Stepdown Neuro RN
Omaha, Nebraska
The Nebraska Medical Center

Registered Nurse – Stepdown Neuro (Travel/Contract)

Location: Omaha, Nebraska
Contract Length: 13 weeks
Shift: Night (4 shifts per 4-week period, 12 hours each, 7:00 PM – 7:30 AM)
Hours per Week: 48

Unit & Patient Population

• Mixed Acuity: Medical Surgical, Telemetry, and Stepdown care levels
• 48-bed unit specializing in Neurology and Neurosurgery
• Patient conditions include strokes, aneurysms, seizures, spinal fusions, brain and spinal cord tumors, and other neurological disorders
• Eight beds equipped for long-term EEG monitoring
• Multi-care level unit; RNs may care for up to six Med Surg patients simultaneously

Staffing Ratios

• Medical Surgical/Telemetry: 1:5 (day), 1:6 (night), occasionally 1:7 (rare)
• Stepdown: 1:3-4 (day and night)

Required Experience & Qualifications

• Valid RN license in Nebraska (pending license accepted but must be in hand before start; otherwise, booking delayed by six weeks)
• Minimum 1 year of recent Progressive Care Unit (PCU) experience within the last year
• One completed travel assignment required
• Associate of Science in Nursing / Associate Degree in Nursing
• Experience with EPIC electronic charting system
• ACLS and BLS certifications issued by the American Heart Association
• NIH Stroke Scale (NIHSS) certification or competency
• Must have a valid Driver's License

Licensure & Certifications

• State license verification and primary source verification required prior to start

Facility & Work Environment

• 100% nicotine-free facility
• Care teams include CNAs, care techs, transport team, paramedics, and some LPNs
• Mandatory scrubs: Steele gray with facility logo (provided after confirmation)
• Parking available via permit or daily rates

Scheduling & Time Off

• Weekend shifts: 4 out of 8 possible in a 4-week period (days: Sat/Sun; nights: Fri/Sat night)
• Up to two weeks of Return to Origin (RTO) allowed, must be requested with application
• Holiday work requirement: must work 2 out of 3 major holidays

Compliance & Onboarding Requirements

• Government-issued photo ID required
• Background check within 30 days of start, including multi-county and federal checks
• Ongoing SAM and OIG checks every 30 days
• Education verification and high school diploma required (for applicable roles)
• State-specific abuse/neglect registry check required within 30 days of start
• Orientation safety manual acknowledgement required
• Annual physical exam and fit mask test (3M 1860 Small/Regular or 1870+) required
• Immunizations and health screenings required:

  • Tdap within last 10 years
  • Negative TB test or chest X-ray with TB questionnaire if positive history
  • MMR (Measles, Mumps, Rubella) with boosters if needed
  • Hepatitis B titer or declination
  • Varicella vaccination or positive titer with boosters if needed
  • Drug screen within 60 days of start and annually thereafter
  • Flu vaccine preferred (documentation or declination required)
  • COVID vaccine preferred; exemptions accepted
• Annual skills checklist required
• Two professional references from the past 2 years required

Additional Notes

• Locals not accepted; candidate must reside more than 100 miles from the facility
• Eye exam required only for OR staff (not applicable here)
• Facility is a top-rated acute care hospital with a strong academic affiliation and complex patient population

This position is ideal for experienced travel RNs with neurology/stepdown expertise who are comfortable with floating and working in a high-acuity, multi-level care environment.