Step Down RN
Maryville, Tennessee
Blount Memorial Hospital

Overview

• Location: Maryville, Tennessee
• Employment type: Travel/Contract
• Contract length: 13 weeks
• Shift: Night, 3x12-hour shifts (18:45–07:15), 12 hours per day, 36 hours per week
• Schedule: Weekend shift every 2 weeks

Required Qualifications

• Valid, current RN license in Tennessee, verified through Nursys and state license verification within 30 days of start (license cannot expire within 30 days of start)
• Associate of Science in Nursing (ASN) / Associate Degree in Nursing (ADN), with highest level of education verified (diplomas are not accepted as placeholders)
• 2 years of nursing experience
• 1 year of stepdown experience, completed within the last year
• Completed at least one prior travel assignment (first-time travelers are not accepted)
• ACLS (Advanced Cardiac Life Support) issued by American Heart Association or American Red Cross; RQI is acceptable
• BLS issued by American Heart Association or American Red Cross; RQI is acceptable
• NIH Stroke Scale (NIHSS) certification
• Experience with Epic

Conditional Certifications

Required only if the unit requires them (confirm with the unit description):

• PALS (AHA or ARC only; RQI acceptable)
• NRP (AHA Advanced only). The candidate pays for the course.
• TNCC or ENPC (for ER candidates). Candidates pay a registration cost.
• EFM (AWHONN)
• STABLE
• MAB or CPI (only one is needed)
• Lactation certificate (Baby Friendly, for women's RN candidates)

Pre-Start Clearances

• 7-year background check completed within 12 months of start
• Federal exclusion checks (EPLS/GSA/SAM, HHS/OIG, and OFAC), completed within 30 days of start and rerun every 30 days
• Drug screen (5-panel) within 12 months, covering marijuana, cocaine, opiates, amphetamines, and benzodiazepines. A positive marijuana result is an automatic cancel. One retest is allowed after a dilute result; a second dilute result is a cancel.
• Employment application or resume covering a 7-year work history
• Badge photo submitted by the Tuesday before start (white, cream, or light gray background; forward-facing passport style; no filters or photos of photos)

Health Documents

• Physical exam within 1 year of start, with a physician's statement attesting to the ability to meet the physical demands of the position. Labs are due within 72 hours of signing. Latex allergies are acceptable.
• TB screening (True 2-step PPD, QuantiFERON Gold, or T-spot) within 90 days of start, plus an annual TB questionnaire
• Measles (rubeola), mumps, and rubella: positive titer or 2 vaccines
• Hepatitis B: vaccine series, positive titer, or signed declination
• Varicella: positive titer or 2 vaccines
• Tdap within the last 10 years, required only for high-risk areas such as NICU and bone marrow transplant
• Flu vaccine documentation or approved medical/religious exemption, due by October 5 for pre-start candidates and November 6 for working candidates (2026–27 season)
• Respirator fit test completed onsite during orientation

Onboarding

• Contractor acknowledgment signed within 24 hours of signing the contract
• Online modules (about 12 hours) completed within 72 hours of assignment. The facility will not clear a nurse to start until these are complete.
• Medication test: passing score of 84%, two attempts, completed within 48 hours of loading
• Annual competency training (Core Parts I–III), passing score of 80%