RN Clinical Nurse II - Cardiovascular Surgical Intermediate Care

$34.22 - $48.38 / hour

Description

Join Our Team: Cardiovascular Surgical Intermediate Care Unit (6HV)

Location: 6th Floor, Heart and Vascular Hospital

Are you ready to grow your nursing career in a specialized cardiovascular setting? Join 6HV, an expanding 32-bed unit dedicated to providing exceptional care to cardiac and vascular surgical patients, structural heart patients, and complex cardiac medical patients, including those requiring inotrope and vasopressor titration.

Why Join 6HV?

Collaborative Care: Dedicated cardiac surgery APPs, on-unit pharmacists, daily multidisciplinary rounds, and consistent case management support.
Modern Technology: GE bedside monitoring systems and convenient access to electronic medical records in every patient room.
Patient-Centered Support: Pharmacy concierge services help ensure medications are delivered to patients before discharge.
Professional Growth: Supportive leadership committed to clinical development and career advancement for experienced nurses and new graduates.

Join a collaborative team committed to clinical excellence, professional growth, and outstanding cardiovascular patient care.

Apply today and take the next step in your nursing career with 6HV!

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:
Provides competent clinical nursing care consistent with professional standards. Reporting and accountable to the Nurse Manager/Director, the Clinical Nurse is responsible for coordinating and delivering patient care utilizing the nursing process in a hospital setting.

Responsibilities:
1. Education - Participates in identifying and meeting learning needs of self. Attends education programs based on identified learning needs. With assistance, uses patient education materials relevant to patient population. Assesses readiness to learn of the patient/family/caregivers. Assesses developmental level of patient and factors affecting ability to learn.
2. Evaluation of Care - Identifies expected patient outcomes. Seeks guidance as needed in revision of plan of care. Participates in discussion with members of the interdisciplinary team in evaluation of patient care. Communicates relevant information to promote continuity of care.
3. Implementation - Demonstrates competence in care of patients with complex problems, including population-appropriate physical, psychosocial, educational and safety aspects of care. Performs bedside point of care testing as required for patient care plan. Utilizes healthcare organization and nursing standards, policies and procedures in delivery of care. Organizes and prioritizes care according to patient/family needs. Consults with appropriate resources in a timely fashion regarding patients with complex care issues, unusual teaching needs and/or those at high risk for discharge planning.
4. Leadership - With assistance, develops goals to promote professional growth or minimize limitations. Achieves goals and objectives within identified time frame or renegotiates with supervisor. Is knowledgeable about activities which facilitate intra/interdepartmental collaboration. Participates in development and achievement of unit goals and performance improvement activities. Effectively uses communication systems. Participates in promoting cost-effective care. Gives feedback to co-workers. Is aware of public policy and regulatory guidelines affecting the health care environment. Promotes a safe, clean and secure hospital environment for all.
5. Patient Assessment - Recognizes data from complex situations to determine priorities for care. Includes appropriate physical, psychosocial, education and safety needs. Synthesizes assessment data into meaningful whole prior to communication to 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.
6. Planning - Collaborates with patient/family to prepare or update the plan of care. Makes use of available multidisciplinary resources in planning care. Begins to use full range of communication as a means to convey planning. Identifies and addresses cultural and ethnic issues in planning patient care. Demonstrates ability to prioritize tasks for patients with complex problems.
7. Research - Reads journals that contain studies or articles that may be applicable to practice. Brings ideas and questions to the staff at large for assessment of applicability.

Other Information

Other information:
Education Requirements:
● Graduate of a Board of Nursing approved nursing education program.
● If hired after January 6, 2014, must be enrolled within four years of employment, and obtain a Bachelor's degree with a major in Nursing or a Master's degree with a major in Nursing within seven years of employment date.
Licensure/Certification Requirements:
● Licensed to practice as a Registered Nurse in the state of North Carolina.
● Basic Life Support (BLS) for Healthcare Provider certification
Professional Experience Requirements:
● One (1) year of nursing experience.
Knowledge/Skills/and Abilities Requirements:

Job Details

Legal Employer: NCHEALTH

Entity: UNC REX Healthcare

Organization Unit: Rex 6 HV/CV Stepdown

Work Type: Per Diem

Standard Hours Per Week: 4.00

Salary Range: $34.22 - $48.38 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.

Share this job

Related Jobs

Hospice

Full-time

4 days ago

RN Hospice Case Manager

UnitedHealthcare Franklinton, NC

$79,600 - $119,400 / year

Explore opportunities with Amedisys, part of the Optum family of businesses. We provide home health, hospice and community-based services that help people receive quality care where they feel most comfortable: at home. Rooted in personalized care, we support patients and provide comfort through each stage of their health journey, while building trusted relationships along the way. Find a home for your career here. Join us and embrace a culture of Caring. Connecting. Growing together. As an RN Case Manager, you'll coordinate compassionate, individualized hospice care by assessing patients, partnering with the interdisciplinary care team, and developing plans that support each patient's needs. Territory: Roxboro and surrounding area Schedule: Monday - Friday 8am-5pm On Call: limited back up on call Pay: Salaried + Mileage Reimbursement EMR: Home Care Home Base Strong leadership team, low turnover Primary Responsibilities: Performs patient assessments and collaborates with the care team to develop and implement a plan of care Makes referrals to other hospice care disciplines as needed or documents rationale for not doing so Develops, prepares, and maintains individualized patient care progress records with accuracy, timeliness and according to care center policies Records pain/symptom management changes/outcomes as appropriate Teaches patients, families, and caregivers appropriate patient care techniques Regularly communicates with clinical manager and care team Performs on-call responsibilities and on-call services to patients/families as assigned Other duties as assigned You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: Current RN license, specific to the state(s) you are assigned to work Current CPR certification 1+ years of nursing experience Valid driver's license, reliable transportation and liability insurance Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $79,600 to $119,400 annually based on full-time employment. We comply with all minimum wage laws as applicable. At UnitedHealth Group, our mission is to help people live healthier lives and help make the health system work better for everyone. Together, we are shaping the future of healthcare by harnessing technology and innovation to make care simpler to navigate, more affordable and more connected for the people we serve. We are committed to creating an inclusive workplace where everyone feels welcomed, valued, heard and respected, empowering people to bring their authentic selves to work and strengthening our collective impact through diverse talents, backgrounds, experiences and perspectives. UnitedHealth Group and its affiliated brands are an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group and its affiliated brands are a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

PCU

Full-time

6 days ago

Registered Nurse (RN) Ortho Neuro Stepdown, Nights

Duke Health Durham, NC

At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together. About Duke Regional Hospital Pursue your passion for caring with Duke Regional Hospital in Durham, North Carolina. With 388 beds it is the second largest of Duke Health's four hospitals and offers a comprehensive range ofmedical, surgical, and diagnostic services, including orthopedics, weight-loss surgery, women's services, and heart and vascular services. Duke Nursing Highlights: Duke University Health System is designated as a Magnet organization Nurses from each hospital are consistently recognized each year as North Carolina's Great 100 Nurses. Duke University Health System was awarded the American Board of Nursing Specialties Award for Nursing Certification Advocacy for being strong advocates of specialty nursing certification. Duke University Health System has 6000 + registered nurses Quality of Life: Living in the Triangle! Relocation Assistance (based on eligibility) Unit Overview The Ortho/Neuro unit at Duke Regional Hospital is comprised of a 40–bedded floor with Orthopedics and Neuroscience specialties. This is a fast-paced state-of-the-art orthopedic and neurosurgery unit that uses enhanced recovery after surgery principles to both minimize narcotic usage and get the patient home and back to baseline as quickly as we can. The majority of our patients stay 6-24 hours on the unit, in that time they are provided for by a tremendous interdisciplinary team of nurses, physical therapists, occupational therapists, care managers, pharmacists, and doctors — and it’s the teamwork that makes this unit soar.. The nursing unit utilizes Epic for the EMR, Omnicell for the medications, and Pyxis for the patient supplies. It’s the teamwork that makes the unit soar, and it is that same teamwork that the staff relishes and keeps them together. Eager to add like-minded motivated nurses to our staff. Optimized Health- Not total care. Shift Information Fulltime, three 12-hour shifts Night shift, 7p-7a Up to $8,000 in Relocation Assistance, eligibility rules apply. Occ Summary Plan and provide professional nursing care for patients in accordance with the medical and nursing plans of care and established policies and procedures. Provide nursing services to patients and families in accordance with the scope of the RN as defined by the North Carolina Board of Nursing. Work Performed Plan, provide and document professional nursing care, utilizing the nursing process, in accordance with physician orders andestablished policies and procedures under the supervision of the team leader or charge nurse. Delegate tasks and supervise the activities of other licensed and unlicensed care providers. Assist other healthcare personnel in the delivery of patient care. Participate in maintaining the environment of care including equipment and material resources. Prioritize work organization and identify resources available to assist in completing components of care in a timely manner. Participate in own professional development by maintaining required competencies, identifying learning needs and seeking appropriate assistance or educational offerings. Support the development of other staff and formal learners. Participate in the identification of clinical or operationalperformance improvement opportunities and assist in performance improvement activities. Perform other related duties incidental to the work described herein. Knowledge, Skills and Abilities Knowledge of scope of the registerednurse, licensed practical nurse and unlicensed staff Knowledge of and appropriate application of the nursing process Knowledge of professional theory, practice and procedure Ability to assess nursing needs of acute and chronically ill patients and their families Ability to independently seek out resources and work collaboratively Ability to establish and maintain effective working relationships Ability to communicate clearly with patients, families, visitors, healthcare team, physicians, administrators, leadership and others Ability to teach patients and families in accordance with the nursing plan of care Ability to use sensory and cognitive functions to process and prioritize information, treatment, and follow-up Ability to use fine motor skills Competent in BLS and/or other specialized life support requirements designated by work area or organization Ability to record activities, document assessments, plan of care, interventions, evaluation and re-evaluation of patient status Ability to use computer and learn new software programs Ability to document and communicate pertinent information using computer and/or paper documentation tools Ability to navigate the entity to provide clinical care for patients Ability to withstand prolonged standing and walking Ability to remain focused and organized Working knowledge of procedures and techniques involved in administering routine and special treatments to patients Working knowledge of infection control procedures and safety precautions Working knowledge and completion of appropriate The Joint Commission (TJC) and other regulatory requirements Pre-employment Physical Capacity Testing Required Level Characteristics N/A Minimum Qualifications Education Work requires graduation from an accredited BSN program. Exception: Registered nurses hired between July 1, 2014 and April 11, 2021 without a Bachelor's degree in Nursing (or higher) are encouraged to enroll in an appropriate BSN program within two years of their start date but must complete the program within seven years of their start date. Registered nurses hired before July 1, 2014 are not required to enroll in a BSN program to remain in this job classification. Experience No experience required. All CNIs will be enrolled in and must complete the DUHS Nurse Residency Program within 12 months of hire. CNIs are required to meet criteria set forth by the DUHS Nurse Residency Program within 18 months of hire to be promoted to CNII. Degrees, Licensures, Certifications Must have current or compact RN licensure in the state of North Carolina. BLS required. Duke is an Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex (including pregnancy and pregnancy related conditions), sexual orientation or military status. Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends on the robust exchange of ideas—an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes. To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard. All members of our community have a responsibility to uphold these values. Essential Physical Job Functions: Certain jobs at Duke University and Duke University Health System may include essential job functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department.

PCU

Full-time

2 weeks ago

Registered Nurse (Experienced RN) Neuro Stepdown Unit

Duke Health Durham, NC

At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together. About Duke University Hospital Pursue your passion for caring with Duke University Hospital in Durham, North Carolina, which is consistently ranked among the best in the United States. The largest of the four Duke Healthhospitals with 1062 patient beds, it features comprehensive diagnostic and therapeutic facilities, including a regional emergency/trauma center, an endo-surgery center, and more. Duke Nursing Highlights: Duke University Health System is designated as a Magnet organization Nurses from each hospital are consistently recognized each year as North Carolina's Great 100 Nurses. Duke University Health System was awarded the American Board of Nursing Specialties Award for Nursing Certification Advocacy for being strong advocates of specialty nursing certification. Duke University Health System has 6000 + registered nurses Quality of Life: Living in the Triangle! Relocation Assistance (based on eligibility) Location: Duke University Hospital Duke University Health System- Duke University Hospital seeks to hire a Registered Nurse who will embrace our mission of Advancing Health Together. Department Profile: The NeuroScience Progressive Care Units (also known as Stepdown) at Duke University Hospital comprises of two 37 bed units (one on the 8th and one on the 9th floor) of the Brand new Duke Central Tower. Our team is active in delivering exemplary care for each patient and their families to ensure an excellent patient experience, every time. Similar to the high acuity of a community hospital ICU, the Neuro Stepdown units see a myriad of populations and cases that may include but are not limited to: lumbar drains, EVDs, central lines, spinal trauma injuries, epilepsy and more. The Neuro stepdown units receive medically complex patients that no longer require mechanical ventilation. Patient Ratio: 1:3/4 SHIFTS AVAILABLE: New Grads - ROTATING - 7am-7pm/7pm to 7am Clinical RN II (1+ yrs exp): Straight Days, Straight Nights or Rotating Shifts Available Job Summary: As a Clinical Nurse with Duke University Health System, you will make providing service your priority while caring for the whole person in a patient-centered atmosphere. The Clinical Nurse (RN) is responsible for providing and supervising direct and indirect total nursing care responsibilities. Utilizing the nursing process (assessing, planning, implementing, and evaluating) in achieving the goals of the nursing department. Plan and provide advanced and/or specialized nursing care for patients guided by the DUHS Professional Practice model and participate in the clinical ladder program, educational activities, departmental committees, research projects, or other health-related projects as assigned. Provide nursing services to patients and families in accordance with the scope of the RN as defined by the North Carolina Board of Nursing. Adheres to all rules and regulations of all applicable local, state, and federal agencies and accrediting bodies. Actively participates in outstanding customer service and accepts responsibility for maintaining relationships that are equally respectful to all. Knowledge, Skills, Education, and Experience Required: · Graduation from an accredited Bachelor’s Degree in Nursing (or higher), Associate's Degree in Nursing, or Nursing Diploma program. All registered nurses without a Bachelor's degree in Nursing (or higher) will be required to enroll in an appropriate BSN program within two years of their start date and to complete the program within five years of their start date Licensure, Certification, or Registration Required: · Current registration with the North Carolina State Board of Nursing as a registered professional nurse OR current compact RN licensure to practice in the state of North Carolina required. · BLS (or higher) certification required. · Professional specialty certification (preferred). Duke is an Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex (including pregnancy and pregnancy related conditions), sexual orientation or military status. Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends on the robust exchange of ideas—an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes. To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard. All members of our community have a responsibility to uphold these values. Essential Physical Job Functions: Certain jobs at Duke University and Duke University Health System may include essential job functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department.

Registered Nurse (New Grad) Intermediate/Med Surg Stepdown Units - Float Pool

Duke Health Durham, NC

At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together. About Duke University Hospital Pursue your passion for caring with Duke University Hospital in Durham, North Carolina, which is consistently ranked among the best in the United States. The largest of the four Duke Healthhospitals with 1062 patient beds, it features comprehensive diagnostic and therapeutic facilities, including a regional emergency/trauma center, an endo-surgery center, and more. Duke Nursing Highlights: Duke University Health System is designated as a Magnet organization Nurses from each hospital are consistently recognized each year as North Carolina's Great 100 Nurses. Duke University Health System was awarded the American Board of Nursing Specialties Award for Nursing Certification Advocacy for being strong advocates of specialty nursing certification. Duke University Health System has 6000 + registered nurses Quality of Life: Living in the Triangle! Relocation Assistance (based on eligibility) Registered Nurse (New Grad RN)-Open to September, December and January New Grads Duke University Health System Float Pool Located in Various Units at Duke University Hospital, Duke Regional Hospital, and Duke Raleigh Hospital, a Campus of Duke University Hospital Duke University Health System seeks to hire a Registered Nurse who will embrace our mission of Advancing Health Together. Our team is active in delivering exemplary care for each patient to ensure an excellent patient experience, every time. The Duke University Health System Nursing Float Pool team provides patient care, support and cares for a variety of patients on our Medical Surgical units. Nurses in these units would work as a part of a multidisciplinary team and have the opportunity to participate in rounds on their patients. Nurse: Patient ratio averages 1:3 through 1:6 dependent on acuity and the unit is staffed with a standing charge nurse and Health Unit Coordinator 24/7. Nursing Care Assistants are on the unit 7a-7p and 7p to 7a. Ideal candidates will have a passion for teamwork, demonstrate accountability and have an appreciation for family-center care. What you will do In the Float Pool, it is embedded in our staff to “rise to the challenge and adapt to situations.” Due to the extensive training received in each area, our staff continue to be clinical experts, offering a broad skillset and range of knowledge throughout the various patient populations. Unlike other health systems in the area, Duke offers the same benefits to Float Pool staff as Department dedicated staff. The float pool offers a dynamic opportunity for a wide range of experiences in order to build your career. What you can expect Multitask in myriad ways – document assessments, plan of care, interventions, evaluation and re-evaluation of patient status, assess nursing needs of acute and chronically ill patients, independently seek out resources and work collaboratively. Educate patients and families in accordance with the nursing plan of care. Relationship management with patients, families, visitors, healthcare team, physicians, administrators, leadership and others. What you will need Graduation from an accredited Bachelor’s Degree in Nursing (or higher) OR Associate's Degree in Nursing OR Nursing Diploma program. All registered nurses without a Bachelor's degree in Nursing (or higher) will be required to enroll in an appropriate BSN program within two years of their start date and to complete the program within seven years of their start date. Licensure and Certification Required Current registration with North Carolina State Board of Nursing as a registered professional nurse OR current compact RN licensure to practice in the state of North Carolina required. BLS Certification required. What we will provide Float Pool RN Premium of $5.00 per hour. Paid Training: On average 4 weeks for Experienced RN; on average 14 weeks for New Grads of paid orientation depending on level of experience. Opportunities for a Lifetime. Duke University Health System is committed to providing robust learning and development from Office of Continuing Education. Career Ladder Advancement Tuition Assistance Up to $25,000 Nurse Loan Forgiveness - ALL full-time (at least 0.75 FTE) RN positions are eligible. Relocation assistance available for Nurses relocating greater than 50 miles to Durham, NC. Employee Referral Program Nursing Specialty Certification Bonus Comprehensive Benefits: Medical, Dental, Vision, Employee Pension plan and much more. To learn more about the Duke Registered Nurse Float Pool, Visit: https://today.duke.edu/2022/10/nursing-float-pool-ready-answer-call Duke is an Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex (including pregnancy and pregnancy related conditions), sexual orientation or military status. Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends on the robust exchange of ideas—an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes. To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard. All members of our community have a responsibility to uphold these values. Essential Physical Job Functions: Certain jobs at Duke University and Duke University Health System may include essential job functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department.

Registered Nurse (Experienced RN) - Intermediate/Med Surg Stepdown Units - Float Pool

Duke Health Durham, NC

At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together. About Duke University Hospital Pursue your passion for caring with Duke University Hospital in Durham, North Carolina, which is consistently ranked among the best in the United States. The largest of the four Duke Healthhospitals with 1062 patient beds, it features comprehensive diagnostic and therapeutic facilities, including a regional emergency/trauma center, an endo-surgery center, and more. Duke Nursing Highlights: Duke University Health System is designated as a Magnet organization Nurses from each hospital are consistently recognized each year as North Carolina's Great 100 Nurses. Duke University Health System was awarded the American Board of Nursing Specialties Award for Nursing Certification Advocacy for being strong advocates of specialty nursing certification. Duke University Health System has 6000 + registered nurses Quality of Life: Living in the Triangle! Relocation Assistance (based on eligibility) Registered Nurse (Experienced RN) – Full Time Duke University Health System Float Pool – Intermediate/Stepdown Units Earn a $5/hour Float Pool premium while expanding your clinical expertise across multiple specialties. Why Join Duke Health’s Float Pool? If you’re an experienced RN looking to grow, diversify your skillset, and work across high-acuity specialties, the Duke Health Float Pool offers a unique and rewarding career path. You’ll gain exposure to a wide variety of patient populations while working alongside top clinical teams across the health system—all while earning a competitive float premium and receiving full benefits. This role supports patient care across: Duke University Hospital Duke Regional Hospital Duke Raleigh Hospital (a campus of Duke University Hospital) Clinical Areas Supported As part of the Intermediate/Stepdown Float Pool, you’ll provide care across diverse specialties, including: Cardiology & Cardiac Surgery General Medicine General Surgery Neurology & Neurosurgery Oncology Orthopedics Transplant Trauma About the Role Float Pool nurses are highly adaptable clinicians who thrive in dynamic environments. With comprehensive cross-training and ongoing support, you’ll build advanced clinical capabilities and confidence caring for a wide range of patient populations. Unlike many systems, Duke offers full benefits and career advancement opportunities equal to those of unit-based staff , making this an exceptional opportunity to grow while maintaining stability and support. What You’ll Do Deliver high-quality, patient-centered care across Intermediate and Stepdown units Collaborate with interdisciplinary teams and actively participate in patient rounds Manage patient assignments with ratios typically ranging from 1:3 to 1:6 , based on acuity Utilize critical thinking to adapt care plans across different clinical settings Support a care environment staffed with Charge Nurses, Nursing Care Assistants, and Health Unit Coordinators As a Clinical Nurse , you will: Plan, deliver, and evaluate nursing care using the nursing process Delegate and supervise care team members appropriately Serve as a preceptor and mentor to peers and learners Participate in quality improvement and professional development initiatives Ensure compliance with all regulatory and professional standards Who We’re Looking For We’re seeking experienced RNs who: Thrive in fast-paced, team-oriented environments Demonstrate adaptability, accountability, and strong clinical judgment Are passionate about patient advocacy and family-centered care Align with Duke Health’s mission: Advancing Health Together Embrace our culture commitments: Putting People First, Being Clear, Empowering Others, and Adapting to Improve Work Schedule Shifts: Days (7A–7P), Nights (7P–7A), or rotating Schedule Options: Three 12-hour shifts/week, OR Alternating 3 shifts one week / 2 shifts the next Weekend Rotation: One Monday, Friday, Saturday, and Sunday per 4-week schedule Holidays: One major and one minor holiday for both winter and summer seasons Weekend option roles available Compensation & Benefits $5.00/hour Float Pool premium Competitive base pay and shift differentials Paid onboarding: 1 week hospital orientation + 3 weeks unit-based orientation Career Ladder advancement opportunities PTO accrual and comprehensive benefits (Medical, Dental, Vision) Up to $25,000 in Nurse Loan Forgiveness Tuition assistance and certification bonus Relocation assistance (for moves >50 miles) Employee referral bonus program Duke-funded pension plan (fully vested after 5 years) 403(b) retirement savings plan Ongoing professional development through Duke Continuing Education Qualifications Graduate of an accredited ADN, Diploma, or BSN program Minimum 1 year of recent RN experience (Intermediate/Stepdown or acute care preferred) Note: RNs without a BSN must enroll in a BSN program within 2 years of hire and complete it within 7 years. Licensure & Certifications Active RN license in North Carolina or compact state license BLS required ACLS, NIH, CPI preferred Duke is an Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex (including pregnancy and pregnancy related conditions), sexual orientation or military status. Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends on the robust exchange of ideas—an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes. To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard. All members of our community have a responsibility to uphold these values. Essential Physical Job Functions: Certain jobs at Duke University and Duke University Health System may include essential job functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department.