Job Description
Registered Nurse - Cardiovascular Surgery Stepdown Night ShiftLocation:Raleigh, North Carolina About the Role This full-time Registered Nurse opportunity is based within a Cardiovascular Surgery Stepdown unit at a large, well-established health system in Raleigh.This night shift role supports post-operative cardiac and vascular surgery patients who require advanced monitoring and frequent nursing interventions after transitioning out of the ICU.This position qualifies for a competitive incentive package that includes a commitment incentive or tuition loan forgiveness, relocation assistance, and referral incentives.Strong evening, night, and weekend shift differentials significantly enhance overall compensation.About the Unit The Cardiovascular Surgery Stepdown unit specializes in caring for structural heart, cardiac, and vascular surgery patients who require close monitoring, titration of inotropes and vasopressors, and advanced non-invasive oxygen support.The unit is designed to mirror an ICU environment, allowing nurses to proactively identify subtle changes in patient condition and intervene quickly.Patient rooms are equipped with advanced bedside monitoring and convenient access to electronic medical records.Nurses collaborate closely with advanced practice providers, unit-based pharmacists, respiratory therapists, and a shared leadership team that also supports the cardiovascular ICU.This structure fosters strong clinical decision-making, continuity of care, and professional growth.Key Responsibilities Clinical Care and Patient Safety Deliver high-quality cardiovascular stepdown nursing care using the nursing process Monitor patients requiring advanced hemodynamic and respiratory support Titrate inotropes, vasopressors, and oxygen therapies per protocol Perform bedside point-of-care testing and interpret clinical data Care Coordination and Evaluation Identify expected patient outcomes and revise plans of care as conditions evolve Communicate effectively with interdisciplinary team members and patient families Anticipate discharge needs and support safe transitions of care Professional Development and Leadership Participate in ongoing cardiovascular education and competency validation Contribute to unit goals, quality initiatives, and performance improvement activities Provide feedback to peers and support a collaborative, safety-focused culture Promote a safe, clean, and secure care environment Assessment and Planning Conduct comprehensive assessments addressing physiologic, psychosocial, and safety needs Synthesize complex assessment data to prioritize care and guide interventions Support patient and family education during recovery Evidence-Based Practice Apply current cardiovascular research and evidence-based standards Participate in discussions to advance stepdown and post-ICU care practices Qualifications Required Graduate of an accredited school of professional nursing Active North Carolina RN license BLS certification Minimum of one year of nursing experience Preferred Stepdown, ICU, cardiac, or vascular nursing experience Strong critical thinking, prioritization, and communication skills Education Progression Requirement If hired after January 6, 2014, enrollment in a BSN or MSN program within four years of hire and completion within seven years of hire Schedule and Compensation Full-time, onsite role Night shift schedule 12-hour shifts 36 hours per week Hourly pay range:$33.88 to $47.91, based on experience and internal equity Strong evening, night, and weekend shift differentials apply Incentives and Benefits Commitment incentive up to $20,000 or tuition loan forgiveness up to $25,000 Relocation assistance up to $10,000, based on eligibility Comprehensive medical, dental, and vision coverage Retirement plans and paid time off Career advancement and continuing education support Why Join This Health System Advanced cardiovascular service line with ICU-level resources Strong interdisciplinary collaboration and shared ICU leadership Emphasis on clinical growth and critical thinking development Competitive differentials rewarding off-shift and weekend coverage Why Apply Through HC Solutions Group Direct access to hiring managers Fast and efficient process from application to placement Recruiter representation and advocacy throughout the interview process Access to multiple permanent opportunities with one application Over 30 years of combined experience placing healthcare professionals National client base with high-quality health systems Full-time, permanent positions only Apply today to HC Solutions Group directly to learn more about this Cardiovascular Surgery Stepdown night shift opportunity in Raleigh! Job Type:Full-time Pay:$33.00 - $50.00 per hour Benefits:401(k) 401(k) matching Dental insurance Health insurance Life insurance Paid time off Vision insurance Work Location:In person.