RN Clinical Nurse IV - 5 HV Cardiovascular Surgical Intensive Care (CSICU)

UNC Health Raleigh, NC 27607, US

$38.51 - $58.82 / hour

Description

❤️‍🩹 Clinical Nurse IV Team Lead – 5 HV Cardiovascular Surgical Intensive Care Unit (CSICU)

Full-Time | Night Shift | UNC Health REX

🌟 Lead. Inspire. Make an Impact.

Are you an experienced critical care nurse ready to take the next step in your nursing career? UNC Health REX is seeking a Clinical Nurse IV Team Lead to join our 5 HV Cardiovascular Surgical Intensive Care Unit (CSICU), located within the Heart and Vascular Hospital.

Our 10-bed CSICU provides highly specialized care to complex cardiovascular and surgical patients requiring intensive monitoring and advanced critical care interventions. This is an exciting opportunity for an experienced nurse who is passionate about cardiovascular critical care, clinical leadership, mentorship, and advancing nursing practice.

As a Clinical Nurse IV Team Lead, you’ll serve as an experienced clinical resource and role model for the team while helping promote exceptional patient care, staff development, and a culture of collaboration and accountability.

💙 About the 5 HV CSICU

The 5 HV Cardiovascular Surgical Intensive Care Unit specializes in caring for patients requiring:

Postoperative cardiothoracic surgery recovery
Complex vascular surgery recovery
Extracorporeal Membrane Oxygenation (ECMO)
Advanced hemodynamic monitoring
Mechanical circulatory support
High-acuity cardiovascular critical care
Intensive care interventions for critically ill surgical patients

Our patients range from young adults to geriatric patients and often require complex, highly specialized care throughout their critical illness and recovery.

Care is delivered through a collaborative interdisciplinary team that includes Clinical Nurses, physicians, Advanced Practice Providers, pharmacists, respiratory therapists, perfusionists, care managers, chaplains, patient care technicians, and other specialized cardiovascular care professionals.

🌟 About the Clinical Nurse IV Team Lead Role

The Clinical Nurse IV Team Lead is a key clinical leader within the CSICU, providing advanced nursing care while supporting the team, coordinating patient care, and promoting professional nursing practice.

This role is ideal for an experienced critical care nurse who is ready to lead by example, mentor others, support complex clinical decision-making, and help drive positive outcomes for patients and staff.

🩺 Clinical Leadership Responsibilities – Approximately 70%

As a Clinical Nurse IV Team Lead, you will:

Provide expert, evidence-based nursing care to complex cardiovascular and surgical patients
Serve as a clinical resource, mentor, and role model for nursing staff
Serve as Charge Nurse, coordinating daily unit operations, assignments, patient flow, and patient safety
Support nurses managing complex cardiovascular and critical care patients
Assist staff with clinical prioritization, critical thinking, and escalation of care
Recognize and respond to changes in patient condition and facilitate appropriate interventions
Support care of patients requiring advanced therapies, including ECMO and mechanical circulatory support
Precept, mentor, and support nurses throughout their professional development
Promote safe, evidence-based nursing practice and adherence to clinical standards
Collaborate with physicians, APPs, respiratory therapists, perfusionists, pharmacists, and other interdisciplinary team members
Promote effective communication, teamwork, and accountability across the care team
Support a positive, professional, and collaborative unit culture

📈 Professional Practice & Leadership – Approximately 30%

In addition to providing direct patient care, you will help advance nursing practice and support unit-based initiatives through:

Participation in shared governance and unit/hospital committees
Leadership and participation in quality and performance improvement initiatives
Supporting unit-based education, competencies, and staff development
Mentoring and coaching nursing staff
Promoting patient experience and service excellence
Supporting evidence-based practice and patient safety initiatives
Partnering with nursing leadership to identify opportunities for improvement
Helping foster staff engagement, professional growth, and retention
Promoting a culture of continuous learning and clinical excellence

💙 What You’ll Love About Working Here

A supportive, team-oriented culture focused on collaboration and mentorship
The opportunity to care for a high-acuity cardiovascular surgical patient population
Exposure to advanced critical care technologies and therapies
Opportunities to develop expertise in ECMO, mechanical circulatory support, and advanced hemodynamic monitoring
Strong emphasis on evidence-based practice, patient safety, and quality improvement
Daily collaboration with experienced cardiovascular and critical care clinicians
A state-of-the-art Heart and Vascular Hospital
Opportunities for professional development, clinical advancement, and specialty certification

🩺 Who We’re Looking For

We’re looking for an experienced critical care nurse who demonstrates strong clinical judgment, leadership skills, and a commitment to exceptional patient care.

Preferred Qualifications:

2–5 years of nursing experience, preferably in ICU, CVICU, Surgical ICU, or another high-acuity critical care setting
Previous charge nurse and/or nursing leadership experience
Strong cardiovascular assessment and critical care clinical judgment
Experience caring for postoperative cardiothoracic or vascular surgery patients
Experience or exposure to ECMO, mechanical circulatory support, ventilator management, and advanced hemodynamic monitoring
Demonstrated ability to mentor, coach, and support fellow nurses
Excellent communication and interdisciplinary collaboration skills
Commitment to evidence-based practice, patient safety, and professional development

Incentives Available

This position may qualify for the UNC Health REX Incentive Program, including opportunities such as:

Up to $20,000 commitment incentive, based on eligibility
Up to $25,000 in tuition loan forgiveness, based on eligibility
Up to $10,000 in relocation assistance, based on location
Employee referral program

Take the Next Step

If you’re ready to use your critical care expertise to lead, mentor, and elevate cardiovascular surgical patient care, we invite you to join the 5 HV CSICU team.

Join a team where your experience and leadership can make a meaningful difference—not only for your patients, but for the nurses you work alongside every night.

📩

Apply today and take the next step in your critical care leadership career!

Your passion belongs at UNC Health. Join more than 56,000 teammates working together to improve the health and well-being of the communities we serve across North Carolina.

Summary:
Serves as nursing Team Leader. Provides education, training, and oversight to assigned nursing staff.

Responsibilities:
1. EDUCATION AND PROFESSIONAL DEVELOPMENT - Coordinates, designs and implements educational programs to meet identified learning needs of staff, patients and families. Promotes and ensures staff participation in continuing education, orientation, competency, in-service and staff development offerings. Participates in development and implementation of competency initiatives. Serves as an area of specialty consultant in the design of educational programs. Participates in development of and provides clinical expertise for patient education materials. Promotes professional growth of self and staff. Promotes a conducive environment for learning and provides educational experiences for students.
2. EVALUATION - Evaluates patient progress and revises plan accordingly. Maintains accountability for carrying out components of the plan. Works with manager to ensure care on unit is accordance with policies and procedures.
3. IMPLEMENTATION - Promotes an environment that values diversity, open communication, teamwork and exceptional service. Ensures that appropriate care and services are available to patients, clients and families for assigned shift. Facilitates interdisciplinary collaboration in patient/client care planning to achieve desired patient outcomes. Coordinates care with interdisciplinary team members. Demonstrates and role models clinical expertise in specified patient population and shares expertise with other staff. Promotes and ensures the use of the nursing process to provide quality patient care. Assesses and anticipates patient and family learning needs and organizes resources to ensure that they are met. Performs bedside point of care testing as required for patient care plan.
4. LEADERSHIP - Creates and promotes an environment conducive to recruiting and retaining staff. Provides feedback to Manager/Supervisor and Director to assist in hiring, promoting, transferring and terminating staff. Assists Nurse Manager by providing assigned staff with performance feedback and opportunity to set professional goals. Models and promotes behaviors that effectively give continual feedback to staff and colleagues. Integrates best practice standards regarding retention of staff in all aspects of practice.
5. ASSESSMENT - Synthesizes data from complex situations to determine priorities for care. Includes appropriate physical, psychosocial and educational needs. Synthesizes assessment data into meaningful whole prior to communication with others. Assesses and anticipates discharge needs of individual patients and families. Develops relationships with families that promote their ability to advocate for the patient and their own needs. Works with manager to demonstrate specialization needs to serve the patient population.
6. PLANNING - Establishes and promotes standards of excellence for areas of responsibility and ensures consistent implementation by staff. Provides input about trends related to program development, space needs and fiscal realities. Ensures appropriate and adequate clinical staffing and skill mix to meet patient care needs on own shift and upcoming shift. Effectively uses clinical and financial information to assist Nurse Manager to establish and meet budgetary goals. Collaborates with Nurse Manager to implement strategies to increase revenue and cost-effectively manage personnel, supply and equipment resources. Evaluates the impact of strategic fiscal changes on quality outcomes. Assists Nurse Manager to ensure that internal and external regulatory standards are met or exceeded.
7. RESEARCH AND PERFORMANCE IMPROVEMENT - Collaborates with Nurse Manager to evaluate research that is applicable to practice and promotes changes in standards of care as appropriate. Guides research development and implementation. Utilizes resources in asking research questions and applying appropriate research methods. Shares knowledge with colleagues through publication, presentations or other means. Develops, implements and evaluates new and creative approaches to meeting goals. Leads, participates and promotes performance improvement initiatives that focus on identified patient safety or quality of care opportunities.

Other Information

Other information:
Education Requirements:
● Graduate of Accredited Nursing Program. Bachelor's degree (BSN) required.
Licensure/Certification Requirements:
● Must have NC RN Licensure and BCLS. Professional certification relevant to the practice area and on the ANCC Magnet approved list within the probationary period of employment.
Professional Experience Requirements:
● Minimum of one year experience working as a licensed RN.
Knowledge/Skills/and Abilities Requirements:
● Language Skills: Ability to read, analyze, and interpret clinical information and technical procedures. Ability to document clinical information. Ability to effectively communicate information and respond to questions from patients, physicians, family members, and other Rex staff. Mathematical Skills: Ability to apply concepts such as fractions, percentages, ratios, and proportions to practical situations. Reasoning Ability: Ability to define problems, collect data, establish facts, and draw valid conclusions. Ability to interpret an extensive variety of technical instructions.

Job Details

Legal Employer: NCHEALTH

Entity: UNC REX Healthcare

Organization Unit: Rex CSICU 5HV

Work Type: Full Time

Standard Hours Per Week: 40.00

Salary Range: $38.51 - $58.82 per hour (Hiring Range)

Pay offers are determined by experience and internal equity

Work Assignment Type: Onsite

Work Schedule: Night Job

Location of Job: US:NC:Raleigh

Exempt From Overtime: Exempt: No

This position is employed by NC Health (Rex Healthcare, Inc., d/b/a NC Health), a private, fully-owned subsidiary of UNC Heath Care System. This is not a State employed position.

Qualified applicants will be considered without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, genetic information, disability, status as a protected veteran or political affiliation.

UNC Health makes reasonable accommodations for applicants' and employees' religious practices and beliefs, as well as applicants and employees with disabilities. All interested applicants are invited to apply for career opportunities. Please email applicant.accommodations@unchealth.unc.edu if you need a reasonable accommodation to search and/or to apply for a career opportunity.

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Registered Nurse / Inpatient Rehabilitation Nursing / Full Time Nights

Catawba Valley Health System NC

JOB DESCRIPTION Summary of Performance Expectations Provides professional nursing care and makes nursing care decisions that are appropriate for the age and condition of the patient, using the nursing process. Collaborates with other health care professionals to meet the needs of the patient. Responsible for adhering to CVMC/ departmental policies, procedures, and philosophy to deliver quality patient care, practicing within the guidelines of the North Carolina State Nurse Practice Act and abiding by the CVMC Nursing Bylaws. Education And Credentials: Required: Graduate of accredited nursing program. Current NC RN license or licensure from Nursing Compact State. BCLS certification. If the BCLS certification is not from the American Heart Association (AHA), an AHA certification is required within three months of employment date. Additional Requirements by Practice Area Birthing Center : ACLS and NRP within three months of employment date. Critical Care Unit: ACLS within three months of employment date. Day Surgery: ACLS and PALS within three months of employment date. Emergency Dept.: ACLS and PALS within three months of employment date.Non-Violent Crisis Intervention Certification within three months of employment date. Heart and Vascular Services: ACLS and PALS within three months of employment date. Infusion Center: Full-time RNs: Chemotherapy certified via ONS/ONCC Chemo/Immunotherapy Certificate Course within eight months of employment date; renewed every two years. Inpatient Rehabilitation: Quality Indicator credentialing within three months of employment date. Intermediate Care Unit: ACLS within three months of employment date. Level III Nursery: NRP within three months of employment date. STABLE within one year of employment date, renewal not required. Newborn Nursery: NRP within three months of employment date. STABLE within one year of employment date, renewal not required. Oncology: ONS/ONCC Chemotherapy/Immunotherapy Certificate Course within one year of employment date and renewed every two years. Radiation Oncology: ONS Radiation Oncology Certificate Program within one year of employment date. PACU: ACLS and PALS within three months of employment date. Pediatrics: PALS within three months of employment date. Psychiatry: Non-Violent Crisis Intervention Certification within three months of employment date and renewed at least bi-annually for the first year and annually thereafter. Preferred: BSN (BSN enrollment and completion requirements may apply), specialty course work and certification in area of practice. Work Experience: Required: No previous experience required, except as listed below. Incumbent should be proficient in the basic aspects of the job and able to assume call responsibilities as required within three months of employment date. Specific Work Experience Requirements: Heart and Vascular Services : six months of cardiac monitoring. Preferred: Critical Care Unit and PACU : six months of cardiac monitoring experience. All other units : Prior work experience in requested practice area. ABOUT US About Catawba Valley Medical Center COMPREHENSIVE, ACCESSIBLE HEALTHCARE SERVICES IN THE CATAWBA VALLEY As the region’s largest not-for-profit community hospital, we exist to heal and comfort patients, to promote and foster a healthier community, and to ensure access to healthcare to all who need it - regardless of ability to pay. With a wide array of medical specialties, our skilled nurses and providers are trained to treat virtually any type of injury or illness, providing high-quality, easily accessible healthcare close to home. Our mission: Exceptional Healthcare. Every Person. Every Time. At A Glance: Region’s only level III Neonatal Intensive Care Unit (NICU) Women’s Choice Award winner for America’s Best 100 Hospitals for Patient Experience for six consecutive years American College of Surgeons Accredited Comprehensive Community Cancer Center HIGH LEVEL OF TECHNICAL CARE FROM MEDICAL EXPERTS Catawba Valley Medical Center offers a wide range of services from experienced medical specialists capable of addressing virtually any healthcare concern. Our current hospital holds 258 beds and serves the five-county Hickory area. Through our skilled medical practitioners and our highly trained staff, we strive to provide the highest level of medical expertise using the latest, state-of-the-art technology available. One of our goals at Catawba Valley Medical Center is to provide seamless care between your primary care provider and our hospital. Being a part of a vast healthcare network allows for easier and more efficient communication between local physicians, medical specialists and our hospital. No one should have to travel far for the expert level medical treatment they need. We work with a plethora of medical specialists capable of diagnosing, treating and operating on a wide variety of conditions.