Cross Country Nurses is seeking a travel nurse RN Stepdown for a travel nursing job in Vancouver, Washington.
Job Description & Requirements
- Specialty: Stepdown
- Discipline: RN
- Start Date: 11/30/2026
- Duration: 13 weeks
- 36 hours per week
- Shift: 12 hours, nights
- Employment Type: Travel
Job Summary
Step Down Unit position on the night shift providing direct patient care to adult patients requiring step-down intensive care monitoring. The role assesses, plans, implements, and evaluates patient care while collaborating with patients, families, and the interdisciplinary care team. The position supports patients with respiratory, cardiac, neurological, and other complex medical conditions.
Job Details
- Schedule: 3 twelve-hour night shifts per week, 6:30 p.m. to 7:00 a.m., with a minimum of 36 hours per week.
- Required Qualifications:
- Minimum of 2 years of nursing experience.
- Prior travel nursing experience required.
- Advanced Cardiovascular Life Support (ACLS), Basic Life Support (BLS), and National Institute of Health Stroke Scale (NIHSS) certifications required.
- Experience caring for adult step-down patients with a typical nurse-to-patient ratio of 1:3.
- Experience with Epic electronic medical record documentation required.
- Proof of Washington state license application required at submission; an active Washington license is not required at submission.
- Additional Information:
- Provides care for patients requiring supplemental oxygen, high-flow nasal cannula, bilevel positive airway pressure or continuous positive airway pressure, chronic ventilator support through a tracheostomy, cardiac drips without vasopressors, chest tubes, diabetic ketoacidosis, non-ST-elevation myocardial infarction, stroke without medical intervention, and other complex conditions.
- Performs continuous telemetry monitoring using in-room, nurse-station, and remote central monitoring systems.
- Responsibilities include cardiac and dysrhythmia monitoring, central line and peripherally inserted central catheter care, blood product administration, hemodialysis support, tracheostomy care, wound care, neurological assessments, seizure precautions, insulin protocols, and management of cardiac and vasoactive drips.
- May float to the emergency department and medical-surgical areas and may perform functional assignments when not needed as a primary nurse in intensive care or step-down areas.
- Flu vaccination is required; medical and religious exemptions may be considered.
- Two professional references from the past 2 years are required, including at least one supervisor or charge nurse reference.
Benefits
The benefits of taking a travel assignment with Cross Country include:
- Private housing or generous housing allowance
- Comprehensive health insurance with prescription coverage
- Dependent health insurance with prescription coverage
- Competitive salaries
- Referral bonuses
- Travel reimbursement
- 401(k) retirement plan
- Direct deposit/free checking
- Unlimited free CE credits
Cross Country Job ID #1343594. Pay package is based on 12 hour shifts and 36.0 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title: Registered Nurse / Step Down Unit
About Cross Country Nurses
You care for others — we’re here to care for you. At Cross Country, we know travel nursing is about more than just the job. It’s about building a career that supports your lifestyle, your values, and your impact. We offer competitive pay, full benefits, and 24/7 support from a team that truly understands what it means to be on the front lines. Wherever your journey takes you, we’re with you every step of the way. Let’s build your best life — one assignment at a time.
Benefits
- 401k retirement plan
- Referral bonus