Nurse Manager, AC - Spine Services Clinic

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

Benefits offered by this job

Relocation assistance

Job summary

Duke University Hospital in Durham, NC seeks an experienced Nurse Manager - Ambulatory Clinic to lead nursing and patient care in the Spine Services Clinic. You will ensure high standards of care, regulatory compliance, and efficient operations in alignment with DUHS policies.

Reporting to the Practice Administrator, you will shape staffing, budgets, and clinical workflows, support provider teams, and drive quality improvement initiatives.

Qualifications

• Bachelor's degree in nursing (BSN) required; Master's preferred.
• Minimum of three years of nursing experience with at least one year of leadership experience.
• Current RN licensure in NC or compact state; BLS; certifications as required.

Responsibilities

• Provide leadership and accountability for clinic practice in the ambulatory setting.
• Align staffing, workflows, and clinical processes to optimize patient flow and quality outcomes.
• Supervise and evaluate all clinic staff; ensure competency, performance and development.
• Monitor and ensure regulatory and infection prevention standards.
• Collaborate with physician and APP leaders to support clinical care delivery and patient safety initiatives.
• Lead budgets and cost containment opportunities; support onboarding and training of staff.

Skills

Healthcare leadership

Budgeting

Communication

EHR proficiency

Clinical operations

Education

Bachelor's degree in nursing (BSN)

Master's degree in nursing or related field

Tools

Electronic Health Records (EHR) systems

Clinical reporting systems

Job description

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Nurse Manager, AC - Spine Services Clinic

Work Arrangement: On-Site

Requisition Number: 275107

Regular or Temporary: Regular

Location: Durham, NC, US, 27710

Date: Sep 21, 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 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)

Duke Universtiy Hospital, Spine Services Clinic seeks to hire an experienced Nurse Manager - Ambulatory Clinic who embraces our mission of Advancing Health Together!

The Nurse Manager, Ambulatory provides clinical and operational leadership for nursing and patient care services in one or more ambulatory clinics. This role is responsible for ensuring high standards of patient care, regulatory compliance, and operational excellence in alignment with DUHS policies and service line goals. The Nurse Manager reports to the Practice Administrator to integrate both overall clinic and nursing priorities into operational workflows, promote quality improvement initiatives, and support provider teams. This role actively participates in strategic planning, resource allocation, and change management efforts within the assigned clinics.

Work Performed

Provide leadership, oversight, and accountability for all clinic practice in the assigned ambulatory clinic(s), ensuring evidence-based standards of care. Partner with operational leaders to align staffing models, workflows, and clinical processes that optimizepatient flow, access, and quality outcomes. Supervise and evaluate all clinic staff, including administrative, nurses, medical assistants, and other licensed/unlicensed personnel; ensure competency, performance, and professional development. Monitor and ensure compliance with all regulatory, accreditation, and infection prevention standards. Collaborate with physician and APP leaders to support clinical care delivery, patient safety initiatives, and service recovery. Participate in the development and monitoring of clinic budgets, including labor and supply costs; identify cost-containment opportunities. Lead quality improvement and population health initiatives, using data to track progress and implement corrective actions as needed. Support onboarding,orientation, and training for new administrative staff, and ensure ongoing development for existing team members. Serve as a resource and liaison for patients, staff, and providers regarding nursing and operational concerns, escalating as appropriate to Practice Administrator or Ambulatory Operations Director.

Knowledge, Skills and Abilities

Demonstrated leadership in ambulatory nursing and clinical operations. Knowledge of ambulatory care standards, regulatory requirements, and quality improvement methods. Ability to lead interdisciplinary teams and influence change in a complex healthcare environment. Strong communication, conflict resolution, and coaching skills. Financial and operational acumen, including budgeting and resource allocation. Proficiency with electronic health records and clinical reporting systems.

Level Characteristics

N/A

Minimum Qualifications

Education

Bachelor's degree in nursing (BSN) required Master's degree in nursing or related field preferred.

Experience

Minimum of three years of nursing experience with at least one year of leadership experience required. Experience in ambulatory or outpatientclinic operations preferred.

Degrees, Licensures, Certifications

Current RN licensure in the state of NC or compact state. BLS certification required; additional certifications may be required based on specialty.

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.