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Covenant Health

Covenant Health

Advertised Registered Nurse, Step-down Unit

Location : Knoxville, TN, 37998

Job Type : Full Time

Date Posted : 31 October 2025

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  4. Advertised Registered Nurse, Step-down Unit job in Knoxville, TN, US

Registered Nurse, Step-down Unit

Full Time, 72 Hours Per Pay Period, Day shift

Parkwest Overview:

Headquartered in Knoxville, Covenant Health is a community-owned integrated healthcare delivery system and the area's largest employer.

Parkwest is Covenant Health's and West Knoxville's premier medical facility and a top-performing heart hospital, offering our patients world-class treatment with all the convenience and warmth of home.

In addition to providing the area's leading cardiac services, Parkwest has been nationally recognized for award-winning care throughout our facility. For 2020-21, Parkwest received recognition from U.S. News & World Report as one of the "Top 10" hospitals in Tennessee.

Knoxville located in East Tennessee is the third largest in the state, well-known for its proximity to the Great Smoky Mountains National Park, and is the home of the University of Tennessee. Living in Knoxville means experiencing all four seasons. Best of all, each of them is pretty mild!

Combine all that with the abundant natural beauty of the surrounding mountains, and you have a city that truly offers something for everyone. Knoxville has a vibrant arts culture, seasonal festivals, top-notch foodie and incredible outdoor recreation. It's a perfect blend of big-city amenities and Southern charm.

2 Montvue, Step-down Unit:

2 Montvue is Parkwest's Medical Step-Down Unit that serves patients requiring step-down status due to higher acuity conditions and the need for increased monitoring. Patient diagnoses include respiratory failure, sepsis, gastrointestinal bleed, arrhythmias, hypertensive urgency, electrolyte imbalance, NSTEMI, pulmonary embolus, altered mental status, seizures, substance withdrawal, and strokes and other diagnosis requiring increased care.

The Step-down Unit accepts patients on a variety of intravenous drips that require titrations and frequent monitoring of vital signs, as well as tracheostomy ventilator patients. The unit provides patients with nursing care, medical monitoring, and an array of diagnostic and therapeutic procedures. Bed side report and daily rounding with a multidisciplinary team allow for excellent patient care.

You will find an energetic team made up of Registered Nurses, Patient Care Assistants and Health Unit Coordinators who are team oriented, morale boosters and have been deemed by students as "The most welcoming unit". The Medical Step-down unit uses a modified six-week self-scheduling model with an every other weekend requirement.

If you are looking for a higher acuity unit, love working in a fun team environment, 2 Montvue, Medical Step-down is the place for you!

Position Summary:

Provides professional nursing care within an assigned unit; coordinates care planning with other disciplines.

Responsibilities

  • Correlates patient history and support systems within hospital care/nursing home care.
  • Assesses needs of patient and family.
  • Develops and initiates plan of care, involving patient and family.
  • Recommends interventions.
  • Evaluates plan of care.
  • Clinical expertise and knowledge is such that individual can resolve complex patient/management/physician problems without supervision.
  • Demonstrates competence in performing critical skills to include appropriate delivery of care according to the age-specific needs of the population served.
  • Leads process improvement initiatives in their own unit or participate in facility team.
  • Precepts new employees/students or attends formal preceptor workshop and is willing to precept. Reviews clinical performance of preceptee with unit leader or clinical instructor.
  • Provides four contact hours of educational activities, excluding basic patient education.
  • Contributes to development and evaluation of unit orientation program.
  • Supervises LPNs, Nursing Assistants, HUCs, Techs, and sitters.
  • Follows policies, procedures, and safety standards. Completes required education assignments annually. Works toward achieving goals and objectives, and participates in quality improvement initiatives as requested.
  • Performs other duties as assigned.

Qualifications

Minimum Education:

None specified; however, must be sufficient to meet the standards for achievement of the below indicated license and/or certification as required by the issuing authority.

Minimum Experience:

Minimum of three (3) years professional experience.

Licensure Requirement:

Must have and maintain Tennessee State RN licensure. CPR required

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