Registered Nurse - Adult PCU

IU Health; Fishers (IN); On-site; USD 70,000 - 95,000; Full time

Job summary

IU Health is seeking an experienced Progressive Care/Step-Down RN to provide focused care for adult patients with intermediate-acuity needs. You will monitor status, titrate medications, educate families, and coordinate with a multidisciplinary team to ensure safe progression of care.

The ideal candidate is clinically strong, calm under pressure, highly organized, and capable of rapid response to changes in patient condition.

Qualifications

• Active RN license in Indiana or NLC.
• Graduate from an accredited nursing program (ADN/BSN).
• Minimum of two years of recent acute-care nursing experience.
• BLS certification required; ACLS certification within timeframe or current.

Responsibilities

• Perform thorough patient assessments and identify condition changes; escalate promptly.
• Monitor cardiac rhythms, hemodynamic, respiratory, neuro status, labs and other indicators.
• Collaborate with physicians, APPs, RT, pharmacy, case management and rehab teams.
• Educate patients/families on diagnoses, meds, discharge needs and follow-up.
• Maintain accurate documentation in the EHR.
• Support safety, teamwork, and respectful communication in a high‑acuity setting.

Skills

Critical thinking

Communication

Teamwork

High-acuity care

Education

ASN

BSN preferred

Job description

Overview

**We are seeking an individual with a minimum of one year of PCU/Stepdown RN experience for this role.**

Available Shifts: FT Days (3 12hr shifts, every 3rd weekend rotation, holiday rotation)

Are you an upcoming nurse graduate or recent nurse graduate? Please apply through our pipeline requisition here: Clinical Nurse Resident (RN) - New & Upcoming Grads in Statewide, Indiana, United States

We are seeking an experienced, compassionate Registered Nurse (RN) to join our Progressive Care/Step-Down Unit. This role provides high-quality care to patients who require closer monitoring and more complex nursing interventions than a medical-surgical unit, but who do not require intensive-care-level services.

The ideal candidate is clinically strong, calm under pressure, highly organized, and able to recognize and respond quickly to changes in patient condition.

Position Summary

The Progressive Care/Step-Down RN delivers comprehensive, patient-centered nursing care for adult patients with intermediate-acuity needs. The nurse manages complex medical conditions, continuous monitoring, frequent assessments, medication titration within scope and policy, patient/family education, and interdisciplinary coordination to support safe progression of care.

Key Responsibilities

• Perform thorough initial and ongoing patient assessments, identify changes in condition, and promptly elevate concerns through appropriate clinical channels.
• Monitor, interpret, and respond appropriately to cardiac rhythms, hemodynamic status, respiratory status, neurologic changes, laboratory results, and other clinical indicators.
• Collaborate with physicians, advanced practice providers, respiratory therapy, pharmacy, case management, rehabilitation services, and other members of the interdisciplinary team.
• Educate patients and families on diagnoses, medications, treatment plans, discharge needs, and warning signs requiring follow-up.
• Maintain accurate, timely, and complete clinical documentation in the electronic health record.
• Support a culture of safety, teamwork, accountability, service excellence, and respectful communication.

Required Qualifications

• Current, unrestricted Registered Nurse license in the applicable state.
• Graduate of an accredited school of nursing; ADN or BSN accepted, with BSN preferred.
• Minimum of two years of recent acute-care nursing experience required.
• Current Basic Life Support (BLS) certification required.
• Current Advanced Cardiovascular Life Support (ACLS) certification required or obtained within the organization’s designated timeframe.
• Demonstrated ability to assess and manage patients with complex medical, cardiac, respiratory, neurologic, and post‑procedural needs.
• Strong critical‑thinking, communication, prioritization, and clinical decision‑making skills.
• Ability to work collaboratively in a fast‑paced, high‑acuity environment.

Preferred Qualifications

• Prior experience in Progressive Care, Step-Down, Intermediate Care, ICU, or other high‑acuity acute‑care settings.
• Experience with telemetry interpretation, dysrhythmia recognition, non‑invasive ventilation, vasoactive medication monitoring, and rapid‑response escalation.
• National specialty certification, such as PCCN, CCRN, or equivalent.
• Charge nurse, preceptor, or shared‑governance experience.

Qualifications

• Requires Associates of Nursing (ASN); Bachelor of Nursing (BSN) preferred.

• Education: The Registered Nurse (RN) must have graduated from a nationally accredited nursing program.

  1. Exceptions: Candidates who have not graduated from a nationally accredited program may be considered if they possess more than two years of acute care experience. Such exceptions are subject to review and approval by the Chief Nursing Officer (CNO).

• Requires an active Registered Nurse (RN) license in the state of Indiana or an active Nurse Licensure Compact (NLC) RN license.

• Requires that the RN has graduated from a nationally accredited nursing program.

• Requires Basic Life Support certification through the AHA.

• Other Advanced Life Support certifications may be required per unit/department specialty according to patient care policies.

Why Join IU Health?

• As Indiana’s largest and most comprehensive healthcare system, and the number 1 ranked healthcare system in Indiana, we offer:

• A supportive and collaborative work environment that is patient centered.

• Referral Bonus eligible

• Competitive benefits.

• 401(K) retirement savings with employer match.

• Employer paid medical leave.

• Tuition reimbursement.

• Student loan forgiveness – IU Health qualifies under the public service loan forgiveness program.

• Employee Assistance Program – Counseling at no cost to you

• Healthy Results - Participation in our team member wellness programs award points that contribute toward a biweekly financial incentive in your paycheck. The more you participate, the more you earn.