Neuro Stepdown RN
Omaha, Nebraska
The Nebraska Medical Center

Registered Nurse – Stepdown Neuro (Travel/Contract)

Location: Omaha, Nebraska
Contract Length: 13 weeks

Job Description

• Work option: 36 or 48-hour shifts available; 13 or 26 week contract options.
• Unit: 48-bed mixed acuity unit specializing in Medical Surgical, Telemetry, and Stepdown care with a neurological/neurosurgical focus.
• Patient population includes strokes, aneurysms, seizures, spinal fusions, brain and spinal cord tumors, and other neurological conditions.
• Nurse-to-patient ratios:

  • Medical Surgical/Telemetry: 1:5 (days), 1:6 (nights), occasionally 1:7 nights.
  • Stepdown: 1:3-4 (days and nights).
• RNs must be prepared to float frequently within scope to meet staffing needs, including to multiple units and potentially a different campus.
• Care teams include CNAs, care techs, transport team, paramedics, and some floors have LPNs.
• Drip medication administration required on all floors.
• EPIC electronic charting experience required.
• Facility is 100% nicotine-free.
• Weekend shifts: 4 out of 8 possible in a 4-week period (days: Sat/Sun; nights: Fri/Sat).
• Holiday requirement: Must work 2 out of 3 major holidays.
• Locals not accepted; candidate must live more than 100 miles from the facility.
• Pending license accepted but must be in hand before start; otherwise, booking will be delayed by six weeks.
• Scrubs: Mandatory Steele gray scrubs (facility branded) required.
• Parking: Permit available (~$55/month) or daily parking rates.

Required Qualifications

• Minimum 2 years of RN experience in a large, urban hospital setting.
• First-time travel nurses not accepted unless they have 2 years of experience at a Level I Academic Medical Center.
• EPIC charting experience required.
• Current RN license for Nebraska (pending license accepted with conditions).
• ACLS, BLS required as applicable per unit.
• NIH Stroke Certification required as applicable.
• Competency exams and medication/pharmacology testing required as applicable.

Certifications & Compliance

• Background check within 30 days of start, including multi-county and federal checks.
• Government-issued photo ID required.
• Education verification required.
• State-specific abuse/neglect registry check required.
• Drug screen within 60 days of start and updated annually.
• Physical exam and fit mask test (3M 1860 Small/Regular or 3M 1870+) within 1 year, updated annually.
• Immunizations and health documents required:

  • Tdap within last 10 years
  • Negative TB test or chest x-ray with TB questionnaire if positive history
  • 2 MMR vaccines or positive titers (boosters if low/equivocal)
  • Hepatitis B titer or declination
  • 2 Varicella vaccines or positive titer (boosters if low/equivocal)
• Flu vaccine preferred but not mandatory; documentation or declination required.
• COVID vaccine preferred; medical/religious exemptions or declinations accepted.
• Annual skills checklist required.
• References: 2 work references from past 2 years; if not a current traveler, one must be from most recent employer.

Additional Information

• Travelers are first to float to meet staffing needs.
• RTO (Request Time Off) blackout dates: June 11–22, 2026 (due to College World Series).
• Up to two weeks of RTO permitted; must be submitted with application. Additional requests at manager discretion.
• Orientation Safety Manual acknowledgment required.
• Primary source verification and NURSYS verification required prior to start.
• Eye exam required only for OR staff (not applicable here).
• Facility is a teaching hospital with a focus on complex neurological care.

Shift Details

• Shift: Day shift, 3 shifts per week, 12 hours each (7:00 AM – 7:30 PM)
• Hours per week: 36

Note: Prior travel experience is not explicitly required but first-time travelers are generally not accepted unless they meet the Level I Academic Medical Center experience criteria.