RN or GN - Stepdown Unit (Critical Care)

Mercy Co; Affton (MO); On-site; USD 70,000 - 100,000; Full time

Benefits offered by this job

Day-One benefits

PTO

Tuition assistance

Retirement matching

Job summary

Mercy Hospital St. Louis is seeking a Registered Nurse (RN) to join the ICU Stepdown team on the night shift. You will provide high-quality care for intermediate-acuity patients transitioning from critical care to Med/Surg, using evidence-based practices and collaborating with a multidisciplinary team.

This role requires Missouri RN license, ADN/ Diploma/BSN, BLS; ACLS preferred. Mercy offers Day-One benefits, PTO, tuition assistance, retirement matching, and opportunities for professional

Qualifications

• Graduate of an accredited school of nursing (ADN, Diploma, or BSN).
• BSN preferred.
• Missouri RN license or compact license.

Responsibilities

• Provide high‑quality care for intermediate‑acuity patients transitioning from critical care.
• Assess, plan, implement, and evaluate individualized nursing care with evidence‑based practices.
• Perform accurate hand-offs and bedside shift reporting to ensure patient safety.
• Collaborate with physicians and multidisciplinary teams to optimize outcomes.
• Administer medications and monitor complex post‑ICU conditions.

Skills

Critical care nursing

Nursing assessment

Patient advocacy

Team collaboration

Evidence-based practice

Education

ADN / Diploma / BSN

Tools

EPIC

Electronic Health Records (EHR)

Job description

Find your calling at Mercy!

Critical Care Stepdown

Registered Nurse (RN)

Location: Mercy Hospital St. Louis

Schedule: Full Time | Night Shift

Bring Mercy’s Healing Ministry to Life

At Mercy, our mission is more than words — it’s our calling. As the Sisters of Mercy before us, we bring to life the healing ministry of Jesus through compassionate care and exceptional service.

Join our ICU Stepdown team and help deliver transformative, patient centered care supported by advanced technology, a collaborative culture, and a deep commitment to dignity and excellence.

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Position Details:

Why Mercy?

• A rich heritage grounded in compassion, dignity, justice, excellence, and stewardship
• A workplace culture that empowers co‑workers, values innovation, and continually pioneers new models of care to get healthcare right
• Competitive compensation, comprehensive Day‑One benefits, PTO, tuition assistance, retirement matching, and more — available to eligible co‑workers, including those working 32+ hours per pay period
• Access to Mercy’s robust clinical career pathways, supporting professional growth through structured skill development, mentorship, and ongoing education opportunities

What You’ll Do

• Provide high‑quality care for intermediate‑acuity patients transitioning from critical care to Med/Surg level.
• Assess, plan, implement, and evaluate individualized nursing care using evidence‑based practices.
• Perform accurate hand‑offs and bedside shift reporting to maintain patient safety.
• Collaborate with physicians, advanced practitioners, and multidisciplinary partners to optimize patient outcomes.
• Administer medications, monitor complex conditions (cardiac, respiratory, post‑ICU), and support recovery.
• Participate in huddles, shared governance activities, and unit‑based quality improvement initiatives.

Qualifications

Education

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

Licensure

• Current Missouri RN license or compact license.

Certifications

• Required: BLS (American Heart Association).
• Preferred: ACLS, NIHSS, PCCN, or other Stepdown‑related certifications.

Your Growth Matters at Mercy!

• Participate in Mercy’s defined Career Path Program — ideal for building strong assessment, communication, critical‑thinking, and time‑management skills on your way to becoming an expert in Stepdown or related specialties.
• Opportunities for future advancement into ICU, Telemetry, Behavioral Health, ED, and more, typically within 12–18 months based on performance and interest.
• Engage in lifelong learning through continuing education, mentorship, certification support, and unit‑based committees.

A Ministry Rooted in Compassion

Mercy cares for the whole person — physically, emotionally, and spiritually — honoring the dignity of each patient and co‑worker we serve. Be part of a team that uplifts one another every step of the way and meets the community’s needs with compassion and excellence.

Ready to Take the Next Step?

Join a team that supports your growth, values your voice, and empowers you to deliver exceptional care every day.
Apply today and help bring Mercy’s healing mission to life.

Why Mercy?

From day one, Mercy offers outstanding benefits - including medical, dental, and vision coverage, paid time off, tuition support, and matched retirement plans for team members working 32+ hours per pay period.

Join a caring, collaborative team where your voice matters. At Mercy, you'll help shape the future of healthcare through innovation, technology, and compassion. As we grow, you'll grow with us.

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