Skip to content
Nursing Mastery
All jobs

Travel Registered Nurse Stepdown Job

Healthforce

St. Louis, MO

Staffing partner

$2,035/wk

$2,035/week gross

Start my application

About a minute · no account or résumé needed.

RNICUNot open to new grads

Posted May 6, 2026 · Last seen active Jun 19, 2026

What this means for you

This role comes through Healthforce, a staffing partner — assignment-style terms, so ask exactly which facility you'd land in. It's a night shift — quieter halls, a tighter crew, and your daylight hours back. Twelve-hour shifts compress the week — three days on, four days yours.

What the listing says

Shift
Nights · 12-hour
Weekends, holidays, call
Float within scope to lower-acuity floors as required; weekend coverage includes two shifts every other weekend (rotation-dependent) · Scheduling restrictions: Locals within 75 miles are not considered; weekend shifts are required every other weekend (for nights)
EHR & union
EHR: Epic

About this role

Show full description
Overview Registered Nurse - Stepdown Unit (Travel) in Saint Louis, MO. This high-acuity step-down/PCU role operates on the Nights shift (3x12s) for a travel assignment starting 06/15/2026. Weekly pay ranges from $2,035 to $2,195 with no guaranteed hours. The assignment occurs in an acute care hospital setting with a Level II trauma designation and a 29-bed step-down unit that supports adult patients transitioning from ICU care. Key Highlights • Weekly pay: $2,035-$2,195 per week • Guaranteed hours: None • Start date: 06/15/2026 • Duration: Weeks (travel assignment) • Shift: Nights, 3x12-hour shifts • Setting: High-acuity step-down unit in a hospital with 29 beds on the unit Responsibilities • Provide direct patient care for adults on a high-acuity step-down unit, with responsibilities including ventilator care and management of ventilator alarms in collaboration with Respiratory Therapy • Titrate vasopressors and sedation, and manage IV insulin drips per physician orders • Monitor arterial lines, interpret ABGs, manage dysrhythmias, and be prepared for chest tube management or external pacemaker familiarity as needed • Assess and respond to patient changes, coordinate with interdisciplinary teams (PT, Pharmacy, Social Services, Rapid Response) to optimize care • Troubleshoot and troubleshoot RT-managed ventilators and alarms; maintain documentation in the charting system (Epic) and ensure accurate, timely communication during handoffs • Float within scope to lower-acuity floors as required; weekend coverage includes two shifts every other weekend (rotation-dependent) Requirements • Active RN license in Missouri; Illinois license in hand required at submission (per state rules) or eligibility per MO guidelines; ensure license type matches permanent residence for compact licensure Certifications: ACLS, BCLS/BLS, NIHSS Experience: Minimum 2 years RN experience; travel experience required; must have been at bedside within the last 6 months; trauma Level II experience required • Clinical skills: Ventilator care and management, vasopressor and sedation titration, insulin drip management, arterial line care, ABG interpretation, dysrhythmia interpretation • Unit-specific: Able to work in a 29-bed high-acuity step-down environment, with 1:4 nurse-to-patient ratio • Scheduling restrictions: Locals within 75 miles are not considered; weekend shifts are required every other weekend (for nights) • Additional: You must be able to perform required hard-stop clinical skills and participate in 24-hour orientation Benefits and Support • 24-hour unit orientation (24 hours) to acclimate to unit specifics and protocols • Interdisciplinary support on the unit (Respiratory Therapy, PT, Pharmacy, Social Services, Rapid Response) • Access to ongoing credentialing and onboarding coordination through the staffing organization • Dedicated travel and assignment support throughout the engagement Find more opportunities If you’re interested in other travel nursing openings, you can view additional opportunities at the Hiring Organization URL: https://healthforce.applytojob.com/apply Please note: Pay rates and guaranteed hours are estimates and may vary. Final compensation packages and confirmed hours will be discussed during the hiring process. About Healthforce Healthforce is a nationwide travel healthcare staffing agency connecting travel nurses and allied health professionals with high-quality contract assignments across the United States. We specialize in placing clinicians in travel nursing jobs, allied health travel assignments, and local contract opportunities in hospitals, long-term care facilities, and outpatient settings. Whether you are an experienced traveler or taking your first assignment, Healthforce provides the support and opportunities you need to succeed. Travel Nursing and Allied Health Opportunities Nationwide Healthforce partners with healthcare facilities across the country to offer a wide range of opportunities for nurses and allied professionals. Travel RN jobs in Med Surg, ICU, ER, LTC, and more Allied health travel jobs including CT Tech, Rad Tech, PT, OT, Respiratory, and more Local contract and per diem opportunities Short-term and 13-week travel assignments Our goal is simple: match you with the right assignment, in the right location, at the right pay. What Makes Healthforce Different We know that travel healthcare professionals have options. That is why we focus on delivering a better experience at every step of the process. Competitive weekly pay packages with transparent breakdowns Fast credentialing support to help you get submitted quickly Dedicated recruiters who stay with you from submission to start 24/7 support while you are on assignment Nationwide job access across multiple specialties and care settings We do not just place you in a job. We help you build a sustainable travel healthcare career. Built for Travel Nurses and Allied Professionals Healthforce is designed around the needs of today’s travel healthcare workforce. We make it easier for clinicians to move quickly, stay informed, and access strong opportunities across the country. Quick submissions to open jobs Access to multiple job options at once Flexible assignment locations Ongoing support throughout your contract Whether you are searching for your next assignment or planning your first travel job, our team is here to help you move forward with confidence. Start Your Next Travel Assignment Healthforce is actively hiring travel nurses and allied healthcare professionals for assignments nationwide. Apply today to connect with a recruiter and explore current travel nursing and allied health job opportunities. LugDgq1rms

Skills for this role

Ventilator CareManagement of Ventilator AlarmsTitrate VasopressorsTitrate Sedationmanage IV insulin dripsMonitor Arterial Linesinterpret ABGsManage DysrhythmiasChest Tube ManagementExternal Pacemaker Familiarity

Certifications

ACLSBLSBCLSNIHSS

Requirements

  • Missouri RN license
  • Illinois RN license
  • Active RN license in Missouri
  • Experience: Minimum 2 years RN experience

About the employer

Healthforce logo
Healthforce
Staffing partner

Healthforce is a travel nursing staffing agency based in Rochester, NY, that places registered nurses in temporary clinical assignments across multiple states. Assignments have been listed in locations such as Utica, NY and Salida, CO, indicating a multi-state operational footprint.…

What reviewers appreciate

  • Multi-state travel assignment opportunities in diverse clinical settings (ED, Med Surg, outpatient)
  • Guaranteed hours (36/week) on listed assignments provide income predictability
  • Competitive weekly travel pay rates in the $1,977–$2,123 range

What reviewers flag

  • Listed assignments predominantly require night shifts
  • Some positions require documented prior travel nursing experience, limiting entry for new travel nurses
  • Temporary contract nature provides no guaranteed long-term job security or continuity
travel nursingcontract-basedmulti-statetemporary assignmentsflexibleclinical competency

Living in St. Louis, MO

St. Louis blends Midwestern warmth with Mississippi River charm, anchored by the iconic Gateway Arch and sprawling Forest Park. The Central West End puts nurses near major medical campuses, while Soulard's historic market district adds weekend character. A relaxed pace and strong hospital network make it a welcoming relocation choice.

Map showing the location of St. Louis, MO
St. Louis, MO on the map · © Mapbox © OpenStreetMap· Open the live map
State price level · Missouri
9% below the national average
State index 90.8 (100 = national)

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

Browse open roles in St. Louis

On your path

Telemetry is open from year one. One of the most open front doors in acute care; ACLS and rhythm.

Worth asking

The posting doesn’t answer these. Good ones to ask a recruiter or in the interview.

  • Can you walk me through the base pay range and differentials?
  • What should I expect for holiday, call, and rotation?
  • What orientation, preceptor time, and ongoing unit support are included?
  • How is staffing support handled day to day?
Open the full posting report
Help improve this pageShare what it’s like, leave a heads-up, or ask about this posting.
What would you like to do?
Add ratings or a short headline

A person reviews every submission before anything changes.