Step Down RN

Domnovate; Cleveland (OH); On-site; USD 90,000 - 120,000; Full time

Benefits offered by this job

Housing stipend

Weekly pay

Job summary

Medefis in Cleveland is seeking an experienced Travel RN to stabilize complex cardiac, respiratory, and post-surgical patients on a 24-bed step-down unit, collaborating with hospitalists, respiratory therapy, and support staff to ensure safety and accurate documentation.

The assignment includes a housing stipend and weekly pay, with 24/7 clinician support from Medefis, telemetry monitoring, and leadership of daily rounds to optimize patient outcomes.

Responsibilities

• Stabilize complex cardiac, respiratory, and post-surgical patients on a 24-bed step-down unit.

Tools

Epic

Phillips telemetry

Job description

At Medefis we connect exceptional clinicians with high-acuity hospital partners so patients receive seamless care between ICU and med-surg. In Cleveland you will stabilize complex cardiac, respiratory, and post-surgical patients, prevent readmissions, and set the standard for step-down excellence that hospitals trust us to deliver.

• Within 90 days independently manage a 4–5 patient assignment, achieving 95%+ on-time vital-sign, medication, and documentation compliance.
• Reduce unplanned transfers back to ICU by 20% through early recognition of decompensation and rapid RRT activation.
• Lead daily interdisciplinary huddles that cut average length of stay by 0.5 days while maintaining patient-satisfaction scores above 4.7/5.
• Precept two new or traveling RNs per quarter so they reach full productivity in under 4 weeks.
• Complete 100% of required telemetry, ventilator, and vasoactive-drip competencies and serve as unit super-user for the EHR.
• Contribute to one unit-based quality project (falls, CLABSI, or pain) that produces a measurable 10% improvement within six months.

Environment & Resources
You report to the Clinical Nurse Manager and partner with a dedicated charge RN, respiratory therapy, and hospitalists. The 24-bed step-down unit uses Phillips telemetry, Epic, and a 1:4–5 ratio. Travel contract includes weekly pay, housing stipend, and 24/7 clinician support from Medefis.