Job Title Registered Nurse – Cardiac Step-Down (IMC/PCU/Stepdown) Location Asheville, NC | Acute Care Schedule / Job Type Contract | 13 Weeks | Night Shift | 6:45 PM – 7:15 AM | Every Other Weekend Required Key Responsibilities • Provide direct bedside nursing care on a 40-bed Cardiac Step-Down unit for patients presenting with 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 IV medications including nitroglycerin, Cardizem, amiodarone, dopamine, dobutamine, insulin drip, heparin, and diuretics • Operate and monitor unit equipment including Zoll monitors, Baxter pumps, lift equipment, and bladder scanners; document care using Cerner EMR • Maintain patient ratios of 1:4, with stretch staffing up to 1:5 as needed • Perform or assist with bedside cardioversion procedures • Float to MedSurg units, other Step-Down units, COVID unit, and ER holding as needed Required Qualifications • Active RN license valid in North Carolina (or compact eligibility) • BLS and ACLS certifications required • Minimum 2 years of Step-Down or Progressive Care nursing experience • Telemetry experience required • Demonstrated experience with titratable or cardiac IV medications • Must live at least 50 miles from the facility to be eligible as a travel candidate Preferred Experience / Skills • Experience with prostacyclins such as Flolan, Veletri, or Remodulin • Relief charge nurse experience • Familiarity with Cerner EMR Why Join Us • Opportunity to work in a specialized cardiac environment within a well-established heart center, gaining exposure to a broad range of complex cardiac patient populations • Collaborative team environment with a focus on flexibility, compassion, and strong teamwork