RN - Stepdown
Pulse Healthcare
Tele or Stepdown Registered Nurse (RN) in the Emergency Department
This position is focused on providing quality patient care in the Emergency Department. The role requires performing assessments, planning, implementing, and evaluating patient care while collaborating with team members and other departments to enhance patient outcomes.
Key Responsibilities
- Utilize the nursing process to deliver direct patient care for all age groups.
- Monitor and coordinate patient care activities effectively.
- Evaluate the overall effectiveness of care provided by the nursing team.
- Maintain patient rights and confidentiality of information.
- Adhere to established guidelines of nursing practice consistent with the Missouri Nurse Practice Act.
Qualifications
- Required Licensure: Current RN License eligible for licensure in Missouri.
- Required Certifications: BLS, ACLS, PALS from AHA; TNCC and NIHSS preferred prior to start.
- Experience: Minimum of 1 year in Telemetry, Stepdown, or Emergency Department (Level 3, Level 4, or critical access).
Unit Information
- Number of Beds: 68
- Patient Ratios: Typically 4:1; subject to change based on circumstances.
- Patient Types: Trauma, Stroke, STEMI, and burn patients.
Work Environment
The role requires the ability to work in a busy urban trauma center with high patient volume and acuity. Flexibility and strong communication skills are essential.
Preferred Skills
- Experience with trauma and pediatrics.
- High acuity experience within a high-volume environment.
Dress Code
- Scrub Color: Black
- Unacceptable Attire: Jeans and unprofessional clothing.
Additional Information
This position requires standing and walking most of the time. The nurse will also need to be able to lift and push patients using stretchers and wheelchairs. Strong interpersonal and communication skills are necessary for effective patient interaction and team collaboration.
Things to Do in the Area
- Visit local attractions such as the Dickerson Park Zoo and the Johnny Morris' Wonders of Wildlife Museum.
- Explore the Springfield Art Museum or the Route 66 Car Museum.
- Enjoy outdoor activities at Nathanael Greene/Close Memorial Park or nearby historical sites like the Laura Ingalls Wilder Home and Museum.
Client Details State MO
Pulse Healthcare- ...Stepdown RNJob #1987758Springfield, MO $1906-2028/week* 36 hrs/week*Estimated payments include wages and expense reimbursement, are based... ...HealthcareJob Details:Fusion Medical Staffing is seeking a skilled Stepdown RN for a 13-week travel assignment in Springfield, MO. As a member...SuggestedTemporary work
- ...Job Description Job Description 2+ Stepdown or PCU experience required BLS (AHA), ACLS (AHA), \nCompany Description LanceSoft is rated as one of the largest staffing firms in the US by SIA. Our mission is to establish global cross-culture human connections that...Suggested
$1,784.23 - $2,060.57 per month
...Details of the RN - StepDown opening in Springfield, MO: Anticipated Start Date: 10/19/2026 Anticipated Pay Range: $1784.23 - $2060.57 Work Setting: Short Term Acute Care Hospital Anticipated Duration of Assignment: 13 Weeks Anticipated Schedule: 3x...SuggestedTemporary workNight shift- ...your chances of landing your perfect assignment. That includes developing your résumé, skills checklist and references. Travel Stepdown RN Location: Springfield, MO, United States Start date: 10-19-2026 Assignment length: 13 Weeks...SuggestedShift workNight shift
- ...RN - StepdownOur client is currently seeking RN - Stepdown positions in Springfield, MO for a 3x12 Days shift. You must have current State Licensure and at least 1 year of recent experience.RequirementsCurrent ResumeState LicensureCurrent BLS and/or ACLS and/or Specialty...SuggestedExtra incomeContract workDay shift
$1,969 per month
...Name Mercy Hospital Springfield Job Type Travel Offering Nursing Profession RN Specialty StepDown Job ID 38245922 Job Title RN - StepDown Weekly Pay $1969.0 Shift Details Shift...Weekly payShift workNight shift$2,206.91 per month
...Name Mercy Hospital Springfield Job Type Travel Offering Nursing Profession RN Specialty Stepdown Job ID 38243013 Weekly Pay $2206.91 Shift Details Shift 3X12 Nights Scheduled...Weekly payLocal areaShift workNight shift$1,844.04 - $2,046.68 per week
...RN (Registered Nurse) Stepdown Location: Springfield, MO Assignment type: Travel Pay: $1844.04 - $2046.68 /wk Your Schedule Shift Type: Night Shift Length: 12 hours Estimated Hours: 36 hours per week Start Date: Oct 19, 2026 Start dates are...Temporary workShift workNight shift$2,164 per month
...Mercy Hospital Springfield - Healthtrust Job Type Travel Offering Nursing Profession RN Specialty Stepdown Job ID 18850158 Job Title RN - Stepdown Weekly Pay $2164.0 Shift Details...Weekly payShift workNight shift$2,275 per month
...Name Mercy Hospital Springfield Job Type Travel Offering Nursing Profession RN Specialty PCU/IMC/Stepdown Job ID 38244709 Job Title RN - PCU/IMC/Stepdown Weekly Pay $2275.0 Shift...Weekly payExtra incomeShift workNight shift$1,980 per week
...Registered Nurse (RN) - Progressive Care/Stepdown (PCU)Location: 1235 East Cherokee Street, Springfield, MO, 65804Work type: Travel ContractEstimated pay: $1980 per week (estimated)Shift: DaysStart date: 10-05-2026End date: 01-04-2027We are looking for a Progressive Care...Full timeContract workImmediate startFlexible hoursShift work$2,065 per week
...Registered Nurse (RN) - Progressive Care/Stepdown (PCU) Location: 1235 East Cherokee Street, Springfield, MO, 65804 Work type: Travel Contract Estimated pay: $2065 per week (estimated) Shift: Nights Start date: 10-19-2026 End date: 01-18-2027 We are...Full timeContract workImmediate startFlexible hoursShift workNight shift$2,149 per month
...Hospital Springfield - Healthtrust Job Type Travel Offering Nursing Profession RN Specialty PCU/IMC/Stepdown Job ID 19216205 Job Title RN - PCU/IMC/Stepdown Weekly Pay $2149.0 Shift...Weekly payShift workNight shift$19 per hour
...Travel Nursing Position Job Type: Travel Offering Nursing Profession: RN Specialty Stepdown Regular Pay Rate: $19 Shift Details: Shift 12 hour days Job Order Details: Start Date 10/05/2026 End Date 01/04/2027 Duration 13 Week(s) Client Details: City Springfield...Shift work$1,912 per week
RN - StepDown Job Type: Travel Profession: RN Specialty: StepDown Weekly Pay: $1,912 Shift Details: 12H Days Start Date: 10/05/2026 End Date: 01/04/2027 Duration: 13 Week(s) City: Springfield State: MO SKYLINEWeekly payShift work- Stepdown Rn Position Job Type: Local Profession: RN Specialty: Stepdown Shift: 07:00 PM - 07:00 AM Job Order Details Start Date: 10/19/2026 End Date: 01/18/2027 Duration: 13 Week(s) Client Details State: MO Liquid AgentsLocal areaShift work
- ...RN - StepDown Job Type: Travel Profession: RN Specialty: StepDown Shift Details: 12H Days Start Date: 10/05/2026 End Date: 01/04/2027 Duration: 13 Week(s) City: Springfield State: MO Weekly Pay is estimated and does not include taxes, insurance...Weekly payShift work
- Travel Rn Stepdown Shift: 07:00 PM - 07:00 AM Start Date: 10/19/2026 End Date: 01/18/2027 Duration: 13 Week(s) State: MO Staff DNAShift work
$1,892 - $2,103 per week
...Travel Stepdown Registered Nurse (RN) Job in Springfield, MO $1,892 - $2,103/week Stepdown Travel 1 Opening 13 weeks 10/18/26 to 01/17/27 3x12 nights The Gifted Healthcare Experience Gifted Healthcare is an award-winning travel nursing agency that...Hourly payWeekly payTemporary workReliefLocal areaShift workNight shift- Role: Travel Stepdown RN responsible for caring for patients transitioning from intensive care to medical-surgical units, requiring close monitoring and specialized interventions. Responsibilities Monitor and interpret cardiac rhythms, vital signs, and telemetry data to...
$2,790.04 per week
...Travel RN - Telemetry - Stepdown American Traveler Springfield, Missouri, United States Assignment type: travel Shift: Days Length (weeks): 13 Openings: 1 $2,790.04/week (estimated advertised weekly pay) Description American Traveler is hiring an...Weekly payLocal areaShift workWeekend workDay shift$1,950 per week
...Stepdown/PCU RN Springfield, MO $1950/Weekly Gross** Estimated pay package. Does not include taxes, insurance, or other deductions that may occur 10/5/2026 12H Days 13 Weeks 36 Short Term Acute Care Hospital 621 Proprietary Software Requirements...Weekly payTemporary work$40.8 - $48 per hour
...RN (Registered Nurse) StepdownLocation: Springfield, MOAssignment type: LocalPay: $40.80 - $48.00 /hrYour ScheduleShift Type: DayShift Length: 12 hoursEstimated Hours: 36 hours per weekStart Date: Oct 5, 2026Start dates are typically 3-4 weeks after the offer, depending...Temporary workDay shift- ...of nursing (Associate's Degree, Diploma, or BSN). Licensure: Is personally responsible for obtaining, and maintaining, a current RN license within the hiring state and/or compact licensure in which nursing duties are performed and must meet all state board of nursing...Full timeShift work
- ...Travel Nursing PositionJob Type: Travel OfferingNursing Profession: RN Specialty StepdownRegular Pay Rate: $19Shift Details: Shift 12 hour daysJob Order Details: Start Date 10/05/2026 End Date 01/04/2027 Duration 13 Week(s)Client Details: City Springfield State MOJob...Shift work
- ...Shift: 12H Nights (7:00 PM-7:00 AM) Location: Springfield, MO Length: 13 weeks Weekly Hours: 36.0 Beds: 621 Registered Nurse (RN) licensed At least 2+ years' experience Either an Associate of Science or Bachelor of Science in Nursing (ASN or BSN) Valid...Immediate startShift workNight shift
$191 per hour
Job Description " Licensed Psychiatric Nurse Practitioner \n \n Wage: Up to $191/hour \n Did you know that you can build a flexible private practice on your terms as a psychiatric nurse practitioner?Whether you want to see patients alongside a full-time job ...Bi-weekly payFull timeFor contractorsPrivate practiceFlexible hours$2,074 per week
...Travel Registered Nurse Stepdown PCU SPRINGFIELD, MO $2074/wk gross Oct 5, 2026 to Jan 4, 2027 Days Location: Springfield, MO Start... ...safety and quality outcomes Requirements ~ Current MO RN license or Compact RN license if eligible ~2+ years of recent...Weekly payContract workShift work$2,152 per week
...Registered Nurse (RN) Step-Down Unit If you are passionate about providing intermediate-level care, join us as a Registered Nurse (RN) in the Step-Down Unit. In this role, you will care for patients transitioning from intensive care who require close monitoring but...Work at office$191 per hour
" Licensed Psychiatric Nurse Practitioner Wage: Up to $191/hour Did you know that you can build a flexible private practice on your terms as a psychiatric nurse practitioner?Whether you want to see patients alongside a full-time job or grow a full-time practice...Bi-weekly payFull timeFor contractorsPrivate practiceFlexible hours
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