Registered Nurse IMC/PCU/Stepdown
Location: Spokane, WA
Profession: Registered Nurse
Posted: 9/23/2026
Salary: $2371/weekly
Weekly Hours: 36
Shift: Nights
Job Details
Job Title
Registered Nurse – IMC/PCU/Stepdown
Location
Spokane, WA | Acute Care
Schedule / Job Type
Contract | Full-Time | Nights (3x12, 19:00–07:00) | Every other weekend required
Key Responsibilities
- Provide direct patient care in a PCU/Stepdown unit within a short-term acute care, Level II Trauma Center setting
- Titrate and manage cardiac drips — this is a hard-stop requirement for this role
- Monitor and manage a patient ratio of 1:4–5
- Float to Telemetry or Medical-Surgical floors when the unit is overstaffed, as travelers are first to float
- Complete required modules prior to start and during orientation; module time is non-billable
- Document patient care using Epic electronic health records
Required Qualifications
- Active RN license; compact license must be in hand at time of submission
- Minimum of 1 year of PCU/Stepdown RN experience required
- Demonstrated experience titrating and managing cardiac drips
- Must commit to working 3 of the 5 designated holidays: Thanksgiving, Christmas Eve, Christmas Day, New Year's Eve, and New Year's Day (candidates may select either Thanksgiving or Christmas, but not both)
- All RTO and specific scheduling requests must be submitted upfront at time of submittal; post-offer RTO requests may not be considered
- Must live at least 50 miles from the facility to be eligible as a standard traveler (locals accepted under a separate rate structure)
Preferred Experience / Skills
- Prior experience in a teaching hospital or high-acuity acute care environment
- Familiarity with Telemetry or Medical-Surgical workflows, given float expectations
- Experience working within a Level II Trauma Center setting
Why Join Us
- Work in a large, well-resourced facility with 629 staffed beds, offering exposure to a diverse and high-acuity patient population
- Expected schedule of 3x12-hour night shifts with the possibility of 48-hour weeks and no on-call requirement
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