Required Qualifications: Current RN License meeting Missouri licensure criteria or licensed in Missouri, BLS and ACLS from AHA, 1 year inpatient stepdown experience, experience working with trach and ventilator patients. Additional Information: Requires utilization of Respiratory, Trach, Vent, Vapotherm, and Bipap equipment, with a focus on respiratory failure, ETOH, overdose, GI bleed, electrolyte imbalance, COPD, and cancer cases.