GHR Healthcare logo

Cardiac Stepdown | Registered Nurse

GHR HealthcareSpokane, WATravel
Agency
GHR Healthcare
Location
Spokane, WA
Job type
Travel
Profession
Registered Nurse (RN)
Industry
Nursing & Healthcare
Posted
Oct 10, 2026

Pay breakdown

Hourly
$61.53
Weekly
$2,215
Yearly (full-time)
$115,180
Start date
November 2, 2026

This job pays about $61.53/hour — 3% above the median for Registered Nurse (RN) jobs in Washington ($59.71/hour). The total includes tax-free housing and meal stipends, which staff jobs don't pay, so take-home pay is usually higher than the hourly figure suggests.

Estimated from the weekly pay in the listing, 36 hours a week; yearly = 52 weeks. Median wage: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025.

Registered Nurse (RN) jobs in Washington right now

  • 1,042 open Registered Nurse (RN) jobs in Washington from 7 agencies, 136 of them in Spokane.
  • Pay in these listings: $27.44 – $103/hour, median $63.28/hour.
  • Typical Registered Nurse (RN) pay in Washington: $59.71/hour ($124,197/year, BLS).
  • Highest median pay: Health Advocates Network ($73.00/hour across 161 jobs).

All Registered Nurse (RN) jobs in Washington →

Job description

Cardiac Stepdown Registered Nurse (RN) – Travel Nursing Contract in Spokane, WA

Join a high-acuity PCU and cardiac stepdown team as a Travel Registered Nurse in Spokane, Washington. This 13-week travel nursing opportunity is ideal for an experienced RN skilled in cardiac telemetry, dysrhythmia interpretation, and cardiac and vasoactive drip management for adult and geriatric patients. Spokane offers the best of the Inland Northwest, with scenic riverfront views, accessible outdoor recreation, and a welcoming community.

Travel RN Job Details

  • Weekly Estimated Pay: $2,160–$2,270
  • Assignment Type: 13-week travel nursing contract
  • Location: Spokane, Washington
  • Start Date: November 2, 2026
  • Schedule: 3 shifts per week; 12-hour night shifts, 7:00 p.m.–7:00 a.m.
  • Weekly Hours: 36 hours
  • Weekend Requirement: Every other weekend
  • Call: Not required
  • Unit: 42-bed progressive care unit (PCU) and cardiac stepdown unit
  • Patient Population: Adult and geriatric patients
  • Patient Ratios: Approximately 1:3–4
  • Charting: Epic experience required
  • Floating: May float to telemetry or medical-surgical units when needed

Cardiac Stepdown RN Job Requirements

  • Active Registered Nurse (RN) license; compact license must be in hand at submission when applicable
  • At least 1 year of recent PCU, progressive care, stepdown, or cardiac nursing experience
  • Demonstrated ability to manage and titrate cardiac and vasoactive drips
  • Current BLS, ACLS, and NIHSS certifications
  • Epic electronic health record and clinical documentation experience
  • Strong cardiac telemetry monitoring and dysrhythmia interpretation skills
  • Availability to work every other weekend and required holiday coverage, including 3 of 5 designated holidays
  • Two professional references covering at least 1 year of experience within the last 3 years

Cardiac Stepdown Registered Nurse Responsibilities

  • Provide comprehensive nursing care to adult and geriatric patients with cardiac and medical-surgical diagnoses, including congestive heart failure (CHF), atrial fibrillation with rapid ventricular response, chest pain, and post-cardiac procedures
  • Continuously monitor cardiac rhythms, interpret telemetry, and recognize changes in patient condition
  • Safely manage and titrate cardiac, vasoactive, and insulin infusions according to protocol
  • Care for patients before and after cardiac catheterization, cardiac angiography, and cardiac surgery
  • Manage central lines, PICC lines, chest tubes, surgical drains, telemetry, oxygen therapy, and non-invasive airway support
  • Collaborate with respiratory therapy, pharmacy, rapid response teams, IV services, rehabilitation, and other interdisciplinary partners
  • Accurately document assessments, interventions, and patient outcomes in Epic
  • Float to telemetry or medical-surgical units when staffing needs require

Apply now for this Cardiac Stepdown Registered Nurse travel contract in Spokane, Washington, and join a dedicated progressive care nursing team.

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.

Applying is free. ReferHire lists openings from staffing agencies; when you are hired through our link, the agency may pay us a referral fee. It never reduces your pay. Never pay anyone for a job offer.