Registered Nurse - Adult PCU Days

Indiana University Health; Fishers (IN); On-site; USD 70,000 - 90,000; Full time

Benefits offered by this job

Referral Bonus

Competitive benefits

401K with employer match

Paid medical leave

Tuition reimbursement

Student loan forgiveness

Employee Assistance Program

Wellness incentives

Job summary

Indiana University Health is seeking an experienced Registered Nurse for our Progressive Care/Step-Down Unit. This role delivers patient-centered care for adults with intermediate-acuity needs, coordinating with a multidisciplinary team to ensure safe progression of care.

The ideal candidate is clinically strong, organized, and capable of rapid assessment and intervention in a high-acuity environment. BSN preferred; ADN accepted.

Qualifications

• Requires ASN; BSN preferred.
• Minimum 1 year of PCU/Step-Down RN experience.
• Current, active Indiana RN license (or compact).
• BLS certification required.
• ACLS certification required or within designated timeframe.

Responsibilities

• Perform thorough initial and ongoing patient assessments and identify changes in condition.
• Monitor and respond to cardiac rhythms, hemodynamics, respiratory status, labs, and other indicators.
• Collaborate with physicians, advanced practice providers, therapy, pharmacy, case management, and rehabilitation teams.
• Educate patients and families on diagnoses, medications, and discharge needs.
• Maintain accurate documentation in the electronic health record.
• Support a culture of safety, teamwork, and respectful communication.
• Demonstrate ability to work in a fast-paced, high-acuity environment.
• Prior experience in progressive care/step-down, ICU, or similar settings.

Skills

Telemetry interpretation

Dysrhythmia recognition

Cardiac monitoring

Critical thinking

Team collaboration

Communication

Clinical decision-making

PCCN/CCRN certification

Education

ASN

BSN preferred

Tools

EPIC EHR

Job description

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

Overview

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.

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.

Available Shifts: Full Time and Part Time Days (12hr shifts, every 3rd weekend rotation, holiday rotation)

• Perform thorough initial and ongoing patient assessments, identify changes in condition, and promptly escalated 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.
• 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.
• 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.
• 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.

We are an equal opportunity employer. IU Health does not discriminate on the basis of race, color, religion, sex, sexual orientation, age, disability, genetic information, veteran status, national origin, gender identity and/or expression, marital status or any other characteristic protected by federal, state or local law. We will ensure that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. Please contact us to request accommodation.