Intermediate Care RN - $34-51 per hour

Medical Solutions Direct Hire; Bloomington (IL); On-site; USD 47,000 - 70,000; Full time

Benefits offered by this job

Sign-On Bonus

Night Differential

Weekend Differential

Job summary

Medical Solutions Direct Hire in Bloomington, IL is seeking a Registered Nurse (RN) for an Intermediate Care/PCU role on a 32-bed unit. This Direct Hire, full-time night shift offers a team-based environment with 3–4 patients per nurse, telemetry monitoring, chest tubes, BiPAP/CPAP, and advanced therapies.

Ideal candidates have 1+ year of RN experience in higher-acuity inpatient care and an active RN license.

Qualifications

• Active RN license required.
• BLS and ACLS required.
• NIHSS certification required or willing to obtain.

Responsibilities

• Provide comprehensive nursing care to patients with complex medical needs.
• Interpret and monitor cardiac telemetry.
• Care for patients with chest tubes and other advanced medical devices.
• Monitor patients for changes in condition and respond appropriately.
• Administer medications and treatments according to physician orders and nursing standards.
• Collaborate with physicians and multidisciplinary care teams.
• Provide patient and family education.
• Maintain accurate and timely documentation in EPIC.
• Safely manage patients requiring higher-acuity interventions.
• Float to ICU when appropriate based on experience; otherwise, float to General Medicine floors.

Skills

Telemetry monitoring

Chest tube care

BiPAP/CPAP

Education

RN license

BLS

ACLS

NIHSS

Tools

EPIC

Pyxis

Job description

Medical Solutions Direct Hire is seeking a Registered Nurse (RN) Intermediate Care for a nursing job in Bloomington, Illinois.

Job Description & Requirements

• Specialty: Intermediate Care
• Discipline: RN
• Duration: Ongoing
• 36 hours per week
• Shift: 12 hours, nights
• Employment Type: Staff
• Date posted: September 14, 2026
• Pay: $34.25 - $51.13 per hour

Job description

PCU / Stepdown RN - Bloomington, ILDirect Hire | Full-Time | Night Shift | 3x12s A leading healthcare organization in Bloomington, Illinois is seeking an experienced PCU / Stepdown Registered Nurse to join its inpatient acute care team. This is an excellent opportunity for an RN who enjoys caring for higher-acuity patients in a collaborative environment with strong nurse-to-patient ratios and exposure to medical, surgical, cardiac, respiratory, and neurological conditions. The ideal candidate will be comfortable with telemetry interpretation and chest tubes and have experience caring for patients with complex medical needs.

Position Overview

The PCU/Stepdown RN provides comprehensive nursing care to patients requiring a higher level of monitoring and clinical intervention than a traditional medical-surgical floor. This 32-bed unit cares for a diverse patient population, including medical, surgical, cardiac, respiratory, and neurological patients. Nurses manage patients requiring telemetry and advanced therapies such as BiPAP, CPAP, tracheostomies, chest tubes, central lines, and other complex interventions.

Compensation & Incentives

• Hourly Pay: $34.25-$51.13/hr
• Sign-On Bonus: $20,000 with 1+ year of experience
• Night Differential: +$4.00/hr
• Weekend Differential: +$3.25/hr

Key Responsibilities

• Provide comprehensive nursing care to patients with complex medical needs
• Interpret and monitor cardiac telemetry
• Care for patients with chest tubes and other advanced medical devices
• Monitor patients for changes in condition and respond appropriately
• Administer medications and treatments according to physician orders and nursing standards
• Collaborate with physicians and multidisciplinary care teams
• Provide patient and family education
• Maintain accurate and timely documentation in EPICS
• Safely manage patients requiring higher-acuity interventions
• Float to ICU when appropriate based on experience; otherwise, float to General Medicine floors
• Take patient assignments appropriate to the level of care when floating

Patient Population

• COPD
• CHF
• Diabetes
• Sepsis
• Renal conditions
• DKA
• Alcohol withdrawal
• Overdoses
• Pneumonia
• Other respiratory conditions
• Neurological conditions
• Surgical patients
• Cardiac patients
• Post-ablation and post-cath lab patients
• Dialysis patients

Advanced Skills & Patient Care

• BiPAP / CPAP
• Tracheostomies
• Chest tubes
• NG tubes
• PICC lines
• Central lines
• Telemetry monitoring
• Post-ablation care
• Post-cath lab care
• Dialysis

Requirements

• 1+ year of RN experience for sign-on bonus eligibility
• Must be able to read and interpret cardiac telemetry
• Must be comfortable caring for patients with chest tubes
• Experience in PCU, stepdown, intermediate care, telemetry, or another higher-acuity inpatient setting is highly valuable

Licensure & Certifications

• Active RN license
• BLS required
• ACLS required
• NIHSS required

Unit & Facility Details

• 32-bed inpatient acute care unit
• All private rooms
• Nurse-to-patient ratio: 3-4 patients per nurse
• EPIC electronic medical record
• Pyxis medication dispensing system
• Any-color scrubs permitted

Orientation includes

1 day with the education team 1 day of floor orientation

Floating Expectations

Nurses with extensive ICU experience may float to the ICU. Nurses without extensive ICU experience may float to General Medicine floors. Assignments are based on the nurse's experience and the level of care.

• ICU: 2 patients
• General Medicine: 5-6 patients

Schedule

Night Shift: Three 12-hour shifts per week 3x12s Rotating nights, weekends, and holidays Weekend and holiday rotation required

Why This Opportunity?

• Competitive pay of $34.25-$51.13/hr $20,000 sign-on bonus for candidates with 1+ year of experience Additional night and weekend differentials
• 3-4:1 nurse-to-patient ratio
• All-private-room 32-bed unit
• Diverse, higher-acuity patient population
• Opportunity to strengthen skills across medical, surgical, cardiac, respiratory, and neuro care
• Exposure to advanced therapies including BiPAP, CPAP, chest tubes, trachs, central lines, and dialysis
• EPIC electronic medical record
• Collaborative inpatient environment

Why Bloomington, Illinois?

Bloomington is a vibrant central Illinois community that offers a small-city feel with plenty of amenities and convenient access to larger metropolitan areas. Affordable cost of living compared with many larger Illinois cities. Plenty of parks, trails, golf courses, and outdoor recreation. A variety of restaurants, breweries, coffee shops, and local businesses. Strong arts, entertainment, and community event scene. Home to Illinois State University and nearby Illinois Wesleyan University. Convenient location with easy access to Interstate 55, making travel throughout central Illinois simple. Close to Peoria and approximately two hours from Chicago, while maintaining a more relaxed pace of life. A family-friendly community with a mix of established neighborhoods and growing areas.

Job Type

Direct Hire | Full-Time

Location

Bloomington, IL

Shift

Nights | 3x12s

Experience

1+ Years RN Experience

About Medical Solutions Direct Hire

At Medical Solutions we're people who care, helping people who care. No matter how you look at it, there's a whole lot of care going on in our world and that's just the way we like it. What do we do? Medical Solutions is one of the nation's largest providers of total workforce solutions in the healthcare industry, connecting nurses and allied health clinicians with hospitals and healthcare systems across the country and around the corner. Through our family of brands, we also serve a segment of clients outside of the healthcare space. And we're the very best at what we do. You'll love our culture that’s filled with heart and soul. As a company and employer, we're sincerely and unabashedly us. We lead as humans first and believe the unique qualities of each team member make us better together. We share a purpose for helping others and the drive to make a difference. And we offer endless opportunities for personal and professional growth, throughout your career. At Medical Solutions, you'll find a great place to work and a career home. We've received Best Places to Work awards, landed top industry awards, and received accolades for the impact we've made in business and within our community. But the only way to really get to know us is to join us. We think you'll fit right in.