American Traveler is seeking a travel nurse RN Cardiac Stepdown for a travel nursing job in Wilmington, North Carolina.

Job Description & Requirements

• Specialty: Cardiac Stepdown
• Discipline: RN
• Start Date: 12/29/2025
• Duration: 13 weeks
• 36 hours per week
• Shift: 12 hours, nights
• Employment Type: Travel

Job Description

American Traveler is seeking an experienced RN for a Stepdown Cardiac position requiring at least 2 years of recent cardiac floor experience and active NC or compact licensure.

Responsibilities

• Work in a Stepdown Cardiac unit within a hospital setting
• Patient population includes cardiac stepdown and post-surgical cardiac patients
• Common patient diagnoses include atrial fibrillation, CHF, ACS, CAD, aortic and mitral valve disorders, endocarditis, cardiomyopathy, PVD, PAD, and various vascular conditions
• Special procedures include CABG, AVR, MVR, TAVR, mitral clip, LAAO, VATS, carotid endarterectomy, FEM-POP bypass, and electrophysiology-related care
• Utilizes specialized equipment such as EKG, femoral sheaths, arterial lines, Doppler, bladder scanners, TR band, Fem-stop, chest tubes, and epicardial pacing wires
• Uses Epic for charting and Pyxis for medication management
• Ratios vary by acuity: typically 1:4 for surgical stepdown and 1:5–6 for lower acuity
• Night shift only (three 12-hour shifts, 18:45–07:15), 36 hours per week
• Weekend requirement is 4 shifts per 4 weeks (flexible)
• Floating required as per unit rotation and based on skill set; not first to float
• 13–26 week contract options available
• Will provide care for complex post-operative cardiac and vascular patients
• Expected to participate in Storm Team or Hurricane Team when needed during catastrophic events or disasters
• Consolidation to the Centralized Office or reassignment to affiliated units may occur
• Orientation includes 24 hours of unit-specific training
• Must adhere to Navy scrub dress code
• No RTO permitted in the first week and additional RTO is subject to strict approval policies
• Candidates must work 2 of 3 major holidays during the contract
• Local candidates under 50 miles are offered lower local rates
• Fatigue policy limits working to no more than 5 days in a row or 60 hours in one week

Requirements

• Active NC or compact RN license required at start (pending status acceptable for submission)
• Minimum 2 years of recent cardiac floor experience required
• BLS, ACLS, and NIHSS certifications required
• Must have experience with cardiac telemetry, stepdown/PCU, sheath removal, dysrhythmia management, post-MI, post-cardiac cath, cardiac drip management (with titration), chest tubes, and non-invasive airway management
• EKG testing must be passed prior to start
• Epic charting experience required
• Two professional supervisory references from the past 2 years are required by start
• Former staff must have been separated for at least 12 months to be eligible for hire as a traveler

Benefits

• High Pay and Bonuses
• Medical, Dental and Vision Insurance with Day 1 Options
• 401(k) Plan
• Weekly Payroll Deposit
• Free Online CEUs
• Generous Housing Allowance
• Travel and Licensure Reimbursements
• Non-taxed Per Diem and Subsidy
• Traveler Rewards and Discounts

American Traveler Job ID #P-639999. Pay package is based on 12 hour shifts and 36 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title: Travel RN - Cardiac Telemetry

About American Traveler