Step Down RN
La Jolla, CA
American Traveler
4x12 hrs, Nights

Assignment Overview

• Shift: Nights, 4x12hrs
• Hours: 48 hrs/wk
• Start Date: Nov 30, 2026
• Length: 13 weeks
• Openings: 3

Description

American Traveler is seeking an experienced RN for a Stepdown position requiring CA licensure, travel experience, and EPIC proficiency within a multi-hospital health system float pool.

Details

• Work in the Stepdown unit as part of a system-wide float pool across 5 hospitals
• Night shift schedule (4x12 hours, 19:00-07:30), with openings for 3x12 schedules as well
• Patient ratio of 1:3
• Required to float down to lower acuity or like units across the organization (excluding the ED)
• Required to work 4 weekend shifts within a 4-week cycle
• Required to work at least one holiday, including the holiday weekend
• Uses EPIC charting system across all units

Requirements

• Active CA RN license in hand at time of consideration (Temp or Perm, no EMSA)
• Current AHA certifications: BLS, ACLS, NIHSS
• Minimum 2 years of recent stepdown or ICU experience, with experience within the last year
• 1.5 years of continuous specialty experience without breaks, unless floating or meeting equivalent skillset requirements
• Community hospital experience required
• Teaching hospital and Trauma Level I experience preferred
• EPIC or combined EPIC/Cerner experience required within the last 6 months
• Travel nursing experience required, including 1 year total travel experience and 6+ months of continuous travel experience leading up to consideration
• No gaps in travel experience within the last 6 months, except for minimal pre-approved vacations or onboarding/relocation periods
• 1 supervisory-level professional reference required
• Valid copies of all required certifications required for consideration, with no pending certifications accepted

Additional Information

• Provide nursing care within a stepdown/telemetry unit, including cardiac monitoring, respiratory management, and post-surgical care
• Skills may include management of chest tubes, tracheostomy care, central and peripheral line management, and titration of cardiac or vasoactive drips
• Experience with neurological, orthopedic, renal, and GI patient populations may be required depending on unit needs
• ICU, SDU, and Tele RNs are required to float at or below skillset and may occasionally float to another campus or location
• Maximum RTO of 7 days, with no additional requests after consideration
• Returning staff and travelers must wait 1 year before reapplying
• International travelers must have 1 year of recent or current U.S. experience
• First-time travelers are not considered for this role
• Candidates must reside outside a 100-mile radius of the facility to be eligible, with exceptions for LVNs/MAs
• Candidates who have been on assignment in San Diego for 9+ months are considered local and are not eligible