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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.
As a full-time night Registered Nurse on Medicine Stepdown at VUMC, you would care for medically complex patients who need more monitoring than a floor unit but less intensity than ICU. Expect overnight assessments, meds, continuous monitoring, rapid response to status changes, and tight handoffs with day shift and the broader care team. Premium night pay is part of the posted package; the pace is continuous overnight coverage, not remote work.
No. The listing is on-site in Nashville, TN (remote flag is off).
Stepdown nurses care for patients needing closer monitoring and higher acuity support than general medicine floors, typically short of full ICU intensity.
Vanderbilt University Medical Center is Nashville’s major nonprofit academic health system, affiliated with Vanderbilt University, with hospitals and clinics across Middle Tennessee.
Website: mc.vanderbilt.edu
The Vanderbilt University Medical Center (VUMC) is a medical provider with multiple hospitals in Nashville, Tennessee, as well as clinics and facilities throughout Middle Tennessee. VUMC is an independent non-profit organization but maintains academic affiliations with Vanderbilt University. As of 2023, the health system had more than 3 million patient visits a year, a workforce of 40,000, and 1,741 licensed hospital beds.
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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…
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