American Traveler is seeking a travel nurse RN Stepdown for a travel nursing job in St. Louis, Missouri.

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 Assignment Overview Shift: Nights, 3x12hrs Hours: 36 hrs/wk Start Date: Nov 30, 2026 Length: 13 weeks Openings: 1 Description American Traveler is seeking an experienced RN for a Step Down Unit night shift position requiring vasopressor titration skills and recent high-acuity bedside experience. Details Step Down Unit in an acute care hospital setting Night shift, 3x12 hours, 19:00-7:30 Patient ratio of 1:4 Required to work 2 weekend shifts every other weekend (Friday/Saturday or Saturday/Sunday) No on-call responsibilities Floating required to lower acuity floors within scope Uses Epic charting system Requirements Active MO or compact RN license required (no issuance if tied to another compact state)

Current certifications: ACLS, BLS, and NIHSS Minimum 2 years of nursing experience required Recent bedside experience within the last 6 months required ICU or high-acuity stepdown experience required due to unit acuity Trauma Level II experience required Recent travel nurse experience within the last 6 months required Skilled in titration of vasopressors, sedation medications, and insulin drips Experience managing trach vents, arterial lines, external pacemakers, and chest tubes Proficient in arterial, central, and PICC line care and management Skilled in cardiac monitoring, dysrhythmia interpretation, and management Experience with ventilated patients and respiratory care (BiPAP/CPAP, HFNC, ABG interpretation) Epic charting experience preferred Additional Information Provide high-acuity nursing care to stepdown patients requiring close monitoring and titrated drips Facility is a 233-bed acute care hospital Navy scrub color required No parking costs Must reside outside a 75-mile radius of the facility to be eligible for this position Local candidates within 75 miles are not accepted Maximum of 7 days RTO per 13-week contract, with no RTO allowed during the first week of orientation Permanent employees must wait 1 year before returning to any BJC facility as a traveler Standard travelers may work up to an 18-month period before requiring a 3-month break in service First-time travelers are not accepted for this role American Traveler Job ID P-750745. 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: Travel RN - Telemetry - Stepdown About American Traveler With over 25 years of experience, American Traveler has established a reputation for outstanding customer service. Our team ensures a smooth, worry-free experience for those starting on or expanding their travel nursing and allied careers. With thousands of travel nursing and allied jobs nationwide, our attentive and approachable recruiters find positions that align perfectly with your career aspirations and personal requirements. American Traveler offers exceptional benefits, including premium medical, dental, vision and life insurance beginning day one of your assignment, generous 401(k) match, substantial housing stipends, and more. Additionally, with 24/7 support and access to our in-house clinicians, you are assured confidence and comfort throughout your assignment. With our team behind you, you can relax and enjoy a rewarding travel career.