Nurse Manager, Operations - Emergency Department - Duke Health Cary

Duke Clinical Research Institute; Cary (NC); On-site; USD 95,000 - 130,000; Full time

Job summary

Duke Health Cary is seeking an experienced Nurse Manager, Operations for our Emergency Department to lead clinical and operational functions in a high-acuity setting. This role oversees staff development, patient care quality, and regulatory compliance within a nationally recognized academic medical center.

The position requires a BSN, and a MSN is strongly preferred, with a minimum of three years in Emergency Nursing and nursing leadership experience. NC RN licensure and BLS are required.

Qualifications

• Bachelor's degree in Nursing (BSN) required.
• Master's degree in Nursing strongly preferred.
• At least 3 years of Emergency Nursing experience required.
• 1+ years of nursing leadership experience preferred.
• Experience in a high-acuity ED of similar scope preferred.
• Current or compact RN licensure in North Carolina.
• BLS certification required.

Responsibilities

• Provide 24/7 leadership for assigned clinical areas, ensuring high-quality patient care and regulatory compliance.
• Oversee operations, support staff development, plan strategy, and promote collaboration.
• Recruit, coach, evaluate, and support nursing staff to develop clinical competency.
• Monitor quality metrics and lead unit-based Performance Improvement initiatives.
• Coordinate policies and procedures to enhance operational efficiency.
• Collaborate with the Director of Clinical Operations on budget planning and resource allocation.

Skills

Leadership

Strategic Direction

Project management

Team building

Staff coaching

Education

BSN required

MSN preferred

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.

About Duke Health Cary

Opening in Spring 2027, the next phase of this 85-acre, mixed use walkable Duke Health Cary campus will add emergency services, inpatient care, surgical services, imaging, specialty care, and infusion services, creating more than 230 career opportunities. Joining Duke Health Cary offers the opportunity to build something new, grow your career, and support our mission of advancing health across the communities we serve.

Nurse Manager, Operations - Emergency Department

Duke Health Cary - Cary, NC

Duke Health Cary is seeking an experienced, highly engaged Nurse Manager, Operations, to lead clinical and operational functions in our high-acuity Emergency Department (ED). This is an exceptional opportunity to join a nationally recognized academic medical center and guide a team committed to delivering exemplary, patient-centered care.

Job Summary

The Nurse Manager, Operations, provides24/7 leadership for assigned clinical areas, ensuring high-quality patient care, regulatory compliance, and alignment with Duke Health's mission and professional practice standards. This role oversees operations, supports staff development, plans strategy, and fosters a collaborative, supportive work environment.

Key Responsibilities

Leadership & Strategic Direction

• Participate in the development and execution of strategic and operational plans.
• Promote a professional practice model that encourages shared decision-making and evidencebased standards.
• Serve as a visible, supportive leader and role model, fostering accountability and positive change.

Patient Care & Advocacy

• Champion safe, high-quality, patient-centered care.
• Advocate for patients, families, and staff to ensure care delivery aligns with expectations and standards.
• Ensure consistent use of the nursing process from admission to discharge.

Team & Staff Development

• Recruit, coach, evaluate, and support nursing staff to develop clinical competency from novice to expert.
• Promote diversity, inclusion, and positive team culture.
• Assure staff participation in councils, committees, and departmental initiatives.

Operations & Quality Management

• Oversee day-to-day management of the unit, ensuring efficient workflows, staffing, and resource use.
• Monitor quality metrics and lead unit-based Performance Improvement initiatives.
• Coordinate development and implementation of policies and procedures that enhance operational efficiency.

Fiscal Management

• Collaborate with the Director of Clinical Operations on budget planning and resource allocation.
• Evaluate resource utilization and implement action plans, ensuring operational and fiscal responsibility.

Education Requirements

• Bachelor's degree in Nursing (BSN) required
• Master's degree in Nursing strongly preferred

Experience Requirements

• At least 3 years of Emergency Nursing experience required
• 1+ years of nursing leadership experience (e.g., Charge RN, Clinical Supervisor, Manager) preferred
• Experience in a high-acuity ED of similar scopepreferred

Preferred Leadership Competencies

• Project management
• Conflict resolution
• Team building
• Staff onboarding
• Budget and finance management

Licensure & Certification

• Current or compactRN licensurein North Carolina
• BLS certification required

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.

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.