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ICU Stepdown RN

TexasNursingServices

Sanford, FL, United States permanent

Posted: December 12, 2025

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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

ICU Stepdown RN, PCU RN, Progressive Care Unit Nurse, Intermediate Care Nurse, Stepdown Nursing Jobs, Sanford FL RN Jobs, Florida Nursing Careers, Critical Care RN, RN Hiring Florida

#ICUStepdownRN #PCURN #ProgressiveCareUnit #StepdownNursing #RNJobs #SanfordFLJobs #FloridaNursing #CriticalCareNursing #NursingCareers

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