RN Step-Down (with $7,350 Completion Bonus)

Registered Nurse – Step-Down (Travel Assignment)
Location: Knoxville, TN
Job Type: Travel Contract
Duration: 13 weeks
Shift: 3×12 Nights (7:00 PM – 7:00 AM, every other weekend)
Pay: $2,055.60/week (plus $2,450 completion bonus per contract, up to $7,350 after three contracts)

Job Description

ATC Healthcare is seeking a skilled and reliable Step-Down Registered Nurse (RN) for a 13-week travel assignment in Knoxville, Tennessee. The RN will deliver total patient care in a 31-bed step-down unit, providing monitoring and treatment for patients requiring intermediate-level care between ICU and medical-surgical acuity.

This position is ideal for nurses with strong clinical judgment, telemetry experience, and the ability to manage complex patient conditions in a fast-paced environment. The RN will work nights with every other weekend rotation, and may be required to float to similar-acuity units as needed.

Key Responsibilities

• Deliver safe, high-quality, and comprehensive nursing care to patients requiring step-down or progressive care monitoring.
• Monitor cardiac rhythms, interpret telemetry strips, and promptly respond to changes in patient condition.
• Administer medications, IV fluids, and titrated drips per provider orders and facility protocols.
• Manage patient care independently while collaborating with interdisciplinary team members to achieve optimal outcomes.
• Provide education to patients and families on treatment plans, recovery expectations, and discharge preparation.
• Maintain accurate and timely documentation using the Cerner EMR system.
• Follow infection control, safety, and hospital policies at all times.
• Participate in unit safety initiatives and quality improvement efforts.
• Float as required to units of equal or lower acuity within the facility.

Qualifications

• Active Tennessee RN license or Compact State license (required).
• Graduate of an accredited School of Nursing (BSN preferred).
• Minimum of 1 year of recent Step-Down or Progressive Care experience (required).
• Certifications: BLS and ACLS (required).
• Proficiency in telemetry monitoring, dysrhythmia interpretation, and IV management.
• Strong patient assessment and time-management skills.
• Experience with Cerner EMR (preferred).
• Must be able to provide care for a 1:4–1:6 patient ratio in a 31-bed unit.
• Must wear royal blue scrubs per facility dress code.
• Excellent communication and teamwork abilities.
• Proof of COVID-19 vaccination and recent tuberculosis test required.

Benefits

• Weekly pay with competitive rates
• Health, dental, and vision insurance
• 401(k) retirement plan with company match
• Referral bonuses for referring talented professionals into our network
• Flexible schedules and dedicated recruiter support

About ATC Healthcare

ATC Healthcare has been a leader in healthcare staffing for nearly 40 years, offering personalized placement and support to healthcare professionals nationwide. With over 60 locations, we are committed to connecting skilled nurses, therapists, and clinicians with rewarding career opportunities.

Other Duties: Please note this job summary is not designed to cover or contain a comprehensive listing of activities, duties, or responsibilities required of the employee. Duties, responsibilities, and activities may vary by assignment and may change at any time with or without notice.

Equal Opportunity Employer: ATC Healthcare Services is an Equal Opportunity Employer. All applicants will be considered for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, veteran or disability status, or any other category protected by Federal, State, or local law.