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: 12/14/2026 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: Dec 14, 2026 Length: 13 weeks Openings: 1 Description American Traveler is hiring an experienced Step Down RN for a night shift position requiring Trauma Level II experience and vasopressor titration skills. Details Night shift, 3x12 hours (7:00 PM-7:30 AM) Step Down unit with 1:4 patient ratios Requires floating to lower acuity floors within scope Required to work 2 weekend shifts every other weekend (Friday/Saturday or Saturday/Sunday) No on-call requirements Uses Epic charting system Requirements Active MO or compact RN license required BLS, ACLS, and NIHSS certifications required Minimum 2 years of recent experience required, including bedside experience within the last 6 months Trauma Level II hospital experience required Some ICU or high-acuity stepdown experience required due to unit acuity Recent travel assignment experience required within the last 6 months Experience with titration of vasopressors, sedation medications, and insulin drips required Experience managing trach vents, arterial lines, external pacemakers, and chest tubes required Epic charting experience preferred Additional Information Provide care for high-acuity stepdown patients including cardiac, neurological, renal, and respiratory conditions Manage central lines, PICC lines, and peripheral IVs as well as blood product administration Perform IV insulin protocols, wound care, and isolation precautions Monitor telemetry and respond to dysrhythmias with rapid response/code team support Navy scrubs required No parking costs at this facility Must reside outside a 75-mile radius of the facility Maximum of 7 days RTO per 13-week contract, with no RTO allowed during the first week of the assignment Previous permanent BJC or Saint Luke's employees must wait 1 year before returning as a traveler Travelers completing an 18-month assignment must take a 3-month break in service before returning First-time travelers are not accepted for this position American Traveler Job ID P-782668. 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.