Cross Country Nurses is seeking a travel nurse RN Stepdown for a travel nursing job in San Francisco, California.
Job Description & Requirements
- Specialty: Stepdown
- Discipline: RN
- Start Date: 12/08/2026
- Duration: 13 weeks
- 36 hours per week
- Shift: 12 hours
- Employment Type: Travel
Job Summary
Registered Nurse, Step Down Unit. The Registered Nurse provides care for adult and geriatric patients with complex medical conditions in a fast-paced step-down setting. The role includes telemetry monitoring, respiratory support, frequent transfers to the intensive care unit, and collaboration with interdisciplinary care teams.
Job Details
- Schedule: Rotating 12-hour shifts with a minimum of 36 hours per week; four weekend shifts per four-week scheduling period.
- Required Qualifications:
- Active California Registered Nurse license in hand
- Bachelor of Science in Nursing (BSN)
- American Heart Association (AHA) Basic Life Support (BLS) certification
- At least two years of telemetry experience
- Travel nursing experience
- Experience with CIWA, electrocardiogram courses or cardiac rhythm recognition, and tracheostomy care
- Required charting system experience
- Preferred Qualifications:
- Advanced Cardiovascular Life Support (ACLS) certification
- Progressive Care Certified Nurse (PCCN) certification
- Teaching hospital experience
- Float: Float rotation may be required.
- Additional Information:
- Typical patient ratio is three patients per nurse.
- Patient population includes adults and geriatric patients with end-stage renal disease, end-stage liver disease, altered mental status, alcohol use disorder, sepsis, pneumonia, sickle cell disease, respiratory failure, acute-on-chronic pain, cellulitis, infectious disease concerns, and new-onset atrial fibrillation.
- The unit manages patients with multiple comorbidities and complex medical and social histories.
- Clinical responsibilities include frequent transfers to the intensive care unit, Rapid Response Team involvement, interventions every two hours or more frequently as indicated, and frequent off-unit transport for procedures and imaging.
- Respiratory care includes tracheostomy suctioning and management and High-Flow Nasal Cannula (HFNC) use.
- Additional clinical skills include telemetry monitoring, management of central and peripheral lines, arterial lines, chest tubes, feeding tubes, surgical drains, insulin protocols, blood products, renal failure, hemodialysis, peritoneal dialysis, wound care, noninvasive airway management, and intravenous therapy.
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 #1350092. 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