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Travel Nurse (RN) Tele/Stepdown (Telemetry/PCU) Roanoke, VA
$1,766 to $2,016 weekly

Posted June 15, 2026 - ID:1096651 Verified This job was verified as an active available position.
Job Details
Start Date
7/06/2026
Shift
Days
Duration
13 weeks
Hours
12 hours
Specialty
Nursing, Tele Step-down
City
Roanoke
State
VA
Experience
1 Years
Estimated Pay
$1,766 - $2,016 weekly
Requirements
  • Required certification: Tele Step-down
  • 1+ years of experience
  • POSITION: RN General Medicine PCU (Vent Experience Required) SCHEDULING DETAILS AND CHARTING ================================== Shift hours : 3x12s, days 645a-715p Charting: EPIC experience required Weekend Requirement: May be EOW or 6 weekend shifts in a 6-week scheduling block RTO, Block & Special Scheduling Requests: ALL requests must be included with the submission. Call off Policy: Facility is allowed to call off 1 shift per 2-weeks. Holiday Requirement: Must work one holiday per 13-week contract. Accept First-Time Travelers: Yes. Locals Accepted? Yes, locals accepted. Refer to Submittal Instructions for radius rule criteria. REQUIRED LICENSE & CERTIFICATIONS ================================= ACLS, BLS, NIHSS Pending License Accepted: Yes, only if the candidate holds a single-state license from a non-compact state. Otherwise, submission must include an active Virginia State or Compact RN/LPN license. REQUIRED CLINICAL SKILLS ============================ Cardiac monitoring, emergency response, and dysrhythmia interpretation/management IV therapy, phlebotomy, blood product administration, and central/peripheral line care Medication administration including cardiac drips (no titration) Respiratory support: nasal cannula, oxygen administration, non-invasive airway management Ventilator care for chronic trach and vent patients Rapid Response and Code team activation Isolation precautions and telemetry settings across PCU, DOU, IMC, and stepdown units UNIT DETAILS AND FLOATING ============================= Ratios: Typically 1:5. General PCU unit. Hybrid unit consisting of 10 PCU beds and 2 ICU beds. Vent/trach dependent patients Common diagnosis: DKA, COPD, Sepsis, Suicide/Overdose, Chronic respiratory failure, renal failure 2 beds for chronic trach patients Remote telemetry (monitors remain on unit); tele sitting implemented to increase Patient Care Tech coverage Floating: Will be required to float within skillset HOSPITAL HIGHLIGHTS ======================= Carilion Roanoke Memorial Hospital is a large acute care facility in Roanoke, Virginia, with over 700 licensed beds. It is recognized as a Level I Trauma Center, Magnet-designated, and a teaching hospital affiliated with Virginia Tech Carilion School of Medicine. The hospital offers advanced specialty care, including bariatric, trauma, and surgical services. Modified Time:7/6/2026 12:00:00 AM Account Manager: Danielle Thornton Account Manager Email: [email protected] COVID-19 Vaccine: Required - Medical/Religious Exemptions Only Flu Vaccine: Required - Medical/Religious Exemptions Only Submittals:Low Job Requirements & Qualifications Previous Charge Experience : - Years of Experience : 1 Patient Ratio Experience : 5 Charting System Experience : Required Charting System Name : Epic Community Hospital Experience : - LTAC Experience : - Trauma Level I Experience : - Trauma Level II Experience : - Travel Experience Required : - Certifications : ACLS, BLS, NIHSSSkills : Telemetry, PCU/DOU/IMC/Stepdown, Interpretation of dysrhythmias, Management of dysrhythmias, Use of Rapid Response/Code teams, Blood Product Administration, Central line care/management, Peripheral Line Care/Management, Manage Cardiac drips- no titration, Nasal Cannula, Oxygen administration, Non-invasive airway management, Isolation Precautions/PPE Unit Details Staffing & Scheduling Scheduling Type : self Patient Ratios Days : 5 Patient Ratios Nights : 5 Patient Ratios Weekends : 5 Float Required : Occasional float to another PCU or MS level of care Call Required : - Weekend Coverage : True Number of Weekend Shifts Per Contract : required 6 weekend shifts in a 6-week scheduling block Pre-Approved Time Off : two Orientation Hours : 32 Facility & Patient Care Details Patient Age Groups : Adults, Geriatrics Daily Census : 20/ 25 bed unit, 5 beds blocked/ semi private Number of Visits Per Day : - Number of Rooms : 20 Number of Beds : 20 Additional Unit Information Interdisciplinary Support : Physical Therapy, Respiratory Services, Interpretation Services, Phlebotomy, Radiology, Social Services, Rapid Response Teams, Pharmacy, Transportation, Unit Secretary Patient Diagnoses : *EPIC REQUIRED* Resident and Mid-level in house This unit is our PCU LOC/ Step down unit to one of our Medical ICU's. This unit is primarily a general medicine, faculty medicine/ teaching unit Special Procedures/Unit Details : The unit does have 2 vent capable beds for chronic trach patients. They are not considered ICU level of care. *Ortho equipment *Chest tubes *IV drips: Cardizem, Heparin, Insulin, Low dose dopamine and dobutamine, Amiodarone, Nitro, Bumex, Lasix to name a few *Trach PICC line MML Oxygen modes: cpap, bipap Special Equipment : *Telemetry is remote; however, monitors remain on units. *Implemented tele sitting in order to be able to place additional Patient Care Techs back on the unit *Goal ratio is 4:1; however, they do 5:1 mostly *We have a very large team of nurses that float throughout the building but there may be times you would be ask to float to another PCU or MS level of care unit *May work without CNA support #Tier2 Travel Compliance Please send all RTO up front with the submittal Please send a screenshot from your traveler confirming their commitment to starting on the date they are being submitted with. Active license required Travelers are required to work at least 1 holiday per 13-week assignment with the exception of winter holidays where they are required to work 2 holidays (Thanksgiving, Christmas/Christmas Eve, NYE/New Years). Compliance docs due Wednesday prior to Monday start Candidates who reside within 100 miles of the facility are considered local, Local candidates are not accepted.* 100 miles from the facility is calculated from the address listed on candidate's Driver's License only. No additional proof of residency will be accepted. Exception : Inpatient RNs at Roanoke Memorial and Roanoke Community Hospitals: Travelers who live 50-99.9 miles away may be considered for one 13-week assignment with no eligibility to extend. Exception : Inpatient RNs at Roanoke Memorial and Roanoke Community Hospitals: Travelers who live 50 miles away may be considered for one 13-week assignment at lower bill rate with no eligibility to extend. Exception: RRT (Neo/Peds) at Roanoke Memorial : Travelers who live 50-99.9 miles away may be considered for one 13-week assignment with no eligibility to extend. Return Travelers : Previous employees (both per diem and permanent) must be gone for a minimum of one year before returning to work as a traveler. Separation Policy (effective July 1, 2025): Facility does not allow travelers to return after they have worked on assignment for 365 days, despite any separation period . Carilion leadership will review exceptions to this policy on a case by case basis. *Note: Travelers that end prior to July 1 st will be grandfathered under the previous one-year policy. They will take a six-month break and can then reapply as a traveler, eligible for another full year. Modules : Modules are billable, average 2 - 8.5 hours Modules are completed during the first week of assignment, and hours vary based on specialty Modules are recorded by facility report and paid upon receipt of approved hours from facility, this occurs bi-weekly and are generally paid out in their 2nd or 3rd paycheck. Submittal Details: #Tier2 Travel CompliancePlease send all RTO up front with the submittalPlease send a screenshot from your traveler confirming their commitment to starting on the date they are being submitted with.Active license requiredTravelers are required to work at least 1 holiday per 13-week assignment with the exception of winter holidays where they are required to work 2 holidays (Thanksgiving, Christmas/Christmas Eve, NYE/New Years).Compliance docs due Wednesday prior to Monday startCandidates who reside within 100 miles of the facility are considered local, Local candidates are not accepted.* 100 miles from the facility is calculated from the address listed on candidate's Driver's License only. No additional proof of residency will be accepted.Exception: Inpatient RNs at Roanoke Memorial and Roanoke Community Hospitals: Travelers who live 50-99.9 miles away may be considered for one 13-week assignment with no eligibility to extend.Exception: Inpatient RNs at Roanoke Memorial and Roanoke Community Hospitals: Travelers who live 50 miles away may be considered for one 13-week assignment at lower bill rate with no eligibility to extend.Exception: RRT (Neo/Peds) at Roanoke Memorial: Travelers who live 50-99.9 miles away may be considered for one 13-week assignment with no eligibility to extend.Return Travelers: Previous employees (both per diem and permanent) must be gone for a minimum of one year before returning to work as a traveler.Separation Policy (effective July 1, 2025): Facility does not allow travelers to return after they have worked on assignment for 365 days, despite any separation period.  Carilion leadership will review exceptions to this policy on a case by case basis.  *Note: Travelers that end prior to July 1st will be grandfathered under the previous one-year policy.  They will take a six-month break and can then reapply as a traveler, eligible for another full year.Modules:Modules are billable, average 2 - 8.5 hoursModules are completed during the first week of assignment, and hours vary based on specialtyModules are recorded by facility report and paid upon receipt of approved hours from facility, this occurs bi-weekly and are generally paid out in their 2nd or 3rd paycheck.
About Roanoke, VA

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