Travel Step-Down Registered Nurse - $2,264 per week

American Traveler, LLC.; St. Louis (MO); On-site; USD 92,000 - 114,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

401(k) plan

Weekly payroll deposit

Free online CEUs

Travel and licensure reimbursements

Non-taxed per diem and subsidy

Traveler discounts

Job summary

American Traveler is seeking a Travel RN for a Stepdown/Progressive Care position in St. Louis, MO, requiring MO or compact licensure, ACLS/BLS, and proficiency in cardiac drips and dysrhythmia management.

Assignment includes 36 hours/week, 12-hour nights, and a 13-week duration in a Magnet-designated Level I trauma center. Responsibilities include telemetry monitoring, chest tubes, and EPIC charting, with a 2–3:1 PCU/Stepdown ratio and 4:1 on the floor.

Qualifications

• Active MO or compact RN license is required.
• 2 years of RN experience in stepdown or related setting required.
• ACLS and BLS certifications required.
• Experience in cardiac telemetry, dysrhythmia interpretation, management and titration of cardiac drips, and chest tube care required.
• EPIC charting system experience preferred.

Responsibilities

• Work in a Magnet-designated, Level I Trauma teaching hospital's dual PCU/Stepdown and floor units.
• Nurse-to-patient ratios are 2-3:1 in PCU/Stepdown and typically 4:1 on the floor, occasionally up to 5:1.
• All nurses may be assigned to either the PCU/Stepdown or floor sides as needed.
• Manages telemetry monitoring, cardiac drips, dysrhythmia interpretation and management, and chest tubes.
• EPIC is used for charting.
• Night shifts are 3x12 hours, 19:00 – 07:30.
• Weekend shifts required every other weekend.
• Floating within scope required to meet facility needs.
• Main duties include providing advanced nursing care for stepdown and PCU level patients, including cardiac monitoring and intervention.
• Works alongside an interdisciplinary, team-based environment within a large Level I trauma center.
• Navy blue scrubs are required.
• Paid orientation will cover hospital modules and procedures.
• Permanent former employees must wait 1 year before returning as a traveler.
• Traveler assignments can last up to 18 months with a mandatory 3-month break after 18 months.
• Night shift parking is free; alternate shifts require paid parking passes with details provided at orientation.

Skills

Telemetry monitoring

Dysrhythmia interpretation

Cardiac care

EPIC charting

Stepdown nursing

Education

MO or Compact RN license

ACLS Certification

BLS Certification

Tools

EPIC

Job description

Travel Step-Down Registered Nurse - $2,264 per week

American Traveler is seeking a travel nurse RN PCU - Progressive Care Unit for a travel nursing job in St. Louis, Missouri.

Job Description & Requirements

• Specialty: PCU - Progressive Care Unit
• Start Date: 01/19/2026
• Duration: 13 weeks
• 36 hours per week
• Shift: 12 hours, nights
• Employment Type: Travel

Job Description

American Traveler is seeking an experienced RN for a Stepdown/Progressive Care position requiring a MO or compact license, ACLS/BLS certification, and proficiency in cardiac drips and dysrhythmia management.

Responsibilities

• Work in a Magnet-designated, Level I Trauma, teaching hospital's dual PCU/Stepdown and floor units
• Nurse-to-patient ratios are 2-3:1 in PCU/Stepdown and typically 4:1 on the floor, occasionally up to 5:1
• All nurses may be assigned to either the PCU/Stepdown or floor sides as needed
• Manages telemetry monitoring, cardiac drips, dysrhythmia interpretation and management, and chest tubes
• EPIC is used for charting
• Night shifts are 3x12 hours, 19:00 – 07:30
• Weekend shifts required every other weekend
• Floating within scope required to meet facility needsNo on-call responsibility
• Main duties include providing advanced nursing care for stepdown and PCU level patients, including cardiac monitoring and intervention
• Works alongside an interdisciplinary, team-based environment within a large Level I trauma center
• Navy blue scrubs are required
• Paid orientation will cover hospital modules and procedures
• Permanent former employees must wait 1 year before returning as a traveler
• Traveler assignments can last up to 18 months with a mandatory 3-month break after 18 months
• Night shift parking is free; alternate shifts require paid parking passes with details provided at orientation

Requirements

• Active MO or compact RN license is required
• 2 years of RN experience in stepdown or related setting required
• Certifications required: Advanced Cardiovascular Life Support (ACLS) and Basic Life Support (BLS)
• Experience in cardiac telemetry, dysrhythmia interpretation, management and titration of cardiac drips, and chest tube care required
• EPIC charting system experience preferred
• Must reside at least 75 miles from facility as local candidates are not accepted
• No more than 7 days of time off requested per 13 week contract, with no time off during the first week of orientation
• First-time travelers are accepted
• High Pay and Bonuses
• Medical, Dental and Vision Insurance with Day 1 Options
• 401(k) Plan
• Weekly Payroll Deposit
• Free Online CEUs
• Travel and Licensure Reimbursements
• Non-taxed Per Diem and Subsidy
• Traveler Rewards and Discounts

American Traveler Job ID #P-649657. Pay package is based on 12 hour shifts and 36 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title: Travel RN - Telemetry - Stepdown

About American Traveler

With over 25 years of experience, American Traveler has established a reputation for outstanding customer service. Our team ensures a smooth, worry-free experience for those starting on or expanding their travel nursing and allied careers.

American Traveler offers exceptional benefits, including premium medical, dental, vision and life insurance beginning day one of your assignment, generous 401(k) match, substantial housing stipends, and more. Additionally, with 24/7 support and access to our in-house clinicians, you are assured confidence and comfort throughout your assignment.