Manager, Respiratory Therapy - Pediatrics

Duke Careers; Durham (NC); On-site; USD 90,000 - 120,000; Full time

Job summary

Duke Health in Durham, NC seeks a Manager of Respiratory Therapy for Pediatrics to lead clinical operations, staffing, and program development across 24-hour service lines. This role oversees EKG/PFT responsibilities as needed and ensures high-quality patient care.

The ideal candidate has a CoARC-certified respiratory care program, NBRC RRT certification, 3+ years in clinical management, and a master’s degree or higher preferred. Strong leadership and safety focus are essential.

Qualifications

• Completion of a CoARC approved respiratory care program.
• Bachelor's in respiratory care, Healthcare Administration, or related field; Master’s degree preferred.
• 3+ years of clinical management experience in Respiratory Care.
• NBRC RRT certification; licensure required.

Responsibilities

• Lead clinical operations in the respiratory care department.
• Oversee staffing, scheduling, and performance management.
• Develop and monitor quality and safety initiatives.
• Collaborate with inter-department teams to optimize patient care.

Skills

Leadership

Clinical management

Communication

Regulatory compliance

Quality improvement

Education

Bachelors in respiratory care / healthcare administration

Master’s degree (preferred)

Tools

NBRC RRT certification

Job description

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Manager, Respiratory Therapy - Pediatrics

Work Arrangement:

Requisition Number: 257192

Regular or Temporary: Regular

Location: Durham, NC, US, 27710

Date: Jul 15, 2026

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

General Description of the Job Class

Responsible for the effective and efficient operation of the assigned clinical areas and team members on a 24-hour basis. Accountable for the overall direction, operations, strategic direction, clinical practice, quality/safety metrics, and professionalism. Ensure effective delivery of clinical practice related to the provision of cardiopulmonary services. Manager may oversee other departments, i.e. EKG, PFT, depending upon location.

Duties and Responsibilities of this Level

Clinical Support

• Manage and monitor delivery of patient care for assigned areas of service. Ensure compliance with clinical patient care standards, regulatory requirements, and established policies, procedures, and protocols.
• Assess clinical needs based on customer feedback and develops programs to meet identified needs.
• Actively support and promote a professional practice model that encourages staff participation in the development of clinical standards that are collaborative, collegial and utilize current evidence-based practice.
• Meet regularly with clinical and operational partners in area(s) of service to assess team outcomes, identify needs, derive solutions, support open and timely communication, and maintain positive business relationships. Develops and supports effective team interactions through open and honest communication, soliciting and being receptive to feedback, providing mentoring and supporting respect for all team members.

Leadership

• In concurrence with direct leader, provides overall strategic vision and direction for areas of responsibility. Develops short and long-range goals for assigned team(s). Sets priorities, assigns responsibilities, and establishes timelines to assure goal and outcome attainment.
• Communicate vision, direction, goals and result effectively to team(s).
• Utilize leadership abilities to influence and guide direct reports in developing their areas of responsibility, perform continuous improvement processes and employ change management methods. Guides direct reports in mentorship of their direct reports.
• Effectively identifies, processes, and resolves conflict to align and unify team(s), mobilizes team members to progress in parallel together, and effectively focuses team members on organizational and departmental goals.
• Effectively monitor work culture in area(s) of responsibility. Plan and execute improvement initiatives as indicated.
• Oversee various personnel actions including, but not limited to, hiring, performance appraisals, disciplinary actions, terminations, and other related activities.

Operational/Managerial

• Provide leadership and direction to a team of respiratory care professionals, including hiring, training, and performance management.
• Oversight of staffing and scheduling. Monitor and adjust for volume of work, procedures utilized and trends per area of responsibility and service.
• Participate in the operational and capital budget planning and resource allocation for respiratory care services. Identify budgetary variances and implement strategies to ensure budget and resource efficiency, and quality care delivery outcomes.
• Overall accountability for the requisition, care and maintenance of unit equipment and supply inventory of equipment and supplies. Works Collaborate with direct reports departmental and inter-departmental teams in detailed oversight of inventory of equipment and supplies. Includes capital budgeting.
• Oversight and accountability of charges and charge reconciliation process in compliance with Duke Health Policies and procedures.

Quality/Safety

• Ensure compliance with clinical patient care standards and established policies and procedures.
• Maintain oversight of quality indicators and improvement initiatives.
• Proactively identifies, plans, and executes continuous improvement activities in conjunction with team leaders and direct patient care team members. Develops and deploys strategies for ongoing enhancements to team structure, systems, services, training, and tools.
• Advocates and participates in departmental/ organizational/ health system quality and safety improvement initiatives.

Professional

• Maintain professional awareness to stay informed of the professional landscape, technologic advances, and healthcare standards.
• Communicate in a professional and courteous manner with patients, family, and other medical personnel, as necessary.
• Serve as a professional role model and mentor to staff by responding positively to change while supporting colleagues, direct reports, and care team members through change processes.
• Perform other related duties incidental to the work described herein or as directed by senior leadership.

Required Qualifications at this Level

Education:

Completion of a CoARC approved respiratory care program. Bachelor’s in respiratory care, Healthcare Administration, or other healthcare leadership related field. Master’s degree or higher preferred.

Experience:

The ideal candidate will have strong clinical knowledge and expertise in respiratory care, as well as strong leadership and management experience. Three or more years of clinical management experience in Respiratory Care is preferred. Complex critical care experience is preferred.

Degrees, Licensure, and/or Certification:

Registration (RRT) by the National Board for Respiratory Care (NBRC). Maintains clinical competencies for assigned clinical areas and provides direct care, supervision, guidance, or managerial direction as needed.

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.

Nearest Major Market: Durham
Nearest Secondary Market: Raleigh

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