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Stepdown Overflow Registered Nurse

Mission Hospital

Asheville, North Carolina

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RNStepdown

Posted Aug 3, 2026 · Last seen active Aug 4, 2026

About this role

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As a Stepdown Registered Nurse, your voice to influence patient care is valued and empowered at every turn –whether through open, collaborative relationships with your direct manager or more formal opportunities through hospital councils and national nursing initiatives. You'll help shape decisions that elevate both patient outcomes and the future of nursing. Job Summary and Qualifications Provides leadership which facilitates the delivery of professional nursing care for the comfort and well-being of patients. Utilizes the nursing process of assessment, planning, implementation, and evaluation, to provide, delegate, supervise, and document care and teaching of patients and families. Implements medically prescribed interventions. What you will do in this role: Assess the patient's condition during admission and each scheduled shift, promptly identifying and reporting any changes in patient status. Perform procedures, monitoring, or other functions as ordered by the medical provider(s), and ensure thorough and timely documentation of care administration in the patient's medical record. - Administer prescribed medications, monitor the patient for therapeutic response, and take appropriate action in the event of an unintended response to the medication. Provide exceptional care by responding promptly to patient requests, proactively anticipating patient needs, and resolving them. Educate patients, families, and caregivers about the patient's medical condition, treatment plan, medications, possible side effects, and follow-up measures, ensuring complete understanding by translating complex medical terminology. What qualifications you will need: Required Education: Bachelor of Science in Nursing or enroll in a BSN or advanced degree program and obtain a BSN within 5 years of hire date into RN position. Grandfathering will be accepted between departments and Mission Health entities. Exemptions, or extensions, may be approved by the facility CNO and reported out to the CNO Council members. Each facility will ensure tracking of exemptions should this information be needed. RNs with 10 years or more of experience are exempt. Preferred Education: Masters in Nursing. Required License/ Certifications: Must have and maintain current licensure as a registered nurse with the North Carolina Board of Nursing. eNLC (Enhanced Nurse License Compact) license may apply, licensee should confirm with NCBON Certificate: BLS Healthcare Provider

Requirements

  • Bachelor of Science in Nursing or enroll in a BSN or advanced degree program and obtain a BSN within 5 years of hire date
  • Masters in Nursing (preferred)
  • Current licensure as a registered nurse with the North Carolina Board of Nursing
  • eNLC (Enhanced Nurse License Compact) license may apply
  • BLS Healthcare Provider certification
  • RNs with 10 years or more of experience are exempt from BSN requirement

Benefits

  • Comprehensive medical, prescription drug, dental, vision, behavioral health and telemedicine services
  • Wellbeing support including free counseling and referral services
  • Paid time off
  • Paid family leave
  • Long- and short-term disability coverage
  • Leaves of absence
  • 401(k) Plan with 100% match on 3% to 9% of pay based on years of service
  • Employee Stock Purchase Plan

About the employer

Mission Hospital logo
Mission Hospital
Hospital

Mission Hospital, located in Asheville, NC, is part of Mission Health, a robust network of hospitals and providers serving Western North Carolina. Mission Health is affiliated with HCA Healthcare, which operates over 2,000 sites of care and serves over 31.2…

4.1 Google rating

What reviewers appreciate

  • Part of HCA Healthcare network with over 2,000 sites of care, offering potential career mobility
  • Comprehensive benefits package including medical, dental, vision, life, disability, and supplemental coverage
  • Free telemedicine services and free AirMed medical transportation for employees

What reviewers flag

  • Large corporate HCA Healthcare structure may feel impersonal to some nurses
  • No explicit nurse-to-patient ratio data available, which may concern prospective nurses evaluating workload
  • Glassdoor reviews exist but specific negative themes were not visible in the provided research content
patient-centeredfamily-orientedmultidisciplinaryfast-pacedcollaborativecontinuous learning

Living in Asheville, NC

Tucked in the Blue Ridge Mountains, Asheville blends outdoor adventure with a thriving arts scene, craft breweries, and the iconic Biltmore Estate. It's a laid-back mountain city that appeals to nurses who want natural beauty and cultural charm without big-city hustle.

Map showing the location of Asheville, NC
Asheville, NC on the map · © Mapbox © OpenStreetMap· Open the live map
Metro price level · Asheville area
96.5
3% below the national average
Median gross rent
$1,402/mo
rent and tenant-paid utilities

U.S. Bureau of Economic Analysis · 2024 metro Regional Price Parities · Census ACS 2024

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