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Travel Nurse (RN) Tele/Stepdown (Telemetry/PCU) Roanoke, VA
$2,009 to $2,259 weekly

Posted June 25, 2026 - ID:1100658 Verified This job was verified as an active available position.
Job Details
Start Date
7/13/2026
Shift
Nights
Duration
13 weeks
Hours
12 hours
Specialty
Nursing, Tele Step-down
City
Roanoke
State
VA
Experience
1 Years
Estimated Pay
$2,009 - $2,259 weekly
Requirements
  • Required certification: Tele Step-down
  • 1+ years of experience
  • Key Requirements Summary: 1. Experience: 2 years required for submission; Patient Ratio Experience of 5 required 2. Cases: PCU/DOU/IMC/Stepdown experience required; Pre/Post Cardiac Cath; telemetry; stable vent experience preferred; IV therapy, phlebotomy, and blood product administration; central line care, trach management, CPAP/BiPAP, chest tubes (Emerson/PleurEvac); cardiac monitoring, dysrhythmia interpretation and management, titrating cardiac drips; PCA and heparin protocols, IV insulin, endocrine/metabolic conditions 3. Certifications: ACLS and BLS required; CPI, NIHSS, and Trauma preferred (marked with asterisk); must be AHA or equivalent 4. License: Active Virginia State or Compact RN license required; Pending license accepted only if candidate holds a single-state license from a non-compact state; Active license required at time of submission 5. Education: Not specified 6. EMR: Epic experience required 7. Shifts/Call: 3x12s, 6:45p-7:15a (nights); floating re-evaluated every 4 hours, traveler may float 2-3 times per shift; day shift may float at 11a and 3p; night shift may float at 11p; facility may call off 1 shift per 2 weeks; ratios 5:1 PCU and up to 6:1-7:1 MS; may work without CNA support 8. RTO: All RTO must be submitted upfront with the submittal; two pre-approved time off allowed; must work at least 1 holiday per 13-week assignment; winter holidays require 2 holidays worked (Thanksgiving, Christmas/Christmas Eve, NYE/New Year's) 9. Returning Staff: Previous employees (per diem and permanent) must be gone a minimum of one year before returning as a traveler; effective July 1, 2025, facility does not allow travelers to return after working 365 days on assignment despite any separation period; Carilion leadership will review exceptions case by case; travelers ending prior to July 1st are grandfathered under previous one-year policy with a six-month break before reapplying 10. Travel/Local: Candidates residing within 100 miles of facility are considered local and are NOT accepted; calculated from address on Driver's License only; Exception — Inpatient RNs at Roanoke Memorial and Roanoke Community Hospitals: travelers 50-99.9 miles away may be considered for one 13-week assignment with no eligibility to extend; travelers under 50 miles may be considered for one 13-week assignment at a lower bill rate with no eligibility to extend 11. Background: Not specified 12. Modules: Non-billable if completed within first 24 hours of NBO; facility allows 5 hours for orientation modules and 2 hours for Epic for inpatient RNs; may be completed pre-start or during orientation; hours vary by specialty; recorded by facility report and paid upon receipt of approved hours 13. Travel Experience: Not specified as required; first-time travelers accepted 14. Scrubs: Not mentioned 15. Flu Vaccine: Required — Medical/Religious Exemptions Only; COVID-19 Vaccine also required with Medical/Religious Exemptions Only 16. Special Equipment: Chest tubes (Emerson/PleurEvac); BiPAP/CPAP; nasal cannula; PICC line management; central line management; PCA; telemetry/remote monitoring; ratios can be 1:6 with PCU patients and may work without CNA support Critical: Screenshot from traveler confirming commitment to start date must be submitted with submittal. All RTO must be sent upfront. Compliance docs due Wednesday prior to Monday start. Trauma Level I experience preferred. Orientation is 24 hours. Weekend requirement is 6 shifts per 6-week block.
About Roanoke, VA

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