RN - Medical Step Down Unit

Cooperidge Consulting Firm

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Roanoke, Virginia, US on site Until 8/22/2026 First posted March 18, 2026 Last posted March 18, 2026
Job description

Cooperidge Consulting Firm is seeking a Registered Nurse (RN) – Medical Step Down Unit for a top healthcare client in Roanoke, VA.
This position offers an opportunity to join a high-acuity progressive medical unit that bridges the gap between general medical-surgical care and intensive care. The RN will provide comprehensive nursing care to patients requiring close monitoring and frequent assessment, often with complex medical conditions or post-ICU recovery needs. The environment emphasizes teamwork, professional development, and patient-centered care.

Job Responsibilities

  • Deliver high-quality, evidence-based nursing care to patients requiring advanced medical monitoring and intervention.
  • Conduct detailed assessments and develop individualized care plans based on patient condition and treatment goals.
  • Administer medications, IV therapies, and treatments while ensuring accurate documentation in EPIC EMR.
  • Collaborate with physicians, respiratory therapists, and interdisciplinary care teams to coordinate optimal patient outcomes.
  • Monitor patient progress, identify changes in condition, and intervene promptly to maintain safety and stability.
  • Provide education and emotional support to patients and families regarding care plans, recovery, and discharge processes.
  • Uphold all hospital safety, infection control, and regulatory standards while fostering a compassionate environment.

Requirements

Education

  • Graduate of an accredited School of Nursing or approved program eligible for Virginia licensure.

Experience

  • Prior experience in step-down, telemetry, or progressive care preferred but not required.

Certifications/Licenses

  • Virginia RN license (or eligibility).
  • CPR certification required; ACLS, PALS, and NRP certifications required as applicable within one year of hire.

Skills or Competencies

  • Strong assessment and critical thinking skills.
  • Proficiency with EPIC electronic medical records.
  • Exceptional teamwork, communication, and patient advocacy abilities.

Benefits

  • Competitive pay with opportunities for overtime and weekend shifts.
  • Comprehensive medical, dental, and vision insurance.
  • Life insurance and disability coverage.
  • 401(k) retirement plan with employer match.
  • Paid time off — vacation, sick leave, and holidays.
  • Continuing education and professional development opportunities.
  • Supportive, team-oriented work environment.
About this role

Summary

Provide nursing care in a high-acuity unit, monitor patients, collaborate with care teams.

Job title

RN - Medical Step Down Unit

Experience level

not specified

Industry

healthcare

Location requirements

Roanoke, VA; remote not allowed

Salary

Not specified

Management role

No

Skills & keywords

Required skills

RN licenseCPRassessmentcritical thinkingEPIC

Preferred skills

telemetrypALSNRPteamwork

Specializations

medical monitoringassessmentpatient careinterdisciplinary collaboration
Locations

Structured locations inferred from the posting.

Roanoke, VA, USA

On-site City
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