Step Down RN
La Jolla, CA
American Traveler
3x12 hrs, Days

Assignment Overview

• Shift: Days, 3x12hrs
• Hours: 36 hrs/wk
• Start Date: Dec 14, 2026
• Length: 13 weeks
• Openings: 3

Description

American Traveler is hiring a Stepdown RN with CA licensure and prior travel experience for a 13-week day shift assignment in a community hospital setting.

Details

• Stepdown unit within a community hospital setting
• Patient ratio of 1:3
• Day shift schedule, 3x12 hours (7:00a-7:30p)
• Required to work 4 weekend shifts within a 4 week cycle, including at least one holiday weekend
• May float down or across to like or lower acuity units (excluding ED) as needed, at or below skillset, and occasionally to another campus/location
• Epic EMR used across all units

Requirements

• Active CA RN license in hand at time of consideration (Temp or Perm, no EMSA)
• Current certifications: BLS, ACLS, and NIHSS (AHA certifications required, no pending)
• Minimum 2 years of experience in stepdown or ICU specifically, with experience within the last year
• 1.5 years of continuous experience in specialty required, with no breaks in unit type unless floating or demonstrating equivalent experience at the same ratios
• Prior travel nursing experience required, with 1 year total travel experience and 6+ months of continuous travel experience leading up to consideration
• No gaps in travel experience for the last 6 months, except for minimal pre-approved vacations or brief onboarding/relocation gaps
• Epic or combined Epic/Cerner experience required within the last 6 months
• Community hospital experience required; teaching hospital and Trauma Level I experience preferred
• Experience with neurological, respiratory, cardiovascular, and renal patient populations including stroke, tracheostomy care, dysrhythmia management, and cardiac drip management
• 1 supervisory-level professional reference required
• Valid copies of all required certifications needed for consideration

Additional Information

• Provide stepdown-level nursing care across neurological, respiratory, cardiovascular, gastrointestinal, renal, and orthopedic patient populations
• Perform cardiac monitoring, dysrhythmia interpretation, and respond to rapid response and code situations
• Manage wound care, isolation precautions, feeding tubes, and IV therapy including central and PICC lines
• Maximum RTO of 7 days permitted, with no additional requests after consideration
• Candidates must not live within 100 miles of San Diego to be eligible, and those on assignment in San Diego for 9+ months are considered local and ineligible
• First-time travelers will not be considered for this position
• Former permanent staff and travelers may reapply after a 1 year waiting period
• International travelers must have 1 year of recent or current U.S. work experience