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 hiring a Step Down RN with 2+ years of recent bedside experience and vasopressor titration skills for a 13-week night shift contract.

• Acute care hospital Step Down Unit with a 233 staffed bed facility
• Night shift schedule (3x12 hours, 19:00-7:30)
• Patient ratio of 1:4
• Required to work 2 shifts every other weekend
• Floats to lower acuity floors within scope as needed
• No on-call requirements
• Uses Epic charting system

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

• Provide care for high-acuity stepdown patients including cardiac, neuro, and respiratory cases
• Responsibilities include arterial line management, central and peripheral line care, and blood product administration
• Manage ventilated and tracheostomy patients along with BiPAP/CPAP and high flow oxygen therapy
• Navy scrub color required
• No parking costs at this facility
• Must reside outside a 75-mile radius of the facility to be eligible
• Maximum of 7 days RTO per 13-week contract with no RTO allowed during the first week
• Permanent employees must wait 1 year before returning as a traveler to any facility within this health system
• Standard travelers may work up to 18 months before requiring a 3-month break in service
• First-time travelers are not accepted for this role

American Traveler Job  #P-768029. 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.