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Registered Nurse; RN - Med Surg Stepdown

Job in Raleigh, Wake County, North Carolina, 27601, USA
Listing for: Duke
Full Time position
Listed on 2026-02-03
Job specializations:
  • Nursing
    Healthcare Nursing, RN Nurse, Clinical Nurse Specialist, Staff Nurse
Salary/Wage Range or Industry Benchmark: 60000 - 80000 USD Yearly USD 60000.00 80000.00 YEAR
Job Description & How to Apply Below
Position: Registered Nurse (RN) - Med Surg Stepdown

Registered Nurse (RN) - Med Surg Stepdown

Work Arrangement:

Requisition Number: 264122

Regular or Temporary:
Regular

Location:

Raleigh, NC, US, 27710

Date:
Jan 9, 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 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 Duke Health's four hospitals and offers a comprehensive array of services, including cancer, cardiovascular, neuroscience, advanced gastrointestinal, and wound healing care.

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)
Unit

Description:

The Medical/Surgical Stepdown Unit at Duke Raleigh Campus is a 45-bed unit that serves patients with a wide range of diagnoses including but not limited to sepsis, pneumonia, diabetes, sickle cell, and gastrointestinal complications. The unit also provides care to patients with mental health disorders and step-down level of care patients (this includes cardiac drips, post-cath lab recovery, peritoneal dialysis, and more).

The nurse-to-patient ratio is 1:3-5 (depending on the acuity of the patients) on days and nights. The 4th-floor team is active in delivering exemplary care for every patient, 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. Nurses hired into this limited benefited classification will commit to work a minimum number of hours in a designated inpatient nursing department.

Compensation is a flat rate that is based on years of experience.

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.
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