Job Details
IMC/PCU/Stepdown – RN
Job ID: #861428 | Roanoke, VA
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Job ID: 861428
Estimated Weekly Gross: $2,037.02
Job Title
Registered Nurse – Neuro PCU (IMC/Stepdown)
Location
Roanoke, VA | Acute Care
Schedule / Job Type
Contract | Nights | 3×12-hour shifts, 6:45 PM – 7:15 AM | Weekend requirement: every other weekend or 6 weekend shifts per 6-week scheduling block | One holiday required per 13-week contract | Facility may call off 1 shift per 2 weeks | Block scheduling available
Key Responsibilities
- Provide direct nursing care to adult patients with neurological conditions, including neurosurgical recovery, stroke management, neuro-specific diagnoses, and medical overflow
- Monitor and manage cardiac dysrhythmias; participate in Rapid Response and Code team activations
- Administer IV therapy, blood products, and cardiac drips (no titration); maintain central and peripheral line care
- Support patients in 5 dedicated beds for continuous 24-hour epilepsy monitoring
- Provide respiratory support including nasal cannula, oxygen administration, and non-invasive airway management; maintain isolation precautions
- Float to other units within clinical skillset as needed; EPIC charting required
Required Qualifications
- Active Virginia State RN license or active Compact RN license required; pending license accepted only if candidate holds a single-state license from a non-compact state
- Required certifications: ACLS, BLS, and NIHSS
- EPIC experience required
- Comfort with a 1:4–1:5 patient ratio required
- Candidates residing within 50 miles of the facility are not eligible; candidates residing 50–99.9 miles away may be considered for one 13-week assignment with no eligibility to extend
Preferred Experience / Skills
- Prior experience in a neuro PCU, stepdown, or IMC setting
- Experience with epilepsy monitoring units or neurosurgical patient populations
- Familiarity with stroke protocols and neuro-specific care pathways
Why Join Us
- Opportunity to work in a high-acuity, Level I Trauma Center that is Magnet-designated for nursing excellence and recognized as an Advanced Thrombectomy Capable Stroke Center with 24/7 neurointerventional coverage
- First-time travelers are welcome, and block scheduling requests may be accommodated
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