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RN Clinical Nurse IV - Intensive Care Unit

Job in Smithfield, Johnston County, North Carolina, 27577, USA
Listing for: UNC REX Healthcare
Full Time position
Listed on 2026-01-25
Job specializations:
  • Nursing
    Clinical Nurse Specialist, Healthcare Nursing, Nurse Educator
Job Description & How to Apply Below

Description

This position qualifies for our UNC Health Johnston Incentive Program, ask your recruiter for more information.

Become part of an inclusive organization with over 40,000 teammates, whose mission is to improve the health and well‑being of the unique communities we serve.

Intensive Care Unit (ICU) Department:

UNC Health Johnston ICU Department includes 16 intensive care beds. The ICU is designed to provide extraordinary care on a concentrated and continuous basis to those patients with critical or potentially life‑threatening conditions that require close observation and more intensive nursing and/or medical intervention than can be provided on the general nursing units. We provide care to patients requiring CRRT, balloon pumps, Impellas, and many other treatment modalities.

UNC Johnston is a Stroke, Chest Pain and STEMI accredited facility. Our ICU team consists of Registered Nurses and Monitor Techs that are committed to provide excellent, compassionate, and innovative care for our growing community.

Summary:

The Clinical Nurse IV practices at the level of an expert practitioner of nursing as defined by Benner, P. (1984). From Novice to Expert. Addison‑Wesley Publishing Company. The nurse at this level demonstrates expertise in caring for patients with multiple and complex problems. In addition to demonstrating clinical leadership on the unit, the Clinical Nurse IV serves as a resource and system‑wide consultant to staff and participates in endeavors to increase nursing knowledge.

The CN IV functions as a clinical leader.

Responsibilities
  • Clinical Nursing Practice – Promotes an environment that values diversity, open communication, teamwork and exceptional service. Ensures that appropriate care and services are available to patients, clients and families for assigned shift. Facilitates interdisciplinary collaboration in patient/client care planning to achieve desired patient outcomes. Coordinates care with interdisciplinary team members. Demonstrates and role models clinical expertise in specified patient population and shares expertise with other staff.

    Promotes and ensures the use of the nursing process to provide quality patient care. Assesses and anticipates patient and family learning needs and organizes resources to ensure that they are met. Performs bedside point of care testing as required for patient care plan.
  • Education and Professional Development – Coordinates, designs and implements educational programs to meet identified learning needs of staff, patients and families. Promotes and ensures staff participation in continuing education, orientation, competency, in‑service and staff development offerings. Participates in development and implementation of competency initiatives. Serves as an area of specialty consultant in the design of educational programs. Participates in development of and provides clinical expertise for patient education materials.

    Promotes professional growth of self and staff. Promotes a conducive environment for learning and provides educational experiences for students.
  • HR Management – Creates and promotes an environment conducive to recruiting and retaining staff. Provides feedback to Manager/Supervisor and Director to assist in hiring, promoting, transferring and terminating staff. Assists Nurse Manager by providing assigned staff with performance feedback and opportunity to set professional goals. Models and promotes behaviors that effectively give continual feedback to staff and colleagues. Integrates best practice standards regarding retention of staff in all aspects of practice.
  • Operational and Fiscal Management – Establishes and promotes standards of excellence for areas of responsibility and ensures consistent implementation by staff. Provides input about trends related to program development, space needs and fiscal realities. Ensures appropriate and adequate clinical staffing and skill mix to meet patient care needs on own shift and upcoming shift. Effectively uses clinical and financial information to assist Nurse Manager to establish and meet budgetary goals.

    Collaborates with Nurse Manager to implement strategies to increase revenue and…
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