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Registered Nurse - Step Down Unit
Company : Prime Healthcare Services
Location : Woonsocket, RI, 02895
Job Type : Part Time
Date Posted : 4 January 2026
Overview
NOW OFFERING A SIGN-ON BONUS UP TO $7,500!
At Landmark Medical Center, our dedicated team of professionals is committed to our core values of quality, compassion, and community. As a member of Prime Healthcare, Landmark Medical Center is actively seeking new members to join its award-winning team!
Landmark Medical Center is a 214-bed acute care hospital in Woonsocket, RI. The hospital has been “A”rated for patient safety by The Leapfrog Group and has received numerous Healthgrades awards for patient safety excellence, heart care, and orthopedics. Originally known as the "Woonsocket Hospital," Landmark Medical Center has been serving the communities of northern Rhode Island and southern Massachusetts since 1873. Learn more at www.landmarkmedical.org.
Responsibilities
The Registered Nurse is responsible for the delivery of safe patient care utilizing the nursing process of assessment, planning, implementation and evaluation. Provides direct patient care within the scope of practice. The Registered Nurse also directs and guides patient/family teaching and activities of other nursing personnel while maintaining standards of care in the DOU. The Registered Nurse is directly responsible and accountable for the care given to his/her assigned patients. He/She communicates with the physician about changes in the patients clinical condition including hemodynamic monitoring, results of diagnostic studies and abnormal results and symptomatology. Is able to respond quickly and accurately to changes in condition and/or response to treatment. Maintains patient privacy and confidentiality.
Qualifications
1. Current valid State Registered Nurse License2. Completion of Critical Care Course preferred3. Current BLS (AHA) certificate upon hire and maintain current.4. Current ACLS (AHA) certificate 30 days upon hire and maintain current preferred.5. Minimum of one-year experience as a staff RN in acute care hospital, critical care preferred.6. Bachelor of Science in Nursing (BSN) preferred.
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Employment Status
Part Time > 59Shift
NightsEqual Employment Opportunity
Company is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to applicable law), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. The Company also prohibits harassment of applicants or employees based on any of these protected categories. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf
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Frequently asked questions
Woonsocket, RI shows steady demand for experienced step down unit nurses due to its aging population and complex care needs. Hospitals like Landmark Medical Center actively seek skilled RNs, reflecting local healthcare growth and the importance of critical care expertise within the community.
In Rhode Island, beyond the standard RN license, certifications like ACLS and critical care courses are highly valued for step down unit nurses. These credentials align with state care standards and enhance readiness for managing patients transitioning from ICU, improving job competitiveness locally.
Step Down Unit RNs excel in hemodynamic monitoring, acute patient assessment, and rapid response to clinical changes. They blend critical care knowledge with progressive patient management, setting them apart from general nursing by handling patients who require close observation but not full ICU care.
Working in a step down unit offers a pathway toward critical care specialization or nursing leadership. Exposure to complex cases sharpens clinical decision-making, opening doors to ICU roles or advanced practice nursing, especially when paired with certifications like CCRN or BSN advancement.
Expect to perform continuous patient monitoring, administer medications, coordinate with multidisciplinary teams, and educate families. Nurses in step down units manage patients recovering from intensive care, requiring vigilance and adaptability to evolving clinical statuses.
Prime Healthcare Services emphasizes nurse development through competitive sign-on bonuses and ongoing education. Their landmark medical center fosters a community-focused culture, promoting nurse autonomy and involvement in patient safety initiatives unique to their step down unit environment.
Yes, Prime Healthcare offers up to $7,500 sign-on bonuses for step down unit RNs alongside competitive night shift differentials. Their commitment to quality care also translates into access to advanced training and recognition programs tailored to critical care nursing professionals.
Registered Nurses in step down units in Woonsocket, RI typically earn between $60,000 and $75,000 annually, reflecting regional healthcare market rates. Factors like experience, certifications, and night shift work at facilities such as Landmark Medical Center influence compensation levels.
Night shift RNs face challenges like managing fluctuating patient acuity with limited staff and ensuring continuity of care during critical hours. Landmark Medical Center addresses this by fostering strong teamwork and providing resources to handle emergencies and patient privacy effectively.
While step down unit nurses handle patients requiring close monitoring, ICU nurses manage more critical cases needing intensive interventions. The step down role balances autonomy and acuity, serving as a transitional care point that demands acute clinical skills without the full intensity of ICU care.