Registered Nurse; Experienced - Duke University Hospital - Partial Hospitalization Program

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.

Pursue your passion for caring with Duke University Hospital in Durham, North Carolina, which is consistently ranked among the best in the United States and is the number one hospital in North Carolina, according to U.S. News and World Report for . Duke University Hospital is the largest of Duke Health's three hospitals and features 1048 patient beds, 65 operating rooms, as well as comprehensive diagnostic and therapeutic facilities, including a regional emergency/trauma center, an endo-surgery center, and more.

• 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)

Department:
Duke Children's Behavioral Health

Location:

2608 Erwin Road, Suite 300, Durham, NC 27705

Full-time, 1.0 FTE
Monday-Friday, 7:30 a.m.

- 4:00 p.m.
No weekends, no holidays, no on-call

Mid-March 2026, in preparation for program opening on April 1, 2026

The Duke Children's Partial Hospitalization Program (PHP) is a newly established outpatient behavioral health program serving children and adolescents with mental health conditions. The program provides structured, intensive treatment equivalent to a school day while allowing patients to return home each evening. Patients attend the program each weekday for approximately 2-4 weeks and participate in individual, group, and family therapies within a multidisciplinary care model.

This is a unique opportunity to join a new pediatric behavioral health program during its launch phase and contribute to the development of workflows, safety practices, and team culture from the ground up. The selected candidate will begin in mid-March 2026 to allow dedicated time for hospital orientation, program training, and preparation prior to the start of patient care.

The Registered Nurse (RN) for the Duke Children's Partial Hospitalization Program plays a key role in supporting the medical, psychiatric, and safety needs of pediatric patients receiving intensive outpatient behavioral health treatment. This role blends direct patient care, medication management, care coordination, and interdisciplinary collaboration in a structured outpatient setting.

The RN works closely with psychiatrists, therapists, social workers, and other team members to ensure safe, coordinated, and family-centered care throughout the treatment day. This position offers meaningful clinical complexity without the demands of inpatient, shift-based nursing.

Clinical Care and Patient Support

• ? Conduct patient intake activities including vital signs, medication reconciliation, pharmacy review, and safety/falls assessments
• ? Monitor patient health status throughout the treatment day and notify providers of changes or concerns
• ? Maintain safety within the PHP milieu and assist with behavioral or medical emergencies as needed
• ? Serve as a point person during involuntary commitment (IVC) processes when applicable

• ? Manage medication refill requests, including chart review for appropriateness, pharmacy verification, and provider coordination
• ? Complete medication prior authorizations by gathering clinical documentation, collaborating with providers, submitting requests, and supporting appeals when necessary
• ? Communicate prior authorization outcomes to patients, families, pharmacies, and providers
• ? Work with insurance carriers, including NC Medicaid, to resolve medication access and coverage issues

• ? Respond to nursing phone line calls related to medication questions, symptom concerns, safety assessments, and care coordination
• ? Provide patient and family education related to medications, treatment expectations, and next steps
• ? Coordinate care with internal and external partners including clinics, schools, DSS, and community providers

• ? Manage patient messages, refill requests, and clinical communication in Epic/My Chart
• ? Complete or assist with patient-specific notes, screening tools, and forms as requested by providers
• ? Place lab orders as directed and collect specimens via venipuncture or urine, ensuring appropriate handling, documentation, and charge capture
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