IMC/PCU/Stepdown – RN

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Job ID: 879501

Estimated Weekly Gross: $1,996.22

Job Title

Registered Nurse – Cardiac Step-Down (IMC/PCU)

Location

Asheville, NC | Cardiac Step-Down

Schedule / Job Type

Contract | 13 Weeks | Night Shift | 6:45 PM – 7:15 AM | Every other weekend required | Projected Start: September 14, 2026

Key Responsibilities

• Provide direct patient care on a 40-bed cardiac step-down unit managing patients with CHF, MI, chest pain, arrhythmias, pulmonary hypertension, valvular disease, endocarditis, DKA, and post-procedural cardiac patients (cath/stent, pacer/ICD/ablation)
• Administer and titrate cardiac IV medications including nitroglycerin, Cardizem, amiodarone, dopamine, dobutamine, insulin drip, heparin, and diuretics
• Operate unit equipment including Zoll monitors, Baxter pumps, lift equipment, and bladder scanners; document using Cerner EMR
• Perform and assist with bedside cardioversion as needed
• Maintain patient ratios of 1:4, with stretch staffing up to 1:5
• Float to MedSurg units, other step-down units, COVID unit, and ER holding as needed

Required Qualifications

• Active RN license applicable to practice in North Carolina
• BLS certification required
• ACLS certification required
• Minimum 2 years of step-down or progressive care nursing experience
• Telemetry experience required
• Demonstrated experience with titratable and cardiac IV medications

Preferred Experience / Skills

• Experience with prostacyclin therapies (Flolan, Veletri, Remodulin)
• Relief charge nurse experience

Why Join Us

• Opportunity to work in a specialized cardiac step-down environment within a dedicated heart center, gaining exposure to a diverse and high-acuity cardiac patient population
• Collaborative team environment that values flexibility, compassion, and a positive attitude

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