Travel Contract

Stepdown RN
Saint Louis, MO
Access Healthcare
4x12 hrs, Days

$2,808/week
Posted 1 day ago Verified
Verified: Vivian has verified that this job is accepting applications.
Last checked: 6 hours ago
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Overview

  • Start Date12/07/2026
  • Shift Breakdown4x12 hrs
  • ShiftDays
  • Duration26 weeks

Pay

Estimated total pay
$2,808/week

Qualifications

The employer will review your Vivian profile and compare it against the job qualifications listed below.
    Work Experience
  • Registered Nurse (2 years)
  • Stepdown Nurse, Definitive Observation Unit Nurse, Intermediate Care Nurse, Progressive Care Nurse or Surgical Stepdown Nurse (2 years)
    Education
  • Bachelor of Science, Bachelor of Science in Nursing or Associate of Science in Nursing

Description

RN/PCU Step Down (Registered Nurse)

Location: Saint Louis, Missouri Contract Length: 26 weeks Shift: Day, 4x12-hour shifts (7:00 to 19:30), 48 hours per week; can also sign for 36 hours per week Ratios: 1:2-3 for all shifts

Experience and Clinical Requirements

  • Valid RN license in Missouri
  • Associate of Science in Nursing / Associate Degree in Nursing
  • At least 1 year of stepdown experience, with stepdown experience within the last year
  • Telemetry experience
  • Interpretation and management of dysrhythmias
  • Experience with mechanical ventilation
  • Long-term ventilator management experience
  • Ventilator weaning experience
  • Pulmonary rehabilitation experience
  • Experience with tracheostomy care
  • IV insertion skills
  • ACLS (Advanced Cardiac Life Support) issued by the American Heart Association
  • BLS issued by the American Heart Association

Float Scope: May float within the service line, including to MS units.

Competencies and Testing

  • EKG exam (Basic Dysrhythmia) must be passed, with the first attempt within 1 week of assignment. Up to 3 attempts are allowed.
  • Unit-specific competency exam, updated annually
  • Medication/pharmacology competency exam (must meet the Angoff score, or 80% if no Angoff score is available)
  • Unit-specific skills checklist within 1 year of start

Work Arrangement

  • Weekend requirement: every other weekend
  • On-call: not required
  • Guaranteed hours: 3 shifts per 13 weeks
  • Return-to-off-duty restrictions: no more than 7 days
  • First-time travelers accepted
  • Does not accept local candidates (home address must be at least 75 miles from the facility)
  • Does not accommodate block scheduling
  • Parking passes are available at additional cost

Facility Highlights

  • Short-term acute care
  • Teaching facility; trauma level as listed
  • 1,266 staffed beds
  • Scrub color: navy
  • Charting system: Epic

Compliance and Documentation

  • Criminal background check within 6 months of start, with a 7-year search and education verification
  • EPLS/GSA/SAM and HHS/OIG searches, run quarterly
  • Missouri EDL search, run for each assignment and renewed quarterly
  • Missouri Highway Patrol check, renewed annually
  • Drug test within 1 year of start, with panels that must not expire during the assignment
  • Physical exam within 1 year of start
  • TB: two negative PPDs (one within 1 year, one within 30 days of start), or a T-Spot or Q-Gold within 1 year
  • Measles, mumps, rubella, and varicella immunity (titer, two vaccines, or MD statement)
  • Tdap vaccine or declination
  • Hepatitis B declination
  • Flu vaccine or exemption during flu season (October 1 to March 31)
  • N95 fit test (on-site option available)
  • Government-issued photo ID and driver's license or state ID
  • Photo for badge taken within 6 months of start
  • Employment application
  • Two professional references
  • Facility orientation modules (approximately 16 hours), completed before start
  • Required policies signed before start: HIPAA acknowledgement, confidentiality form, hand hygiene policy, fingernail policy, and dress code policy

Employer

Access Healthcare

4.4rating(22 reviews)

1 nurse recommends working with Access Healthcare

Jonathan Ward E
Jonathan Ward E
Pathologists' Assistant (Allied Health Professional)
5.0rating

Pros

Marigold is polite and professional. She goes above and beyond to ensure the contractor is well informed and has everything needed to be successful. She helped me with onboarding and getting used to the timesheet app and she answers my texts promptly, even after hours. She is a great recruiter liason. Gladys was a super helpful with onboarding and Denise will hook you up with benefits with no trouble at all. Great team to work with.

Cons

Onboarding is somewhat tedious, but they do dot every "i" and cross every T.

Review of Marigold Sumaoang on Jul 9, 2026

Recommends working with Access Healthcare

9 nurses found this helpful

View all reviews
About

Access Healthcare aims to provide superior service to our nursing family by providing around the clock support, competitive pay packages and an unmatched benefits package! Unlike other agencies, we offer a true family feel and work with you to find the placement that is right for you. We offer one of the top leading pay packages in the industry and we are ready to get you the money you deserve!


Access Healthcare was founded by two travel nurses, Danielle and Diego, who had a dream and a shared vision of creating an agency which all nurses would want to work with. Our passion has led us to where we are today as one of the top 10 agencies in our home state of New Jersey, with access to contracts in all 50 states! We encourage you to join our team and we cannot wait to get to know you!

Response timewithin an hour
Travel jobs$820–7,280/week
Jobs on Vivian5
View more details

About Saint Louis, MO

As a Travel Stepdown Nurse in Saint Louis, MO here's what you should know:
Cost of Living
  • The cost of living in Saint Louis is lower than the national average, making it an affordable city for travel nurses.
  • Wages generally match up with the lower cost of living.
Weather
  • Summer average highs are around 89°F, and winter average lows are around 23°F.
Furnished Housing
  • Short term rentals are relatively easy to find in Saint Louis, with options ranging from furnished apartments to corporate housing.
Transportation
  • Saint Louis is car-friendly, but it also has a public transportation system including buses and a light rail system called Metrolink.
Demographics
  • Saint Louis has a diverse population with a wide age range.
  • Common health issues include heart disease and obesity.
  • There is a large population of travel nurses due to the presence of multiple healthcare facilities.
Things to Do
  • Saint Louis offers a variety of activities including a vibrant restaurant scene, art museums like the Saint Louis Art Museum, live music venues, sports events such as baseball games at Busch Stadium, and outdoor attractions like the Missouri Botanical Garden and Forest Park.
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