Stepdown Nurse (RN) in Lexington, NC

Company: Soliant
Location: Lexington
Posted on: February 6, 2026

Job Description:

Job Description Job Description Nursing degree, active registered nurse (RN) license and minimum 1 years RN experience required. Applicants who do not meet these qualifications will not be considered. An excellent opportunity exists for an experienced RN with stepdown or ICU background to work on a newly opening progressive care unit transitioning to intensive care. This contract position is based in Lexington, NC, offering the chance to contribute to a high-acuity cardiac-focused unit starting early 2026. Location: Lexington, NC Lexington is known for its friendly community atmosphere and vibrant local culture. Positioned within accessible distance to larger metropolitan areas, it offers a balanced lifestyle with both small-town charm and modern conveniences. Position Highlights: - Contract role at a new 10-12 bed stepdown unit turning into a full ICU by year-end - Care for complex cardiac patients including post-open heart surgery, heart transplants, vascular surgeries, and advanced cardiac devices - Ratios initially 1:3-4, tightening to 1:2-3 when transitioning to ICU level of care - Supportive interdisciplinary team with around-the-clock hospitalist, intensivist, RT, and specialty resources - Opportunity to utilize high-level critical care skills: Swanz-Ganz, Impella, wound care, defibrillation, EKG interpretation, chest tubes, art lines, multiple drips, ventilator care post-transition Qualifications / Desired Experience: - Minimum 2 years of ICU or progressive care experience (CVICU preferred) - BLS, ACLS, NIHSS certifications required - Skilled in managing complex cardiac patients with invasive monitoring and advanced therapies - Experience with LVAD and post-cardiac transplant preferred but not mandatory (training provided) - Comfortable with high-acuity critical care, including hemodynamic monitoring and advanced cardiac life support interventions Responsibilities: - Provide expert nursing care for a broad range of cardiac and surgical patients - Collaborate closely with multi-disciplinary teams including respiratory therapy, hospitalists, and specialists - Participate in self-scheduling with weekend rotation every other week, no on-call duties - Comply with orientation and unit-specific training programs for smooth integration Schedule: - 12-hour shifts, either 6:30 am7:00 pm or 6:30 pm7:00 am - Holiday coverage expected approximately 50% during contract duration - Self-scheduling system allows personalized shift preferences Perks: - Free parking on-site - Royal blue scrubs dress code - Robust multi-disciplinary support including resource RNs, CNA assistance, phlebotomy, and PICC teams This contract opportunity allows experienced critical care nurses to make a significant clinical impact while working in an evolving, cardiac-specialized unit environment. Candidates ready to support patients through complex recoveries and procedures are encouraged to apply. Take the next step in your nursing career by applying today for this vital contract role in Lexington, NC.

Keywords: Soliant, Raleigh , Stepdown Nurse (RN) in Lexington, NC, Healthcare , Lexington, North Carolina