Intermediate Care RN - $34-51 per hour

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

Benefits offered by this job

Sign-On Bonus

Night Differential

Weekend Differential

All-private rooms

Job summary

Medical Solutions Direct Hire is seeking a PCU/Stepdown RN for a Normal, IL nursing role. The RN will provide care for higher-acuity patients on a 32-bed PCU with telemetry, chest tubes, BiPAP/CPAP, and other advanced therapies during a night shift. This is a direct hire, full-time position.

Required is 1+ year of RN experience, active RN license, and certifications (BLS/ACLS/NIHSS preferred). The unit emphasizes strong nurse-to-patient ratios, EPIC documentation, and a diverse patient

Qualifications

• 1+ year of RN experience required for sign-on eligibility.
• Must read and interpret cardiac telemetry.
• Experience with chest tubes and higher-acuity inpatient care.
• Active RN license; BLS and ACLS; NIHSS preferred.

Responsibilities

• Provide care for high-acuity PCU/stepdown patients.
• Interpret and monitor telemetry.
• Care for chest tubes and advanced devices.
• Administer meds and treatments per orders.
• Collaborate with physicians and multidisciplinary teams.
• Document in EPIC accurately and timely.
• Float to ICU or General Medicine as needed.

Skills

Telemetry interpretation

Chest tubes care

Higher-acuity patient care

Nurse-Patient communication

Education

Active RN license

Tools

EPIC

Pyxis

Job description

Medical Solutions Direct Hire is seeking a Registered Nurse (RN) Intermediate Care for a nursing job in Normal, 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, IL Direct 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

Experience & Skills

• 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
• Strong 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

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.