RN - Medical Step Down Unit

Carilion Clinic•Roanoke, VA
•$34 - $50•Onsite

About The Position

The RN provides professional nursing care to patients across all age groups in a 26-bed, high-acuity progressive care unit. The unit cares for complex patients who require continuous monitoring and frequent clinical intervention. Nurses work in a fast-paced environment requiring strong assessment skills, critical thinking, and effective interdisciplinary collaboration. The RN supports patient-centered care through assessment, planning, implementation, and evaluation, and collaborates with the healthcare team to promote safe, effective, high-quality patient outcomes.

Requirements

  • Graduate of a State Board of Nursing-approved program.
  • Current Registered Nurse license in the Commonwealth of Virginia or eligibility to obtain licensure.
  • AHA BLS-HCP certification.
  • Keyboarding skills and computer literacy, including use of electronic medical records.

Nice To Haves

  • Additional certifications such as ACLS, PALS, or NRP may be required based on the assigned work area.

Responsibilities

  • Provide individualized patient care and coordinate care delivery for patients of all ages.
  • Assess, plan, implement, and evaluate patient care to achieve optimal outcomes.
  • Complete and document age-specific assessments to support development of care plans.
  • Collaborate with patients, families, and interdisciplinary teams to develop and adjust care plans.
  • Accurately administer treatments and medications and document care in electronic medical records.
  • Identify and address patient and family education needs.
  • Participate in performance improvement and quality initiatives.
  • Advocate for patients and support their rights and psychosocial needs.
  • Apply knowledge of growth and development to provide age-appropriate care.
  • Demonstrate clinical expertise in dynamic and changing care environments.
  • Implement strategies to improve patient outcomes and resource utilization.
  • Serve as a role model and support the development of peers and team members.
  • Manage resources, prioritize tasks, and adapt to changing patient care needs.
  • Support orientation and training of new employees.
  • Use problem-solving skills to address patient care and operational challenges.
  • Provide feedback and participate in shared decision-making activities.
  • Support education activities within the department.
  • Maintain confidentiality and comply with regulatory and organizational standards.

Benefits

  • Comprehensive medical, dental, and vision benefits.
  • Employer-funded pension plan, vested after five years.
  • Voluntary 403B.
  • Paid time off accrued from day one.
  • Onsite fitness studios and discounts to Carilion Wellness centers.
  • Access to the Personify Health health and wellness app.
  • Childcare discounts.
  • Continued education and training.
  • Sign-on bonus.
© 2026 Teal Labs, Inc
Privacy PolicyTerms of Service