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 Cardiac Telemetry position requiring at least 2 years of cardiac experience, BLS, ACLS, and NIHSS certifications.

Responsibilities

• Position is based on a Cardiac Telemetry unit with a patient population that includes post-MI, post-cath, and a variety of cardiac and vascular diagnoses
• Worknight shift, 3x12 hours (18:45–07:15), 36 hours per week
• Ratios are 1:4 for surgical stepdown and 1:5-6 for lower acuity patients, varying by acuity
• Common procedures include CABG, TAVR, Mitral Clip, electrophysiology procedures, and pacemaker placements
• Special equipment in use includes Doppler, bladder scanner, EKG, femoral sheaths, TR band, Fem-stop, and epicardial pacing wires
• Utilizes Epic for documentation, Pyxis for medication management, and SBAR for communication
• Floating may occur within the hospital or to affiliate hospitals based on skill set and census
• Expected to work four weekend shifts per four-week period, with flexibility
• Will follow unit rotation for floating; travelers are not the first to float
• Expected to participate as part of a Storm or Hurricane Team and may be reassigned to other units as needed during emergencies
• Role includes pre- and post-cardiac cath care, cardiac drip management (titration and no titration), and managing interventions for a wide range of complex cardiac conditions
• Orientation consists of a 24-hour program
• Navy scrubs are required as dress code
• Holiday coverage is required; candidates must be able to work 2 out of 3 major holidays
• No RTO is allowed during the first week of the assignment, and any RTO after booking is not permitted onsite
• Travel pairs are allowed but must be assigned to different units
• Fatigue policy prohibits working more than 5 consecutive days or more than 60 hours per week
• Pre-employment modules must be completed prior to the start of the assignment
• All candidates must be available for an interview prior to offer
• First-time travelers are considered only if they meet the required cardiac experience

Requirements

• Active NC or compact RN license; license must be in hand at the time of start
• Minimum 2 years of recent experience on a cardiac floor required
• BLS, ACLS, and NIHSS certifications are required
• Must pass EKG testing prior to start
• Epic charting experience required
• Proficiency with cardiac telemetry, stepdown care, sheath removal, dysrhythmia interpretation and management, cardiac drip management, and non-invasive airway management
• Ability to manage common cardiac and vascular patient populations as outlined
• References from two managers or supervisors from the past 12 months are highly preferred and required for employment consideration
• No prior permanent, PRN, or EP employment with the same health system within the past 12 months; current travel Per Diem clinicians are ineligible for a travel contract

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-639998. 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