Travel Nurse RN - Stepdown
Elmira, NY
First Connect Health
3x12 hrs, Nights
Referral Bonus

💙 36-HOUR NIGHT-SHIFT STEPDOWN / TELEMETRY RN CONTRACT – ELMIRA, NY

An immediate 13-week travel contract opening is available for an experienced Stepdown / Telemetry Registered Nurse (RN) in Elmira, NY 14905. Operating within a modern 24-bed telemetry unit featuring an 8-bed stepdown capability (Unit 5D Step Down Tele) at an established acute care regional medical center in the Southern Tier of New York, this clinical assignment offers a dependable 36-hour overnight schedule (19:00 – 07:30 / 7:00 PM – 7:30 AM, three 12-hour night shifts guaranteed weekly). COMPETITIVE 36-HOUR NIGHT PACKAGE ($2,419/WEEK GROSS)! $1,267/WEEK TAX-FREE HOUSING & MEAL STIPEND! $32.00/HR REGULAR & $48.00/HR OT RATES! ZERO MANDATORY ON-CALL! EXCELLENT ACUITY-BASED RATIOS (3:1 STEPDOWN, 6:1 NIGHT TELE)! EPIC EHR! Caring for acutely ill adult and geriatric patients requiring progressive monitoring, the unit operates on a supportive team nursing model within spacious private rooms. Staffing ratios are strictly calibrated to clinical acuity: tight 3:1 ratios for stepdown patients, and 6:1 on night shift for telemetry/medical-surgical care (5:1 on days). Bedside clinical responsibilities encompass continuous cardiac telemetry surveillance, lethal dysrhythmia interpretation, comprehensive patient assessments, stroke care protocol management, complex medication administration, individualized care planning, and interdisciplinary collaboration. If you are an acute progressive care nurse skilled in telemetry interpretation, stepdown stabilization, and team nursing workflows looking to earn $2,419/week on nights in Upstate New York, this assignment is built for you!

💰 PRE-CALCULATED PAY PACKAGE (36-Hour Week)

• Weekly Gross: $2,419.00
• Weekly Tax-Free Stipend: $1,267.00
• Hourly W2 Regular Rate: $32.00/hr (36 regular hours)
• Hourly W2 Overtime Rate: $48.00/hr
• (Both travel and local candidates accepted; local bill rate is adjusted to $85.00/hr per facility policy).

📅 SHIFT & POSITION DETAILS

• Schedule: Night shifts, 3x12-Hours (19:00 – 07:30 / 7:00 PM – 7:30 AM).
• Guaranteed Hours: 36 regular hours guaranteed weekly.
• Assignment Duration: 13 Weeks.
• Block Scheduling: Block schedules are not offered.
• On-Call Requirements: NO ON-CALL REQUIRED!
• Weekend Coverage: Per department scheduling rotation.
• Department Setting & Scope: 5D Step Down Tele — 24-bed telemetry unit with the capacity to care for up to 8 progressive stepdown patients; private patient rooms with dedicated bathrooms/showers; team nursing care delivery model.
• Nurse-to-Patient Staffing Ratios:
  • Stepdown Level Patients: 3:1
  • Night Shift Telemetry / Acute Care: 6:1 (5:1 on Day shift)
• Dress Code: Solid Navy Blue scrubs required.
• Clinical Scope & Specialty Care:
  • Direct bedside nursing care for intermediate care, stepdown, and continuous telemetry patients.
  • Real-time continuous cardiac rhythm surveillance, telemetry strip measurement, interval tracking, and prompt intervention for acute dysrhythmias.
  • Intermediate medical stabilization: management of acute cardiac conditions, decompensated heart failure, respiratory compromise, sepsis protocols, and metabolic disorders.
  • Stroke care protocols: neurological assessments, stroke surveillance, and clinical care adhering to acute stroke pathways.
  • Safe medication administration: continuous IV infusions, titration of cardiac/vasoactive medications, anticoagulation therapies, and electrolyte replacements.
  • Active participation in physical patient care workflows (pushing, pulling, lifting, and repositioning).
  • Comprehensive physical assessments, nursing diagnosis, care plan formulation, and interdisciplinary team communication.
• EMR System: Epic electronic health record.

🚨 REQUISITE QUALIFICATIONS FOR SUBMISSION

• Experience Requirement: Minimum 2+ full years of dedicated acute care inpatient Stepdown, PCU, or Telemetry RN clinical experience (stepdown/intermediate care background strongly preferred).
• Licensure (Strict Hard Stop): Active New York State Registered Nurse (RN) License strictly verified and in hand at submittal (pending licenses cannot be submitted).
• Certifications Required at Submittal (Must all be active and attached):
  • Basic Life Support (BLS) — American Heart Association (AHA) only.
  • Advanced Cardiovascular Life Support (ACLS) — AHA only.
  • Documented 8 Hours of Stroke Training certificate.
• Onboarding Testing: Must complete and pass Centralus Core Competency Exam, Pharmacology Exam, Rhythm Interpretation Exam, and Centralus Epic Questionnaire prior to start.

✨ APPLICATION PROCESS Avoid administrative processing delays on broad public job boards. Complete candidate profiles matching all clinical prerequisites receive expedited review and direct submittal consideration into the health system portal. Apply directly to this posting to lock in your file with our specialized stepdown recruitment team!

👉 Click "Apply Now" to complete your screening and secure your contract!