- Company: Vumc
- Location: Nashville, TN
- New
- Full Time
- Nashville, TN
- Apply on company site
Vumc at a glance
mc.vanderbilt.edu- Founded 1874
SEC filings mentioning "Vumc": 50 — search EDGAR
Vanderbilt University Medical Center (VUMC) is a nonprofit academic health system based in Nashville with hospitals and clinics across Middle Tennessee. Founded in 1874 and affiliated with Vanderbilt University, it reported more than 3 million patient visits a year, about 40,000 staff, and 1,741 licensed beds as of 2023. Learn more at Wikipedia or mc.vanderbilt.edu.
1,677 Wikipedia views in June 2026 — a rough gauge of public visibility.
Source: Wikipedia
Vumc is hiring a Registered Nurse. Medicine Stepdown, Full Time Nights (Premium Pay) for its Nashville, TN site. This full-time night position suits professionals exploring Vumc careers or Registered Nurse. Medicine Stepdown, Full Time Nights (Premium Pay) jobs in Nashville, TN and near me openings that reward dedicated clinical work.
Role Overview
The Registered Nurse. Medicine Stepdown, Full Time Nights (Premium Pay) opportunity at Vumc centers on delivering intermediate-level nursing care to medical patients who no longer require intensive monitoring yet need closer attention than general floors provide. Based in Nashville, TN, the role operates on a full-time night schedule and includes premium pay related to those hours. You will partner with a multidisciplinary team to support patient stability, recovery progress, and safe transitions while maintaining high standards of bedside practice throughout the overnight period.
What You'll Do
- Conduct ongoing assessments of patient status, vital signs, and response to treatments in the medicine stepdown setting
- Administer prescribed medications, therapies, and interventions with precision during night shifts
- Coordinate care plans with physicians, specialists, and support staff to address complex medical needs
- Maintain clear, timely documentation within the clinical record system for continuity of care
- Recognize and act promptly on changes in patient condition to prevent deterioration
- Educate patients and families about conditions, medications, and discharge readiness as appropriate overnight
- Uphold infection control, safety protocols, and unit standards throughout each full-time night shift
Who We're Looking For
- Active Registered Nurse licensure permitting practice in Tennessee
- Foundational competence or growing interest in medicine stepdown or progressive care nursing
- Solid clinical judgment, assessment skills, and ability to manage intermediate acuity patients
- Willingness and capacity to work full-time nights with reliability and focus
- Clear communication and collaborative style for effective team interactions
- Dedication to patient-centered care and continuous professional growth in an acute environment
Why Join Vumc
Vumc is hiring for this role and offers a supportive team environment. Team members in Registered Nurse. Medicine Stepdown, Full Time Nights (Premium Pay) positions in Nashville, TN contribute meaningfully to patient outcomes while working alongside committed colleagues who prioritize quality care and mutual support. The opportunity brings schedule structure with premium pay recognition for night coverage and a workplace culture that encourages skill development among nursing professionals seeking stable full-time roles.
Apply Today
To apply, complete your application directly on this page, or you'll be redirected to the employer's application platform to finish submitting there.
To apply for this job please visit vumc.wd1.myworkdayjobs.com.
Explore Vumc online
What people say about Vumc
- Should DayQuil Be Legal?
- Man still alive six months after pig kidney transplant
- Turn any bicycle electric
- How did NPR’s pre-election poll get things so so so wrong?
Recent news
- Vanderbilt Health celebrates 100 years of membership in the American Hospital Association - Vanderbilt Health News
- Nominations sought for 2026 Vanderbilt Prize Student Scholar - Vanderbilt Health News
- Study to examine metabolic complications in adults living with HIV in Nigeria - Vanderbilt Health News
- 75 years of the Vanderbilt Bill Wilkerson Center - Vanderbilt Health News
- Deonna Taylor named Vice President and Chief Nursing Officer of Adult Ambulatory Nursing - Vanderbilt Health News
Aggregated from public discussions and news; opinions are the authors’ own.
Working in Nashville, Davidson County
Weather right now in Nashville, Davidson County: checking… · Local time: · Air quality: · Daylight: · UV index: · Wind: · Pollen:
This role is on-site in Nashville, Davidson County, Tennessee. Nashville is the core of Middle Tennessee; the state sits in the U.S. Southeast and borders Kentucky, Virginia, North Carolina, Georgia, Alabama, Mississippi, Arkansas, and Missouri (Tennessee overview).
Tennessee, officially the State of Tennessee, is a landlocked state in the Southeastern region of the United States. It borders Kentucky to the north, Virginia to the northeast, North Carolina to the east, Georgia, Alabama, and Mississippi to the south, Arkansas to the southwest, and Missouri to the northwest. Tennessee is the 36th-largest by area and the 15th-most populous of the 50 states. Accor
🇺🇸 Relocation safety for US: Exercise Normal Caution — via Warnely, CC BY 4.0
National unemployment rate in US: 4.2% — via World Bank
Private-sector wage growth (year over year): 3.3% — via FRED
National quits rate: 1.9% — via FRED (BLS JOLTS)
GDP per capita in US: $90,027 — via World Bank
Consumer price inflation in US: 2.9% (annual) — via World Bank
Real GDP growth in US: 2.2% (annual) — via World Bank
Average hours worked per year in US: 1,800 — via OECD
Cost of living in Tennessee: 8.1% below the national average — via BEA
Most recent FEMA-declared disaster in Davidson County: Severe Winter Storm (Winter Storm), Feb 2026 — via FEMA
Most common commute in Davidson County: Drove Alone (67%) — via US Census ACS / Data USA
Households with home internet in Davidson County: 93% — via US Census ACS / Data USA
Nearby history: Shelby Street Bridge, listed 1986 (200m away) — via National Register of Historic Places
Typical climate: average high 69°F / low 48°F year-round (summers around 87°F, winters around 29°F) — via NOAA 1991-2020 Normals
Walkability: Most walkable (18.7/20) — via EPA National Walkability Index
Typical rent nearby: $1,578/mo (1BR) · $1,730/mo (2BR) — via HUD Fair Market Rents
- Elevation 128m (420 ft)
Source: Wikipedia (state)
Be ready to discuss stepdown/telemetry experience, night-shift stamina, escalation judgment, and teamwork in a large academic medical center. Recent VUMC news highlights research, prizes, and long institutional milestones—useful context for why you want this system, not a substitute for clinical examples.
Strong fit if you want bedside medicine stepdown nights at a large Nashville academic health system and can work fully on-site overnight. Weak fit if you need days, remote options, or a smaller non-academic setting.
Job details above are provided by the employer/source. The sections on this page are compiled from public data sources with AI assistance.
Accommodations: if you need a workplace accommodation to apply for or perform this job, see ADA.gov or EEOC.gov for guidance on your rights and how to request one.
Listing facts
- Role Registered Nurse. Medicine Stepdown, Full Time Nights (Premium Pay)
- Employer Vumc
- Location Nashville, TN
- Type Full Time
- Posted July 13, 2026
- Apply by 2026-08-12
- Country context US
- Overview Full original description on this page (398 words; rewritten for clarity, not a teaser paste)
Facts above come from this job record on Get A Job.AI — not copied from third-party review sites.
Public discussions & open sources
Attributed public threads and profiles — not employee reviews or star ratings.
- Hacker News — Should DayQuil Be Legal?
- Hacker News — Man still alive six months after pig kidney transplant
- Hacker News — Turn any bicycle electric
- Hacker News — How did NPR’s pre-election poll get things so so so wrong?
Cached public sources (Hacker News, Dev.to, GitHub, etc.).
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