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Step Down RN
Company : Catholic Health Initiatives
Location : Sherwood, AR, 72120
Job Type : Full Time
Salary : 32.28-43.58 HOUR
Date Posted : 3 January 2026
Job Summary and Responsibilities
As our Registered Nurse at CHI St. Vincent in Stepdown Unit, you will help patients transitioning from intensive care achieve optimal health and independence so they can return home safely and confidently.
Every day you will provide direct patient care, including medication administration, monitoring vital signs, and managing complex patient needs. You will be expected to collaborate effectively with physicians, other healthcare providers, and patients and their families.
To be successful in this role, you must possess strong critical thinking, problem-solving, and time management skills.
- Checking patients' health status daily and making note of any changes or concerns
- Caring for multiple patients throughout the same shift, often varying in age and condition
- Monitoring patients with life-saving medical equipment such as IVs, catheters, feeding tubes and ventilators
- Providing a comfortable and secure environment for the patient while acting as their advocate
We are offering a sign on bonus up to $25,000 to hires who meet the eligibility requirements. We also offer additional pay for participation in our clinical ladder as well as referral bonuses, excellent benefits, tuition reimbursement and relocation assistance.
Job Requirements
Required:
- Registered Nurse license in good standing, State of Arkansas or compact state license required prior to start date
- 1 year of acute care experience is required (new graduates or nurses who have never worked in an acute care setting are hired through our residency training program)
- BLS through the American Heart Association
- ACLS through the American Heart Association
Preferred:
- Previous step down and/or ICU experience
CHI St. Vincent, a regional health network serving Arkansas, is part of CommonSpirit Health. We have served Arkansas since 1888 with a history of many firsts. Together with more than 4,500 coworkers, 1,000 medical staff, and 500 volunteers, we consistently receive praise for care advancements. CHI St Vincent North has 69 beds and offers a small-town feeling of family and camaraderie. We have a strong neuro and cardiac focus.
CommonSpirit Health was formed by the alignment of Catholic Health Initiatives (CHI) and Dignity Health in 2019. With our combined resources, CommonSpirit is committed to building healthy communities, advocating for those who are poor and vulnerable, and innovating how and where healing can happen, both inside our hospitals and out in the community. CHI St. Vincent provides you with the same level of care you provide to others. We care about our team member well-being and offer benefits that complement and support your work/life balance.
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Frequently asked questions
Step Down RNs in Sherwood handle patients transitioning from ICU, requiring a blend of acute care skills and vigilant monitoring, unlike general floor nurses. This role demands managing life-saving equipment and nuanced critical thinking, setting it apart in complexity and responsibility within Arkansas healthcare settings.
Mastering advanced assessment techniques and gaining comfort with devices like ventilators and feeding tubes are crucial. Additionally, honing communication with multidisciplinary teams and families will boost effectiveness at Catholic Health Initiatives, where patient advocacy and nuanced care are highly valued.
Yes, Step Down RNs often advance to ICU roles or specialized cardiac/neuro units, especially within networks like Catholic Health Initiatives. Clinical ladder programs and ongoing training enhance promotion prospects, reflecting Arkansas's emphasis on developing acute care nursing expertise.
Catholic Health Initiatives offers sign-on bonuses, tuition reimbursement, and referral incentives, fostering both financial and professional growth. Their focus on work-life balance and team camaraderie enhances job satisfaction for Step Down RNs navigating complex patient care.
This position integrates a strong neuro and cardiac focus within a regional network known for care advancements. The supportive environment, combined with competitive bonuses and a clinical ladder, positions Catholic Health Initiatives as a top employer for Step Down RNs seeking both challenge and community.
Sherwood's demand for acute care nurses remains robust due to regional hospital expansions and aging populations. Candidates with acute care experience or completion of residency programs find favorable opportunities, with Catholic Health Initiatives actively recruiting through incentives.
Step Down RNs in Sherwood generally earn between $65,000 and $80,000 annually, influenced by experience and certifications. Catholic Health Initiatives enhances this with sign-on bonuses up to $25,000, making the compensation package competitive in the Arkansas nursing market.
Sherwood's small-town atmosphere fosters close-knit teamwork and personalized patient care, which positively impacts nurse collaboration and patient outcomes. Catholic Health Initiatives embraces this culture, promoting a family-like workplace that supports Step Down RNs both professionally and personally.
While ICU experience is preferred, Catholic Health Initiatives offers a residency training program welcoming new graduates or those without acute care backgrounds. This pathway ensures all Step Down RNs develop the critical skills necessary for success in this specialized unit.
Candidates must have a current Arkansas RN license or compact state license, BLS, and ACLS certifications. These credentials ensure readiness to manage complex patient care demands typical in the Step Down unit at Catholic Health Initiatives.