Registered Nurse (RN) General Medicine Stepdown

Duke Careers; Durham (NC); On-site; USD 70,000 - 100,000; Full time

Benefits offered by this job

Experience bonus

Relocation assistance

Nursing loan forgiveness

Job summary

Duke University Hospital’s General Medicine Stepdown unit (3200) in Durham, NC, seeks Registered Nurses for new Grad and experienced roles. The team cares for complex patients across medicine and surgery, with opportunities to work on related units. Competitive signing bonuses ($15,000 for experienced RNs) and relocation assistance are available.

New grads may access up to $25,000 in nursing loan forgiveness. Available shifts are 3/12s (days or nights).

Qualifications

• Graduation from an accredited Bachelor's Degree in Nursing (or higher).
• 1+ years clinical nursing experience for experienced nurses.
• All registered nurses without a Bachelor's degree in Nursing will be required to enroll in an appropriate BSN program within two years of their start date and to complete the program within seven years of their start date.
• Current NC State Board of Nursing registration as a registered nurse or compact state license to practice in NC is required.
• Professional specialty certification is preferred.

Skills

Clinical nurse experience

Education

Bachelor's Degree in Nursing (BSN) / ADN / Nursing Diploma

Job description

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Registered Nurse (RN) - General Medicine Stepdown

Work Arrangement:

Requisition Number: 268109

Regular or Temporary: Regular

Location: Durham, NC, US, 27710

Date: Jul 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)

General Medicine Stepdown (3200) - Duke University Hospital

New Grad and Experienced Nurses

*Experienced RNs are eligible for a $15,000 commitment bonus

*Relocation is available

*Newly Hired RNs are eligible for up to $25,000 Nursing Loan Forgiveness for first nursing degree

TheGeneral Medicine Stepdown (Unit 3200)is a newly renovated unit comprised of 15 beds. Our team of nursing staff provide exemplary care for a variety of complex patients with varying diagnosis such as stroke, heart failure, pneumonia, sepsis, liver/kidney failure, BKAs/AKAs, diabetes, GI bleed, sickle cell, and rheumatic disorders. RNs will also have the opportunity to work on unit 3100, a General Surgery / Trauma Stepdown allowing nurses to obtain experience working with both surgery and medicine patients.

Available Shifts: 3 / 12 hour days or nights (7A-7P, or 7P-7A)

Department Highlights:

• RN to Patient Ratio is 1:3-1:5
• A brand new, renovated unit!
• Lots of opportunity to grow and advance in your career as an Assistant Nurse Manager, preceptor, charge nurse, create committees, etc.
• You will be a part of building the culture and personality of the unit.
• Phenomenal teamwork, multi-disciplinary collaboration, and professional respect - we offer a dynamic environment for lateral professional development.
• Extraordinary unit culture that embraces each team member - a sense of belonging.
• Affords the clinical experience to attain strong critical thinking skills, vast knowledge of disease processes and body systems, and robust care management skills.

This unit is part of Duke University Hospital's innovation initiative, designed to redefine care delivery by integrating cutting-edge technologies that enhance patient outcomes, streamline workflows, and improve operational efficiency. Units 2100, 3100, and 4100 at Duke North are piloting smart room capabilities, automated signage, and virtual access for care teams and families. Future enhancements include predictive tools for fall prevention and ambient listening for documentation. Staff foster a culture of innovation and continuous improvement, collaborating across departments to explore solutions like expedited medication delivery, all aimed at improving the patient experience and reducing length of stay.

Knowledge, Skills, Education, and Experience Required:

• Graduation from an accredited Bachelor’s Degree in Nursing (or higher), Associate's Degree in Nursing or Nursing Diploma program is required.
• Experienced Nurses: Previous work experience (1+ years) as a clinical nurse is required.

All registered nurses without a Bachelor's degree in Nursing will be required to enroll in an appropriate BSN program within two years of their start date and to complete the program within seven years of their start date

Licensure, Certification or Registration Required:

• Current registration with North Carolina State Board of Nursing as a registered professional nurse OR current compact RN licensure to practice in the state of North Carolina required.
• Experienced Nurses: Professional specialty certification (preferred).

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.