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Registered Nurse (RN) - Step Down

Tenet Health · Employer

Hospitalist Framingham, MA Full-time Inpatient
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MetroWest Medical Center's Framingham Union Hospital is recruiting an experienced Registered Nurse for its Step Down unit — a progressive care environment within a Joint Commission Gold Seal-accredited, 130-year-old community medical center serving the greater MetroWest region of Massachusetts. The unit supports a medically complex patient population with direct access to one of Healthgrades' America's 100 Best Hospitals for Coronary Intervention, ranked in the top 5% nationally for coronary interventional procedures in 2023. This is a direct patient care role with shift-level accountability, staff supervision responsibilities, and a clear pathway for professional growth within a multi-campus health system.

Perks and Benefits

  • Sign-on bonus up to $15,000 based on eligibility
  • Medical, dental, vision, and life insurance coverage
  • 401(k) retirement savings plan with employer match
  • Generous paid time off
  • Health savings accounts (HSA); healthcare and dependent flexible spending accounts (FSA)
  • Career development and continuing education opportunities
  • Employee Assistance Program and employee discount program
  • Voluntary benefits including pet insurance, legal insurance, accident and critical illness insurance, long-term care, elder and childcare assistance, and auto and home insurance

Practice Highlights

  • Step Down unit providing progressive care for medically complex patients requiring closer monitoring than a general med-surg floor
  • Direct clinical care role with per-shift accountability for patient assessment, care planning, implementation, and evaluation using the full nursing process
  • Supervisory responsibility for staff to whom appropriate care is delegated
  • Accountable to the CNO for quality, safety, competency of clinical staff, and appropriate resource management
  • Practice standards governed by established safety, risk management, quality improvement, and infection control protocols
  • Hospital Incident Command System (HICS) participation required during emergencies and disaster response
  • Multi-campus system: Framingham Union Hospital offers 24-hour emergency care, advanced cardiac care, high-tech cancer treatment, advanced maternity care including a Special Care Level IIB nursery, and high-risk pregnancy services
  • Sister campus Leonard Morse Hospital in Natick provides dedicated behavioral health specialty services
  • Cardiac program recognized among Healthgrades' America's 100 Best Hospitals for Coronary Intervention and top 5% nationally for coronary interventional procedures (2023)
  • Joint Commission Gold Seal of Approval for quality and patient safety

Qualifications

  • Graduate of a state-approved or accredited school of nursing required; bachelor's or master's degree in nursing preferred
  • Active Massachusetts RN license required (or eligibility to obtain licensure in the state of practice)
  • Current CPR certification required
  • Comfort with progressive/step down acuity, including coordination of complex care plans within a prescribed medical regimen
  • Familiarity with HICS roles and hospital emergency code protocols preferred

About the Community

Framingham is a vibrant, diverse city of approximately 70,000 residents located 20 miles west of Boston along the Massachusetts Turnpike — close enough to access world-class dining, culture, and professional sports, yet offering a distinctly suburban quality of life with lower housing costs than the city proper. The MetroWest region is home to excellent public and private schools, abundant recreational trails, and easy access to the lakes and forests of central Massachusetts. Natick, Wellesley, and Hopkinton are all neighboring communities, making this corridor a well-established destination for healthcare professionals seeking a balanced lifestyle within commuting distance of one of the nation's premier medical hubs.