently or in collaboration with other staff.
Qualifications
Experience
- Less than one year
Education
*Associate degree in nursing and/or Bachelor of Science in Nursing and/or Master of Science in Nursing
Licenses And Certification
- Registered Nurse License - Current Maryland license or eligibility to obtain Maryland license
- Basic Life Support Certification
Benefits
- Medical, dental and vision coverage starting the first of the month after start date
- 403(b) retirement plan with employer match + pension
- Free on-site parking
- Tuition reimbursement toward advanced degrees and specialty certifications
- Generous paid time off, short and long-term disability and life insurance
- Employee wellness programs, mental health support, and fitness discounts
About Sinai Hospital
Sinai Hospital of Baltimore is a nationally recognized academic medical center, a designated Level II Trauma Center, and the largest community hospital in Maryland. As part of LifeBridge Health - one of the region's most comprehensive healthcare systems - Sinai delivers advanced care with a mission to improve the health of the communities we serve, and to take care of the people who take care of patients.
What's around it?
Baltimore, MDFrom Census ACS 2024.
Living costs about 5% above the US average
- Median rent
- $1,331/mo
- Household income
- $62,177/yr, all local households, not nurse pay