Location: Sanford, FL
Position Type: Full-Time, Permanent
Shifts: Days or Nights (Rotating Weekends)
Base Pay: $31.86 – $46.28/hour (DOE)
~5 years: $36.12/hr
~10 years: $40.44/hr
~17+ years: $46.28/hr
Shift Differentials: +$4.50/hr (Nights) | +$1.50/hr (Weekends)
Sign-On Bonus: $15,000 (Days) | $20,000 (Nights) — available through Q3
Relocation Assistance: Case-by-case
Join a collaborative 15-bed ICU Stepdown (PCU) unit providing advanced intermediate-level care. This true stepdown environment features a 3:1 nurse-to-patient ratio (occasionally 4:1) with patients requiring cardiac drips, long-term ventilators, and frequent assessments. This is an ideal role for nurses who excel in high-acuity settings and enjoy bridging ICU and med-surg care.
Perform frequent assessments and monitor patients requiring close observation
Manage cardiac drips, long-term ventilators, and advanced stepdown-level treatments
Collaborate with physicians and interdisciplinary team members to ensure safe, effective care
Educate patients and families about diagnoses, treatments, and recovery processes
Foster a culture of teamwork, safety, and clinical excellence
Active Florida RN license or Compact RN license (required)
Minimum 1 year of recent ICU Stepdown experience (required)
Will consider RNs with 3+ years of Cardiac or Multisystem PCU experience
ADN or Nursing Diploma required; BSN preferred
NIHSS certification within 30 days
BLS within 30 days; ACLS within 6 months
Medical, dental, and vision coverage (including free preventive care & telemedicine)
401(k) with up to 9% employer match
Employee Stock Purchase Plan (10% discount)
PTO, paid family leave, and disability coverage
Tuition reimbursement up to $5,250/year + $100/month student loan assistance
Fertility & adoption assistance, dependent scholarships, and career advancement opportunities
Emotional wellness support, mental health counseling, legal/financial services, pet insurance
This position is ideal for experienced ICU Stepdown or PCU nurses seeking growth in a high-performing, team-driven environment. Strong pay, excellent benefits, and relocation support available.
#ICUStepdownRN #PCURN #ProgressiveCareUnit #StepdownNursing #RNJobs #SanfordFLJobs #FloridaNursing #CriticalCareNursing #NursingCareers

Texas Nursing Services provides skilled and enthusiastic professionals for healthcare positions across all practice areas. We specialize in meeting the unique needs of our clients by offering temporary, temp-to-hire, and permanent placement services. Our diligent recruitment and screening process ensures that our clients receive the best possible candidates for their job openings.
With our expertise and extensive network, we are able to serve clients of all sizes, across the United States. We understand the value of having a flexible workforce, and are committed to providing consistent and proactive support to ensure the success of your business.
If you are in need of skilled and dedicated professionals to support your healthcare organization, contact Texas Nursing Services today. We will work closely with you to understand your needs and provide the right solutions to meet your staffing needs. Apply now to discover the benefits of partnering with us.
At Texas Nursing Services, we are committed to attracting top talent in the healthcare industry. We understand that quality care starts with a talented and dedicated team, and that is why we strive to create a positive and supportive work environment for all of our nurses.
We are proud to offer competitive compensation and benefits packages, as well as ongoing training and development opportunities to help our nurses grow and succeed in their careers.
But we also recognize that it takes more than just a good salary to attract top talent. That is why we place a strong emphasis on creating a culture of teamwork and collaboration, where our nurses can feel valued and supported as they work to deliver the highest level of care to our patients.