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:
  
  11/23/2026
• 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 23, 2026
• Length: 13 weeks
• Openings: 1

American Traveler is seeking a Step-Down/PCU RN for night shift with at least 2 years of recent telemetry experience and ACLS/BLS certification.

• Dual unit covering PCU/Stepdown and a general floor, with nurses able to work either side
• PCU patient ratio of 2-3, floor ratio typically 4 (occasionally
  5)
• Night shift schedule, 3x12 hours (7:00 PM-7:30 AM)
• Every other weekend required
• Floating within scope required to meet facility needs
• No on-call responsibilities
• Uses EPIC for charting
• Magnet-designated, teaching hospital and Level I Trauma Center

• Active MO or compact RN license required (compact must match permanent residence)
• ACLS and BLS certification required
• Minimum 2 years of recent Step-Down/PCU RN experience required (1.5 years considered with Level I Trauma experience)
• Skilled in interpretation and management of dysrhythmias
• Experience managing and titrating cardiac drips
• Experience with chest tube management (Emerson/Pleur Evac)
• Experience with cardiac monitoring and emergency response
• Pre/post cardiac catheterization and pre/post cardiac surgery care experience
• Must be clean-shaven or have facial hair compatible with respirator fit testing

• Provide direct nursing care within a Cardiac Telemetry/Step-Down unit, including cardiovascular monitoring and dysrhythmia management
• Navy blue scrub color required
• First-time travelers are welcome to apply
• No local candidates accepted within a 75-mile radius of the facility
• Candidates residing outside a 75-mile radius may remain on assignment for up to 18 months, followed by a required 3-month break in service
• Previous permanent employees must wait 1 year before returning to any BJC facility as a traveler
• Maximum of 7 days RTO allowed per 13-week contract, with no RTO permitted during the first week of the assignment
• Contract length is firm with no early cancellation to accept another assignment at the same health system

American Traveler Job  #P-775505. 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.