Travel Step Down RN

American Traveler is seeking a travel nurse RN Stepdown for a travel nursing job in St. Louis, Missouri.

• Specialty:
  Stepdown
• Discipline:
  RN
• Start Date:
  
  11/02/2026
• Duration:
  13 weeks
• 36 hours per week
• Shift:
  12 hours, nights
• Employment Type:
  
  Travel

Assignment Overview

• Shift: Nights, 3x12hrs
• Hours:
  
  36 hrs/wk
• Start Date:
  
  Nov 2, 2026
• Length: 13 weeks
• Openings: 1

American Traveler is hiring an experienced RN for a Step Down unit position on night shift, requiring high-acuity ICU or stepdown experience and vasopressor titration skills.

• Step Down unit in an acute care hospital setting
• 1:4 patient ratio
• Night shift, 3x12 hours (19:00-7:30)
• Every other weekend required, either Friday/Saturday or Saturday/Sunday depending on rotation
• No on-call responsibilities
• Floats to lower acuity floors within scope as needed
• Uses Epic charting system

• Active RN license (MO or compact) required
• BLS, ACLS, and NIHSS certifications required
• Minimum 2 years of RN experience required
• Must have worked at the bedside within the last 6 months
• High acuity stepdown or ICU experience required
• Travel experience within the last 6 months required
• Trauma Level II experience required
• Skilled in titration of vasopressors, sedation medications, and insulin drips
• Experience managing trach vents, arterial lines, external pacemakers, and chest tubes
• No exceptions for facial hair that interferes with respirator fit testing

• Care for high-acuity stepdown patients including cardiac, neurological, respiratory, and post-surgical populations
• Responsibilities include cardiac monitoring, dysrhythmia management, and use of rapid response/code teams
• Skilled nursing duties include wound care, IV therapy, blood product administration, and central/peripheral line management
• Navy scrub color required
• First-time travelers are not accepted for this position
• Local candidates within 75 miles are not accepted
• Permanent employees must wait 1 year before returning to any BJC facility as a traveler
• Returning travelers must complete an 18-month period with a required 3-month break in service
• Maximum of 7 days RTO per 13-week contract, with no RTO permitted during the first week
• Contract length is firm at 13 weeks

American Traveler Job  #P-750745. Pay package is based on 12 hour shifts and 36.0 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.