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Cardiac Stepdown Charge RN

Riverview Regional Medical Center
Gadsden, AL Full Time
POSTED ON 6/2/2026
AVAILABLE BEFORE 7/1/2026
Bonus Amount

15000

Bonus Information

Sign-On Bonus Available for Qualified Candidates. Eligibility and payout terms apply. Details discussed during the interview process.

Overview

We are seeking a Cardiac Step-Down Charge RN , sometimes referred to as our Step-Down Unit RN or Step-Down Cardiac Nurse . A Cardiac Step-Down RN is a registered nurse who is responsible and accountable to the Department Director for the quality of nursing staff and the delivery of patient care. The Charge RN assists the Director in the daily operation of the respective unit(s)/departmentspecializes in providing care for patients who are recovering from cardiac procedures, surgeries, or events like heart attacks. Th e Cardiac Step-Down RN offer an intermediate level of care between the ICU and the general medical-surgical floor. 

Shift’s Available:  Night s ($4 to $8 differential in pay)

Employment Type: Full Time

Hours: 12-hour shifts – 7:00pm to 7:00am

Location: Riverview Regional Medical Center - Gadsden, AL

Here are some of the benefits of working at Prime Healthcare:

  • Health, dental, and vision insurance options
  • Paid vacation, sick time and holidays
  • Bereavement leave , FMLA and other leave options
  • Employer 401K options
  • Tuition reimbursement options
  • Life, disability, and other insurance options
  • Many other amazing benefits

Responsibilities

Essential Duties and Responsibilities (includes, but not limited to):

  • Provides direct communication with the Director and/or House Supervisor of unanticipated patient care events and/or risk management activities within patient care unit(s)
  • Utilizes nursing personnel effectively, assisting with required scheduling, staffing and assignments
  • Provides direction, supervision and evaluation of staff and/or staff education as necessary
  • Assists with performance evaluations, progressive discipline of staff and other related HR activities as needed
  • Assesses supplies and equipment availability, ensures their proper use and functionality and assists in the daily maintenance of par levels
  • Collaborates with other department managers/supervisors to ensure smooth coordination of services to patients; enhanced patient flow within the facility and efficient admission/discharge/transfer processes
  • Assesses patient care delivery and quality of care/documentation on a consistent basis
  • Directs staff members to make immediate changes in the plan of care, as appropriate to ensure patient safety and adherence to regulatory guidelines, hospital policies, procedures, protocols and/or clinical pathways and notifies Department Director, House Supervisor and/or Medical Staff as appropriate utilizing the chain of command.
  • Interviews patients/families on admission and during rounds to enhance positive patient experiences, provide comprehensive orientation to the patient care unit and increase patient/family awareness on how to access services and/or the charge nurse, if necessary.
  • The Charge Nurse may perform direct patient care within scope of practice and clinical competency to ensure patient safety and patient/nurse ratios; he/she shall be temporarily relieved of Charge Nurse duties during such times by Director/designee and shall document details of same on patient care assignment record.

Qualifications

Before we go any further, we do have some deal-breakers. You must have: 

  • Current and valid state RN License.
  • Current BLS upon hire and maintain current.
  • Current ACLS 30 days upon hire and maintain current.
  • Competency in Sedation Monitoring within 30 days upon hire and maintain current.

Additional Qualifications That Are a Plus:

  • Current PALS upon hire and maintain current, preferred.
  • Previous supervisory experience, one to two years, in acute care hospital Surgical OR setting, preferred.
  • Minimum of 5 years of experience in an acute care operating room preferred.
  • CNOR within 2 years, preferred.
  • Bachelor of Science degree in Nursing (BSN), preferred.

Full benefits at Prime Healthcare: https://www.primehealthcare.com/careers/benefits/

Employment Status

Full Time

Shift

Nights

Equal Employment Opportunity

Company is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to applicable law), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. The Company also prohibits harassment of applicants or employees based on any of these protected categories. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf

Salary : $4 - $8

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