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Clinical Nurse IV Leader East CICU

Job in Durham, Durham County, North Carolina, 27703, USA
Listing for: Duke University Health System
Full Time position
Listed on 2026-02-07
Job specializations:
  • Nursing
    Healthcare Nursing, Clinical Nurse Specialist
Job Description & How to Apply Below
Position: Clinical Nurse IV Leader 7East CICU

Overview

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, Durham, North Carolina, is consistently ranked among the best in the United States. It is the largest of Duke Health's four hospitals with 1062 patient beds and features comprehensive diagnostic and therapeutic facilities, including a regional emergency/trauma center and an endo-surgery center.

Responsibilities
  • 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 administration, education, informatics and quality.
  • 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, including orienting new staff and precepting nursing students.
  • Provide leadership at departmental, entity, community or regional/national levels for initiatives focused on improving the quality of care and staff development.
  • Conduct performance reviews and participate in personnel actions as appropriate (e.g., hiring, performance appraisals, disciplinary actions, terminations).
  • Perform other related duties incidental to the work described herein.
  • CNIV Pathways Leadership/Regulatory:
    Monitor clinical practice and ensure compliance with practice standards and regulatory standards.
  • Collaborate with unit/clinic leadership to coach and mentor nursing colleagues.
  • Influence recruitment and development of staff. 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 in collaboration with clinical nurse educators and clinical nurse specialists.
  • 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.
  • 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.
Knowledge,

Skills and Abilities
  • Knowledge of the scope of the registered nurse, licensed practical nurse, and unlicensed staff.
  • 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 establish and maintain effective working relationships and to communicate clearly with patients, families, 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 and to document activities, assessments, plan of care, interventions, evaluation and re-evaluation of patient status.
  • Competent in BLS and/or other specialized life support requirements designated by the work area.
  • Ability to use computer systems and learn new software programs; document and communicate pertinent information using electronic documentation tools.
  • Ability to navigate the entity to provide clinical care and to sustain prolonged standing and walking; maintain focus and organization.
  • Working knowledge of infection control procedures and safety precautions; knowledge of Joint Commission and other regulatory requirements.
  • Pre-employment Physical Capacity Testing may be required.
Minimum Qualifications

Education:

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

Experience:

Three years…

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