Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

Registered Nurse - Step Down

SSM Health

It's more than a career, it's a calling. MO-SSM Health St. Mary's Hospital - St. Louis Worker Type: Regular Job Summary: Provides direct nursing care in accordance with established policies, procedures and protocols of the healthcare organization. Job Responsibilities and Requirements:

PRIMARY RESPONSIBILITIES

  • Uses standards of medical-surgical nursing practice to increase the quality of care and quality of life for the patient, family, and significant other(s) by systematically evaluating the quality and effectiveness of nursing practice.
  • Establishes effective relationships and serves as an advocate with the patient, family, and significant other(s) to facilitate the development of the care plan unique to the patient's care needs.
  • Uses the nursing process to develop and implement the plan of care, collect assessment data for each patient, determine appropriate nursing diagnoses, identify expected patient outcomes, determine the plan of care, implement interventions, and evaluate patient outcomes.
  • Develops assessment and management strategies based on a consideration of the physical, functional, cultural, social, economic, developmental, spiritual, vocational, and leisure dimensions of human responses to actual and potential health problems.
  • Demonstrates knowledge of the impact of actual or potential illness and each patient's physical, functional, cultural, social, economic, developmental, spiritual, vocational, and leisure status.
  • Utilizes leadership skills by coordinating and collaborating with the patient, family, significant other(s), communities, and members of the inter-professional team in assessing needs, setting goals, planning interventions, providing care, and evaluating outcomes.
  • Utilizes effective communication to participate with the patient, family, significant other(s), and other health care providers in collaborative decision making that reflects the understanding that care should be culturally sensitive, ethical, legal, holistic, informed, compassionate, and humane, and within the boundaries of available economic resources.
  • Educates the patient, family, and significant other(s) about measures that promote, maintain, and restore health or promote comfort.
  • Fosters a healthy work environment within the practice setting and profession by serving as a mentor and role model for nursing colleagues, students, and others.
  • Applies the existing body of evidence-based practice and scientific knowledge in health care to medical-surgical nursing practice, ensuring that nursing care is delivered based on patient's age-specific needs and clinical needs as described in the department's Scope of Service.
  • Works in a constant state of alertness and safe manner.
  • May perform point of care testing according to policies and procedures.
  • Performs other duties as assigned.

EDUCATION

* Graduate of accredited school of nursing or education equivalency for licensing

EXPERIENCE

* No experience required

PHYSICAL REQUIREMENTS

  • Constant use of speech to share information through oral communication.
  • Constant standing and walking.
  • Frequent lifting/carrying and pushing/pulling objects weighing 0-25 lbs.
  • Frequent sitting, reaching and keyboard use/data entry.
  • Frequent use of vision and depth perception for distances near (20 inches or less) and far (20 feet or more) and to identify and distinguish colors.
  • Frequent use of smell to detect/recognize odors.
  • Frequent use of hearing to receive oral communication, distinguish body sounds and/or hear alarms, malfunctioning machinery, etc.
  • Occasional lifting/carrying and pushing/pulling objects weighing 25-50 lbs.
  • Occasional lifting/moving of patients.
  • Occasional bending, stooping, kneeling, squatting, twisting, gripping and repetitive foot/leg and hand/arm movements.
  • Occasional driving.
  • Rare crawling and running.

REQUIRED PROFESSIONAL LICENSE AND/OR CERTIFICATIONS

State of Work Location: Illinois
  • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA)
  • And
  • Registered Professional Nurse (RN) - Illinois Department of Financial and Professional Regulation (IDFPR)
State of Work Location: Missouri
  • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA)
  • And
  • Registered Nurse (RN) - Missouri Division of Professional Registration
  • Or
  • Registered Nurse (RN) Issued by Compact State
State of Work Location: Oklahoma
  • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA)
  • And
  • Registered Nurse (RN) Issued by Compact State
  • Or
  • Registered Nurse (RN) - Oklahoma Board of Nursing (OBN)
State of Work Location: Wisconsin
  • Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA)
  • And
  • Registered Nurse (RN) Issued by Compact State
  • Or
  • Registered Nurse (RN) - Wisconsin Department of Safety and Professional Services
Work Shift: Night Shift (United States of America) Job Type: Employee Department: 1729010100 Prog - 4W Scheduled Weekly Hours: 36 Benefits: SSM Health values our exceptional employees by offering a comprehensive benefits package to fit their needs.
  • Paid Parental Leave : we offer eligible team members one week of paid parental leave for newborns or newly adopted children (pro-rated based on FTE).
  • Flexible Payment Options: our voluntary benefit offered through DailyPay offers eligible hourly team members instant access to their earned, unpaid base pay (fees may apply) before payday.
  • Upfront Tuition Coverage : we provide upfront tuition coverage through FlexPath Funded for eligible team members.
Explore All Benefits ( SSM Health is an Equal Opportunity Employer. SSM Health provides equal employment opportunities to all employees and applicants for employment without regard to race, color, religion, sex, gender, pregnancy, sexual orientation, gender identity, national origin, age, disability, protected veteran status, genetic information, or any other characteristic protected by applicable federal, state, or local law. Click here to learn more. (

Vacancy posted 4 hours ago
Similar jobs that could be interesting for youBased on the Registered Nurse - Step Down in Saint Louis, MO vacancy
  • Aya Healthcare has an immediate opening for a Step-down Registered Nurse in Saint Louis, MO. The role focuses on step-down, telemetry, and critical care patient management in a high-acuity acute care hospital setting. The position offers a 13-week assignment with dayshift... 
    Suggested
    Weekly pay
    Immediate start
    Day shift

    Aya Healthcare, Inc.

    Saint Louis, MO
    1 day ago
  • $48.02 - $56.75 per hour

     ...Type: Step Down Unit St. Louis , MO SkyBridge Healthcare is currently seeking Registered Nurse with Step Down Unit experience for a 13-week contract in MO. SkyBridge Healthcare is a premier staffing firm dedicated to matching outstanding talent with exceptional... 
    Suggested
    Weekly pay
    Full time
    Contract work
    Relocation package

    Skybridge Resources

    Saint Louis, MO
    1 day ago
  • $1,000 per month

     ...Step Down Registered NurseMedPro Healthcare Staffing, a Joint Commission-certified staffing agency, is seeking a quality Step Down Registered Nurse for a travel assignment with one of our top healthcare clients.RequirementsActive RN License.Degree from accredited nursing... 
    Suggested
    Immediate start

    MedPro Healthcare Staffing

    Saint Louis, MO
    3 days ago
  • *Can sign for 36 or 48 hours per week* Position / Specialty: Step-Down Start date: 3-4 weeks out per compliance tier Ratios: 1:5 Years of experience REQ: 2 Weekend REQ: every other Certs REQ: ACLS, BLS Is on-call REQ? (Y/N) What is the req? No Will clinician float within... 
    Suggested
    Contract work
    Temporary work
    Local area
    Weekend work

    Windsor Healthcare Recruitment Group, Inc.

    Saint Louis, MO
    1 day ago
  • $73 per hour

     ...Dual Unit Step-Down Nurse Opportunity Start date: 3-4 weeks out per compliance tier. Ratios: We have a dual unit – PCU/Stepdown and the floor side. On the PCU it is 2-3, on the floor it is usually 4, but can be 5 at times. All nurses can work on either side. Years of... 
    Suggested
    Contract work
    Temporary work
    Local area
    Shift work
    Night shift
    Weekend work

    Bestica Healthcare

    Saint Louis, MO
    3 days ago
  • Step Down Unit Nights Ratios: 1:4 Years of experience REQ: 2 years First-timers accepted: N Weekend REQ: 2 shifts every other weekend. For day shift it is every other weekend, Saturday and Sunday. For night shift it can be Friday/Saturday or Saturday/Sunday -depends on... 
    Local area
    Shift work
    Night shift
    Weekend work
    Day shift

    Bestica

    Saint Louis, MO
    1 day ago
  • $1,500 per week

     ...Job Description Job Description AUTO OFFER – Travel LPN/LVN | Surgical Step Down Saint Louis, MO $1500/week ☀️ Day Shift | 7:00 AM Start 13-Week Travel Contract ⚡ AUTO OFFER – No Interview for Qualified Candidates We’re actively hiring an experienced... 
    Contract work
    Day shift

    Lancesoft INC

    Saint Louis, MO
    a month ago
  • $1,000 per month

     ...Step Down Registered NurseMedPro Healthcare Staffing, a Joint Commission-certified staffing agency, is seeking a quality Step Down Registered Nurse for a travel assignment with one of our top healthcare clients.RequirementsActive RN License.Degree from accredited nursing... 
    Hourly pay
    Weekly pay
    Contract work
    Immediate start

    MedPro Healthcare Staffing

    Bridgeton, MO
    22 hours ago
  • $73 per hour

     ...Job Title12 weeks DOU/Step-DownStart date: 3-4 weeks out per compliance tierRatios: 1:3Years of experience required: 2First-timers accepted: YesWeekend requirement: Every otherCertifications required: ACLS, BCLS, NIHOn-call requirement: NoWill clinician float within scope... 
    Temporary work
    For contractors
    Shift work
    Night shift

    Bestica Healthcare

    Saint Louis, MO
    1 day ago
  • $1,930 - $2,115 per week

     ...Step Down RN OpportunitySupplemental Health Care is hiring Step Down RNs for contract assignments at partnering hospitals in Bridgeton...  ...travel or stay local, we're committed to helping Step Down Registered Nurses find the right fit with top hospitals across the country.... 
    Contract work
    Local area
    Immediate start
    Night shift

    Supplemental Health Care

    Bridgeton, MO
    1 day ago
  • $2,508.68 per week

     ...Registered Nurse - PCU - Step Down - Travel | Bridgeton, Missouri Estimated Weekly Pay: $2508.68 Start Date: 11/02/2026 | Duration: 13 Weeks Shift: 3 x 12hr Nights Job Details AHS Staffing is seeking a qualified Travel - Registered Nurse - PCU... 
    Hourly pay
    Weekly pay
    Daily paid
    Flexible hours
    Shift work
    Night shift

    AHS Staffing

    Bridgeton, MO
    22 hours ago
  • $2,240 per week

     ...Cross Country Nurses is seeking a travel nurse RN Stepdown for a travel nursing job in St. Louis, Missouri. Job...  ...~ Employment Type: Travel Job Summary Registered Nurse (RN) specializing in Step Down Unit is sought for a position in the St. Louis, MO area... 
    Zero hours contract
    Shift work
    Night shift

    Cross Country Nurses

    Saint Louis, MO
    4 days ago
  • $2,125 per week

     ...Cross Country Nurses is seeking a travel nurse RN Stepdown for a travel nursing job in Saint Louis, Missouri. Job Description...  ...-free stipend amount to be determined. Posted job title: Registered Nurse / Step Down Unit About Cross Country Nurses You care for others... 
    Zero hours contract
    Shift work
    Night shift

    Cross Country Nurses

    Saint Louis, MO
    a month ago
  •  ...RN Step Down Step Down Unit Nights Ratios: 1:4 Years of experience REQ: 2 years First-timers accepted: N Weekend REQ: 2 shifts every other weekend. For day shift it is every other weekend, Saturday and Sunday. For night shift it can be Friday/Saturday or Saturday/Sunday... 
    Local area
    Shift work
    Night shift
    Weekend work
    Day shift

    Bestica Healthcare

    Saint Louis, MO
    5 days ago
  • $2,885 - $3,079 per week

    Aya Healthcare has an immediate opening for the following position: Step down Registered Nurse in Saint Louis, MO. We'll work with you to build the healthcare career of your dreams. Whether you want a job close to home or across the country, we've got you. Job Details... 
    Weekly pay
    Local area
    Immediate start
    Relocation
    Shift work
    Night shift

    Aya Healthcare, Inc.

    Saint Louis, MO
    5 days ago
  • Aya Healthcare has an immediate opening for a Step Down Registered Nurse in Saint Louis, MO. This 26-week assignment includes Nights shift with a 3, 12-Hour schedule from 19:00 to 07:30 and start date 10/19/2026. There is 1 opening for this role. The facility is an Acute... 
    Immediate start
    Night shift

    Aya Healthcare, Inc.

    Saint Louis, MO
    5 days ago
  •  ...Tele Step-Down Jobs in Missouri Location Saint Louis, Missouri Shift Nights, 3x12 hrs Start Date October 19, 2026 Duration 13 weeks...  ...Step-Down RN contract position in Saint Louis, Missouri. The PCU nurse is sometimes also called a step-down nurse and the PCU is also... 
    Contract work
    Shift work
    Night shift

    Stability HealthCare

    Saint Louis, MO
    1 day ago
  • $2,054 - $2,246 per week

    Aya Healthcare has an immediate opening for the following position: Step down Registered Nurse in Saint Louis, MO. We’ll work with you to build the healthcare career of your dreams. Whether you want a job close to home or across the country, we’ve got you. Job Details... 
    Weekly pay
    Second job
    Immediate start
    Shift work
    Night shift

    Aya Healthcare, Inc.

    Saint Louis, MO
    5 days ago
  • $2,483 - $2,675 per week

    Aya Healthcare has an immediate opening for the following position: Step down Registered Nurse in Saint Louis, MO. We'll work with you to build the healthcare career of your dreams. Whether you want a job close to home or across the country, we've got you. Job Details... 
    Weekly pay
    Second job
    Local area
    Immediate start
    Relocation
    Shift work
    Night shift

    Aya Healthcare, Inc.

    Saint Louis, MO
    5 days ago
  • $2,054 - $2,246 per week

    Aya Healthcare has an immediate opening for a Step down Registered Nurse in Saint Louis, MO. The assignment is 26 weeks, with nights on a 3,12-hour schedule from 19:00 to 07:30. Start date is 10/19/2026 and there is 1 opening. Charting is done in Epic, and MO or Compact... 
    Local area
    Immediate start
    Night shift

    Aya Healthcare, Inc.

    Saint Louis, MO
    5 days ago
  • Aya Healthcare has an immediate opening for a Step down Registered Nurse in Saint Louis, MO. This one-time assignment runs for 13 weeks with a Nights schedule (3, 12-hour shifts: 19:00-07:30). Start date is 10/19/2026, with 1 opening at an acute care hospital using Epic... 
    Immediate start
    Shift work
    Night shift

    Aya Healthcare, Inc.

    Saint Louis, MO
    1 day ago
  • Aya Healthcare, Inc. is hiring a Step-down Registered Nurse for a 13-week assignment in Saint Louis, MO. The role requires a 1-year bedside RN background, MO or compact license, ACLS and BLS, and strong telemetry skills. Start date is 10/26/2026 with a 3,12-hour night... 
    Weekly pay
    Relocation
    Night shift

    Aya Healthcare, Inc.

    Saint Louis, MO
    1 day ago
  • Aya Healthcare, Inc. is seeking a Step-Down Registered Nurse for a 26-week assignment in Saint Louis, MO. This Nights position offers a 4x12-hour schedule and requires Epic charting experience. Start date is 10/19/2026. The facility is an Acute Care Hospital with Level... 
    Relocation package
    Night shift

    Aya Healthcare, Inc.

    Saint Louis, MO
    5 days ago
  • Aya Healthcare, Inc. is seeking a Step-down Registered Nurse for a Saint Louis, MO assignment. The role requires 2 years of RN experience, ACLS and BLS certification, and MO or Compact licensure. Start date: 09/28/2026. Assignment length is 12 weeks with days shifts and... 
    Shift work
    Day shift

    Aya Healthcare, Inc.

    Saint Louis, MO
    2 days ago
  •  ...Overview: This position supports the operational functions of a Neuro Step Down unit, overseeing team management, staff communication, and...  ...performance evaluations, and professional development. Assign nursing duties, manage workload, and address disciplinary actions.... 
    Full time
    Night shift
    Afternoon shift

    LiveWell Homecare Agency, LLC

    Saint Louis, MO
    5 days ago
  • $2,138 - $2,368 per week

    Aya Healthcare has an immediate opening for a Step down Registered Nurse in Saint Louis, MO. The role is in an Acute Care Hospital with 256 beds, offering a 13-week assignment and a start date of 10/19/2026. The position requires MO licensure (or compact) and ACLS/BLS... 
    Immediate start
    Day shift

    Aya Healthcare, Inc.

    Saint Louis, MO
    1 day ago
  • Aya Healthcare, Inc. has an immediate opening for a Step-down Registered Nurse in Saint Louis, MO. This assignment offers a Nights shift with 3, 12-hour shifts from 19:00 to 07:30 and a 13-week length. Start date is 11/02/2026. We provide support to build your healthcare... 
    Local area
    Immediate start
    Shift work
    Night shift

    Aya Healthcare, Inc.

    Saint Louis, MO
    5 days ago
  • $2,138 - $2,368 per week

    Aya Healthcare is seeking a Step-down Registered Nurse to join a 256-bed Acute Care Hospital in Saint Louis, Missouri. The assignment is 13 weeks, begins 10/19/2026, and requires 2 years of RN experience, MO license or compact, and travel eligibility. The position features... 
    Weekly pay
    Shift work
    Night shift

    Aya Healthcare, Inc.

    Saint Louis, MO
    5 days ago
  • $2,138 - $2,368 per week

    Aya Healthcare has an immediate opening for the following position: Step down Registered Nurse in Saint Louis, MO. We'll work with you to build the healthcare career of your dreams. Whether you want a job close to home or across the country, we've got you. Job Details... 
    Weekly pay
    Daily paid
    Permanent employment
    Temporary work
    Second job
    Local area
    Immediate start
    Relocation
    Shift work
    Night shift
    Weekend work

    Aya Healthcare, Inc.

    Saint Louis, MO
    3 days ago
  • Aya Healthcare has an immediate opening for a Step down Registered Nurse in Saint Louis, MO. This 13-week assignment is scheduled for Nights, with a 4, 12-Hour shift from 19:00 to 07:00 and starts on 10/19/2026. Openings: 2. Experience required: 1 Year. Licensure accepted... 
    Immediate start
    Shift work
    Night shift

    Aya Healthcare, Inc.

    Saint Louis, MO
    5 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Registered Nurse - Step Down. Be the first to apply!