Per Diem · Nursing

Per Diem Stepdown Jobs

Self-scheduled per diem Stepdown shifts in 5 cities — weekly pay, no long-term commitment.

Care Connect Staffing places per diem Stepdown clinicians in 5 cities across 3 states. Join the per-diem float pool once, then see open shifts as they post and pick up only the ones that fit your week. Pay is weekly and there is no long-term commitment.

Per diem Stepdown jobs by city

About per diem Stepdown work

Stepdown (progressive care) nurses bridge the gap between the ICU and general medical-surgical floors, caring for patients who need closer monitoring than a standard unit provides but no longer require full intensive care. Typical duties include continuous cardiac monitoring, titrating select medications per protocol, managing high-flow oxygen therapy, and watching for early signs of deterioration.

Per-diem stepdown shifts typically appear in progressive care, intermediate care, and cardiac stepdown units. The role calls for critical-care level assessment skills at higher patient ratios, so units generally look for per-diem clinicians with recent telemetry or progressive-care experience who can start with limited orientation.

Credential and licensure expectations vary by state and care setting, and typically include:

  • Active RN license for the state where the shift is located (requirements vary by state)
  • BLS and ACLS certifications are commonly required
  • Telemetry/rhythm interpretation competency is typically expected
  • Recent stepdown, PCU, or telemetry experience is frequently requested

Frequently asked questions

How does self-scheduling work for per diem shifts?

Per diem work with Care Connect Staffing is self-scheduled: once you join the per-diem float pool, you see open Stepdown shifts as they post and pick up the ones that fit your schedule. You choose when you work — there is no assigned rotation.

How often do per diem clinicians get paid?

Per diem shifts through Care Connect Staffing pay weekly.

Is there a long-term commitment?

No. Per diem work has no long-term commitment — you build a schedule around your life and pick up shifts only when you want them.

How do I apply for Stepdown per diem shifts?

Apply through the Care Connect Staffing candidate portal at candidate.careconnectstaffing.com. Create a profile, complete onboarding, and you can start picking up open shifts as they post.

Do shift availability and volume change from week to week?

Yes. Shift volume is based on recent posting history and varies week to week, so the number of open shifts you see will change as facilities post new needs.

Open shifts are based on recent posting history and vary week to week. Care Connect Staffing is the hiring agency for these per-diem opportunities.