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Registered Nurse - Stepdown – UHC Staffing

Registered Nurse - Stepdown

Location: Grand Island, NE

Start Date: 12-15-2025

End Date: 03-16-2026

Contract Type: Travel Contract

Shift Type: Rotating 12-hour shifts, 6:30 AM - 7:00 PM (day) and 6:30 PM - 7:00 AM (night); schedule set by unit (includes every-other-weekend coverage and holiday as needed)

Hours per Week: 36

Candidate Pay Rate: $65 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 patient condition continuously and deliver high-quality stepdown care for adults with complex medical and cardiac issues
  • Monitor telemetry and interpret strips to detect arrhythmias and acute changes
  • Titrate drips safely (heparin, amiodarone, cardizem, nitroglycerin, insulin) and manage IV medication administration
  • Provide ventilatory support when needed (BiPAP, high-flow devices) and collaborate with respiratory therapy
  • Perform comprehensive patient assessments and create timely, accurate documentation in EPIC
  • Coordinate care with CNAs, charge nurses, physicians, and interdisciplinary teams to ensure smooth admissions/discharges
  • Lead bedside reporting, hourly rounding and patient education to improve outcomes and patient experience
  • Respond to emergencies (STEMI, stroke protocols) and participate in rapid, team-based interventions

Qualifications

  • Active RN license (eligible to submit for Nebraska assignment)
  • Minimum 2 years of recent acute care/stepdown or telemetry nursing experience
  • Current ACLS and BLS certifications required; NIHSS certification required
  • Comfortable titrating drips and administering IV medications safely
  • Ability to read and interpret telemetry strips independently
  • Must meet facility radius rule (within 50 miles) — driver’s license required at submission
  • Willingness to complete orientation requirements and pass the orientation skills exam (90% pass threshold)
  • Team player with a positive, patient-centered attitude

Education

  • Active RN licensure
  • BSN preferred
  • Current ACLS, BLS, NIHSS certifications

Knowledge & Skills

  • Telemetry monitoring and telemetry strip interpretation
  • Stepdown/PCU nursing workflows and nurse:patient ratios (1:4-5 typical)
  • Cardiac care (STEMI, CHF, chest pain) and stroke care protocols
  • IV medication administration and drip titration experience
  • Acute patient assessment and clinical decision-making
  • Familiarity with EPIC charting system
  • Ventilatory support knowledge (BiPAP, high-flow/O2 devices)
  • Collaboration with CNAs, RTs and interdisciplinary teams

Benefits

  • Competitive hourly pay with overtime and holiday rates (great weekly earning potential)
  • Reliable 12-hour shift blocks with guaranteed hours (36 hrs/week)
  • Comprehensive orientation and unit-specific training so you feel confident on day one
  • Professional growth — exposure to high-acuity stepdown care (STEMI, stroke, CHF) to sharpen your skills
  • Licensure and certification support guidance (we’ll help you navigate requirements)
  • Supportive team environment that values collaboration and bedside care
  • Access to EPIC charting and modern telemetry monitoring tools
  • Flexible scheduling handled by unit schedulers so you can plan your life (with predictable weekend rotation)

Travel Perks: Explore Grand Island, NE

Explore Grand Island’s local charm during your contract: visit the Stuhr Museum of the Prairie Pioneer to dive into regional history, catch live events or horse racing at Fonner Park, and enjoy the nearby Platte River corridor — a great spot for seasonal sandhill crane viewing and short nature escapes. Downtown Grand Island offers local restaurants, breweries and parks for easy off-duty relaxation. For weekend road trips you’re a reasonable drive from Kearney and other central Nebraska highlights.

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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