Step Down RN

At Medefis we connect exceptional clinicians with high-acuity hospital partners so patients receive seamless care between ICU and med-surg. In Cleveland you will stabilize complex cardiac, respiratory, and post-surgical patients, prevent readmissions, and set the standard for step-down excellence that hospitals trust us to deliver.

• Within 90 days independently manage a 4–5 patient assignment, achieving 95%+ on-time vital-sign, medication, and documentation compliance.
• Reduce unplanned transfers back to ICU by 20% through early recognition of decompensation and rapid RRT activation.
• Lead daily interdisciplinary huddles that cut average length of stay by 0.5 days while maintaining patient-satisfaction scores above 4.7/5.
• Precept two new or traveling RNs per quarter so they reach full productivity in under 4 weeks.
• Complete 100% of required telemetry, ventilator, and vasoactive-drip competencies and serve as unit super-user for the EHR.
• Contribute to one unit-based quality project (falls, CLABSI, or pain) that produces a measurable 10% improvement within six months.

Environment & Resources
You report to the Clinical Nurse Manager and partner with a dedicated charge RN, respiratory therapy, and hospitalists. The 24-bed step-down unit uses Phillips telemetry, Epic, and a 1:4–5 ratio. Travel contract includes weekly pay, housing stipend, and 24/7 clinician support from Medefis.

• Current Ohio RN license (or compact) and BLS/ACLS; 18+ months recent step-down, PCU, or ICU experience with vented and vasoactive patients.
• Proven ability to titrate drips, interpret 12-lead/telemetry, and manage chest tubes, arterial lines, and post-op cardiac/vascular cases.
• Track record of zero medication errors and high patient-experience scores in a fast-paced environment.
• Comfort precepting and using evidence-based protocols to drive outcomes.

• Work with a VMS that hospitals actually like—streamlined onboarding, guaranteed hours, and real-time support.
• Cleveland’s major health systems offer cutting-edge cardiac and neuro programs plus unmatched sports and food culture.
• Weekly pay, completion bonus, and first-day medical benefits—no waiting period.
• Direct line to a clinician-led staffing team that fights for your schedule and extensions.

If you are ready to own outcomes on a high-performing step-down unit, apply now. We review every qualified submission within 24 hours and can have you working in Cleveland in as little as two weeks.