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. This role provides care for adult and geriatric patients with complex medical conditions, including respiratory failure, sepsis, renal disease, liver disease, cardiac dysrhythmias, and substance withdrawal. The position involves rotating 12-hour shifts in a fast-paced setting with frequent transfers, high-acuity interventions, respiratory care, and collaboration with interdisciplinary teams.

Job Details Schedule: Rotating 12-hour shifts, 36 hours per week.

Required Qualifications: Active California Registered Nurse (RN) license in hand. Bachelor of Science in Nursing (BSN). Basic Life Support (BLS) certification. Minimum of 2 years of telemetry experience. Travel nursing experience. Teaching hospital experience.

Experience with Clinical Institute Withdrawal Assessment (CIWA), Electrocardiogram (EKG) and cardiac rhythm recognition, and tracheostomy care.

Experience using Epic electronic medical record systems.

Preferred Qualifications: Advanced Cardiovascular Life Support (ACLS) certification. Progressive Care Certified Nurse (PCCN) certification.

Float: Float rotation may be required.

Additional Information: Patient assignment ratio of 3:1 on days, nights, and weekends. Care is provided for adult and geriatric patients with multiple comorbidities and complex medical and social histories. Clinical conditions may include 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 evaluations, and new-onset atrial fibrillation. Frequent transfers to the Intensive Care Unit (ICU), rapid response team involvement, and frequent movement for procedures and imaging may be required. Respiratory care responsibilities include tracheostomy suctioning and management, high-flow nasal cannula (HFNC) care, and noninvasive airway management. The role may include telemetry monitoring, cardiac dysrhythmia management, central and peripheral line care, arterial line management, blood product administration, chest tube care, insulin protocols, wound care, dialysis-related care, and management of feeding tubes and surgical drains. Two references from the most recent employer are required at submission. Requested time off must be disclosed at submission and approved before the assignment begins.

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