Stepdown Registered Nurse

ICU Stepdown Registered Nurse (RN) - Sanford, FL

• Full-Time | Days or Nights (Rotating Weekends)
• Hourly Pay : $31.86 - $46.28 (based on experience)
• Shift Differentials : +$4.50 / hr (Nights) | +$1.50 / hr (Weekends)
• Sign-On Bonus : $15,000 (Days) | $20,000 (Nights - Urgent Need)
• Relocation Assistance : Case by Case

Overview

We are seeking a dedicated and compassionate ICU Stepdown RN to join a skilled team providing care for patients who require frequent assessments and continuous monitoring. This 15-bed unit functions as a true intermediate care area-managing drips, ventilators, and complex conditions-with a 3 : 1 nurse-to-patient ratio (occasionally 4 : 1). You'll work in a collaborative environment committed to teamwork, safety, and clinical excellence.Responsibilities

Provide direct, continuous care to patients requiring stepdown or progressive care-level support.

Perform frequent assessments and respond to rapid changes in patient status.

Manage cardiac drips, ventilators, and other complex therapies safely and effectively.

Collaborate with interdisciplinary team members to coordinate treatment and discharge plans.

Educate patients and families on conditions, medications, and recovery care.

Maintain accurate documentation and uphold safety and regulatory standards.

Qualifications

Required :

Active RN license (Florida or Compact)

Minimum 1 year of recent ICU Stepdown experience in an acute care setting

ADN or Nursing Diploma

Preferred :

BSN degree

RNs with 3+ years of Cardiac or Multisystem PCU experience

NIH Stroke Scale within 30 days of hire

BLS within 30 days; ACLS within 6 months

Compensation & Benefits

Hourly Range : $31.86 - $46.28 (based on experience)

Shift Differentials : +$4.50 / hr (Nights), +$1.50 / hr (Weekends)

Sign-On Bonus : $15,000 Days | $20,000 Nights (available through November 2025)

Comprehensive medical, dental, and vision insurance (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 support, dependent scholarships, and professional development opportunities

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

Ideal For

This position is ideal for experienced ICU Stepdown or PCU nurses who thrive in a fast-paced, team-oriented environment and are passionate about delivering high-quality, evidence-based care.

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