Travel Step Down Unit RN - $2,125 per week

Cross Country Nurses; St. Louis (MO); On-site; USD 82,000 - 109,000; Full time

Benefits offered by this job

Private housing or housing allowance

Comprehensive health insurance with Rx

401(k) retirement plan

Travel reimbursement

Referral bonuses

Direct deposit/free checking

Unlimited CE credits

Job summary

Cross Country Nurses is seeking a travel nurse RN Stepdown for a travel nursing job in Saint Louis, Missouri. The role requires providing high-acuity patient care in a critical care step-down setting with night shifts and 12-hour shifts.

Qualified candidates will hold an RN license, ACLS, BLS, NIHSS certification, and have at least 2 years in a step-down or high-acuity unit with bedside experience within the last 6 months.

Qualifications

• Valid RN license in applicable state(s).
• ACLS and BLS certifications required.
• NIH Stroke Scale (NIHSS) certification required.
• Minimum 2 years of hospital experience in a step-down or high-acuity medical-surgical setting.
• Recent bedside experience within the last 6 months.

Responsibilities

• Provide high-acuity patient care in a Step Down Unit during night shifts.
• Titrate vasopressors and sedation medications as needed.
• Manage complex patients and perform advanced procedures.
• Ensure safety and compliance with hospital protocols.

Education

RN License

ACLS

BLS

NIH Stroke Scale (NIHSS) certification

Job description

Cross Country Nurses is seeking a travel nurse RN Stepdown for a travel nursing job in Saint Louis, Missouri.

Job Description & Requirements

• Specialty: Stepdown
• Discipline: RN
• Start Date: 10/19/2026
• Duration: 13 weeks
• 36 hours per week
• Shift: 12 hours, nights
• Employment Type: Travel

Job Summary:
The healthcare professional specializing in Step Down Unit nursing at the nights shift is responsible for providing high-acuity patient care in a critical care step-down setting. This role involves managing clients with complex medical conditions, titrating vasopressors, sedation medication, and other advanced procedures, ensuring safety and compliance with hospital protocols.

Job Details:

• Schedule: Nights shift, 12-hour shifts, with a minimum of 36 hours per week.
• Required Qualifications: Valid license in applicable state(s), ACLS, BLS, and NIH Stroke Scale (NIHSS) certification. A minimum of 2 years of hospital experience in a step-down or high-acuity medical-surgical setting required; candidates should have recent bedside experience within the last 6 months.
• Preferred Qualifications: Prior experience with arterial line management, cardiac telemetry, ventilated patients, chest tubes, and managing vasoactive drips. Experience with EPIC charting system preferred.
• Float: Float to floors with lower acuity may be required within scope of practice.
• Additional Information: Must have proficiency with titration of vasopressors (Levophed, Nicardipine), sedation medications, art lines, trach vents, chest tubes, and external pacemakers. Prior ICU or step-down experience is highly preferred, with emphasis on managing complex patients utilizing advanced procedures and equipment such as Bipap, OptiFlow, and arterial lines. Must have been at the bedside within the last 6 months. Candidates should be able to handle high-acuity clinical procedures as described.

Benefits
The benefits of taking a travel assignment with Cross Country include:

• Private housing or generous housing allowance
• Comprehensive health insurance with prescription coverage
• Dependent health insurance with prescription coverage
• Competitive salaries
• Referral bonuses
• Travel reimbursement
• 401(k) retirement plan
• Direct deposit/free checking
• Unlimited free CE credits

Cross Country Job ID #1312643. Pay package is based on 12 hour shifts and 36.0 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title: Registered Nurse / Step Down Unit

About Cross Country Nurses

You care for others we're here to care for you. At Cross Country, we know travel nursing is about more than just the job. It's about building a career that supports your lifestyle, your values, and your impact. We offer competitive pay, full benefits, and 24/7 support from a team that truly understands what it means to be on the front lines. Wherever your journey takes you, we're with you every step of the way. Let's build your best life one assignment at a time.

Benefits

• 401k retirement plan
• Referral bonus