Registered Nurse IMC/PCU/Stepdown

Location: St. Louis, MO
Profession: Registered Nurse

Posted: 9/16/2026
Salary: $2200/weekly

Weekly Hours: 36
Shift: Nights

Job Details

Job Title

Registered Nurse – IMC/PCU/Step-Down

Location

Saint Louis, MO | Acute Care Hospital

Schedule / Job Type

Contract | Night Shift (3x12 Hours, 7:00 PM – 7:30 AM) | 36 Guaranteed Hours per Week

Key Responsibilities

  • Provide direct patient care in a Step-Down/PCU setting with a 1:4 nurse-to-patient ratio
  • Perform titration of vasopressors, sedation medications, and insulin drips
  • Manage patients requiring trach vents, arterial lines, external pacemakers, and chest tubes
  • Float to lower-acuity floors within scope of practice to meet facility needs as needed
  • Complete required weekend shifts (Friday/Saturday or Saturday/Sunday rotation for nights)
  • Document patient care accurately using EPIC electronic health records

Required Qualifications

  • Active RN license (MO or compact license required; IL license must be in hand at time of submittal)
  • Minimum 2 years of Step-Down/PCU/IMC experience
  • Must have been actively practicing at the bedside within the last 6 months
  • ACLS, BLS, and NIH Stroke Scale certifications required
  • No first-time travelers accepted for this position
  • Must live more than 75 miles from the facility to be eligible

Preferred Experience / Skills

  • Prior experience with vasopressor titration and hemodynamic monitoring
  • Familiarity with EPIC charting system
  • Experience managing tracheostomy, ventilator, and chest tube patients in a step-down environment

Why Join Us

  • Work in a 233-bed acute care facility with guaranteed hours and no on-call requirements
  • Free parking on-site with no out-of-pocket cost to the clinician

Apply Now

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