Medical-Surgical Stepdown RN
San Francisco, CA
Host Healthcare
3x12 hrs, Nights
Referral Bonus

Registered Nurse - Step Down Unit (Travel/Contract)

Location: San Francisco, California
Contract Length: 13 weeks

Job Summary

• Provide comprehensive patient- and family-centered care within the scope and standards of professional nursing practice.
• Work in an 8-bed Medical-Surgical Telemetry (MST) overflow unit (Progressive Care Unit/Stepdown).

Shift Details

• Night shift: 3 shifts per week, 12 hours each (7:00 PM – 7:30 AM)
• Rotating weekends
• No on-call requirements

Required Qualifications

• Valid Registered Nurse (RN) license in California
• Minimum 1 year of Stepdown nursing experience within the last year
• Basic Life Support (BLS) certification issued by the American Heart Association or American Red Cross
• Associate of Science in Nursing (ASN) or Associate Degree in Nursing (ADN)

Certifications (as applicable/position dependent)

• Advanced Cardiac Life Support (ACLS)
• Pediatric Advanced Life Support (PALS)
• Neonatal Resuscitation Program (NRP) – Instructor or Advanced Provider Course
• Critical Care RN (CCRN)
• Trauma Nursing Core Course (TNCC)
• Electronic Fetal Monitoring (EFM) – typically for Labor & Delivery
• Crisis Prevention Institute (CPI)
• IV Certification (venipuncture) may be required
• NIH Stroke Certification
• Other certifications may be required based on position specifics

Background and Screening Requirements

• 7-year background check including SSN trace with all aliases, county searches, nationwide sex offender search, education verification, and FACIS Level 3 screening
• Annual updates required for EPLS/GSA/SAM, HHS/OIG, and FACIS screenings
• Drug screening: Negative 9-panel drug screen within 6 months (excluding marijuana/cannabinoids per CA law)
• Employment history verification covering 7 years with no gaps over 30 days; attestations allowed only for gaps under 1 year
• References: 2 professional references within 3 years (clinical/allied/per diem acute care)

Health and Immunization Requirements

• Physical exam within 1 year of start, cleared for work
• Fit mask test within 1 year, renewed annually (specific mask types required)
• Tuberculosis (TB) screening: Negative QGold or TSPOT within 90 days or 2-step PPD testing
• Immunizations or titers required:

  • Tetanus/Diphtheria/Tdap (within 10 years)
  • Measles (Rubeola)
  • Mumps
  • Rubella
  • Hepatitis B (series or declination)
  • Varicella
  • Seasonal flu vaccination during flu season (Nov 1 – Apr 30) or signed declination
• Color vision exam (in-person) if applicable
• Respiratory safety clearance, renewed annually

Medical or religious exemptions may be considered with appropriate documentation and facility-specific forms.

Competency Exams

• Medication/Pharmacology competency exam as applicable
• Dysrhythmia/EKG competency exam may be required for some telemetry units
• Unit-specific skills checklist, renewed annually

Facility-Specific Requirements

• Review and sign facility policies including:

  • Job description
  • Standards of business conduct
  • Code of conduct
  • Overpayment refund policy
  • Vendor training (current and upcoming years)
  • General regulatory orientation for contracted workers
• Complete facility-specific attestations prior to start (e.g., conditional offer of employment, religious accommodation requests)
• Photo for badge (per diem only)

Additional Notes

• No prior travel experience explicitly required for this position
• No on-call duties
• Must have full 7 years of work history documented in application with city and state details

This position is ideal for experienced Medical/Surgical Stepdown RNs seeking a travel contract opportunity on night shifts in a progressive care setting.