Step Down Registered Nurse
Kalamazoo, MI
GHR Healthcare - PH Division
3x12 hrs

Job Opportunity: Registered Nurse - Step Down Unit

Location: Kalamazoo, Michigan
Employment Type: Travel/Contract
Contract Length: 13 weeks

Unit Description

• Step down unit caring for general medical and oncology stepdown patients (GMU)
• Nurse to patient ratio: 1:4-6 (with support staff if ratios increase)
• Chemotherapy admissions decrease assignment ratios
• Floating to other med-surg areas including AU and ER to care for med-surg patients
• Scheduling: Weekends assigned by manager/scheduler; other days self-scheduled
• Weekend work: Every other weekend
• Block scheduling may be accommodated
• Must be available for the first two weeks of the assignment

Required Experience

• Minimum 2 years of PCU/Stepdown nursing experience

Required Certifications & Licenses

• Michigan RN License
• BLS (AHA)
• NIH Stroke Certification
• ONCC or ONS certification (pending ONS accepted, ONC must be in hand)

Required Skills

• Administering chemotherapy via IV
• Starting IVs
• Experience with Welch Allyn Vital Sign Towers and Sigma IV Pumps
• EPIC for documentation

Call & Scheduling

• No call required
• Floating to other med-surg areas including AU and ER

Prior Travel Experience

• Not explicitly required

Compliance & Documentation Requirements

• I-9 and E-Verify documentation
• Government-issued photo ID
• Criminal background check within 45 days of start (lifetime search including SSN trace, national criminal, sex offender, statewide, education verification, MVR)
• Monthly EPLS/GSA/SAM and HHS/OIG checks
• Michigan LARA fingerprinting within 45 days of start (for certain positions; tracking only for this role)
• Education verification (copy of highest degree or diploma)
• Physical exam within 1 year of start
• Drug testing: 10-panel including Marijuana/THC within 30 days of start
• Immunizations and health documents:

  • Tetanus/Diphtheria/Tdap (proof of 1 prior Tdap vaccine)
  • Negative TB test or chest x-ray within 30 days of start
  • TB questionnaire updated annually
  • Rubeola (Measles), Mumps, Rubella: 2 vaccines or positive titer (no exemptions)
  • Hepatitis B: titer, series, or facility declination
  • Varicella: 2 vaccines or positive titer (no exemptions)
  • Seasonal flu vaccination or approved exemption (medical/spiritual) required for candidates starting after 11/1, with proof by 12/1 deadline
• Fit mask testing required on-site (Honeywell DC365N95HC) for acute care roles; not required for non-clinical or some outpatient roles
• References: One professional reference from supervisor/manager required
• Complete employment application/resume with full 7 years work history, no gaps

Additional Notes

• Floating assignments may include med-surg and emergency department care
• Charge RN typically not assigned patients
• Chemo admits reduce patient assignment load
• Block scheduling requests should be specified upfront
• Any requests for time off after offer must be discussed with onsite manager

This position is ideal for experienced step down nurses with oncology and chemotherapy skills, comfortable with med-surg floating, and able to work a flexible schedule including every other weekend.