ICU Stepdown RN
TexasNursingServices
Posted: December 12, 2025
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Required Skills
Job Description
Employment Type: Full-Time, Permanent
Shifts: Days or Nights (Rotating Weekends)
Compensation
• Base Pay: $31.86 – $46.28/hr (based on experience)
• ~5 Years: $36.12/hr
• ~10 Years: $40.44/hr
• ~17+ Years: $46.28/hr
• Shift Differentials:
• Nights: +$4.50/hr
• Weekends: +$1.50/hr
Sign-On Bonus: $15,000 (Days) | $20,000 (Nights) – available through Q3
Relocation Assistance: Case-by-case
Position Overview
We are seeking a dedicated and motivated ICU Stepdown RN to join a collaborative team in a 15-bed intermediate care unit. This true stepdown/PCU environment offers a 3:1 nurse-to-patient ratio (occasionally 4:1) caring for patients who require drips, long-term ventilators, and frequent assessments.
This role is ideal for nurses who excel in high-acuity care and want to bridge ICU and med-surg while working alongside a supportive, experienced interdisciplinary team.
Key Responsibilities
• Perform frequent assessments and monitor patients requiring close observation.
• Manage cardiac drips, long-term ventilators, and stepdown-level treatments.
• Collaborate with physicians and the care team to ensure safe, effective patient outcomes.
• Educate patients and families about diagnoses, treatments, and recovery plans.
• Promote a culture of teamwork, patient safety, and excellence in care.
Required:
• Active Florida RN license or Compact RN license
• Minimum 1 year of recent ICU Stepdown experience
• Will also consider RNs with 3+ years in Cardiac or Multisystem PCU
• ADN or Nursing Diploma
• NIH Stroke Scale (within 30 days)
• BLS (within 30 days) & ACLS (within 6 months)
Preferred:
• BSN
Benefits
• Comprehensive medical, dental, and vision coverage (includes free preventive care & telemedicine)
• 401(k) with up to 9% employer match
• Employee Stock Purchase Plan (10% discount)
• Paid family leave, PTO, and disability coverage
• Tuition reimbursement up to $5,250/year + $100/month student loan assistance
• Fertility and adoption assistance
• Dependent scholarships
• Career development and advancement programs
• Emotional wellness support, counseling services, legal/financial resources
• Optional pet insurance
Why This Role?
This is an excellent opportunity for nurses with ICU Stepdown or PCU experience who want to grow in a supportive, team-driven environment. Competitive pay, strong incentives, and relocation support make this an outstanding next step in your nursing career.
Apply today to join a high-performing team in Sanford, FL.
Hashtags & Keywords
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