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:
  
  11/16/2026
• 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 16, 2026
• Length: 13 weeks
• Openings: 1

American Traveler is seeking an experienced RN for a Step Down (Telemetry) Unit position on nights, requiring 2+ years of stepdown/ICU experience and vasopressor titration skills.

• Step Down Unit within an acute care hospital
• Patient ratio of 1:4
• Night shift, 3x12 hours, 19:00-07:30
• Every other weekend required (Friday/Saturday or Saturday/Sunday rotation)
• No on-call requirements
• Float to lower acuity units within scope as needed
• Uses Epic charting system

• Active MO or compact RN license required
• Current BLS, ACLS, and NIHSS certifications required
• Minimum 2 years of RN experience required
• Recent bedside experience within the last 6 months required
• ICU or high acuity stepdown experience required due to unit acuity
• Trauma Level II hospital experience required
• Recent travel nursing experience within the last 6 months required
• Proficiency in titration of vasopressors, sedation medications, and insulin drips required
• Experience managing trach vents, arterial lines, external pacemakers, and chest tubes required
• Epic charting experience preferred

• Provide advanced nursing care to high-acuity stepdown patients including cardiac, neurological, and respiratory cases
• Responsible for cardiac monitoring, dysrhythmia interpretation, and rapid response coordination
• Navy scrub color required
• No guaranteed schedule accommodations for block scheduling
• Facial hair must allow for proper respirator fit testing or must be shaved
• Candidates must reside outside a 75-mile radius as local candidates are not accepted
• Maximum of 7 days RTO per 13-week contract with no RTO during the first week
• Previous permanent BJC or Saint Luke's employees must wait 1 year before returning as a travelers
• Travelers who completed an 18-month assignment must take a 3-month break before returning
• First-time travelers are not accepted for this position

American Traveler Job  #P-750787. 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.