Registered Nurse (RN) - General Medicine Stepdown

Duke University; Durham (NC); Hybrid; USD 68,000 - 92,000; Full time

Benefits offered by this job

Paid Training

Clinical Ladder Advancement

Tuition Assistance and Nurse Loan Forg

Relocation to Eligible RNs

Nursing Specialty Certification Bonus

Employee Referral Bonus

Performance Increases

Comprehensive Benefits

Job summary

Duke University Health System in Durham, NC seeks a Registered Nurse (RN) for the General Medicine Stepdown unit—open to experienced or new graduates. Full-time, three 12-hour shifts, with days or rotating options.

Relocation assistance and up to $25,000 in student loan forgiveness are available to qualifying candidates. You will provide patient-centered nursing care, document plans, delegate tasks, and participate in ongoing professional development and performance improvement activities within

Qualifications

• Current registration with North Carolina State Board of Nursing or NC compact license.
• BLS Certification required for patient care.
• Graduation from an accredited nursing program (BSN preferred).

Responsibilities

• Plan and provide professional nursing care for patients per care plans.
• Document nursing assessments, plans, interventions and evaluations.
• Delegate tasks and supervise licensed and unlicensed staff as needed.
• Support clinical teams and participate in performance-improvement activities.
• Maintain environment and resources to ensure patient safety and quality care.

Skills

Licensed RN

BLS Certification

Compassionate care

Education

Bachelor's Degree in Nursing

Associate's Degree in Nursing or Nursing Diploma

Job description

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

Registered Nurse (RN) - General Medicine Stepdown

Work Arrangement:

Requisition Number: 273182

Regular or Temporary: Regular

Location: Durham, NC, US, 27710

Date: Sep 28, 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)

Registered Nurse (RN) - Experienced or New Grad - General Medicine

Relocation available for New and Experienced RNs

Up to $25,000 student loan forgiveness

Duke University Health System seeks to hire a Registered Nurse (new or experienced) who will embrace our mission of Advancing Health Together.

Department Highlights:

RN to Patient Ratio is 1:4

A diverse patient population is GREAT for new nurses who are still unsure about what route they want to take as a nurse, as it allows you to grow and strengthen your skills, build confidence, and learn about many different disease processes.

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.

Work Schedule:

Full time - 36 hours/week.

Three (3) 12-hour shifts.

Days or Rotating shifts available!

What you will do:

As a Clinical Nurse in Duke University Health System, you will plan and provide professional nursing care for patients in accordance with the medical and nursing plans of care and established policies and procedures. Provide nursing services to patients and families in accordance with the scope of the RN as defined by the North Carolina Board of Nursing.

Plan, provide and document professional nursing care, utilizing the nursing process, in accordance with physician orders and established policies and procedures under the supervision of the team leader or charge nurse.

Delegate tasks and supervise the activities of other licensed and unlicensed care providers.

Assist other healthcare personnel in the delivery of patient care.

Participate in maintaining the environment of care including equipment and material resources. Prioritize work organization and identify resources available to assist in completing components of care in a timely manner.

Participate in own professional development by maintaining required competencies, identifying learning needs and seeking appropriate assistance or educational offerings.

Support the development of other staff and formal learners.

Participate in the identification of clinical or operational performance improvement opportunities and assist in performance improvement activities.

What you can expect:

Multitask in myriad ways – document assessments, plan of care, interventions, evaluation and re-evaluation of patient status, access nursing needs of acute and chronically ill patients, independently seek out resources and work collaboratively.

Educate patients and families in accordance with the nursing plan of care.

Relationship management with patients, families, visitors, healthcare team, physicians, administrators, leadership and others.

What we’ll provide:

• Paid Training
• Opportunities for a Lifetime. Duke University Health System is committed to providing robust learning and development from Office of Continuing Education.
• Clinical Ladder Advancement
• Tuition Assistance and Nurse Loan Forgiveness
• Relocation to Eligible RNs
• Nursing Specialty Certification Bonus
• Employee Referral Bonus
• Performance Increases
• Comprehensive Benefits: Medical, Dental, Vision, Employee Pension plan and much more.

Licensure and Certification 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. Nurses with a multi state compact license must obtain NC state licensure within the first 90 days of employment.

BLS Certification

Education:

Graduation from an accredited Bachelor’s Degree in Nursing (or higher), Associate's Degree in Nursing or Nursing Diploma program is required.

RNs without a Bachelor's degree in Nursing (or higher) 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.

Exception: Registered nurses hired between July 1, 2014 and April 11, 2021 without a Bachelor's degree in Nursing (or higher) are expected to enroll in an appropriate BSN program within two years of their start date but must complete the program within seven years of their start date. Registered nurses hired before July 1, 2014 are not required to enroll in a BSN program to remain in this job classification.

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.