Posted Jul 13, 2026 · Last seen active Jul 14, 2026
What this might mean for you
Presbyterian System Services is hiring for its own floors — no agency between you and the manager. The posted pay pencils out to roughly $89k–$118k a year.
About this role
Acute Step down is looking for a skilled nurse for a charge RN position. Charge RN will work under the direction of the Nursing Director, works with the Department RN Manager and RN Assistant Manager as a part of the management/leadership team to provide clinical and operational shift supervision of care processes which includes patient flow, exceptional care experiences, quality processes, patient safety, and direction of unit staff in designated service area(s). May provide direct patient care. The Acute Medical Step-Down unit at Presbyterian Hospital provides care for high acuity patients within a culture that promotes teamwork, professionalism, and mutual respect.
Skills for this role
clinical and operational shift supervisionpatient flowquality processespatient safetydirection of unit staffdirect patient care
Associate Degree in Nursing minimum from an accredited academic nursing program
State of New Mexico or Compact State Nursing License
BLS certification REQUIRED at time of hire
ACLS certification
Specialty Certifications in area of practice preferred
Benefits
Educational and career development options, including tuition and certification reimbursement, scholarship opportunities
Staff Safety wearable badge
Differentials for night/weekend shifts, higher education, certifications and various lead roles
Malpractice liability insurance
Loan forgiveness through the New Mexico Higher Education Department
EPIC electronic charting system
Wellness program including free on-site and community-based gyms, nutrition coaching and classes, mindfulness and meditation resources, wellness challenges
About the employer
PR
Presbyterian System Services
Hospital
Presbyterian System Services operates in Ruidoso, New Mexico (88345), providing healthcare services across multiple care settings including acute hospital care, ambulatory/outpatient services, and pediatric nursing. Based on available job descriptions, the organization staffs an Acute Medical Step-Down unit at Presbyterian…
What reviewers appreciate
+Structured nursing leadership team with clear roles and hierarchy (Nursing Director, RN Manager, Assistant Manager, Charge RN)
+Culture explicitly promoting teamwork, professionalism, and mutual respect
+Variety of nursing practice settings available including acute step-down, ambulatory triage, and pediatric care
What reviewers flag
−Step-down unit manages high acuity patients, which may involve elevated clinical intensity and stress
−Charge RN role combines supervisory duties with potential direct patient care, creating dual responsibilities
Nestled in the high desert along the Rio Grande, Albuquerque blends Southwestern culture with a sunny, four-season climate. The Sandia Mountains frame the skyline to the east, while historic Old Town offers adobe architecture and local shops. A relaxed pace and diverse medical facilities make it an appealing option for nurses seeking a distinctive Southwestern lifestyle.
Workplace photo
