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Cardiac Stepdown | Registered Nurse

GHR HealthcareTyler, TXTravel
Agency
GHR Healthcare
Location
Tyler, TX
Job type
Travel
Profession
Registered Nurse (RN)
Industry
Nursing & Healthcare
Posted
Oct 9, 2026

Pay breakdown

Hourly
$46.25
Weekly
$1,665
Yearly (full-time)
$86,580
Contract length
13 weeks
Start date
November 3, 2026

This job pays about $46.25/hour — about the same as the median for Registered Nurse (RN) jobs in Texas ($46.14/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 Texas right now

  • 2,078 open Registered Nurse (RN) jobs in Texas from 6 agencies, 110 of them in Tyler.
  • Pay in these listings: $18.02 – $163/hour, median $47.87/hour.
  • Typical Registered Nurse (RN) pay in Texas: $46.14/hour ($95,971/year, BLS).
  • Highest median pay: Health Advocates Network ($54.90/hour across 526 jobs).

All Registered Nurse (RN) jobs in Texas →

Job description

Cardiac Stepdown Registered Nurse (RN) Travel Contract – Tyler, Texas

Apply now for a 13-week Cardiac Stepdown travel nursing contract in Tyler, TX, caring for adult patients on a 16-bed Intermediate Care unit with an approximate 1:4 nurse-to-patient ratio.

Join a collaborative adult Cardiac Stepdown, Progressive Care Unit (PCU), and Intermediate Care team in Tyler, Texas. This travel Registered Nurse opportunity offers the chance to care for patients with complex cardiac, medical-surgical, and stepdown needs. Tyler is a welcoming East Texas community known for its relaxed pace, outdoor spaces, and convenient access to local amenities.

Cardiac Stepdown Travel Nurse Job Details

  • Specialty: Cardiac Stepdown / Intermediate Care / PCU
  • Employment Type: Travel nursing contract
  • Location: Tyler, Texas
  • Weekly Estimated Pay: $1,620–$1,710
  • Start Date: November 3, 2026
  • Contract Duration: 13 weeks, ending February 2, 2027
  • Schedule: Three 12-hour day shifts per week
  • Shift Duration: 12-hour days, 7:00 a.m.–7:00 p.m.
  • Weekly Hours: 36
  • Patient Population: Adults
  • Patient Ratio: Approximately 1:4
  • Unit Size: 16 beds
  • Weekend Requirement: Weekend coverage required, including approximately half of the weekends during the contract
  • Electronic Medical Record: Epic

Registered Nurse Travel Contract Requirements

  • Current Registered Nurse (RN) license in hand at the time of submission; an applicable compact license may be accepted
  • At least 2 years of recent RN experience in Cardiac Stepdown, Progressive Care Unit (PCU), Direct Observation Unit (DOU), Intermediate Care (IMC), or a similar setting
  • Previous travel nursing experience required
  • Current BLS, ACLS, and NIHSS certifications
  • Recent Epic charting experience
  • Experience caring for patients requiring telemetry monitoring, cardiac drips without titration, dysrhythmia management, ventilator care, BiPAP/CPAP, chest tubes, central lines, and complex IV therapy
  • Ability to float as needed and participate in weekend coverage
  • Previous charge nurse experience preferred
  • Trauma Level I experience preferred
  • Ability to complete required onboarding items and laboratory requirements within 48 hours of contract signing

Cardiac Stepdown Registered Nurse Responsibilities

  • Deliver safe, evidence-based nursing care to adult Cardiac Stepdown and Intermediate Care patients
  • Monitor telemetry and recognize changes in cardiac rhythm or patient condition
  • Manage patients with cardiac, respiratory, neurological, renal, and post-surgical conditions
  • Administer medications and manage non-titrated cardiac and insulin therapies according to established protocols
  • Provide care for patients with ventilators, tracheostomies, chest tubes, central lines, PICC lines, feeding tubes, surgical drains, and wound vacuums
  • Interpret clinical data, including arterial blood gases, and promptly escalate changes in condition
  • Collaborate with physicians, respiratory therapy, pharmacy, rehabilitation, radiology, social services, and rapid response teams
  • Accurately document assessments, interventions, and outcomes in Epic
  • Support code and rapid response procedures while maintaining strong communication with patients and families
  • Float to other appropriate units when assigned and uphold professional nursing standards throughout the contract

Apply now to join this Cardiac Stepdown travel nursing team in Tyler, Texas.

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.

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