Job Title Registered Nurse – Intermediate Care (IMC/PCU/Stepdown) Location Springfield, MA Schedule / Job Type Contract | Night Shift | Onsite Key Responsibilities • Provide direct patient care on a Medical Intermediate Care Unit consisting of 42 beds, split between medical-telemetry and intermediate care step-down patients • Manage patient ratios of 1:3 on the intermediate care side and 1:6 on the medical-telemetry side • Care for patients presenting with conditions including PNA, COPD exacerbation, DKA, HHS, ETOH withdrawal, GIB, sepsis, PE, UTI, and respiratory failure • Operate and monitor equipment including trachs, vents, high-flow nasal cannula, BiPAP, and telemetry • Administer and manage cardiac drips and respond to changes in patient condition appropriately • Float to other units as needed and work across both the medical-telemetry and intermediate care sides of the floor Required Qualifications • Active Registered Nurse (RN) license valid in the state of Massachusetts • Current ACLS certification • Current BLS certification • Demonstrated experience with trachs, vents, high-flow nasal cannula, BiPAP, cardiac drips, and telemetry monitoring • Ability to work across both medical-telemetry and intermediate care patient populations Preferred Experience / Skills • 1–2 years of experience in an intermediate care, step-down, or PCU setting • Prior experience managing a diverse acute patient caseload including sepsis, respiratory failure, and metabolic emergencies Why Join Us • Opportunity to work in a dynamic, high-acuity unit that offers exposure to both medical-telemetry and intermediate care nursing practice • Gain valuable contract experience in a well-established acute care environment in Massachusetts