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Clinical Nurse IV Leader - 5100 Peds Emergency Durham, NC

Duke Clinical Research Institute
United States, North Carolina, Durham
300 West Morgan Street (Show on map)
Sep 03, 2025

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.

Occ Summary

Plan and provide advanced and/or specialized nurs ing care for patientsin accordance with guidelines established within th e Discipline ofNursing Clinical Ladder Program and the North Carolina Bo ard of Nursing.The position will provide local level leadership in the a reas ofadministration, education, informatics and quality.


W ork Performed

Identify care needs for patient populations across the continuum ofcare. Collaborate and provide leadership in the developm ent of standardsof care, patient/family education and staff education to address theneeds of specific populations. Collaborate with multidiscipl inary teamand provide leadership within the delivery of patient care.Pro vide leadership in educational activities, departmental committees,resea rch projects and other health-related projects.Provide evaluation, direc tion and guidance in the proper selection, use,care and control of mater ial resources. Appraise quality andeffectiveness of material and equipme nt and collaborate with appropriatedepartments to assist with vendor sel ection and feedback on performance.Guide the professional growth of othe rs across the continuum of carethrough role modeling, coaching and/or me ntoring. This may includedesigningorientation modules, primary precepti ng of senior nursingstudents.Provide leadership at a departmental, entit y, community orregional/national level for initiatives focused on improv ing the qualityof care for populations of patients and growth of others. Conduct performance reviews.Effectively recommend personnel actions incl uding, but not limited to,hiring, performance appraisals, disciplinary a ctions, terminations andother related activities.Perform other related d uties incidental to the work described herein.CNIV PathwaysLeadership/Re gulatory: Monitor clinical practice and ensure complianceto practice sta ndards and regulatory standards. Collaborate withunit/clinic leadership to coach and mentor nursing colleagues. Influencerecruitment and develop ment of staff.Education: Plan and deliver in house education sessions or collaboratewith subject matter experts. Keep up to date with evidence-b ased nursingpractices and adult education. Assess educational needs of s taff.Partners with clinical nurse educator and clinical nurse specialist toaddress unit educational needs.Informatics: Serve as a superuser for clinical information systems.Disseminate and communicate information to staff regarding adoption ofor changes to technology. Facilitate service tickets and troubleshootefficiency concerns with staff. Provide training and technologyeducation support on the unit. Serve as a change agent an d facilitateadoption of new technology on the unit.Quality/Research/Inno vation: Collaborate with subject matter experts toanalyze patient care d ata to identify trends and areas for improvement.Participate in multidis ciplinary committees focused on quality andpatient safety. Provide guida nce and support to nursing staff in qualityassurance and best practices. Engage in research and innovationinitiatives to develop new methodologi es and technologies for enhancingpatient care.


Knowledge, Sk ills and Abilities

Knowledge of scope of the registered nurse, li censed practical nurse andUnlicensed staff.Knowledge of and appropriate application of the nursing processKnowledge of professional theory, prac tice and procedureAbility to assess nursing needs of acute and chronical ly ill patientsand their familiesAbility to independently seek out resou rces and work collaborativelyAbility to establish and maintain effective working relationshipsAbility to communicate clearly with patients, fami lies, visitors,healthcare team, physicians, administrators, leadership a nd othersAbility to teach patients and families in accordance with the n ursingplan of careAbility to use sensory and cognitive functions to proc ess and prioritizeinformation, treatment, and follow-upAbility to use fi ne motor skillsCompetent in BLS and/or other specialized life support re quirementsdesignated by work areaAbility to record activities, document assessments, plan of care,interventions, evaluation and re-evaluation of patient statusAbility to use computer and learn new software programsAb ility to document and communicate pertinent information using computeran d/or paper documentation toolsAbility to navigate the entity to provide clinical care for patientsAbility to withstand prolonged standing and wa lkingAbility to remain focused and organizedWorking knowledge of procedu res and techniques involved in administeringroutine and special treatmen ts to patientsWorking knowledge of infection control procedures and safe ty precautionSWorking knowledge and completion of appropriate The Joint Commission(TJC) and other regulatory requirementsPre-employment Physical Capacity Testing Required


Level Characteristics

Prov ide leadership at a CSU, departmental, institutional, community orregion al/national level. Lead change by constantly seeking creativesolutions t o improve quality and efficiency in the delivery of patientcare.


Minimum Qualifications

Duke is an Equal Opportunity Employer committed to provi dingemployment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, geneticinformati on, national origin, race, religion, sex (including pregnancyand pregnan cy related conditions), sexual orientation or militarystatus.

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Duke aspires to create a community built on collaboration,inno vation, creativity, and belonging. Our collective success depends onthe robust exchange of ideas-an exchange that is best when the richdiversity of ourperspectives, backgrounds, and experiences flourishes.To achieve this exchange, it is essential that all members of thecommunity feel se cure and welcome, that the contributions of allindividuals are respected , and that all voices are heard. All members ofour community have a resp onsibility to uphold these values.

Essential Physical Job Functions: Certain jobs at Duke University andDuke University Healt h System may include essential job functions thatrequire specific physic al and/or mental abilities. Additionalinformation and provision for requ estsfor reasonable accommodation willbe provided by each hiring departm ent.



Education

Work requires gradua tion from an accredited nursing program with a BSNdegree.


Ex perience

Clinical Nurse II and III are eligible to apply for the CN IV Leaderrole. Applicants will perform the duties and responsibilitie s of the CNIV.


Experience

Three years of experience r equired.Clinical Nurse II and III are eligible to apply for the CN IV Le aderrole. Applicants will perform the duties and responsibilities of the CNIV.

Degrees, Licensures, Certifications

Must have curre nt or compact RN licensure in the state of NorthCarolina. BLS required.< /p>

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 onthe 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.


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