ICU Stepdown RN

Company: Texas Nursing Services
Location: Sanford
Posted on: February 14, 2026

Job Description:

Job Description Job Description Company Description Employment Type: Full-Time, Permanent Shifts: Days or Nights (Rotating Weekends) Compensation Base Pay: $31.86 – $46.28/hr (based on experience) ~5 Years: $36.12/hr ~10 Years: $40.44/hr ~17 Years: $46.28/hr Shift Differentials: Nights: $4.50/hr Weekends: $1.50/hr Sign-On Bonus: $15,000 (Days) | $20,000 (Nights) – available through Q3 Relocation Assistance: Case-by-case Job Description Position Overview We are seeking a dedicated and motivated ICU Stepdown RN to join a collaborative team in a 15-bed intermediate care unit . This true stepdown/PCU environment offers a 3:1 nurse-to-patient ratio (occasionally 4:1) caring for patients who require drips, long-term ventilators, and frequent assessments. This role is ideal for nurses who excel in high-acuity care and want to bridge ICU and med-surg while working alongside a supportive, experienced interdisciplinary team. Key Responsibilities Perform frequent assessments and monitor patients requiring close observation. Manage cardiac drips, long-term ventilators, and stepdown-level treatments. Collaborate with physicians and the care team to ensure safe, effective patient outcomes. Educate patients and families about diagnoses, treatments, and recovery plans. Promote a culture of teamwork, patient safety, and excellence in care. Qualifications Required: Active Florida RN license or Compact RN license Minimum 1 year of recent ICU Stepdown experience Will also consider RNs with 3 years in Cardiac or Multisystem PCU ADN or Nursing Diploma NIH Stroke Scale (within 30 days) BLS (within 30 days) & ACLS (within 6 months) Preferred: BSN Additional Information Benefits Comprehensive medical, dental, and vision coverage (includes free preventive care & telemedicine) 401(k) with up to 9% employer match Employee Stock Purchase Plan (10% discount) Paid family leave, PTO, and disability coverage Tuition reimbursement up to $5,250/year $100/month student loan assistance Fertility and adoption assistance Dependent scholarships Career development and advancement programs Emotional wellness support, counseling services, legal/financial resources Optional pet insurance Why This Role? This is an excellent opportunity for nurses with ICU Stepdown or PCU experience who want to grow in a supportive, team-driven environment. Competitive pay, strong incentives, and relocation support make this an outstanding next step in your nursing career. Apply today to join a high-performing team in Sanford, FL. Hashtags & Keywords ICU Stepdown RN, PCU RN, Progressive Care Unit Nurse, Intermediate Care Nurse, Stepdown Nursing Jobs, Sanford FL RN Jobs, Florida Nursing Careers, Critical Care RN, RN Hiring Florida ICUStepdownRN PCURN ProgressiveCareUnit StepdownNursing RNJobs SanfordFLJobs FloridaNursing CriticalCareNursing NursingCareers

Keywords: Texas Nursing Services, Ocala , ICU Stepdown RN, Healthcare , Sanford, Florida