# Job Opportunity – Registered Nurse, Neuro Stepdown – North Carolina
Start Date: October 26, 2026
Location: Charlotte, North Carolina
Compensation: Details provided to qualified applicants
Schedule: 4 x 12-hour night shifts (18:45 - 07:15), 48-hour shifts may be available. Minimum of 3 weekend shifts required every six weeks. No call required. Floating to other intermediate care areas and critical care units as needed.
Highlights:
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Specialized neuro stepdown unit with intermediate medical patient population
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Patient ratio of 1:4 on a 24-bed unit with comprehensive interdisciplinary support
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Epic charting system with 32 hours of orientation including computer training and unit-based shifts
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Contract duration flexible from 16+ weeks through February 27, 2027
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Work with complex neurological cases including CVA, traumatic brain injury, craniotomy, aneurysms, spinal cord injury, and post-neurosurgery patients
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Strong emphasis on teamwork and professional behavioral standards
Requirements:
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Current North Carolina or Compact RN license
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Minimum 2 years of RN experience required; neuro stepdown or progressive care experience strongly preferred
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Previous travel nursing experience required (first-time travelers not accepted)
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Current certifications: ACLS, BLS, NIHSS
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Epic EMR experience required; must pass EKG testing prior to start
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Demonstrated competency in titrating vasoactive drips including Levophed, cardiac drips, and insulin protocols
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Expertise in telemetry monitoring, dysrhythmia interpretation and management
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Proficiency with ventilated patients, BiPAP/CPAP, high flow nasal cannula, chest tubes, and tracheostomy care
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Experience with central lines, PICC lines, blood product administration, and IV therapy
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Competence in neurological assessments and care including lumbar drains, post-TPA care, seizure management, and substance withdrawal
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Skills in feeding tube management, continuous bladder irrigation, pre/post hemodialysis care, and wound care/wound vac
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Ability to adhere to attendance policy and demonstrate professional collaboration with patients and staff
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Willingness to float to other intermediate and critical care areas within the facility
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Completion of 8-10 hours of pre-start online modules (non-billable)
Preferred Qualifications:
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CCRN, TNCC, or CPI certification
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Experience with port access and management, phlebotomy, ICP monitoring, conscious sedation, and triage
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Previous charge nurse experience
Why It's a Great Opportunity:
This position offers the chance to work with a specialized neurological patient population in a progressive care setting with comprehensive support services including IV teams, respiratory therapy, lift teams, and rapid response teams. You'll apply advanced critical thinking skills while managing complex neuro and intermediate medical patients in a collaborative environment that values teamwork and professional excellence. The flexible contract length provides stability through the holiday season while allowing you to make a meaningful impact on patient outcomes.
