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

Registered Nurse - Stepdown to ICU Career Path

Mercy Health

Find your calling at Mercy!

Critical Care Stepdown
Registered Nurse (RN)
Location: Mercy Hospital St. Louis
Schedule: Full Time | Night Shift
Bring Mercy's Healing Ministry to Life
At Mercy, our mission is more than words — it's our calling. As the Sisters of Mercy before us, we bring to life the healing ministry of Jesus through compassionate care and exceptional service.
Join our ICU Stepdown team and help deliver transformative, patient centered care supported by advanced technology, a collaborative culture, and a deep commitment to dignity and excellence.

DECEMBER GRADS WELCOME TO APPLY!

Position Details:

Why Mercy?

  • A rich heritage grounded in compassion, dignity, justice, excellence, and stewardship
  • A workplace culture that empowers co‑workers, values innovation, and continually pioneers new models of care to get healthcare right
  • Competitive compensation, comprehensive Day‑One benefits, PTO, tuition assistance, retirement matching, and more — available to eligible co‑workers, including those working 32+ hours per pay period
  • Access to Mercy's robust clinical career pathways, supporting professional growth through structured skill development, mentorship, and ongoing education opportunities

What You'll Do

  • Provide high‑quality care for intermediate‑acuity patients transitioning from critical care to Med/Surg level.
  • Assess, plan, implement, and evaluate individualized nursing care using evidence‑based practices.
  • Perform accurate hand‑offs and bedside shift reporting to maintain patient safety.
  • Collaborate with physicians, advanced practitioners, and multidisciplinary partners to optimize patient outcomes.
  • Administer medications, monitor complex conditions (cardiac, respiratory, post‑ICU), and support recovery.
  • Participate in huddles, shared governance activities, and unit‑based quality improvement initiatives.

Qualifications

Education

  • Graduate of an accredited school of nursing (ADN, Diploma, or BSN).
  • BSN preferred.

Licensure

  • Current Missouri RN license or compact license.

Certifications

  • Required: BLS (American Heart Association).
  • Preferred: ACLS, NIHSS, PCCN, or other Stepdown‑related certifications.

Your Growth Matters at Mercy!

  • Participate in Mercy's defined Career Path Program — ideal for building strong assessment, communication, critical‑thinking, and time‑management skills on your way to becoming an expert in Stepdown or related specialties.
  • Opportunities for future advancement into ICU, Telemetry, Behavioral Health, ED, and more, typically within 12–18 months based on performance and interest.
  • Engage in lifelong learning through continuing education, mentorship, certification support, and unit‑based committees.

A Ministry Rooted in Compassion

Mercy cares for the whole person — physically, emotionally, and spiritually — honoring the dignity of each patient and co‑worker we serve. Be part of a team that uplifts one another every step of the way and meets the community's needs with compassion and excellence.

Ready to Take the Next Step?

Join a team that supports your growth, values your voice, and empowers you to deliver exceptional care every day.
Apply today and help bring Mercy's healing mission to life.

Why Mercy?

From day one, Mercy offers outstanding benefits - including medical, dental, and vision coverage, paid time off, tuition support, and matched retirement plans for team members working 32+ hours per pay period.

Join a caring, collaborative team where your voice matters. At Mercy, you'll help shape the future of healthcare through innovation, technology, and compassion. As we grow, you'll grow with us.

keyword(s): Nursing, RN, Registered Nurse, Clinical Nurse, Specialty Nurse, Specialty RN, new grad nurse, graduate nurse, GN
Vacancy posted 1 hour ago
Similar jobs that could be interesting for youBased on the Registered Nurse - Stepdown to ICU Career Path in Saint Louis, MO vacancy
  • $10k

     ...Functions within the scope of nursing preparation and consistent with...  ...: Start your nursing career (or your next chapter) with confidence...  ...Mercy St. Louis’ RN Career Path Program helps new and...  ...Pediatrics / PICU • Med/Surg ICU • Trauma/Neuro ICU • CVICU • Emergency... 
    Suggested
    Contract work
    Immediate start
    Shift work
    Night shift
    Weekend work

    Mercy Health

    Saint Louis, MO
    1 hour ago
  •  ...Find your calling at Mercy! Stepdown (Critical Care) Registered Nurse (RN) Location: Mercy...  ...exceptional service. Join our ICU Stepdown team and help deliver...  ...Mercy’s robust clinical career pathways, supporting...  ...in Mercy’s defined Career Path Program—ideal for building... 
    Suggested
    Full time
    Shift work
    Night shift

    MHM Support Services

    Saint Louis, MO
    1 day ago
  •  ...Find your calling at Mercy! Registered Nurse – Medical Progressive Care Unit (MPCU) Location: Mercy Hospital Department: Medical Progressive Care Schedule: Full-Time / Part-Time / Nights Employment Type: Non-Exempt ______________________________________... 
    Suggested
    Full time
    Part time
    Night shift

    Mercy Health

    Saint Louis, MO
    1 hour ago
  •  ...coordinates patient care activities with ancillary departments to optimize patient care and comfort. Functions within the scope of nursing preparation and consistent with the established guidelines of nursing practice, the goals of Mercy Health System, the Philosophy of... 
    Suggested
    Trial period
    Shift work

    Mercy

    Saint Louis, MO
    2 days ago
  •  ...It's more than a career, it's a calling MO-SSM Health St. Joseph...  ...Regular Job Highlights RN – Charge Nurse Stepdown / Critical Care SSM Health –...  ...RN license (MO or compact) ICU experience required...  ...licensing Experience One year of registered nurse experience Physical Requirements... 
    Suggested
    Hourly pay
    Full time
    Flexible hours
    Shift work
    Night shift

    SSM Health

    Saint Louis, MO
    3 days ago
  • $1,844 - $1,923 per week

    Overview Registered Nurse – Stepdown, Nights | Saint Louis, Missouri, United States | Start 07/27/202...  ...expertise managing adults transitioning from ICU-level care on a 29-bed unit with a ~25...  ...build a sustainable travel healthcare career. Built for Travel Nurses and Allied... 
    Weekly pay
    Daily paid
    Ongoing contract
    Contract work
    Temporary work
    Local area
    Flexible hours
    Shift work
    Night shift

    Healthforce

    Saint Louis, MO
    2 days ago
  •  ...It's more than a career, it's a calling MO-SSM Health...  ...Department : Progressive stepdown/TCU Schedule: Fulltime,...  ...: Provides direct nursing care in settings where...  ...Association (AHA) And Registered Professional Nurse (RN)...  ...coverage through Flex Path Funded for eligible team... 
    Hourly pay
    Daily paid
    Full time
    Flexible hours
    Shift work
    Weekend work
    Day shift

    SSM Health

    Saint Louis, MO
    3 days ago
  •  ...the Role The BJC RN Career Ladder...  ...as the place for nurses to work in the greater...  ...We are looking for Registered Nurses that can become...  ...Shifts, Full Time ICU experience required...  ...well as intermediate/stepdown. We're committed...  ...position offers a clear path for growth into a... 
    Full time
    Flexible hours
    Night shift

    BJC HealthCare

    Saint Louis, MO
    1 day ago
  • $10k

     ...calling at Mercy! Overview: Utilizes the nursing process to provide patient care....  ...Service Standards. Position Details: Registered Nurse (RN) – Medical Stepdown To learn more about this unit, click here: Careers Seeking Experienced & New Graduate Nurses... 
    Full time
    Relocation package
    Shift work

    Mercy Health

    Saint Louis, MO
    1 hour ago
  • $7.5 per hour

     ...Kennerly Road, St. Louis, MO 63128 Registered Nurse – Full Time or Part Time Opportunities...  ...3 (Med/Surg): $5.00/hr Tier 2 (Stepdown): $7.50/hr Tier 1 (ICU): $10.00/hr Additional Shift Differentials...  ...to $16,000) Ready to float into a career full of growth, flexibility, and... 
    Full time
    Part time
    Relocation package
    Flexible hours
    Shift work
    Night shift
    Weekend work
    Afternoon shift

    Mercy Health

    Saint Louis, MO
    1 hour ago
  • An established industry player is seeking a compassionate Registered Nurse to join their dynamic team at a leading children's hospital. This...  ...work culture, this position promises a fulfilling career path in nursing. Join a team that values excellence and innovation... 
    Relocation package

    BJC HealthCare

    Saint Louis, MO
    4 days ago
  • $48 per hour

     ...Registered Nurse Job Type: Local Position Urgency: Normal Profession: Registered Nurse Specialty: Critical Illness (ICU, PCU, or Stepdown) Pay Rate: $48 Shift Details: 3x12 Nights Scheduled Hours: 36 Start Date: 05/20/2026 End Date: 08/19/2026... 
    Local area
    Shift work
    Night shift

    Vighter

    Saint Louis, MO
    15 hours ago
  • $1,926 per week

     ...Registered Nurse (RN) | Stepdown Location: Saint Louis, MO Agency: OneStaff Medical Pay: $1,926 per week Shift Information: Rotating...  ...situations. They can work between levels of general and ICU care. Id - 1467462 *Weekly amount stated in the job postings... 
    Hourly pay
    Full time
    Contract work
    Temporary work
    Work experience placement
    Immediate start
    Shift work

    OneStaff Medical

    Saint Louis, MO
    10 days ago
  • $2,030 per week

     ...Registered Nurse (RN) | Stepdown Location: Saint Louis, MO Agency: Medical Solutions Pay: $2,030 per week Shift Information:...  ...unique individual you are, paying attention to your specific career path and personal needs. Just check out the mosaic of happy... 
    Full time
    Temporary work
    Shift work
    Night shift

    TravelNurseSource

    Saint Louis, MO
    1 day ago
  •  ...Registered Nurse (RN) | PCU / Stepdown Location: Saint Louis, MO Agency: TNAA | TotalMed Pay: Competitive...  ...want to have throughout your travel career. Our recruiters can help you...  ...by uncovering your ideal career path and providing as much information as... 
    Weekly pay
    Daily paid
    Long term contract
    Full time
    Contract work
    Temporary work
    Shift work
    Night shift

    TravelNurseSource

    Saint Louis, MO
    14 days ago
  • $1,926 per week

     ...Registered Nurse (RN) | Stepdown Location: Saint Louis, MO Agency: OneStaff Medical Pay: $1,926 per week Shift Information: Rotating...  ...situations. They can work between levels of general and ICU care. Id - 1467462 *Weekly amount stated in the job postings... 
    Hourly pay
    Full time
    Contract work
    Temporary work
    Work experience placement
    Work at office
    Immediate start
    Flexible hours
    Shift work

    TravelNurseSource

    Saint Louis, MO
    10 days ago
  •  ...It's more than a career, it's a calling MO-SSM Health St. Mary...  ...Department : Progressive stepdown/TCU Schedule: Fulltime Weekend...  ...Summary: Provides direct nursing care in settings where patients...  ...EXPERIENCE ~ One year registered nurse experience PHYSICAL... 
    Hourly pay
    Full time
    Temporary work
    Relocation package
    Flexible hours
    Shift work
    Night shift
    Weekend work

    SSM Health

    Saint Louis, MO
    12 hours ago
  • $1,844 - $1,923 per week

     ...Description Job Description Overview Registered Nurse – Stepdown, Nights | Saint Louis, Missouri,...  ...expertise managing adults transitioning from ICU-level care on a 29-bed unit with a ~25...  ...build a sustainable travel healthcare career. Built for Travel Nurses and Allied... 
    Weekly pay
    Daily paid
    Ongoing contract
    Contract work
    Temporary work
    Local area
    Flexible hours
    Shift work
    Night shift

    Healthforce

    Saint Louis, MO
    5 days ago
  • $2,136 per month

     ...Job Overview TLC Nursing Associates, Inc. is seeking a Registered Nurse (RN) – Stepdown for travel assignments in various healthcare...  .... Assist with post-ICU recovery plans and continued stabilization...  ...assistance to personalized career guidance, we are here to... 
    Flexible hours
    Saint Louis, MO
    more than 2 months ago
  • $2,136 per month

     ...Job Overview TLC Nursing Associates, Inc. is seeking a Registered Nurse (RN) – Stepdown for travel assignments in various healthcare...  .... Assist with post-ICU recovery plans and continued stabilization...  ...support, personalized career guidance, and assistance with housing... 
    Weekly pay
    Flexible hours
    Saint Louis, MO
    more than 2 months ago
  • $2,822 per month

     ...Job Overview TLC Nursing Associates, Inc. is seeking a Registered Nurse (RN) – Stepdown for travel assignments in various healthcare...  .... Assist with post-ICU recovery plans and continued stabilization...  ...support, personalized career guidance, assistance with housing... 
    Weekly pay
    Local area
    Flexible hours
    Saint Louis, MO
    more than 2 months ago
  • $2,136 per month

     ...Job Overview TLC Nursing Associates, Inc. is seeking a Registered Nurse (RN) – Stepdown for travel assignments in various healthcare...  .... Assist with post-ICU recovery plans and continued stabilization...  ...support, personalized career guidance, and assistance with housing... 
    Weekly pay
    Flexible hours
    Saint Louis, MO
    more than 2 months ago
  •  ...It's more than a career, it's a calling MO-SSM Health St. Joseph...  ...Job Highlights: RN - Stepdown/Critical Care Location:...  ...Summary: Provides direct nursing care in settings where patients...  ...Association (AHA) And Registered Professional Nurse (RN) -... 
    Hourly pay
    Relief
    Flexible hours
    Shift work
    Day shift

    SSM Health

    Saint Louis, MO
    4 days ago
  • $32 - $48 per hour

     ...BJC HealthCare is seeking a Registered Nurse (RN) ICU - Intensive Care Unit for a...  ...the Role The BJC RN Career Ladder differentiates BJC as...  ...care as well as intermediate/stepdown. We're committed to...  ...this position offers a clear path for growth into a Team Lead... 
    Hourly pay
    Full time
    Flexible hours
    Night shift

    BJC HealthCare

    Saint Louis, MO
    1 day ago
  •  ...Responsible to manage the delivery of nursing care to a specific patient population on...  ...Position Details: Nurse Manager – Surgical Stepdown Mercy South | St. Louis, MO At...  ...Matters As the Nurse Manager of Surgical ICU, you'll lead a specialized team caring... 
    Temporary work

    Mercy Health

    Saint Louis, MO
    1 hour ago
  •  ...Additional Information About the Role BJC Registered Nurse Career Ladder: The BJC RN Career Ladder differentiates BJC as the place for nurses to...  ...Registered Nurse. Located in the Plaza Tower, this unit bridges ICU and general care, offering continuous telemetry and advanced... 
    Full time
    Remote work
    Relocation package
    Flexible hours
    Night shift
    Weekend work

    Direct Jobs

    Saint Louis, MO
    3 days ago
  • $5,000 per month

     ...Find your calling at Mercy! Utilizes the nursing process to provide patient care. Maintains professional accountability for provision...  ...– 10010 Kennerly Rd., St. Louis, MO Start your nursing career where support, mentorship, and hands-on learning come first.... 
    Relocation package
    Night shift

    Mercy Health

    Saint Louis, MO
    1 hour ago
  • $16k

     ...calling at Mercy! Utilizes the Mercy Nursing Professional Practice Model and nursing...  ...volunteer time ~ Free parking ~ Career advancement opportunities   About...  ...Medical Telemetry, Cardiac Telemetry Stepdown ICU, CVICU Oncology, Neurology, Orthopedics... 
    Full time
    Contract work
    Relocation package
    Shift work
    Night shift

    Mercy Health

    Saint Louis, MO
    1 hour ago
  •  ...your calling at Mercy! Utilizes the nursing process to provide patient care....  ...Position Details: Mercy South  Registered Nurse - Respiratory Full Time Days...  ...Preferred: I npatient experience, preferably ICU, stepdown or ER, but will consider several years... 
    Full time
    Relocation package
    Monday to Friday
    Shift work

    Mercy Health

    Saint Louis, MO
    1 hour ago
  • $10k

     ...Find your calling at Mercy! Utilizes the nursing process to provide patient care. Maintains professional accountability...  ..., and Mercy Service Standards. Position Details: Registered Nurse (RN) – Surgical Stepdown Location: Mercy Hospital South - 10010 Kennerly Rd,... 
    Full time
    Relocation package
    Shift work

    Mercy Health

    Saint Louis, MO
    1 hour ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Registered Nurse - Stepdown to ICU Career Path. Be the first to apply!