Long Term Acute Care Registered Nurse

Stepdown RN

Fusion Medical Staffing is seeking a skilled Stepdown RN for a 15-week travel assignment in Hilo, HI. As a member of our team, you'll have the opportunity to make a positive impact on the lives of patients while enjoying competitive pay, comprehensive benefits, and the support of a dedicated clinical team.

Location: Hilo, HI

Pay: $1840-1958/week* (estimated)

Hours: 36 hrs/week

Shift: Days

Hours: 3 X 12

Work setting: Hospital

Number of beds: 194

Trauma center: Level III

Charting system: Altera (Paragon), Cerner, Epic (EpicCare Link, Resolute Professional Billing), FUJIFILM (Synapse), HealthStream

Start date: 10/12/2026

Assignment length: 15 weeks

Required Qualifications:

• One year of recent experience as a Stepdown RN
• Current Valid RN license in compliance with state regulations
• Current BLS Certification (AHA/ARC)
• Current ACLS Certification (AHA/ARC)

Preferred Qualifications:

• Progressive Care Certified Nurse (PCCN) Certification
• NIHSS Certification
• Other certifications and licenses may be required for this position

Summary:

A Stepdown Registered Nurse provides care to patients who are transitioning from intensive care to medical-surgical or general inpatient units. These patients require frequent monitoring and specialized nursing interventions. They assess and manage complex patient needs, administer medications and treatments, and collaborate with multidisciplinary teams to ensure safe, patient-centered care.

Essential Work Functions:

• Monitors and interprets cardiac rhythms, vital signs, and other telemetry data to detect abnormalities and respond appropriately
• Administers prescribed medications and treatments in accordance with approved nursing techniques, with a focus on cardiac care
• Prepares equipment and aids physician during cardiac-related procedures and examinations
• Maintains awareness of comfort and safety needs of telemetry patients
• Observes patient, records significant conditions and reactions, and notifies supervisor or physician of patient's cardiac status and response to interventions
• Responds to life-saving situations based upon nursing standards, policies, procedures, and protocols specific to cardiac emergencies
• Documents nursing history and physical assessment for assigned telemetry patients
• Initiates patient education plans according to individualized needs, focusing on cardiac health, risk factors, and lifestyle modifications
• Collaborates with the interdisciplinary team to ensure comprehensive care for telemetry patients
• Maintains confidentiality of patients and client
• Performs other duties as assigned within the scope of practice
• Adheres to hospital safety protocols, infection control guidelines, and regulatory standards

Required Essential Skills:

• Critical thinking, service excellence, and good interpersonal communication skills
• The ability to read, write, and communicate in the English language
• Ability to read/comprehend written instructions, follow verbal instructions, and proficiency in PC skills
• Physical Abilities - Must be able to remain in a stationary position, move about, move equipment (50-100lbs), push, pull, and bend
• Interpersonal Skills - Must be able to work effectively with a variety of personnel (professional and ancillary) to present a positive attitude and professionalism
• Technical/Motor Skills - Must have the ability to grasp, perform fine manipulation, push/pull, and move about when assisting with procedures and/or using department equipment
• Mental Requirements - Must be able to cope with frequent contact with the general public and customers while meeting deadlines under pressure. Must be able to work under close supervision occasionally, as well as working without assistance from other personnel. Must be able to contend with irregular activity schedules occasionally and continuous concentration to detail
• Sensory - Must possess visual acuity and ability to effectively communicate

Benefits Include:

• Highly competitive pay for travel professionals
• Comprehensive medical, dental, and vision insurance with first day coverage
• Paid Time Off (PTO) after 1560 hours
• Life and Short-term disability offered
• 401(k) matching
• Aggressive Refer-a-friend Bonus Program
• 24/7 recruiter support
• Reimbursement for licensure and CEUs

Why Choose Fusion?

At Fusion Medical Staffing, our goal is to improve the lives of everyone we touch, and we're always looking for people like you to join our mission. Your passion for helping others deserves a partner just as committed to supporting you — that's why we offer day one insurance, $0 copay for mental health services, scholarships and awards, exclusive discounts, and more. From your personal recruiter to our clinical and traveler experience teams, we're here to guide and celebrate you along your journey. You take care of others; we take care of you.