Step Down Unit RN
Grand Island, NE
Cross Country Nurses
3x12 hrs, Nights
Referral Bonus

Job Summary:
The healthcare provider seeks a registered nurse specializing in step down care at a facility located in GRAND ISLAND, Nebraska. This role involves working on a busy, acute step down unit with a focus on patient stability and complex medical conditions. The position emphasizes teamwork, positive attitude, and engagement in patient-centered care within a 12-hour night shift schedule.

Job Details:

• Shift: Nights, 12 hours per shift, minimum of 36 hours per week
• Start Date: 08/31/2026
• Certifications Required: BLS (Basic Life Support), ACLS (Advanced Cardiovascular Life Support), NIHSS (National Institute of Health Stroke Scale)
• Required Qualifications: Valid license to submit; minimum of 2 years of experience in a critical care or step down setting; must meet all certification requirements
• Patient Ratios & Duties: 1:4-5 nurse to patient ratio; responsible for titrating drips such as Heparin, Amiodarone, Cardizem, Nitroglycerin, IV antibiotics, and insulin; available CNA support (fluctuating based on census); required to read and interpret telemonitors and strip readings; involves admitting and discharging patients within the same shift
• Unit Specifics: 33 beds, busy patient flow with complex diagnoses including sepsis, stroke, CHF, COVID-19, renal failure, COPD, DKA, multisystem failure; staff benefit from strong teamwork and positive engagement; transition to virtual nursing in June, increasing nurse-to-patient ratio to 1:6
• Schedule & Orientation: Classroom training during the first week, followed by two 12-hour shifts; float may include MedSurg, Inpatient Rehab, or Skilled Care; RN dress code navy blue; RTO of 7 days or less upfront; no additional RTO approvals after submission
• Additional Requirements: Must have a drivers license on submission; candidates outside 50 miles from the facility are ineligible; artificial nails prohibited; successful completion of open-book skills exam with a score of 90% or higher at orientation; float to other units allowed as needed
• Notes: Excellent communication skills, teamwork, and a positive attitude support success in this role. The position involves a fast-paced environment with a focus on patient discharge and admission within a 6-hour window.

Benefits:
The benefits of taking a travel assignment with Cross Country include:

• Private housing or generous housing allowance
• Comprehensive health insurance with prescription coverage
• Dependent health insurance with prescription coverage
• Competitive salaries
• Referral bonuses
• Travel reimbursement
• 401(k) retirement plan
• Direct deposit/free checking
• Unlimited free CE credits