Neuro Stepdown RN
Omaha, Nebraska
The Nebraska Medical Center

Registered Nurse – Stepdown Neuro (Travel/Contract)

Location: Omaha, Nebraska
Contract Length: 13 weeks
Shift: Night (3 shifts per week, 12 hours each, 7:00 PM – 7:30 AM)
Hours per Week: 36

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; nurses 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

• Minimum 2 years of RN experience in a large, urban hospital setting
• EPIC electronic charting experience required
• First-time travel nurses not accepted unless they have 2 years of experience at a Level I Academic Medical Center
• Must be prepared to float frequently within scope to meet staffing needs, including potential float to other campuses/units
• Must be more than 100 miles from the facility (no local candidates accepted)
• Prior travel experience is not explicitly required

Licensure & Certifications

• Active RN license for Nebraska (pending license accepted if in hand before start; otherwise, booking delayed 6 weeks)
• ACLS, BLS, and other certifications as applicable per unit requirements (AHA standards)
• Required certifications and verifications must be completed prior to start, including primary source license verification and NURSYS verification

Clinical Requirements & Skills

• Drip medication administration required on all floors
• Ability to care for a specialized neurological patient population
• Must be able to work 2 out of 3 major holidays during the contract
• Weekend shifts required: 4 weekend shifts out of 8 possible in a 4-week period (days: Sat/Sun; nights: Fri/Sat)

Facility & Work Environment

• 100% nicotine-free facility
• Care teams include CNAs, care techs, transport team, paramedics, and some LPNs
• Mandatory scrubs: Steele gray scrubs with facility logo (provided after confirmation)
• Parking available via permit (~$55/month) or daily rate (~$3 for 20 hours)

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
• State-specific abuse/neglect registry check required within 30 days of start
• Drug screening 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 needed)
  • Hepatitis B titer or declination
  • 2 Varicella vaccines or positive titer (boosters if needed)
• Flu vaccine preferred (documentation or declination required)
• COVID vaccine preferred; medical/religious exemptions accepted
• Annual skills checklist required
• 2 professional references from work within past 2 years

Additional Notes

• RTO (Request Time Off) blackout dates: June 11–22, 2026 (due to College World Series)
• Up to 2 weeks of RTO permitted; requests must be submitted with application and approved by manager
• Orientation Safety Manual acknowledgment required
• Eye exam required only for OR staff (not applicable here)

This position offers a challenging and rewarding opportunity to work in a high-acuity neurological stepdown unit within a leading academic medical center environment. Candidates must be flexible, experienced, and prepared to meet the demands of a specialized patient population with complex care needs.