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Job description
First Connect Health is seeking a travel nurse RN Stepdown for a travel nursing job in Galesburg, Illinois.
Job Description & Requirements
Specialty: Stepdown
Discipline: RN
Start Date: 10/19/2026
Duration: 15 weeks
36 hours per week
Shift: 12 hours, nights
Employment Type: Travel
Stepdown / Tele Intermediate Registered Nurse (RN)
Position: Stepdown / Tele Intermediate Registered Nurse (RN)
Department: Tele Intermediate
Shift: 7:00 AM – 7:30 PM / 7:00 PM – 7:30 AM
Shift Length: 12 Hours
Patient Ratio: 1:4–5
EMR: Epic
Weekend: Every Other Weekend — Friday, Saturday & Sunday
Holiday: Every Other Holiday
Call: None
Floating: Required
Position Overview
We are seeking an experienced Stepdown / Tele Intermediate Registered Nurse (RN) to join a 26-bed Tele Intermediate unit within the OSF healthcare system.
This unit provides care to a diverse population of higher-acuity medical and cardiac patients, including CHF, COVID pneumonia, atrial fibrillation with RVR, tachycardia/bradycardia syndromes, and syncope. The ideal candidate will be comfortable with telemetry monitoring, cardiac medications, and non-invasive respiratory support.
Unit Details
Unit: Tele Intermediate / Stepdown
Beds: 26
RN-to-Patient Ratio: 1:4–5
Tech Ratio: Approximately 1:9
EMR: Epic
Central Telemetry: Monitor technician available
Charge Nurse: Charge RN takes a patient assignment
RT Coverage: 24/7
Pharmacy: 24/7 support
Hospitalist: In-house 7:00 AM–5:00 PM
APN available in-house after hospitalist hours with e-hospitalist support
No IV team; nursing manages IV-related care.
Nursing does not mix medications.
Common Diagnoses
The unit commonly cares for patients with:
Congestive Heart Failure (CHF)
COVID pneumonia
Atrial Fibrillation with RVR
Tachycardia/Bradycardia Syndrome
Syncope
Other complex medical and cardiac conditions requiring intermediate-level monitoring
Key Responsibilities
Provide comprehensive nursing care to Stepdown/Tele Intermediate patients.
Perform detailed assessments and ongoing monitoring.
Monitor and respond appropriately to cardiac rhythms through centralized telemetry.
Administer and manage cardiac and critical-care medications.
Manage Cardizem, Lasix, renal-dose Dopamine, and Nitro as ordered.
Care for patients requiring BiPAP, CPAP, and high-flow/Vapotherm therapy.
Recognize changes in patient condition and escalate care appropriately.
Collaborate with hospitalists, APNs, respiratory therapists, pharmacy, and the interdisciplinary care team.
Maintain accurate and timely documentation in Epic .
Provide patient education and safe discharge planning.
Required Credentials
Active Illinois RN License – Required
BLS – Required
ACLS – Required
Schedule
12-Hour Shifts:
7:00 AM – 7:30 PM
7:00 PM – 7:30 AM
Weekend: Every other weekend — Friday, Saturday & Sunday
Holiday: Every other holiday
Call: No call requirement
Block Scheduling: Not guaranteed; the facility will make reasonable efforts to accommodate consecutive night shifts when possible.
Floating Requirements
Travelers are expected to float based on hospital staffing needs.
When floating, travelers will maintain the same patient ratio appropriate to the assigned unit, with an expected ratio of approximately 1:5 .
Orientation
1 shift: General hospital orientation
2 shifts: Unit-specific orientation 1 day shift
1 night shift
Total orientation: 3 shifts
OSF Assignment Policies
Local Rate
Applies to clinicians with a permanent address within 50 miles of the facility.
Local rate is $25 lower than the regular and OT bill rates .
Call-Off Policy
OSF may call off the equivalent of 12 hours during a 13-week assignment .
No penalty or payment is required for the cancelled shift under this policy.
Orientation
12 hours of orientation are non-billable.
Guaranteed hours do not apply during orientation.
Additional Highlights
26-bed Tele Intermediate / Stepdown unit
1:4–5 RN-to-patient ratio
Central telemetry with monitor technician support
Cardizem, Lasix, renal Dopamine, and Nitro experience
BiPAP, CPAP, and high-flow/Vapotherm exposure
24/7 Respiratory Therapy
24/7 pharmacy support
Epic EMR
No call requirement
Structured 3-shift orientation
Every other weekend and holiday requirement
Travelers accepted with required floating flexibility
Akshay #
About First Connect Health
At First Connect Health , we take pride in being a Joint Commission–certified healthcare staffing agency , headquartered in Newark, New Jersey. This prestigious certification is more than just a seal — it's a reflection of our commitment to excellence, safety, and quality in everything we do.
By meeting the rigorous standards set by The Joint Commission, one of the most respected accrediting bodies in healthcare, we've demonstrated that our processes, compliance, and patient care standards are aligned with the highest levels of quality in the industry.
But our dedication goes beyond certifications. Nurses choose First Connect Health because:
✅ Trust and Transparency: We foster honest communication, timely updates, and full transparency throughout your placement journey.
✅ Best Pay & Benefits: We offer industry-leading compensation packages, along with benefits that support your career goals.
✅ Flexibility & Choice: Whether you're seeking short-term assignments, long-term contracts, or local opportunities, we provide the flexibility to suit your preferences.
✅ Personalized Support: Our recruiters take the time to understand your needs, guiding you with care, respect, and responsiveness at every step.
When you work with First Connect Health, you're not just another number — you're a valued professional. Join a team that’s focused on your success, your well-being, and your future in healthcare.
Benefits
Sick pay
401k retirement plan
Weekly pay
Referral bonus
Worksite address
galesburg, IL, 61402, US
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.