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Registered Nurse - Stepdown
Location: Council Bluffs, IA
Start Date: 05-11-2026
End Date: 08-10-2026
Contract Type: Contract
Shift Type: Rotating 12-hour shifts, 6:30 AM - 7:00 PM (day) and 6:30 PM - 7:00 AM (night); cyclic scheduling; every-other weekend; 1 major and 1 minor holiday required
Hours per Week: 36
Candidate Pay Rate: $64 per hour
About United Health Care Staffing
At United Health Care Staffing (UHC Staffing), we believe healthcare staffing should be more than just finding a job. We are here to connect amazing professionals with opportunities that make their careers exciting, rewarding, and meaningful. With us, you're not just signing up for a contract you are joining a team that's got your back, answers your calls, and maybe even cracks a joke or two to brighten your day. Think of us as the travel buddy who handles the logistics while you focus on what you do best helping people heal.
Roles & Responsibilities
- Provide high-quality Stepdown/PCU nursing care for patients with cardiac and neurological diagnoses
- Monitor telemetry continuously and read/interpret ECG strips to detect changes early
- Titrate IV drips per protocol (common meds: Cardizem, amiodarone, nitroglycerin) and respond to titration needs
- Troubleshoot CPAP and collaborate with respiratory therapy for patient respiratory support
- Document timely and accurately in EPIC to ensure continuity of care
- Float to the ICU when appropriate, bringing stepdown expertise to higher acuity settings
- Work as a positive, team-oriented caregiver during fast-paced admits and discharges
- Complete unit orientation (one 12-hour shift) and demonstrate competency during the skills exam
Qualifications
- Active RN license (required to submit)
- Minimum 2 years of RN experience (acute care/stepdown/telemetry preferred)
- BLS, ACLS, and NIHSS certifications required
- Proven telemetry and ECG interpretation skills
- Experience titrating drips and managing cardiac medications
- Valid driver’s license at time of submittal (used to confirm radius eligibility)
- Ability and willingness to float to ICU when needed
- Ability to pass an open-book skills exam during orientation (90% required)
Knowledge & Skills
- Stepdown/PCU and acute cardiac care expertise
- Telemetry monitoring and independent strip interpretation
- ECG interpretation and cardiac rhythm recognition
- IV drip titration and familiarity with Cardizem, amiodarone, nitroglycerin
- EPIC charting proficiency
- CPAP troubleshooting and basic respiratory support knowledge
- Strong teamwork, communication, and patient-centered bedside skills
- Charge nurse familiarity and comfort taking an assignment when needed
Benefits
- Comprehensive medical, dental & vision coverage to keep you healthy
- 401K retirement savings plan so you can plan for the future
- Paid time off to rest, recharge, and avoid burnout
- Licensure assistance and reimbursement to support your career growth
- Travel reimbursement assistance and local support while you’re on assignment
- A supportive team environment that values collaboration, positivity, and patient-centered care
Travel Perks: Explore Council Bluffs, IA
Council Bluffs sits right across the river from Omaha — perfect for post-shift adventures. Enjoy walks across the Bob Kerrey Pedestrian Bridge into Omaha, explore the vibrant Old Market district with its shops and restaurants, and visit the world-renowned Henry Doorly Zoo & Aquarium. Nature lovers can hike Hitchcock Nature Center, and history buffs can check out local museums and riverfront parks. Short drives bring you to botanical gardens, great dining, and cultural events in Omaha — plenty to do on your days off.
Apply Now
Ready to start your next adventure as a Registered Nurse - Stepdown? Let's get you moving forward!
Send your resume to [email protected] or call us at 408-441-9200 today.
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