Stepdown Registered Nurse
San Francisco, California
California Pacific Medical Center - Van Ness Campus

Job Opportunity: Stepdown Registered Nurse (RN)

Location: San Francisco, California
Employment Type: Travel/Contract
Contract Length: 13 weeks

Job Description

• Provide assessment, coordination, delivery, and evaluation of nursing care in an acute patient setting.
• Deliver holistic and individualized care considering psychological, sociocultural, spiritual, economic, and lifestyle factors.
• Collaborate effectively with patients, families, physicians, and healthcare providers.
• Responsible for patient/family education and transitions of care.
• RN will float to all campuses as census requires.
• Shift: 3 x 12-hour shifts (07:00 - 19:30), including weekend rotation. Flexibility to float mid-shift is required.

Requirements

• Licensure & Certifications:

  • California RN license required
  • BLS (AHA) certification required
  • NIH Stroke Scale (NIHSS) certification required
• Experience:

  • Minimum 2 years of Stepdown nursing experience required (highest stated requirement)
• Prior Travel Experience:

  • Not explicitly required

Certifications & Competencies

• ACLS (Advanced Cardiac Life Support) - AHA or ARC only
• BLS (Basic Life Support) - AHA or ARC only
• PALS (Pediatric Advanced Life Support) - AHA or ARC only (verify by position)
• NRP (Neonatal Resuscitation Procedure) - AHA/AAP only (verify by position)
• CCRN (Critical Care RN) - verify by position
• TNCC (Trauma Nursing Core Course) - valid for 4 years (verify by position)
• EFM (Electronic Fetal Monitoring) - verify by position (typically for L&D)
• NIH Stroke Certification - expiration 1-2 years from issue date
• CPI (Crisis Prevention Institute) - verify by position
• Medication/Pharmacology Competency Exam - required as applicable
• Dysrhythmia/EKG Competency Exam - may be required for some units

Background Checks & Verifications

• 7-year background check required within 6 months of start
• FACIS Level 3 screening required within 2 weeks of start and monthly thereafter
• EPLS/GSA/SAM, HHS/OIG, OFAC Sanctions List, Sex Offender Search, and Education Verification required and updated annually
• State-specific Medi-Cal Suspended and Ineligible Provider List search (if FACIS III cannot be run)
• Employment application with full 7 years of work history, no gaps
• Work history verification up to 7 years required
• References: 2 professional references within 3 years (Aya requirement only)

Health & Immunization Requirements

• Physical exam within 1 year of start (must clear for work)
• Fit mask test within 1 year, renewed annually (exceptions apply)
• Adult Tetanus/Diphtheria/Tdap within 10 years
• Negative TB test or chest x-ray within 90 days, renewed annually
• Immunizations or titers for:

  • Rubeola (Measles)
  • Mumps
  • Rubella
  • Hepatitis B (series or declination)
  • Varicella
• Negative 9-panel drug screen within 6 months (excluding marijuana/cannabinoids due to CA law)
• Seasonal flu vaccination or signed declination during flu season (Nov 1 - Apr 30)
• Color Blind Exam (in-person) if applicable
• Respiratory Safety clearance annually (exceptions apply)

Facility Specific Documents & Policies

• Must review and sign:

  • Job Description
  • Standards of Business Conduct
  • Vendor Training (2024 and 2025 as applicable)
  • Code of Conduct (2024 and 2025 as applicable)
  • Overpayment Refund Policy (2024 and 2025 as applicable)
  • Conditional Offer of Employment Attestation
  • General Regulatory Orientation for Contracted Workers
  • TB Questionnaire within 90 days of start, renewed annually
  • Dress Code Policy (review only)
• Religious accommodation forms required if applicable (PAPR, vaccine exemptions)

Additional Notes

• Candidate must have flexibility to float between campuses and shifts as needed.
• ICU RNs at this facility may be required to take an EKG exam onsite after start.
• Some certifications and competencies may be position-dependent; verify with recruiter or manager.

This position is ideal for experienced Stepdown RNs licensed in California who are comfortable working in a fast-paced acute care environment with flexible scheduling and floating responsibilities.