Cardiac Stepdown | Registered Nurse

Travel Registered Nurse (RN) – Cardiac Stepdown / Intermediate Care in Charleston, WV

Join an experienced acute-care team as a Cardiac Stepdown Travel Registered Nurse in Charleston, West Virginia. This 13-week travel nursing assignment is ideal for an RN experienced in telemetry, intermediate care, and complex adult medical-surgical patients. Located along the Kanawha River, Charleston offers a welcoming community, convenient amenities, and easy access to the scenic Appalachian outdoors.

Travel RN Job Details

• Weekly Estimated Pay: $1,680–$1,770
• Assignment Type: 13-week travel nursing contract
• Start Date: November 30, 2026
• Schedule: 3 shifts per week, 12-hour nights
• Shift: 7:00 p.m. – 7:00 a.m.
• Hours: 36 hours per week; 48-hour options may be discussed
• Weekend Requirement: Every other weekend
• Call: No call requirement
• Unit: Intermediate Care/Cardiac Stepdown with 8 IMC beds and 10 separately staffed observation beds
• Patient Ratios: Approximately 1:3 in IMC and 1:4 in observation
• Patient Population: Adults with respiratory conditions, DKA, arrhythmias, postoperative kidney transplant needs, interventional neurological conditions, and medical-surgical telemetry needs
• Orientation: 16 hours; orientation is held every other Thursday
• Charting: Cerner
• Float: Like units, ICU, and observation areas as needed and within scope
• First-Time Travelers: Welcome to apply

Travel Registered Nurse Job Requirements

• Current Registered Nurse license in West Virginia or a valid Compact RN license; pending licensure may be considered for submission, with an active license required before starting
• At least 2 years of professional RN experience
• At least 1 year of recent Cardiac Stepdown, IMC, PCU, DOU, or ICU experience
• Strong experience with telemetry monitoring, interpretation, and management of dysrhythmias
• Experience caring for ventilated patients and managing tracheostomies
• Current BLS and ACLS certifications through the American Heart Association
• Ability to manage complex adult medical-surgical and cardiac patients in a fast-paced acute-care environment
• Ability to work every other weekend and float within scope when required

Cardiac Stepdown RN Responsibilities

• Provide comprehensive nursing care to adult patients in a Cardiac Stepdown and Intermediate Care setting
• Continuously monitor telemetry and promptly recognize, interpret, and respond to dysrhythmias
• Care for patients requiring ventilator management, tracheostomy care, arterial line monitoring, CVP monitoring, and central line management
• Manage cardiac and vasoactive infusions according to unit protocols and patient-specific orders
• Provide care for patients with chest tubes, renal needs, respiratory complications, DKA, postoperative conditions, and neurological interventions
• Perform focused assessments, administer medications, evaluate patient responses, and communicate changes to the interdisciplinary care team
• Respond appropriately to clinical deterioration and participate in rapid response and code team activities
• Collaborate with providers, IV teams, respiratory therapy, and other members of the care team to coordinate safe, effective care
• Float to comparable units, ICU, or observation areas when needed while practicing within competency and licensure
• Accurately document patient care and clinical updates in Cerner

Apply now for this Cardiac Stepdown Travel RN opportunity in Charleston, West Virginia.

Benefits

401K with Matching, Healthcare, Dental and Vision

Equal Opportunity

We are an equal opportunity employer and value diversity across our organization. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.