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About the role

Registered Nurse (RN) | Stepdown
Location: Mount Airy, NCAgency: Revolution Healthcare Services
Pay: $2,059 per week
Shift Information: Nights - 3 days x 12 hours
Contract Duration: 13 Weeks
Start Date: 12/7/2026 About the Position
Job Opportunity – Telemetry/Step-Down Registered Nurse – North Carolina
Start Date: December 7, 2026
Location: North Carolina
Compensation: Details provided to qualified applicants
Schedule: 12-hour night shifts (6:45 PM - 7:15 AM), 36 hours per week. Weekend requirement of 6 weekend commitments or 12 weekend shifts per 13-week contract. Self-scheduling with rotating float to ICU/Step-Down ICU based on census. No call required.
Highlights: Progressive Step-Down unit with 12 beds, 1:4 nurse-to-patient ratio, managing complex cardiac, neuro, and surgical patients Comprehensive skill utilization including telemetry monitoring and interpretation, cardiac drip management with titration, central line and PICC management, and advanced respiratory support (BiPAP/CPAP, High Flow)24-hour orientation provided with supportive team environment; no ventilator management required Meditech EMR experience required; 13-week contract available Patient population similar to ICU excluding MI, GI bleeds, and DKA; includes CVA, substance withdrawal, post-mastectomy, and complex medical-surgical cases Every room equipped with cardiac monitoring and continuous pulse oximetry; 12-lead ECG capability on unit
Requirements:
  • Active RN license (North Carolina or Compact state)
  • Minimum 2 years of acute care nursing experience required
  • Current certifications: ACLS, BLS, NIHSS, and Stroke Life Support
  • Proficiency with Meditech charting system required
  • Experience with 1:4 patient ratios in telemetry, step-down, or progressive care settings
  • Demonstrated competency in telemetry interpretation and dysrhythmia management, cardiac drip titration, central line care, blood product administration, and advanced airway management
  • First-time travelers accepted; some travel experience preferred
  • Previous charge experience and teaching or community hospital experience preferred
  • Flu vaccination required (medical/religious exemptions only)
  • Ability to complete 8-10 hours of pre-start online modules using Google Chrome or Microsoft EdgeWhy It's a Great Opportunity:
This Step-Down unit offers the perfect balance of critical thinking and autonomy for experienced nurses seeking to expand their clinical expertise. You'll manage a diverse patient population with advanced monitoring technology while working collaboratively with Rapid Response and Code teams. The structured orientation, supportive environment, and opportunity to practice at the top of your license make this an excellent setting for professional growth and meaningful patient care.
Requirements: Required for OnboardingACLSBLSCore Mandatory Part ICore Mandatory Part II (Nursing) Core Mandatory Part IIIGeneral Progressive Care UnitPALSPCUProgressive Care RNRN - Pharmacology AStepdown RN

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JOB OVERVIEW

Salary

$2,059 per week

Experience level

Senior

Location

Raleigh, NC

Occupation

Registered Nurses

Industry

General Medical and Surgical Hospitals

Posted

today

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