Medical-Surgical Step-Down Registered Nurse
Rochester, NY
Revolution Healthcare Services
3x12 hrs, Nights
Referral Bonus
$2,172/weekOverview
- Start Date01/13/2026
- Shift Breakdown3x12 hrs
- ShiftNights
- Duration13 weeks
- Facility InformationShort Term Acute Care516 beds
Pay
Benefits
- Medical benefits
- Referral bonus
- Weekly pay
- Holiday Pay
- 401k retirement plan
- Mileage reimbursement
- Dental benefits
- Vision benefits
- Benefits start day 1
- License and certification reimbursement
- Guaranteed Hours
Description
Start Date: Not specified
Location: New York
Compensation: Details provided to qualified applicants
Schedule: 3x12 night shifts, every other weekend required
Highlights:
- 26-bed Intermediate Care Unit (step-down) in a 528-bed tertiary care hospital
- Patient ratio of 1:4 on nights; float opportunities to ICU or medical-surgical units
- Care for adult and geriatric patients requiring telemetry monitoring, BIPAP support, arterial/central lines, and titrated IV infusions
- Epic charting system; 24 hours of orientation provided
- Multi-disciplinary team with strong interdisciplinary support including IV teams, respiratory services, rapid response teams, and pharmacy
- One block of pre-approved time off available during assignment
Requirements:
- Active New York RN license in hand prior to submission (mandatory)
- Minimum 1 year of recent step-down, progressive care, or IMC experience
- Epic charting experience required
- BLS, ACLS, and NIHSS certifications required
- Experience with 1:5 to 1:7 patient ratios in medical-surgical or step-down settings
- Competency in cardiac monitoring, dysrhythmia interpretation and management, IV therapy, peripheral line care, respiratory support, and isolation precautions
- Must reside at least 75 miles from facility location
- First-time travelers accepted
Why It's a Great Opportunity:
This Intermediate Care Unit provides a dynamic environment where you'll care for complex, acute patients transitioning from higher levels of care or requiring specialized monitoring and intervention. You'll work alongside a vigilant, adaptable team that values evidence-based practice and compassionate, patient-centered care. With comprehensive support services and a strong collaborative culture, this role offers meaningful clinical growth and the chance to make a real difference in patient outcomes.
Facility
Rochester General Hospital
3 nurses recommend working with Rochester General Hospital

- Short Term Acute Care
- 516 beds
Employer
Revolution Healthcare Services
Rochester, NY
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