Stepdown RN
Wheeling, WV
Concentric Healthcare Staffing
3x12 hrs, Days

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 (RN) – Cardiac Stepdown

Location

Wheeling, WV | Acute Care

Schedule / Job Type

Contract | Night Shift or Rotating Days and Nights (6:45–7:15) | Expected schedule averages every other weekend; travel RNs are included in the holiday rotation alongside permanent staff

Key Responsibilities

• Provide direct patient care on a 22-bed Cardiac Stepdown unit with nurse-to-patient ratios of 1:4–6, managing diagnoses including bradycardia, A-fib, SVT, CHF, CAD, NSTEMI, PVD, PE, CVA/TIA, and post-operative patients (VATS, lobectomy, wedge resection, TAVR, and post-op day 1 CABG)
• Manage chest tubes and tracheotomy care (no ventilator management required)
• Perform epicardial pacing as part of routine unit responsibilities
• Titrate drips per ordered parameters, including Cardizem, amiodarone, procainamide, dopamine, dobutamine, heparin, and insulin (rarely)
• Utilize Nihon Koden telemetry monitoring equipment; strip interpretation and documentation are completed by dedicated telemetry techs — RNs are not required to read their own strips
• Float to other units as needed (float first policy); participate in self-scheduling through the unit scheduling committee

Required Qualifications

• Active, unencumbered RN license (any licensing history or hits must be disclosed at time of submission)
• BLS certification (required)
• ACLS certification (required)
• Proficiency with chest tubes and epicardial pacing
• Experience titrating cardiac and vasoactive drips per ordered parameters
• Must reside at least 50 miles from the facility to be eligible; a copy of an unexpired driver's license is required with all submissions

Preferred Experience / Skills

• Prior experience in a cardiac stepdown, progressive care, or cardiovascular surgical unit
• Familiarity with post-operative cardiac and thoracic surgical patients
• Experience with Nihon Koden telemetry monitoring systems
• Comfort working in a self-scheduling environment and adapting to rotating shift assignments

Why Join Us

• Work in a well-supported unit with nursing supervisors on-site 24/7, hospitalist and intensivist coverage in-house, and respiratory therapy available hospital-wide around the clock
• Benefit from a structured orientation with a preceptor on a 12-hour shift, and an IV therapy team that handles all IV sticks