Registered Nurse - Stepdown
Location: Council Bluffs, IA
Start Date: 03-02-2026
End Date: 06-01-2026
Contract Type: Contract
Shift Type: Rotating 12-hour shifts (days and nights): 6:30 AM - 7:00 PM and 6:30 PM - 7:00 AM; cyclic scheduling with every-other weekend and holiday coverage (1 major, 1 minor)
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
- Assess and monitor stepdown patients using telemetry and advanced cardiac monitoring to keep patients safe
- Interpret ECG strips and act on rhythm changes promptly and confidently
- Titrate drips (e.g., Cardizem, amiodarone, nitroglycerin) per protocol to manage hemodynamics
- Provide high-quality, patient-centered care for diagnoses like heart failure, Afib, respiratory distress, and stroke
- Troubleshoot CPAP and other respiratory equipment as needed and collaborate with RTs
- Collaborate with nursing aides, telemetry techs, and the charge nurse to deliver seamless care
- Float to ICU when appropriate and apply critical care skills in higher-acuity settings
- Participate in orientation learning activities and demonstrate competency on the open-book skills exam
Qualifications
- Active RN license (eligible to work in Iowa) required
- Minimum 2 years of experience in telemetry/stepdown or progressive care preferred
- Required certifications: BLS, ACLS, NIHSS (must be current at time of submission)
- Comfortable with drip titration and ECG interpretation; Epic charting experience preferred
- Driver's license required at time of submission (radius rule enforced)
- Ability to pass the orientation open-book skills exam with a 90% score (per contract requirement)
- Willingness to follow hospital policies (e.g., no artificial nails in clinical areas)
Education
- Active Registered Nurse (RN) license required
- BSN preferred but not required
Knowledge & Skills
- Telemetry monitoring and cardiac rhythm interpretation
- Drip titration and advanced cardiac medication management
- Familiarity with Epic electronic health record
- CPAP troubleshooting and basic respiratory support collaboration
- Stroke (NIHSS) assessment skills and acute neurologic monitoring
- Strong teamwork, communication, and the ability to thrive in a fast-paced unit
- Charge nurse collaboration and understanding of assignment responsibilities
Benefits
- Guaranteed 36 hours per week for predictable scheduling
- Meaningful, hands-on orientation (unit-specific 12-hour shift) to set you up for success
- Work with a supportive team that values your skills, input, and positive attitude
- Professional growth: exposure to telemetry, stepdown care, and ICU float opportunities
- Licensure assistance & credential support to keep your paperwork smooth
- Flexible scheduling options with cyclic coverage for better work-life fit
- Opportunity to sharpen Epic charting and advanced cardiac monitoring skills
- A fast-paced unit where your critical thinking truly makes a difference
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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