Registered Nurse – Critical Care Stepdown (Days)

LiveWell Homecare Agency, LLC; St. Louis (MO); On-site; USD 75,000 - 90,000; Full time

Job summary

LiveWell Homecare Agency, LLC is seeking a Critical Care Stepdown Registered Nurse (RN) to provide patient-centered care for intermediate‑acuity patients transitioning from ICU to Med/Surg. You will assess, plan, implement, and evaluate care using evidence-based practices, and perform hand-offs to ensure safety.

Collaborate with multidisciplinary teams, monitor complex conditions, and support patient recovery.

Qualifications

• Graduate of an accredited nursing program (ADN, Diploma, BSN preferred).
• Current Missouri RN license or compact license.
• Required BLS certification; ACLS, NIHSS, PCCN, or other Stepdown certifications are preferred.

Responsibilities

• Assess, plan, implement, and evaluate individualized nursing care using evidence-based practices.
• Perform accurate hand-offs and bedside shift reports to ensure patient safety.
• Collaborate with multidisciplinary teams, administer medications, monitor complex cardiac, respiratory, and post-ICU conditions, and support patient recovery.
• Participate in huddles, shared governance, and quality improvement initiatives.

Skills

Assessment

Communication

Critical thinking

Time management

Education

Missouri RN license or compact license

Job description

Role:

Critical Care Stepdown Registered Nurse (RN) providing patient-centered care for intermediate‑acuity patients transitioning from ICU to Med/Surg.

Responsibilities:

Assess, plan, implement, and evaluate individualized nursing care using evidence-based practices. Perform accurate hand-offs and bedside shift reports to ensure patient safety. Collaborate with multidisciplinary teams, administer medications, monitor complex cardiac, respiratory, and post-ICU conditions, and support patient recovery. Participate in huddles, shared governance, and quality improvement initiatives.

Qualifications:

Graduate of an accredited nursing program (ADN, Diploma, BSN preferred). Current Missouri RN license or compact license. Required BLS certification; ACLS, NIHSS, PCCN, or other Stepdown certifications are preferred.

Skills & Growth:

Strong assessment, communication, critical-thinking, and time-management skills. Opportunities for professional development through structured career pathways, mentorship, continuing education, and potential advancement into ICU, Telemetry, Behavioral Health, and ED roles.

Core Values:

Providing compassionate, dignified care that honors the whole person—physical, emotional, and spiritual—within a collaborative, innovative, and supportive environment.