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Stepdown Unit Nurse (RN) in Council Bluffs, IA

Company: Soliant
Location: Council Bluffs
Posted on: March 17, 2026

Job Description:

Job Description Job Description Nursing degree, active registered nurse (RN) license and minimum 1 years Stepdown RN experience required. Applicants who do not meet these qualifications will not be considered. Provide specialized nursing care on a dynamic Stepdown unit focused on patients with heart failure, atrial fibrillation, respiratory distress, and stroke. This contract position invites skilled RNs to apply critical thinking and clinical expertise in a fast-paced environment where teamwork and patient-centered care are essential. Location: Council Bluffs, IA, offers a welcoming Midwestern community with convenient access to urban amenities. Enjoy a blend of small-town charm and proximity to major city attractions, making it an ideal place for both work and life. Key Responsibilities: Deliver direct care to up to four patients per nurse (1:4 ratio) managing advanced cardiac and respiratory conditions. Titrate drips including Cardizem, amiodarone, and nitroglycerin safely and effectively. Interpret cardiac telemetry strips independently using provided monitoring systems. Collaborate with Charge Nurses, who carry full patient assignments, and support staff including patient care techs at a 1:10 ratio. Provide CPAP troubleshooting as needed. Participate in cyclic scheduling covering day and night shifts (0630-1900, 1830-0700), with every-other weekend and assigned holiday shifts. Float to the ICU when assigned and adequately experienced. Successfully complete a 12-hour orientation shift on the unit. Qualifications: Active RN license with BLS, ACLS, and NIHSS certifications. Valid drivers license to confirm residency within a 50-mile radius; candidates currently employed in any capacity at facilities affiliated with CommonSpirit (including CHI and Dignity) within the past year are ineligible. Willingness to comply with the strict no artificial nail policy. Pass an open-book skills exam during orientation with a minimum score of 90%. Additional Information: Fast-paced, patient-focused stepdown unit with frequent admissions and discharges. Positive attitude and teamwork valued for success. Contract opportunity with no extended orientation beyond the initial unit shift. Radius and employment restrictions strictly enforced. This contract position provides the chance to advance your clinical skills within a supportive, high-acuity environment. Embrace this opportunity to impact patient outcomes directly while working in a vibrant community. Apply now to take the next step in your nursing career in Council Bluffs!

Keywords: Soliant, Sioux City , Stepdown Unit Nurse (RN) in Council Bluffs, IA, Healthcare , Council Bluffs, Iowa


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