Stepdown Unit Nurse (RN) in Saint Louis, MO

Company: Soliant
Location: Saint Louis
Posted on: March 21, 2026

Job Description:

Job Description Job Description Nursing degree, active registered nurse (RN) license and minimum 1 years Stepdown RN experience required. Applicants who do not meet these qualifications will not be considered. A registered nurse with cardiac stepdown experience is needed for a night-shift position at a prominent medical center in St. Louis, MO. This contract role requires a commitment of 36 or 48 hours per week and offers a 13-week assignment. The facility is known for advanced cardiac and trauma care, providing an excellent environment for a nurse with a cardiac specialty to apply their skills. Location Overview: Situated in south St. Louis County, the medical center serves diverse communities and is recognized for comprehensive stroke and STEMI center certifications, heart failure treatment excellence, and a Level 2 Trauma Center designation. St. Louis itself is a vibrant city known for attractions like the Gateway Arch, Six Flags, vibrant entertainment districts, and a rich brewing heritage. The city offers a dynamic mix of culture, sports, and outdoor activities. Responsibilities: Deliver direct patient care to post-operative cardiac patients, including CABG, valve procedures, thoracotomies, and respiratory failure cases. Utilize critical care equipment such as chest tubes, temporary pacemakers, and BiPAP machines. Monitor patient conditions, implement nursing care plans, and coordinate with ancillary departments. Maintain professional standards in accordance with Missouri Nurse Practice Act and facility guidelines. Participate in orientation week on day shift prior to starting night shifts. Adhere strictly to the dress code and facility policies, including flu vaccination requirements during the season. Qualifications: Current RN license meeting Missouri eligibility criteria. Minimum 1 year experience in inpatient cardiac stepdown units. Basic Life Support (BLS) and Advanced Cardiac Life Support (ACLS) certifications (AHA only). NIHSS certification preferred. Demonstrated ability to work effectively as a team player. Schedule: Night shifts, from 7:00 PM to 7:30 AM. Weekend coverage as required, averaging every other weekend. Flexible guaranteed hours: 36 or 48 hours per week. Perks and Details: Work in a 32-bed unit with a 1:3 to 1:4 nurse-to-patient ratio. Operate within a leading hospital that holds multiple national certifications for quality care. Participate in a culture that values positive teamwork and professionalism. This role is a contract assignment with local hourly rates below the posted travel rate, but auto-offer options are available based on facility approval. Orientation is mandatory and requires day-shift availability for the entire week. Qualified candidates looking for a meaningful nursing position in cardiac care are encouraged to apply. Submit your credentials alongside your preferred guaranteed hours to be considered.

Keywords: Soliant, St. Louis , Stepdown Unit Nurse (RN) in Saint Louis, MO, Healthcare , Saint Louis, Missouri