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Registered Nurse (RN) Medical Critical Care Stepdown

Inova Health System·Falls Church, Virginia

$39 - $64/hr·Full Time·On Site·0-2 yrs·
Posted 1 day ago
Practice for this role

About the role

The RN performs comprehensive patient assessments and formulates individualized care plans for critically ill patients in a stepdown unit. They coordinate with multidisciplinary teams to ensure high-quality, family-centered care and manage patient transitions.

Inova Fairfax Hospital is looking for a dedicated Registered Nurse (RN) to join our Medical Critical Care Stepdown Unit. This role will be full-Time Day + Night rotations (days vary); 7:00a.m./p.m. – 7:00 p.m./a.m. with weekend & holiday rotations (approximately 5 weekend shifts in a 6-week period + 2 holiday shifts per year). Sign-on bonus and relocation assistance available for eligible nurses.

Inova is consistently ranked a national healthcare leader in safety, quality and patient experience. We are also proud to be consistently recognized as a top employer in both the D.C. metro area and the nation.

We honor our RN’S for providing world-class healthcare-every time, every touch- to each person in every community we have the privilege to serve!

Inova Fairfax Hospital Intermediate Care (IMC) also known as the Medical Critical Care Stepdown Unit (MCCSU) is a 24-bed unit specializing in the care of stable but critically ill patients.

Our goal is to provide transition-level care to patients who while stable, still require a high degree of support.

The IMC/MCCSU patient population consists of a wide range of both medical and surgical diagnoses including Kidney transplant, Diabetic Ketoacidosis, Respiratory Disorders, End of Life Cancer, and Ventilator management with an emphasis on weaning.

Assignments are based on patient acuity and staff skill level.

The usual nurse/patient ratio is 3:1.

Featured Benefits

  • Committed to
  • Team
  • Member
  • Health: offering medical, dental and vision coverage, and a robust team member wellness program.
  • Retirement: Inova matches the first 5% of eligible contributions – starting on your first day.
  • Tuition and
  • Student
  • Loan
  • Assistance: offering up to $5,250 per year in education assistance and up to $10,000 for student loans.
  • Mental
  • Health
  • Support: offering all Inova team members, their spouses/partners, and their children 25 mental health coaching or therapy sessions, per person, per year, at no cost.
  • Work/Life
  • Balance: offering paid time off, paid parental leave, and flexible work schedules

Registered Nurse (RN) Medical Critical Care Stepdown Job Responsibilities

  • Performs comprehensive patient health assessments by interpreting multiple data sets and synthesizing their relationships.
  • Formulates individualized plans of care based on assessment findings and interpreting trends in patient populations to achieve best practice.
  • Conducts all patient care in a patient and family centered manner, integrating knowledge, skills and experiences to meet the needs of patients and families throughout the continuum of care.
  • Advocates for patients' rights from the patient and family perspective and provides counsel while acting as a resource to resolve issues.
  • Accesses resources from all disciplines to achieve desired patient outcomes and coordinates healthcare and alternate services for patient/family transition planning.
  • Documents all patient care activities, as per documentation standards, and assists healthcare team members with documentation.
  • Evaluates the process to achieve outcomes, anticipates patient variances and makes revisions to plans of care.
  • Makes clinical decisions based on experience, patient population data and intuition while promoting the development of clinical decision making of all team members.

Minimum Qualifications

  • Education: BSN or AD. If RN has an AD, within 2 years from date of hire, they must meet with their nurse leader and conduct the following: 1.) Identify which accredited school they plan to attend 2.) Provide a written plan with anticipated BSN completion date 3.) Submit a review of transcripts from the school indicating the required pre-requisites and timeline for taking the courses 4.) Complete BSN within 5 years of start date
  • Experience: 1 year of experience as a Registered Nurse, for Critical Care units, 1 year of experience as a Registered Nurse in a critical care setting or completion of a critical care fellowship.
  • Certification: BLS & ACLS from American Heart Association; Licensed or eligible for licensure in the Commonwealth of Virginia as a Registered Nurse or an active multi-state Registered Nurse license

Preferred Qualifications

  • Experience: Intermediate Care, ED, PCU, PACU, and/or Cardiac Telemetry strongly preferred.
  • Other: Good communication skills, professional, team player, takes feedback well, proactive listener.
  • We are Inova, Northern Virginia’s leading nonprofit healthcare provider.
  • Every day, our 26,000+ team members provide world-class healthcare to the communities we serve.
  • Our people are the reason we're a national leader in healthcare safety, quality and patient experience.
  • And from best-in-class facilities to professional development opportunities, we support them at every step.
  • At Inova, we're constantly striving to be ever better — to shape a more compassionate future for healthcare.

Inova Health is an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to age, color, disability, gender identity or expression, marital status, national or ethnic origin, political affiliation, pregnancy (including childbirth, pregnancy-related conditions and lactation), race, religion, sex, sexual orientation, veteran status, genetic information, or any other characteristics protected by law.

Requirements

Candidates must have a BSN or AD (with a plan to complete BSN) and at least one year of experience in a critical care setting or completion of a fellowship. Required certifications include BLS and ACLS from the American Heart Association and a valid Virginia RN license.

  • associate degree
  • bachelor degree
  • Patient Advocacy
  • Care Planning
  • Communication Skills
  • Clinical Decision Making
  • Patient Documentation
  • Patient Health Assessment
  • Ventilator Management
  • Interdisciplinary Coordination
  • Critical Care Nursing
  • Patient Transition Planning

Posting details

Employment type
Full Time
Work arrangement
On Site
Experience
0-2 yrs
Salary
$39 - $64/hr
Location
Falls Church, Virginia
Posted
Jul 26, 2026
Application
Employer website
IH

Hiring organization

Inova Health System

We are Inova, Northern Virginia and the Washington, D.C. metropolitan area’s leading nonprofit healthcare provider. With expertise and compassion, we partner with our patients to help them stay healthy. We treat illness, heal injury and look at a patient’s whole health to help...

Salary listed on 93 jobs
IndustryHospitals and Health Care
TypeNonprofit
Size10,001+ employees
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Market context

Virginia nursing roles remain in steady demand

In Virginia, nursing-related roles are typically supported by steady demand across hospitals, clinics, and long-term care settings. These positions are competitive because employers often look for both patient-care experience and current credentials, and this role requires a high school diploma, BLS certification, and one of several entry pathways such as CNA, EMT-B, Medical Assistant graduate status, or nursing program progress. Review the AI-summarized requirements and benefits here to save time, then confirm your certification status and clinical hours before applying.

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