Travel Step Down RN

American Traveler is seeking a travel nurse RN Stepdown for a travel nursing job in Charlottesville, Virginia.

• Specialty:
  Stepdown
• Discipline:
  RN
• Start Date:
  
  10/26/2026
• Duration:
  13 weeks
• 48 hours per week
• Shift:
  12 hours, nights
• Employment Type:
  
  Travel

Assignment Overview

• Shift: Nights, 4x12hrs
• Hours:
  
  48 hrs/wk
• Start Date:
  
  Oct 26, 2026
• Length: 13 weeks
• Openings: 1

American Traveler is hiring a Registered Nurse for a Neuro Stepdown position requiring ACLS, BLS, NIHSS certifications and Epic experience.

• 12-bed Stepdown unit utilizing critical care and neuroscience principles at the Intermediate level
• Patient population includes transfers from the Neuro ICU with neuro trauma, subarachnoid, intraventricular, or intracerebral hemorrhage
• Also cares for ENT cancer patients post tumor resection and flap reconstruction, post-operative spine patients, and a wide range of neurological conditions
• Patient ratio of 1:3
• Night shift, 4x12 hours (19:00-7:00)
• 13-week assignment with every other weekend and every other holiday required
• Must work 2 of the 3 winter holidays
• Must adhere to facility float policy
• Epic EMR experience required

• Active VA or compact RN license required (pending license accepted if in-hand by the Wednesday before start)
• Current BLS, ACLS, and NIHSS certifications required
• Minimum 2 years of RN experience required
• BSN preferred
• Epic charting system experience required
• Skilled in neurological and psychiatric care including aneurysm repair, craniotomy, CVA, intracranial bleeds, and lumbar drains
• Experience with post-TPA care, pre/post neurosurgery, seizure disorders, spinal cord injury, and traumatic brain injury preferred
• IV therapy/phlebotomy skills including arterial line management, blood product administration, and PICC line management
• Respiratory management skills including BiPAP/CPAP, high flow nasal cannula, tracheostomy care, and oxygen administration
• Experience with feeding tube care, heparin protocols, cardiac and vasoactive drip management (no titration), and PCA
• Cardiac monitoring and dysrhythmia interpretation/management skills
• Knowledge of isolation precautions/PPE and IV insulin protocols
• Experience with EVD and lumbar drain management preferred
• Surgical drain and TR Band experience preferred

• Provide stepdown-level nursing care to neurological, neurosurgical, and post-surgical patients
• Float within scope of practice as needed per facility policy
• Up to 40 hours of RTO may be approved per 13-week contract, must be disclosed at time of consideration
• Previous permanent staff or internal/external travelers must have a 1-year separation plus leadership approval before returning
• External travelers cannot exceed 365 total assignment days and are not eligible to return once this threshold is reached
• First-time travelers are not considered for this role

American Traveler Job  #P-770128. Pay package is based on 12 hour shifts and 48.0 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title:
Travel RN
- Telemetry
- Stepdown

With over 25 years of experience, American Traveler has established a reputation for outstanding customer service. Our team ensures a smooth, worry-free experience for those starting on or expanding their travel nursing and allied careers.

With thousands of travel nursing and allied jobs nationwide, our attentive and approachable recruiters find positions that align perfectly with your career aspirations and personal requirements.

American Traveler offers exceptional benefits, including premium medical, dental, vision and life insurance beginning day one of your assignment, generous 401(k) match, substantial housing stipends, and more. Additionally, with 24/7 support and access to our in-house clinicians, you are assured confidence and comfort throughout your assignment.

With our team behind you, you can relax and enjoy a rewarding travel career.