
Cardiac Stepdown | Registered Nurse
- Agency
- GHR Healthcare
- Location
- Charlotte, NC
- Job type
- Travel
- Profession
- Registered Nurse (RN)
- Industry
- Nursing & Healthcare
- Posted
- Oct 3, 2026
Pay breakdown
- Hourly
- $48.75
- Weekly
- $1,755
- Yearly (full-time)
- $91,260
- Start date
- October 26, 2026
This job pays about $48.75/hour — 20% above the median for Registered Nurse (RN) jobs in North Carolina ($40.56/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 North Carolina right now
- 1,628 open Registered Nurse (RN) jobs in North Carolina from 6 agencies, 41 of them in Charlotte.
- Pay in these listings: $19.00 – $139/hour, median $51.58/hour.
- Typical Registered Nurse (RN) pay in North Carolina: $40.56/hour ($84,365/year, BLS).
- Highest median pay: MAS Medical Staffing ($80.00/hour across 141 jobs).
Job description
Cardiac Stepdown Registered Nurse (RN) – Travel Nursing Contract in Charlotte, NC
Join a high-acuity intermediate care team as a Cardiac Stepdown Registered Nurse (RN) on a travel nursing contract in Charlotte, North Carolina. This on-site assignment supports adult and geriatric patients with neurological, cardiac, and medical intermediate care needs in a collaborative 24-bed unit. Charlotte’s vibrant 28204 area offers convenient access to cultural attractions, dining, green spaces, and diverse neighborhoods while providing an engaging setting for your next travel nursing experience.
Travel Nursing Job Details
- Weekly Estimated Pay: $1,710–$1,800
- Location: Charlotte, North Carolina 28204
- Assignment Type: Travel nursing contract
- Start Date: October 26, 2026
- Duration: Approximately 20 weeks
- Schedule: Three 12-hour night shifts per week
- Shift Hours: 6:45 p.m.–7:15 a.m.
- Weekly Hours: 36 hours
- Patient Ratio: Approximately 1:4; weekend ratio may be 1:3–4
- Call: None required
- Weekend Requirement: Minimum of three weekend shifts every six weeks
- Orientation: 32 hours, including computer training and unit-based orientation
- Charting: Epic
- Floating: May float to other intermediate care and critical care/stepdown areas based on unit needs
Cardiac Stepdown RN Job Requirements
- Minimum of 2 years of recent Registered Nurse experience
- Recent neuro stepdown, PCU, DOU, IMC, cardiac intermediate care, or telemetry nursing experience
- Previous travel nursing experience required
- Current Registered Nurse license in North Carolina or a compact state
- Current BLS, ACLS, and NIHSS certifications
- Epic electronic health record charting experience
- Strong telemetry knowledge, including dysrhythmia interpretation and management
- Ability to titrate norepinephrine and other vasoactive or cardiac infusions
- Competence with emergency response, rapid response and code teams, and EKG testing
- Experience caring for patients with neurological conditions such as stroke, intracranial bleeding, aneurysms, craniotomy recovery, seizures, spinal cord injury, and traumatic brain injury
- Proficiency with central and peripheral lines, PICC lines, blood products, insulin and heparin protocols, respiratory support, feeding tubes, surgical drains, wound care, and telemetry monitoring
- Commitment to teamwork, professional communication, and consistent adherence to attendance and unit policies
Cardiac Stepdown RN Responsibilities
- Provide comprehensive nursing care to adult and geriatric patients in a neurological, cardiac, and medical intermediate care setting
- Monitor cardiac rhythms and recognize, assess, and respond to changes in patient condition
- Safely administer and titrate cardiac, insulin, heparin, thrombolytic, and vasoactive infusions according to protocol
- Manage patients requiring oxygen therapy, high-flow nasal cannula, BiPAP/CPAP, tracheostomy care, chest tubes, and non-invasive airway support
- Care for patients before and after neurosurgical procedures, including those with lumbar drains, intracranial bleeds, aneurysm repairs, post-TPA needs, and seizure disorders
- Perform thorough patient assessments, maintain accurate Epic documentation, and communicate changes using SBAR
- Collaborate with physicians, respiratory therapy, pharmacy, rehabilitation, IV services, rapid response teams, and other members of the interdisciplinary care team
- Support safe patient transitions, patient education, discharge planning, and evidence-based nursing care practices
- Remain flexible when floating to comparable intermediate or critical care areas and contribute positively to a team-focused environment
Apply now to advance your travel nursing career with this Cardiac Stepdown RN contract in Charlotte, North Carolina.
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.