CLINICAL NURSE IV LEADER - PCICU

Duke University; Durham (NC); On-site; USD 90,000 - 130,000; Full time

Benefits offered by this job

Relocation assistance

Commitment bonus

Job summary

Duke University Hospital in Durham, North Carolina, is seeking a Clinical Nurse IV Leader to provide advanced nursing care and unit leadership within a Level I trauma center environment.

The role emphasizes collaboration with multidisciplinary teams, staff mentoring, and promoting patient safety and care excellence. A BSN and NC RN licensure are required with BLS certification; two years of experience is expected.

Qualifications

• Graduation from accredited nursing program with BSN.
• Two years of nursing experience required.
• Eligible for CN IV Leader duties with CN II/III.
• Current NC RN licensure.
• Basic Life Support certification required.

Responsibilities

• Plan and provide advanced and specialized nursing care per unit guidelines.
• Provide local‑level leadership in administration, education, informatics, quality, and regulatory compliance.
• Identify patient care needs across the continuum and lead standards of care development.
• Collaborate with multidisciplinary teams and lead educational activities and research projects.
• Mentor staff, conduct precepting, and support professional growth.

Skills

Nursing leadership

Clinical expertise

Interdisciplinary collaboration

Staff mentoring

Patient safety

Education

BSN degree

RN license in NC

Tools

EHR systems

Clinical informatics

Job description

Select how often (in days) to receive an alert:

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 Health hospitals with 1062 patient beds, it features comprehensive diagnostic and therapeutic facilities, including a regional emergency/trauma center, an endo-surgery center, and more.

What you can expect

The Pediatric Cardiac Intensive Care Unit is a 20-bed unit in a Level I Trauma Center. Areas of subspecialty expertise include congenital heart disease and cardiovascular surgery. In this unit, we care for high-acuity patients, and nurses gain hands‑on experience with devices unique to this unit. Available advanced treatment modalities include Extracorporeal Life Support (ECMO) and ventricular assist devices. We are a fast‑paced unit working in an environment of teamwork and inclusion where everyone's input matters.

Schedule:

• Full time: Three 12-hour shifts, 36 hours per week.
• Day and night rotation: 7 a.m. to 7 p.m. and 7 p.m. to 7 a.m.; or straight nights from 7 p.m. to 7 a.m.

Total Rewards:

• Relocation Assistance: Up to $8,000. Relocation is offered to employees relocating from a permanent residence located at least 50 miles from Duke University Hospital. A permanent residence is typically defined as the address listed on a valid government‑issued ID, such as a driver's license.
• Commitment Bonus: $15,000, paid in four equal installments over 24 months in six‑month increments.
• Total Rewards: A comprehensive set of pay and benefits designed to support your well‑being, professional growth, and work‑life balance. Learn more here .

How you will make an impact

• Plan and provide advanced and specialized nursing care in accordance with guidelines established within the Discipline of Nursing Clinical Ladder Program and the North Carolina Board of Nursing.
• Provide local‑level leadership in administration, education, informatics, quality, research, innovation, and regulatory compliance.
• Identify patient population care needs across the continuum and lead the development of standards of care, patient and family education, and staff education.
• Collaborate with multidisciplinary teams and provide leadership in patient care delivery, departmental committees, educational activities, research projects, and other health‑related initiatives.
• Guide the professional growth of others through role modeling, coaching, mentoring, orientation activities, and precepting.
• Evaluate the selection, use, care, quality, and effectiveness of materials and equipment and collaborate with appropriate departments regarding vendor selection and performance.
• Monitor clinical practice, promote compliance with professional and regulatory standards, influence staff recruitment and development, and conduct performance reviews and personnel actions.
• Serve as a clinical information systems superuser and change agent, analyze patient care data, support quality and patient safety initiatives, and participate in research and innovation to enhance patient care.

What you will need

• Graduation from an accredited nursing program with a Bachelor of Science in Nursing degree.
• Two years of experience required.
• Clinical Nurse II and Clinical Nurse III nurses are eligible to apply for the Clinical Nurse IV Leader role. Applicants will perform the duties and responsibilities of the Clinical Nurse IV.
• Current or compact registered nurse licensure in the state of North Carolina.
• Basic Life Support certification required, along with any other specialized life support requirements designated by the work area.
• Knowledge of the scopes of practice for registered nurses, licensed practical nurses, and unlicensed staff, with appropriate application of the nursing process and professional nursing theory, practice, and procedures.
• Ability to assess the nursing needs of acute and chronically ill patients and their families, prioritize information and treatment, and teach patients and families according to the nursing plan of care.
• Ability to work independently and collaboratively, establish effective working relationships, and communicate clearly with patients, families, visitors, healthcare teams, physicians, administrators, and leadership.
• Ability to accurately document assessments, plans of care, interventions, evaluations, re‑evaluations, and other pertinent information using electronic or paper documentation tools.
• Ability to use computers, learn new software programs, navigate the healthcare entity, and use sensory, cognitive, and fine motor skills to support patient care.
• Working knowledge of procedures and techniques used to administer routine and specialized treatments, infection control procedures, safety precautions, and applicable Joint Commission and regulatory requirements.

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.

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.

Nearest Major Market: Durham
Nearest Secondary Market: Raleigh

Read more about Duke’s commitment to affirmative action and nondiscrimination at hr.duke.edu/eeo.