Duke Jobs in Usa

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 Regional Hospital

Pursue your passion for caring with Duke Regional Hospital in Durham, North Carolina. With 388 beds it is the second largest of Duke Health's four hospitals and offers a comprehensive range ofmedical, surgical, and diagnostic services, including orthopedics, weight-loss surgery, women's services, and heart and vascular services.

Job Location – Duke Regional Hospital

Job Summary

Administer anesthetics to render patients insensible to pain during surgical, obstetrical and other medical procedures.

Job Responsibilities and Duties

- Administer general anesthetics to render patients insensible to pain during surgical, obstetrical and other medical procedures; take necessary remedial action to aspirate secretions from throat larynx and trachea as required.
- Determine, set up and prepare necessary drugs, supplies and equipment for the administration of anesthetics; assemble gas machine and test to insure proper functioning; ensure availability of proper type blood for emergency use.
- Study patient records to determine probable effects of anesthetic on patient; monitor vital signs during course of procedure; take necessary action to ensure a near normal physiological status of the patient.
- Prepare patients for anesthesia to include explaining procedures and positioning patient on operating room table; record condition of patient and type of anesthetic used on patient's chart.
- Assist in moving patient from operating room to recovery area; check patient periodically and take remedial measures to alleviate unfavorable post anesthesia effects as required.
- Supervise and instruct student nurse anesthetists in the administration of general anesthetics; assist in evaluating clinical performance and progress; instruct residents, interns and allied health students in the procedures and techniques of anesthesiology.
- Disassemble equipment and clean work area; report necessary equipment repairs and adjustments to proper personnel.
- Maintain records of each anesthetic administered and prepare periodic reports related to activities.
- Perform other related duties incidental to the work described herein.

Job Eligibility Requirements

Education

- Graduate of an accredited MSN or DNP or DNAP CNRA program

Certification

- CRNA
- Eligibility for certification by the AANA as a certified Nurse Anesthetist is required for new grads.

Licensure

- Current RN licensure issued by or recognized by NCBON with approval to practice as a CRNA

Experience

- New grads welcome to apply, no experience required beyond CRNA education and training

Job Hours

PRN position, day shift

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.

Job Description

Olaro is seeking a travel nurse RN PCU - Progressive Care Unit for a travel nursing job in Durham, North Carolina.

Job Description & Requirements

- Specialty: PCU - Progressive Care Unit
- Discipline: RN
- Start Date: 04/06/2026
- Duration: 13 weeks
- 36 hours per week
- Shift: 12 hours, nights
- Employment Type: Travel

PHP Job ID #474619. Pay package is based on 12 hour shifts and 36 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title: Registered Nurse - PCU @ Duke University Hospital - API

About Olaro

Olaro Company Description

Olaro is a trusted partner in healthcare staffing, connecting nurses and allied health

professionals with opportunities nationwide. For over 35 years, we’ve helped clinicians

expand their horizons by matching them with assignments that fit their lifestyle, career

goals, and personal ambitions.

At Olaro, we value your expertise and support your growth at every step. We offer

competitive pay, comprehensive benefits, and access to diverse clinical experiences

that build your skills and open doors to new possibilities. With 24/7 support, streamlined

onboarding, and a team committed to your success, you’ll always have a proven guide

by your side.

Whether you want to explore new locations, broaden your clinical experience, or

achieve better work–life balance, Olaro provides the flexibility and support to help you

thrive. Join us, and let’s shape the future of healthcare together.

Job Description



Registered Nurse (RN), House Supervisor

PRN

Your experience matters

Sovah Danville is part of Lifepoint Health, a diversified healthcare delivery network with facilities coast to coast. We are driven by a profound commitment to prioritize your well-being so you can provide exceptional care to others. As a Registered Nurse (RN) joining our team, you are embracing a vital mission dedicated to making communities healthier. Join us on this meaningful journey where your skills, compassion and dedication will make a remarkable difference in the lives of those we serve.

More about our team

Provides supervisory coverage for Nursing Departments, other patient care areas and the hospital in general, during assigned shifts and/or after-hours. Assists physicians and staff in assigning admission status serves as a reference and resources person for staff, patient and family; coordinates patient care with other departments

Assesses the acuity of care required by the patients and implements staffing plan for shift based on patient acuity, patient census and available staff

Leads patient care team on designated shift; completes leadership rounds; assesses patient care requirements on each unit, makes patient/room/bed assignments when on duty

Serves as a resource to staff for solving clinical problems and as a resource in identifying and/ or solving administrative/operational problems

Provides for follow-up, documentation and communication of incidents to appropriate manager/director and reports significant incidents and problems to the administrator-on-call

Responsible for staff discipline while on duty; monitors staff members (work performance) output, offering solutions to improve performance

Creates and fosters an environment that encourages professional growth

Integrates evidence-based practices into operations and clinical protocols

How you will contribute

A Registered Nurse (RN) who excels in this role:

- Accurately performs patient assessments and identifies patient needs
- Identifies and initiates appropriate nursing interventions
- Provides care appropriate to condition and age of the patient
- Performs timely and appropriate documentation relating to medical necessity in the medical record
- Responsible for completion and revision of the Interdisciplinary Care Plan for each patient
- Performs timely and accurate QI assessments

Why join us

We believe that investing in our employees is the first step to providing excellent patient care. In addition to your base compensation, this position also offers:

- Comprehensive Benefits: Multiple levels of medical, dental and vision coverage, tailored benefit options for part-time and more.
- Financial Protection & PTO: Life, accident, critical illness, hospital indemnity insurance, short- and long-term disability, paid family leave and paid time off.
- Financial & Career Growth: Higher education and certification tuition assistance, loan assistance and 401(k) retirement package and company match.
- Employee Well-being: Mental, physical, and financial wellness programs (free gym memberships, virtual care appointments, mental health services and discount programs).
- Professional Development: Ongoing learning and career advancement opportunities.

More about Sovah Danville

Sovah Health - Danville ("Danville") is a 250-bed academic community hospital with the region's only designated Chest Pain Center & Certified Advanced Primary Stroke Center. The second largest employer in the City of Danville, the facility has served the community and region for more than 120 years and was formerly known as The Memorial Hospital and Danville Regional Medical Center.

Danville has comprehensive surgical services, 24-hour emergency services, a home health & hospice agency, an advanced wound healing center, cardiac rehabilitation center, two cardiac catheterization labs, a one-day surgery center, and medical & radiation oncology services.

The hospital is accredited by American College of Cardiology (ACC) Accreditation Services for Chest Pain Center and Heart Failure, accredited by the American College of Surgeons' Commission on Cancer and is a member of the Duke Heart Network and Duke Telestroke Network.

What we are looking for

Applicants must have a have a current VA RN license (or compact state).

Bachelor's degree is preferred.

Previous two (2) years of experience in acute hospital setting required

Additional requirements include:

- American Heart Association Basic Life Support
- Experience in acute care hospital, preferred
- American Heart Association ACLS within 6 months of hire

EEOC Statement

Sovah Danville is an Equal Opportunity Employer. Sovah Danville is committed to Equal Employment Opportunity for all applicants and employees and complies with all applicable laws prohibiting discrimination and harassment in employment.

Equal opportunity and affirmative action employers and are looking for diversity in candidates for employment: Minority/Female/Disabled/Protected Veteran

Lifepoint Health is a leader in community-based care and driven by a mission of Making Communities Healthier. Our diversified healthcare delivery network spans 29 states and includes 63 community hospital campuses, 32 rehabilitation and behavioral health hospitals, and more than 170 additional sites of care across the healthcare continuum, such as acute rehabilitation units, outpatient centers and post-acute care facilities. We believe that success is achieved through talented people. We want to create places where employees want to work, with opportunities to pursue meaningful and satisfying careers that truly make a difference in communities across the country.

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 Primary Care

Pursue your passion for caring with Duke Primary Care, which offers family, adolescent, and internal medicine services as well as urgent, general pediatric, and virtual care at nearly 50 clinic locations across central North Carolina.

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) – Riverview Primary Care

Duke University Health System seeks to hire an experienced Registered Nurse who will embrace our mission of Advancing Health Together.

Duke Primary Care Riverview, located in Durham, provides comprehensive internal medicine and lab services with a team of 28 providers serving 240–300 patients daily. Specializing in internal medicine, cardiology, hospital follow-up care, and new patient access, the clinic offers annual exams, preventative care, chronic illness management, acute illness treatment, immunizations, and women's health services. Committed to personalized, patient-centered care, the clinic meets the diverse healthcare needs of its community.

Location: 5102 N Roxboro Street, Durham, NC 27704

Schedule: 8am – 5pm Monday and Friday, 7am - 6pm Tuesday - Thursday

What you will do:

- As a Clinical Nurse, you will deliver advanced and specialized care to patients, following the standards set by the Nursing Clinical Ladder Program. You’ll also have opportunities to grow and contribute by joining educational sessions, serving on department committees, and participating in research or other health-related projects. In every interaction, you’ll provide compassionate care to patients and their families, always practicing within the RN scope of practice defined by the North Carolina Board of Nursing.
- Identify patient care needs at the unit level and help create standards of care, patient/family education, and staff training to meet those needs.
- Participate in educational sessions, department committees, research projects, and other health-related activities as assigned.
- Provide direction on the proper use, care, and management of equipment and supplies.
- Evaluate the quality and effectiveness of equipment and materials and share feedback with the right team members.
- Watch for potential safety concerns in the care environment and take action to prevent issues.
- Support the growth of other team members through precepting, mentoring, coaching, and role modeling.
- Lead unit-level projects focused on improving patient care quality, clinical outcomes, and staff development.
- Perform other related duties as needed.

What you will need:

Education

- Work requires graduation from an accredited BSN program.
- Exception: Registered nurses hired between July 1, 2014 and April 11, 2021 without a Bachelor's degree in Nursing (or higher) are encouraged 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.

Experience

- Applicants must meet all requirements set forth by the DUHS Nursing Career Ladder Program for level III.

Degrees, Licensure, and/or Certification

- Must have current or compact RN licensure in the state of North Carolina. BLS required.

Knowledge, Skills, and Abilities

- Demonstrated understanding of the roles and responsibilities of Registered Nurses, Licensed Practical Nurses, and unlicensed staff.
- Strong knowledge and appropriate application of the nursing process.
- Solid foundation in professional nursing theory, practice, and procedures.
- Ability to assess the nursing needs of both acutely and chronically ill patients and their families.
- Ability to independently identify and utilize available resources while working collaboratively with the healthcare team.
- Proven ability to establish and maintain effective working relationships with patients, families, and colleagues.
- Excellent communication skills with patients, families, visitors, healthcare team members, physicians, administrators, and leadership.
- Ability to provide patient and family education in alignment with the nursing plan of care.
- Strong sensory and cognitive abilities to process and prioritize information, treatments, and follow-up care.
- Proficiency in fine motor skills required for clinical procedures.
- Current certification in Basic Life Support (BLS) and any additional life support training as required by the work area.
- Ability to accurately document assessments, care plans, interventions, and patient evaluations.
- Proficient computer skills and the ability to learn new software programs.
- Ability to document and communicate relevant information using both electronic and paper-based systems.
- Capability to navigate the healthcare environment to effectively deliver patient care.
- Physical ability to tolerate prolonged periods of standing and walking.
- Strong organizational skills with the ability to remain focused in a fast-paced environment.
- Working knowledge of procedures and techniques used in administering routine and specialized patient treatments.
- Familiarity with infection control practices and safety precautions.
- Understanding of and compliance with The Joint Commission (TJC) and other applicable regulatory requirements.
- Successful completion of pre-employment Physical Capacity Testing is required.

Distinguishing Characteristics of this Level

The Clinical Nurse III provides leadership at the unit level. The CNIII independently and creatively implements the nursing process for individual patients and identifies needs and plans care for unit patient populations. The CNIII is positive during changes and supports growth of peers. The CNIII is able to effectively communicate with all members of the health care team.

The intent of this job description is to provide a representative and level of the types of duties and responsibilities that will be required of positions given this title and shall not be construed as a declaration of the total of the specific duties and responsibilities of any particular position. Employees may be directed to perform job-related tasks other than those specifically presented in this description.

Job Title: CLINICAL NURSE III

Job Code: 4025

FLSA: N

Job Level: F3

Revised Date: 07/01/2024

Supervisory Responsibility: No

Duke University 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, (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.

$15,000 Commitment Bonus for RNs with at least 1 year of experience!

Relocation assistance available for qualified candidates

Night Shift needed: 7pm to 7am with shift differentials!

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 Raleigh Hospital, A Campus of Duke University Hospital

Pursue your passion for caring with the Duke Raleigh Campus in Raleigh, North Carolina. With 204-beds, it is the third largest of the four Duke Health hospitals and offers a comprehensive array of services, including cancer, cardiovascular, neuroscience, advanced gastrointestinal, and wound healing care.

Unit Summary:

The 3rd floor Orthopedics unit (NP3200) at Duke Raleigh Hospital, A Campus of Duke University Hospital is comprised of over 40 beds with Orthopedics Neuroscience and Med Surg specialties. Our team is active in delivering exemplary care for each patient to ensure an excellent patient experience, every time.

General Description of the Job Class

Independently plan and provide professional nursing care for patients in accordance with physician orders 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.

Duties and Responsibilities of this Level

- Plan, provide, supervise and document professional nursing care utilizing the nursing process for patients in accordance with physician orders and established policies and procedures. Use professional nursing judgment to individualize the plan of care based on assessment of the patient's baseline needs and response to care.
- Delegate tasks and supervise the activities of other licensed and unlicensed care providers.
- Assist other nursing personnel in the delivery of nursing care and act as team leader or charge nurse for a group of patients or an entire unit as assigned.
- Monitor and initiate corrective action to maintain the environment of care including equipment and material resources.
- Participate in own professional development by maintaining required competencies, identifying learning needs and seeking appropriate assistance or educational offerings.
- Act as preceptor and support the development of other staff and formal learners.
- Participate in the identification of clinical or operational performance improvement opportunities and in performance improvement activities.
- Perform other related duties incidental to the work described herein.

Required Qualifications at this Level

Education:

Work requires graduation from an accredited BSN program.

Exception: Registered nurses hired between July 1, 2014 and April 11, 2021 without a Bachelor's degree in Nursing (or higher) are encouraged 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.

Experience:

- Twelve months of appropriate clinical experience is required. At a manager's discretion, employees with 6 months of experience who are exceptional performers may be eligible for this level.

Degrees, Licensure, and/or Certification:

Must have current or compact RN licensure in the state of North Carolina. BLS required.

Knowledge, Skills, and Abilities:

- Knowledge of scope of the registered nurse, licensed practical nurse and unlicensed staff
- Knowledge of and appropriate application of the nursing process
- Knowledge of professional theory, practice and procedure
- Ability to assess nursing needs of acute and chronically ill patients and their families
- Ability to independently seek out resources and work collaboratively
- Ability to establish and maintain effective working relationships
- Ability to communicate clearly with patients, families, visitors, healthcare team, physicians, administrators, leadership and others
- Ability to teach patients and families in accordance with the nursing plan of care
- Ability to use sensory and cognitive functions to process and prioritize information, treatment, and follow-up
- Ability to use fine motor skills
- Competent in BLS and/or other specialized life support requirements designated by work area
- Ability to record activities, document assessments, plan of care, interventions, evaluation and re-evaluation of patient status
- Ability to use computer and learn new software programs
- Able to document and communicate pertinent information using computer and/or paper documentation tools
- Ability to navigate the entity to provide clinical care for patients
- Ability to withstand prolonged standing and walking.
- Ability to remain focused and organized
- Working knowledge of procedures and techniques involved in administering routine and special treatments to patients
- Working knowledge of infection control procedures and safety precautions
- Working knowledge and completion of appropriate The Joint Commission (TJC) and other regulatory requirements
- Pre-employment Physical Capacity Testing Required

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.

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 Primary Care

Pursue your passion for caring with Duke Primary Care, which offers family, adolescent, and internal medicine services as well as urgent, general pediatric, and virtual care at nearly 50 clinic locations across central North Carolina.

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)

Licensed Practical Nurse (LPN) – Duke Primary Care South Durham

**$10,000 Commitment Bonus for Eligible Candidates**

Location: 234 Crooked Creek Parkway, Suite 200, Durham, NC 27713

Hours: 8am - 5pm Monday - Friday

What you will do:

- Administer medications and IV fluids as prescribed by the doctor and maintain records.
- Provide direct care to patients under the supervision of a nurse or doctor.
- Follow the doctor's orders and nursing care plan for patient care.
- Report patient responses to care to a nurse for evaluation and adjustments to the care plan.
- Assist other healthcare staff in delivering patient care.
- Help doctors and nurses with diagnostic procedures.
- Assess nursing care, patient responses, and prioritize nursing tasks.
- Help develop and implement policies to ensure patient comfort and safety and participate in creating new policies.
- Contribute to maintaining the care environment, including equipment and supplies.
- Identify and assist in improving clinical and operational performance.
- Assist in managing supplies and equipment, reporting any malfunctions to the charge nurse.
- Participate in training programs and help train new staff.
- Perform other related duties as needed.

What you will need:

Education

- Work requires graduation from an approved or accredited Practical Nurse program.

Experience

- No experience required.

Degrees, Licensure, and/or Certification

- Current State of North Carolina LPN licensure or Nurse Licensure Compact (NLC) required.

Knowledge, Skills, Education, and Experience

- Ability to find resources independently and work well with others
- Clear communication with patients, families, visitors, healthcare team, and leadership; able to teach patients and families based on the care plan
- Ability to process and prioritize information, treatment, and follow-up using sensory and cognitive functions
- Competent in BLS and other required life support certifications
- Proficient in fine motor skills
- Accurately record activities and document interventions
- Ability to use computers and learn new software
- Navigate the healthcare system to provide patient care
- Able to stand and walk for long periods
- Stay focused and organized
- Knowledge of sterile techniques and special procedures relevant to the role
- Familiarity with administering routine and special treatments to patients
- Understanding of sanitation, hygiene, and health safety in a hospital setting
- Knowledge of infection control procedures and safety precautions
- Ability to follow oral and written instructions
- Knowledge of and compliance with JCAHO and other regulatory requirements

Distinguishing Characteristics of this Level

- N/A

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.

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.

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 – Pediatric Transplant & Cellular Therapy/Oncology
Duke University Hospital
Full Time | Day/Night Rotating

- $15,000 commitment bonus for Experienced RNs*
- Relocation is available for both new and experienced RNs
- Newly Hired RNs are eligible for up to $25,000 in nursing loan forgiveness towards first nursing degree

Duke University Health System seeks to hire an experienced Registered Nurse with a passion for high-acuity, relationship-centered pediatric care to join our Pediatric Transplant & Cellular Therapy/Oncology Unit. This team plays a vital role in Duke Children’s mission of Advancing Health Together.

Unit Overview
This 17-bed blended pediatric specialty unit cares for a unique and complex patient population, including:

- Stem cell transplant recipients

- Cellular therapy patients (including CAR-T)

- Pediatric oncology patients with high-risk hematologic malignancies and brain tumors

- Children with sickle cell disease, metabolic disorders, and genetic conditions

The unit supports longer-term continuity-based care with an average length of stay of ~30 days, allowing nurses to develop deep and meaningful connections with patients and families.

Acuity Level:

- Transplant & cellular therapy patients: ICU-level (“ICU light”)

- Oncology patients: step-down acuity

Staffing & Support Structure

- RN-to-patient ratio: 1:1 to 1:3 depending on acuity

- Free-standing charge nurse 24/7 (no patient assignment)

- Health Unit Coordinator 24/7

- Nursing Assistants/NCAs on unit daily (7a–7p)

- Multidisciplinary rounds with active RN collaboration

What You Will Do
As a Clinical Nurse II, you will deliver comprehensive, evidence-based care in alignment with the medical and nursing plans of care. Responsibilities include:

Core Responsibilities

- Perform thorough pediatric assessments and ongoing monitoring of high-acuity transplant, cellular therapy, and oncology patients.

- Plan, provide, and document individualized nursing care using the nursing process.

- Administer chemotherapy, immunotherapy, and supportive regimens.

- Provide central line management (Broviac, Port-A-Cath, PICC).

- Administer and monitor blood products.

- Identify and respond to early signs of clinical deterioration.

- Educate patients and families on treatment, expectations, and home care.

- Delegate and supervise care delivered by licensed and unlicensed personnel.

- Serve as charge nurse or team leader as needed.

- Act as a preceptor and support the growth of new staff and learners.

- Contribute to clinical and operational performance improvement initiatives.

Specialized Clinical Skills You Will Develop

- Chemotherapy certification

- Cellular therapy and transplant competencies

- Management of:

- Engraftment syndrome

- Graft-versus-host disease (GVHD)

- Cytokine Release Syndrome (CRS)

- Neurotoxicity (ICANS)

- Advanced pediatric critical thinking and interdisciplinary communication

What You Can Expect

- A fast-paced, highly collaborative environment

- Relationship-based nursing with long-term patients and families

- Involvement in daily rounds and care planning

- Opportunities to grow in one of Duke’s highest-acuity pediatric care settings

What We Provide

- Paid training: 4–6 weeks of orientation based on experience

- Clinical Ladder advancement opportunities

- Tuition assistance

- $15,000 Commitment Bonus (4 equal installments over 2 years)
- Specialty certification bonus

- Performance increases

- Relocation assistance

- Employee referral program

- Comprehensive benefits: Medical, Dental, Vision, Pension, and more

- Robust professional development through Duke’s Office of Continuing Education

What You Will Need

- Graduation from an accredited BSN, ADN, or Nursing Diploma program

- Minimum 1 year of RN experience required

- RNs without a BSN must enroll in a BSN program within 2 years and complete it within 7 years

Licensure & Certifications

- Current NC RN license or compact license

- BLS certification required

If you are an experienced RN seeking to grow in a high-acuity pediatric environment—and want to be part of a team that values compassion, competence, and collaboration—we invite you to apply.

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.

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.

Plan and provide advanced and/or specialized nursing care for patients in accordance with guidelines established within the Discipline of Nursing Clinical Ladder Program and the North Carolina Board of Nursing.

The position will provide local level leadership in the areas of administration, education, informatics and quality.

Location: 2301 Erwin Rd., Durham, NC 27710

Schedule:

- Full-Time - 40 hours per week
- NIghts - 7p-7a
- Call requirement for back-up on another shift

Relocation Assistance:

Eligible for up to $8000.00 in relocation assistance and access to a dedicated websites that let’s you research the area attractions, services, and neighborhoods.

Duties and Responsibilities

- Identify care needs for patient populations across the continuum of care.
- Collaborate and provide leadership in the development of standards of care, patient/family education and staff education to address the needs of specific populations.
- Collaborate with multidisciplinary team and provide leadership within the delivery of patient care.
- Provide leadership in educational activities, departmental committees, research projects and other health-related projects.
- Provide evaluation, direction and guidance in the proper selection, use, care and control of material resources.
- Appraise quality and effectiveness of material and equipment and collaborate with appropriate departments to assist with vendor selection and feedback on performance.
- Guide the professional growth of others across the continuum of care through role modeling, coaching and/or mentoring.
- This may include designing orientation modules, primary precepting of senior nursing students.
- Provide leadership at a departmental, entity, community or regional/national level for initiatives focused on improving the quality of care for populations of patients and growth of others.
- Conduct performance reviews.
- Effectively recommend personnel actions including, but not limited to, hiring, performance appraisals, disciplinary actions, terminations and other related activities.
- Perform other related duties incidental to the work described herein.

CNIV Pathways

Leadership/Regulatory: Monitor clinical practice and ensure compliance to practice standards and regulatory standards. Collaborate with unit/clinic leadership to coach and mentor nursing colleagues. Influence recruitment and development of staff.

Education: Plan and deliver in house education sessions or collaborate with subject matter experts. Keep up to date with evidence-based nursing practices and adult education. Assess educational needs of staff. Partners with clinical nurse educator and clinical nurse specialist to address unit educational needs.

Informatics: Serve as a superuser for clinical information systems. Disseminate and communicate information to staff regarding adoption of or changes to technology. Facilitate service tickets and troubleshoot efficiency concerns with staff. Provide training and technology education support on the unit. Serve as a change agent and facilitate adoption of new technology on the unit.

Quality/Research/Innovation: Collaborate with subject matter experts to analyze patient care data to identify trends and areas for improvement. Participate in multidisciplinary committees focused on quality and patient safety. Provide guidance and support to nursing staff in quality assurance and best practices. Engage in research and innovation initiatives to develop new methodologies and technologies for enhancing patient care.

Required Qualifications

Education

Work requires graduation from an accredited nursing program with a BSN degree.

Experience

Applicants must meet all requirements set forth by the DUHS Career Ladder Program for level IV.

Emergency Department experience is required

Degrees, Licensure, and/or Certification

Must have current or compact RN licensure in the state of North Carolina. BLS required.

Knowledge, Skills, and Abilities

- Knowledge of scope of the registered nurse, licensed practical nurse and Unlicensed staff.
- Knowledge of and appropriate application of the nursing process
- Knowledge of professional theory, practice and procedure
- Ability to assess nursing needs of acute and chronically ill patients and their families
- Ability to independently seek out resources and work collaboratively
- Ability to establish and maintain effective working relationships
- Ability to communicate clearly with patients, families, visitors, healthcare team, physicians, administrators, leadership and others
- Ability to teach patients and families in accordance with the nursing plan of care
- Ability to use sensory and cognitive functions to process and prioritize information, treatment, and follow-up
- Ability to use fine motor skills
- Competent in BLS and/or other specialized life support requirements designated by work area
- Ability to record activities, document assessments, plan of care, interventions, evaluation and re-evaluation of patient status
- Ability to use computer and learn new software programs
- Ability to document and communicate pertinent information using computer and/or paper documentation tools
- Ability to navigate the entity to provide clinical care for patients
- Ability to withstand prolonged standing and walking
- Ability to remain focused and organized
- Working knowledge of procedures and techniques involved in administering routine and special treatments to patients
- Working knowledge of infection control procedures and safety precautions
- Working knowledge and completion of appropriate The Joint Commission (TJC) and other regulatory requirements
- Pre-employment Physical Capacity Testing Required

Distinguishing Characteristics

- Provide leadership at a CSU, departmental, institutional, community or regional/national level. Lead change by constantly seeking creative solutions to improve quality and efficiency in the delivery of patient care.
- The intent of this job description is to provide a representative and level of the types of duties and responsibilities that will be required of positions given this title and shall not be construed as a declaration of the total of the specific duties and responsibilities of any particular position.
- Employees may be directed to perform job-related tasks other than those specifically presented in this description.

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.

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 HomeCare & Hospice

Pursue your passion for caring with Duke HomeCare & Hospice, which offers hospice, home health, and infusion services across the region, as well as serves as the home forthe Duke Caregiver Support Program. Team members work closely with a patient's physician to provide comprehensive, individualized care in the comfort of their home or at our inpatient hospice facility in Durham, NC.

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
- Qualityof Life: Living in the Triangle!
- Relocation Assistance (based on eligibility)

At Duke Home Health, you are able to meet patients where they are! By working as a home health nurse, you are able to help keep patients out of the hospital and in their homes where they are most comfortable.

Duke HomeCare and Hospice provides innovative and thoughtful care by using an interdisciplinary team approach to achieve the best possible outcomes for patients, families and the communities for which they serve. In this role, you would have the opportunity to connect the patient with the right level of care at the right time.

Duke HomeCare and Hospice differs from other home health companies in many amazing ways. Please see a list of some of those reasons below:

1. No call or weekend requirements
2. Manageable territories
3. Commitment to safety for both patients and employees
4. Mileage reimbursement rate equal to the current federal rate
5. Extensive orientation of 20 weeks based on individual needs

Shifts: Monday-Friday- 8 hour days

JOB SUMMARY:

Performs professional nursing care for patients in a primary care setting (the home or alternate site setting) according to nursing practices, agency policies and regulations. Provide nursing services to patients and families in accordance with the scope of the RN as defined by the North Carolina Board of Nursing.

MAJOR JOB RESPONSIBILITIES:

1. Plan, provide, supervise and document professional nursing care utilizing the nursing process for patients in accordance with the NC nurse practice act, physician orders and established policies and procedures. Uses professional nursing judgment to individualize the plan of care based on assessment of the patient’s baseline needs and response to care.
2. Utilize comprehensive assessment skills to plan priorities and to set realistic outcomes; collaborate with healthcare team in the evaluation and cost effectiveness of patient care.
3. Assess educational needs of patients/families concerning alterations in health, the disease process, and plan of care.
4. Develop and implement an effective discharge plan for patients to begin at the initiation of services.
5. Obtain or develop appropriate educational resources for patients/families; plan and implement appropriate educational interventions; evaluate effectiveness and outcomes of patient/family teaching.
6. Role model professional nursing through conduct, appearance, communication, mutual respect, ethical decision-making, critical thinking, and problem-solving skills.
7. Participate in weekly interdisciplinary team meetings and case conferences, as necessary, to assure appropriate care and service are provided to the patient.
8. Maintain up to date knowledge of Medicare/Medicaid/JCAHO standards thru inservices and workshop attendance.
9. Assesse the severity of patient symptoms, communicate to the physician and record significant findings, intervenes as appropriate.
10. Document care and services provided in accordance with DHCH Policy and Procedures and regulatory standards.
11. Complete documentation accurately, timely, concisely.
12. Medication reconciliation and education to prevent adverse events and readmission to hospital
13. Observe patient’s reactions to medications and reports significant incidents to the physicians.
14. Communicate regularly with team members, caregivers, and physicians.
15. Follow infection control standard precautions and uses personal protective equipment as required.
16. Delegate and supervise care given by NCA’s/LPN’s.
17. Develop plan of care for aides, assign care to aides based on the skills of the aide, the availability of the aide for patient care continuity, patient preference (when possible), and other considerations as determined by the patient’s care needs.
18. Identify personal learning needs and implements corrective action: assists in planning and conducting staff development programs to improve DHCC effectiveness.
19. Participate in own professional development by maintaining required competencies, identifying learning needs and seeking appropriate assistance or educational offerings.
20. Implement agency policy, procedures and objectives.
21. Work closely and collaboratively with agency billing staff to ensure accuracy of billing.
22. Maintain confidentiality of employee and patient information.
23. Exhibit an attitude which promotes harmony and goodwill in the workplace.
24. Display a clean, neat, professional appearance.
25. Participate in Performance Improvement Program.
26. Promote quality, comprehensive services through a team approach.
27. Perform other duties as assigned.

Home Health

- Case manage interdisciplinary team of clinicians caring for patients in the home.
- Complete required OASIS Comprehensive assessments at admission, recertification, Resumption of care and discharge. This assessment determines patient reimbursement for Medicare and other episodic payors and also results in publicly reported patient outcomes and additional payment impacts related to value based purchasing
- Work with interdisciplinary team and patient providers to prevent re-hospitalization of the patient.
- Be aware of patient insurance requirements and assures authorization for all services have been obtained.
- Appropriate utilization of resources for patient including visit and supply utilization.

WORK ENVIRONMENT AND REQUIREMENTS:

Perform Patient care primarily in the patient’s residence or skilled nursing facility (>50%)

Travel to and from patient residence

PREFERRED QUALIFICATIONS

Education and Formal Training

- Associate Degree or Diploma, Nursing required
- Registered Nurses are not required but encouraged to enroll in a DUHS approved BSN program after completing two years of service of their start date.

Licensures, Certifications

- Must have a current RN license in NC or compact RN licensure from participating state.
- Current State of North Carolina Cardio-Pulmonary Resuscitation Certificate (CPR) (American Heart Association only) May update during orientation
- Valid driver's license and current automobile insurance coverage.

Professional Work Experience

- 1-2 years of med-surgical, critical care or home health/hospice/infusion preferred
- Valid driver’s license and current automobile insurance coverage
- Prior experience in Home Health, Hospice or Infusion preferred
- Prior OASIS and PDGM experience preferred for home health

Knowledge, Skills & Abilities

- Working knowledge of Medicare and Medicaid regulations, including JCAHO and DFS standards, ICD-9 Coding.
- Knowledge of scope of the registered nurse, licensed practical nurse and NCA
- Knowledge of and appropriate application of the nursing process
- Ability to assess nursing needs of acute and chronically ill patients and their families
- Ability to independently seek out resources and work collaboratively
- Ability to establish and maintain effective working relationships
- Ability to communicate clearly with patients, families, visitors, healthcare team, physicians, administrators, leadership and others
- Ability to teach patients and families in accordance with the nursing plan of care
- Ability to use sensory and cognitive functions to process and prioritize information, treatment, and follow-up
- Ability to use fine motor skills
- Ability to record activities, document assessments, plan of care, interventions, evaluation and re-evaluation of patient status
- Ability to use computer and learn new software programs and technology
- Able to document and communicate pertinent information using computer and/or paper documentation tools
- Knowledge in wound identification and treatments, infusion and other advanced nursing skills
- Critical thinking skills and organization skills
- Working knowledge of infection control procedures and safety precautions
- Strong computer skills including MS Outlook, Word, Excel, preferred
- Excellent rapport, understanding, and communication with the patients and their family members
- Ability to work autonomously and independently in varying environments.
- Able to withstand driving long distances, stooping, bending, lifting 20 plus pounds, and climb stairs

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.