Job Title Registered Nurse – IMC/PCU/Stepdown Location Kansas City, MO | Intermediate Care / Step-Down Unit Schedule / Job Type Contract | Nights | 3x12-Hour Shifts (18:45–07:15) Key Responsibilities • Provide direct patient care on a 24-bed Intermediate Care Unit serving intermediate medical patients and surgical overflow, including urological, laparoscopic, ophthalmologic, oral surgery, diabetic teaching, and wound care cases • Perform continuous cardiac and telemetry monitoring, including interpretation and management of dysrhythmias, and participate in Rapid Response Team activations • Manage IV therapy including central line care, PICC line management, port access, blood product administration, heparin protocols, PCA, and IV insulin protocols • Provide wound care and wound vac management, feeding tube care, continuous bladder irrigation, and isolation precautions • Administer and monitor respiratory support including nasal cannula, oxygen face masks, and portable oxygen • Fulfill holiday shift coverage and Charge RN assignments as needed; expected to complete 8 weekend shifts per 6-week scheduling period (Friday/Saturday/Sunday combination); regular floating between departments, units, and facilities may be required Required Qualifications • Active RN license — both Kansas and Missouri licensure (or compact license covering both states) required at time of submission • Minimum 1–2 years of Telemetry experience required; first-time travelers not accepted • BLS certification required • NIHSS certification required • Proficiency in cardiac monitoring, dysrhythmia interpretation, IV therapy, and emergency response skills as outlined in unit requirements • Must live at least 75 miles from the facility to be eligible; no local candidates accepted Preferred Experience / Skills • Experience with titration of insulin drips and management of renal failure patients • Orthopedic experience including ortho trauma and total joint replacements • Tracheostomy management and experience with surgical drains • Familiarity with eye surgery patient care Why Join Us • Opportunity to work at a 5-time Magnet-recognized, Level 1 Trauma, tertiary care teaching hospital with 456 staffed beds • Charting via Epic with complimentary on-site parking; fast-paced, high-acuity environment supporting both ED and OR throughput