Registered Nurse - Stepdown

Azza HealthCare Agency; St. Louis (MO); On-site; USD 70,000 - 100,000; Full time

Job summary

Azza HealthCare Agency is seeking a Critical Care Stepdown Registered Nurse (RN) to provide compassionate, patient-centered care for intermediate-acuity patients transitioning from critical care to Med/Surg-level needs in St. Louis, MO.

The role emphasizes thorough assessment, evidence-based planning, and collaboration with a multidisciplinary team to optimize outcomes. Responsibilities include administering medications, hand-offs, and contributing to unit-based quality improvement initiatives.

Qualifications

• Graduation from an accredited nursing program (ADN, Diploma, or BSN).
• Missouri RN licensure or compact state.
• BLS certification required; ACLS/NIHSS/PCCN preferred.

Responsibilities

• Assess, plan, implement, and evaluate patient care using evidence-based practices.
• Deliver care for post-ICU and complex cardiac/respiratory patients.
• Administer medications and monitor patient conditions for safety.
• Complete accurate hand-offs and bedside shift reporting.
• Collaborate with physicians and multidisciplinary teams to optimize outcomes.
• Participate in huddles, shared governance, and quality improvement.

Skills

Nursing Assessment

Critical Care

Patient Care Planning

Communication

Time Management

Education

ADN

Diploma

BSN

Job description

Critical Care Stepdown Registered Nurse (RN) — provides compassionate, patient-centered care to intermediate-acuity patients transitioning from critical care to Med/Surg-level needs.

Key Duties

• Assess, plan, implement, and evaluate individualized nursing care using evidence-based practices.


• Deliver high-quality care for post-ICU and complex cardiac/respiratory patients supporting recovery.


• Administer medications and monitor patient conditions to maintain safety.


• Complete accurate hand-offs and bedside shift reporting.


• Collaborate with physicians, advanced practitioners, and multidisciplinary teams to optimize outcomes.


• Participate in huddles, shared governance, and unit-based quality improvement.

Qualifications

• Graduate of an accredited nursing program (ADN, Diploma, or BSN); BSN preferred.


• Current RN licensure (Missouri or compact).


• Required: BLS certification (AHA).


• Preferred: ACLS, NIHSS, PCCN, or other stepdown-related certifications.

Skills & Growth

• Strong assessment, communication, critical thinking, and time management.


• Engagement in continuing education, mentorship, and clinical career pathways for advancement into related specialties.