Stepdown Registered Nurse | Rochester, Illinois in Rochester, IL

Providing specialized nursing care in a dynamic Intermediate Care (IMC) / Stepdown / Progressive Care Unit (PCU) setting, this role demands a skilled RN with strong cardiac, neurological, respiratory, and telemetry expertise. You will deliver compassionate, comprehensive care to patients recovering from complex medical and surgical conditions while working stable 12-hour day shifts. Location: Rochester, IL Situated near a vibrant community with access to quality healthcare options and convenient amenities, Rochester offers a comfortable small-town atmosphere with proximity to larger metropolitan areas. Qualifications and Experience: • Active Illinois RN license required—pending licenses not accepted • Minimum 1 year of Stepdown/Telemetry nursing experience; first-timers not considered • Current BLS and NIH certifications required; ACLS preferred • Proficiency in cardiac monitoring, dysrhythmia management, and use of Rapid Response Teams • Experience in post-cardiac procedures, neuro/neurosurgery care, ventilator management, and advanced IV therapy (including central line and arterial line care) • Skilled in managing vasoactive and cardiac drips (titration experience a plus) • Comfortable with complex medication administration including PCA and procedural sedation • Knowledge of wound care, isolation precautions, and telemetry charting (Cerner experience preferred) • Familiarity with Orthopedics, Plastic Surgery post-op care, and renal/hemodialysis management • Able to float within the unit and accommodate block scheduling on discussion Shift Schedule: • Primarily 3x12 or 4x12 day shifts (06:45–19:15) • Weekend rotation: every other weekend • No on-call requirement Responsibilities: • Deliver vigilant assessment and monitoring of stepdown patients following cardiovascular, neurological, orthopedic, and respiratory interventions • Manage and interpret telemetry, administer complex IV therapies and medications, and support rapid response evaluation • Collaborate within an interdisciplinary team in a Level I trauma, Magnet-designated acute care hospital environment • Adhere to infection control, wound care protocols, and clinically sound documentation practices using Cerner Additional Details: • Contract position with guaranteed hours, accommodating up to a specified number of client call-offs • Parking permit required at no cost This opportunity is ideal for nurses eager to deepen their skills in a high-acuity stepdown setting while working supportive, consistent day shifts. Candidates with teaching hospital or Level I trauma experience are especially valued. Qualified professionals with an active IL RN license who thrive in a fast-paced acute care environment are encouraged to apply and advance their career in this rewarding contract role. Compensation for this position ranges from $26.59 to $50.00. Eligible candidates may also receive healthcare benefits, housing, and meals/incidentals. Full details of our healthcare benefits plan can be found here. This posting is open for 60 days after the posting date.