Clinical Nurse II- Allergy & Pulmonary

Duke Clinical Research Institute; Durham (NC); On-site; USD 65,000 - 90,000; Full time

Job summary

Duke Health is seeking a Clinical Nurse II to join the Allergy & Pulmonary team at Duke Medicine Specialties South Durham. In this ambulatory RN role, you’ll partner with Pulmonary providers, cross-train in Allergy immunotherapy, and develop expertise in both specialties.

You will perform nursing assessments, education, care coordination, medication administration, and help manage asthma, COPD, and complex allergy conditions within a collaborative clinic, ensuring safe, patient-centered care.

Qualifications

• Graduation from an accredited nursing program (ADN or diploma).
• Current NC RN licensure or compact license; BLS required.
• 12 months of clinical experience; expertise in ambulatory care preferred.

Responsibilities

• Perform nursing assessments and ensure accurate medication reconciliation.
• Educate patients and coordinate follow-up care with providers.
• Administer medications and support immunotherapy preparation.
• Monitor for adverse reactions and respond to emergencies.
• Collaborate with Pulmonary and Allergy teams for care plans.

Skills

Nursing assessment

Patient education

Care coordination

Medication administration

Allergy immunotherapy

Emergency response

Education

Associate degree in nursing

BSN encouraged

Job description

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.

Duke Health Integrated Practice

https://careers.dukehealth.org/us/en/dhip

Duke Health Integrated Practice comprises more than 110 primary and specialty outpatient clinics, extending the reach of the Duke Health mission across the state of North Carolina.

Clinical Nurse II- Allergy & Pulmonary

JOB LOCATION

Duke Medicine Specialties South Durham, 234 Crooked Creek Pkwy, Durham, NC 27713

JOB SUMMARY

Join our collaborative Pulmonary and Allergy team at Duke Medicine Specialties South Durham in a dynamic ambulatory RN role that offers variety, specialized nursing practice, and meaningful patient relationships. The RN will primarily partner with our Pulmonary providers while also cross-training in Allergy immunotherapy, creating opportunities to develop expertise in both specialties.

This role is ideal for an RN who enjoys combining hands-on patient care, assessment, education, care coordination, and clinical problem-solving. You will work closely with providers and an experienced clinical team to care for patients with asthma, COPD, allergies, and other complex pulmonary and allergy conditions while building specialized skills in immunotherapy and the recognition and management of allergic reactions.

JOB DUTIES AND RESPONSIBILITIES

• Specialty Pulmonary Nursing: Partner closely with Pulmonary providers to support patients throughout their care. Perform nursing assessments, medication reconciliation, patient education, clinical coordination, medication administration, point-of-care testing, and preparation and assistance with examinations and procedures.
• Allergy & Immunotherapy: Cross-train with our Allergy nursing team and develop specialized competency in allergen immunotherapy. Assess patients prior to treatment, administer prescribed immunotherapy, monitor for reactions, and recognize and respond to anaphylaxis and other medical emergencies. Perform medication calculations and dilutions and support safe immunotherapy preparation and administration in accordance with established protocols.
• Patient Education & Relationships: Build relationships with patients managing chronic and complex conditions and provide individualized education that helps patients understand their medications, treatment plans, procedures, and strategies for managing their health at home.
• Nursing Assessment & Care Coordination: Use RN assessment and critical-thinking skills to address patient needs through in-person and telephone encounters, collaborate with providers on changes in condition, coordinate follow-up care, and connect patients with appropriate resources.
• Teamwork & Clinical Practice: Work alongside RNs, medical assistants, physicians, APPs, and clinic leadership in a highly collaborative specialty practice. Serve as a clinical resource, contribute to safe and efficient patient flow, and provide coverage across Pulmonary and Allergy based on patient and clinic needs.
• Quality & Professional Growth: Maintain high standards for medication safety, infection prevention, emergency preparedness, and clinical documentation. Participate in quality improvement, regulatory readiness, staff education, and other opportunities to strengthen clinical practice and patient care.

JOB ELIGIBILITY REQUIREMENTS

• Work requires graduation from an accredited Associate's Degree in Nursing or Nursing Diploma program.
• All registered nurses 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 BSN program within seven years of their start date.
• Twelve months of appropriate clinical experience is required. At a manager's discretion, employees with 6 months of experience who are exceptional performers may be eligible for this level.
• This position is open to Clinical Nurse II and III. Clinical Nurse II team members may be eligible to apply to Duke's Clinical Ladder following successful completion of Duke's 90-day evaluation period.
• Must have current or compact RN licensure in the state of North Carolina. BLS required.

JOB SCHEDULE

Monday-Friday; 8:00-4:30

No nights, weekends, or holidays

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.