Job Title Travel RN – Cardiac Step-Down (IMC/PCU/Stepdown) Location Asheville, North Carolina Schedule / Job Type Contract | Travel | 13 Weeks | Night Shift (6:45 PM – 7:15 AM) | Onsite | Every other weekend required Key Responsibilities • Provide direct bedside nursing care on a 40-bed cardiac step-down unit for patients with conditions including CHF, MI, chest pain, arrhythmias, pulmonary hypertension, valvular disease, endocarditis, DKA, and post-procedural cardiac patients (cath/stent, pacer/ICD/ablation) • Manage and titrate cardiac and vasoactive IV medications including nitroglycerin, Cardizem, amiodarone, dopamine, dobutamine, insulin drip, heparin, and diuretics • Operate and monitor unit equipment including Zoll monitors, Baxter pumps, bladder scanners, and lift equipment • Document patient care accurately using Cerner EMR • Assist with or perform bedside cardioversion as indicated • Float to MedSurg units, other step-down units, COVID unit, and ER holding as needed Required Qualifications • Active RN licensure (or compact license eligibility for North Carolina) • Minimum 2 years of step-down or progressive care nursing experience • Telemetry experience required • Demonstrated experience with titratable cardiac IV medications • Current BLS and ACLS certifications Preferred Experience / Skills • Experience with prostacyclin therapies (e.g., Flolan, Veletri, Remodulin) • Relief charge nurse experience Why Join Us • Work within a specialized cardiac step-down environment alongside a structured, supportive team with defined staffing ratios (1:4, with stretch to 1:5) • 13-week travel contract offering the opportunity to gain experience in a high-acuity cardiac setting in western North Carolina