Step Down RN
Boone, NC
Concentric Healthcare Staffing
3x12 hrs, Nights

Candidates residing within 50–100 miles of the facility may be subject to a reduced rate or may not be accepted.

Applicants must have worked in this unit or setting within the past year to be considered for this position.

Job Title

Registered Nurse – IMC/PCU/Stepdown (IMCU Float Pool)

Location

Boone, NC | Intermediate Care / Step-Down

Schedule / Job Type

Contract | Nights | 3x12-hour shifts (7:00 PM – 7:00 AM) | Up to 2 weekends per month | Holidays required | Floating to MedSurg based on patient volume

Key Responsibilities

• Provide direct patient care in an Intermediate Medical Care Unit (IMCU) float pool setting, with patients receiving telemetry monitoring
• Manage common IV drips including Heparin, Nitroglycerin, Cardizem, and Amiodarone within established protocols and parameters
• Monitor and care for patients at a 5:1 ratio (goal 4:1) across a 24-bed unit with an average census of 20–24 patients
• Float to MedSurg units as needed based on patient volume
• Occasionally care for pediatric patients as unit needs require
• Document accurately using EPIC EMR; recent proficiency required

Required Qualifications

• Active North Carolina RN license or valid compact RN license (must be at least pending with a clear ETA)
• Minimum 2 years of IMCU or telemetry nursing experience
• 2 or more years of travel nursing experience required
• BLS, ACLS, PALS, and NIHSS certifications required (BLS, ACLS, and PALS must be AHA-issued; all certifications must remain current throughout the contract)
• Recent EPIC EMR experience required
• Must reside at least 40 miles from the facility to be eligible; driver's license required for address verification prior to offer

Preferred Experience / Skills

• Experience managing Heparin titration protocols in a step-down or progressive care environment
• Comfort and experience caring for pediatric patients in an acute care setting
• Familiarity with progressive care or CCU-level monitoring and patient management

Why Join Us

• ASAP start available with the opportunity to work in a dynamic float pool environment across intermediate and step-down care settings
• Block scheduling may be considered when requested upfront, offering potential flexibility in your assignment