Travel -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:
  
  11/09/2026
• 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 9, 2026
• Length: 13 weeks
• Openings: 1

American Traveler is hiring a Step-Down RN with at least 2 years of PCU/cardiac post-op experience for a 13-week night shift assignment at a Level I Trauma, Magnet-designated teaching hospital.

• Step-Down unit within a short-term acute care hospital
• 1:5 patient ratio caring for cardiac post-surgical patients
• Patient population includes post-CABG, MVR, AVR, TAVR, heart transplant, and LVAD implant cases
• Night shift schedule, 3x12 hours (7:00 PM-7:30 AM)
• Option to sign for 36 or 48 hours per week
• Every other weekend required
• No on-call requirements
• Floating required within service line to meet facility needs
• Uses Epic charting system

• Active MO or compact RN license required (must match permanent residence if compact)
• BLS and ACLS certification required
• Minimum 2 years of RN experience required (1.5 years considered with Level I Trauma or teaching hospital experience)
• Strong PCU experience required, including cardiac post-op care, temp pacers, epicardial wires, chest tubes, and titrating IV drips
• Experience with IV therapy/phlebotomy, blood product administration, central and peripheral line care required
• PICC line management experience preferred
• Teaching hospital and Level I Trauma experience preferred
• Charge RN experience preferred
• Epic charting experience preferred

• Provide direct care to cardiac post-surgical patients including monitoring, dysrhythmia management, and use of Rapid Response/Code teams
• Facility is a Magnet-designated, Level I Trauma teaching hospital with 1,273 staffed beds
• Navy blue scrubs required
• Facial hair must allow for proper respirator fit testing or must be shaved, no exceptions
• Maximum of 7 days RTO per 13-week contract, with no RTO permitted during the first week of the assignment
• Does not accept local candidates within a 75-mile radius
• Standard travelers may work up to 18 months total before requiring a 3-month break in service
• Permanent employees must wait 1 year before returning to this health system as a traveler
• Pending MO license accepted at time of submission; IL license must be in hand at submittal

American Traveler Job  #P-769236. 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.