New Grad RN Resident – Neuro Stepdown

About the role

Cleveland Clinic’s new Neurological Institute, scheduled to open in 2026, will be a state-of-the-art facility that makes it easier to treat high-acuity patients — those suffering from brain tumors, strokes, and complex spine injuries — without them ever having to leave the facility. Part of the new Neurological Institute is a 210-bed inpatient area with enhancements that include modular spaces, floor-to-ceiling windows in all-private rooms, video technology to monitor patients, a “touchdown” space with computer between every two rooms on inpatient floors, and relaxing lavender rooms on each inpatient floor to offer caregivers an area to decompress.

Cleveland Clinic’s H62/H63 Neurology Stepdown Unit provides top-quality patient care to diverse populations of neurological and medical-surgical patients. Caregivers in this unit care for young adult, adult, and geriatric patients with varying diagnoses such as ischemic and hemorrhagic strokes, subdural hematomas, status epilepticus/seizures, brain tumors, neuromuscular disorders, and spinal injuries. Complex neurological procedures — including intracranial pressure monitoring, seizure monitoring, lumbar punctures, blood transfusions, corpak placements, cervical traction placements, and central/arterial line placement — are commonly performed in this unit. Caregivers can also float to med/surg units six months after hire.

Responsibilities

• Participate in a residency core curriculum based on individual learning needs.
• Provide direct nursing care alongside a success coach.
• Establish and/or revise priorities for patient care (acuity of need, patient preference, and resource availability).
• Respond to data indicating risk to patients’ health and initiate action to correct, reduce, or prevent risk.
• Seek supervision, consultation, and assistance when unable to perform safely and independently.
• Document in patients’ medical records.

Requirements

Minimum qualifications

• Graduate from an accredited School of Professional Nursing (Diploma, ADN, or BSN program).
• Current state licensure as a Registered Nurse (RN).
• Basic Life Support (BLS) certification through the American Heart Association (AHA) or the American Red Cross.
• If in a Critical Care area: Advanced Cardiac Life Support (ACLS) through American Heart Association (AHA) or American Red Cross must be presented upon hire or within first year of employment.
• New grad or less than one year RN work experience, or experienced RN moving from non-inpatient to acute direct care clinical inpatient setting with less than one year current acute direct patient care RN experience.

Preferred qualifications

• Bachelor of Science in Nursing (BSN).

Benefits

• Professional growth through a one-year, accredited Nurse Residency program with nine tailored tracks, including online modules, simulation lab, and hands-on training.
• RN Loan Repayment program to help pay off student debt.
• Tuition Reimbursement program to reinvest in your career.
• Relocation assistance (if eligible).
• Center for Workplace Violence Prevention and Caregiver Well-Being prioritizing caregiver safety, including incident identification, reporting, response, and safety resources.

Pay

Pay range: $35.50 – $55.60 per hour. The range reflects the anticipated range for new hires; actual compensation is determined after considering work history, experience, skill set, and education. The range does not include shift differentials, overtime, or the value of the benefits package (healthcare, dental, vision, retirement contributions, etc.).

Schedule

Three 12-hour rotating day/night shifts: 7:00 p.m. – 7:30 a.m. and 7:00 a.m. – 7:30 p.m., with every other weekend and holiday rotation requirements.

Physical Requirements

• Full range of body motion including handling and lifting patients, manual and finger dexterity, and eye-hand coordination.
• Standing and walking for extended periods.
• Corrected vision and hearing to normal range.
• Working under stressful conditions and irregular hours.
• Exposure to communicable diseases and/or body fluids.
• Medium Work: exerting 20–50 pounds of force occasionally, 10–25 pounds frequently, and/or greater than negligible up to 10 pounds constantly to move objects. Physical demands exceed those for Light Work.

Personal Protective Equipment

Follows Standard Precautions using personal protective equipment as required for procedures.