Nurse Manager, Operations - Emergency Department - Cary

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.

Opening in Spring 2027, the next phase of this 85-acre, mixed use walkable Duke Health Cary campus will add emergency services, inpatient care, surgical services, imaging, specialty care, and infusion services, creating more than 230 career opportunities. Joining Duke Health Cary offers the opportunity to build something new, grow your career, and support our mission of advancing health across the communities we serve.

Duke Health Cary is seeking an experienced, highly engaged Nurse Manager, Operations, to lead clinical and operational functions in our high-acuity Emergency Department (ED). This is an exceptional opportunity to join a nationally recognized academic medical center and guide a team committed to delivering exemplary, patient-centered care.

The Nurse Manager, Operations, provides 24/7 leadership for assigned clinical areas, ensuring high-quality patient care, regulatory compliance, and alignment with Duke Health’s mission and professional practice standards. This role oversees operations, supports staff development, plans strategy, and fosters a collaborative, supportive work environment.

• Participate in the development and execution of strategic and operational plans.
• Promote a professional practice model that encourages shared decision-making and evidence‑based standards.
• Serve as a visible, supportive leader and role model, fostering accountability and positive change.

• Champion safe, high-quality, patient-centered care.
• Advocate for patients, families, and staff to ensure care delivery aligns with expectations and standards.
• Ensure consistent use of the nursing process from admission to discharge.

• Recruit, coach, evaluate, and support nursing staff to develop clinical competency from novice to expert.
• Promote diversity, inclusion, and positive team culture.
• Assure staff participation in councils, committees, and departmental initiatives.

• Oversee day-to-day management of the unit, ensuring efficient workflows, staffing, and resource use.
• Monitor quality metrics and lead unit-based Performance Improvement initiatives.
• Coordinate development and implementation of policies and procedures that enhance operational efficiency.

• Collaborate with the Director of Clinical Operations on budget planning and resource allocation.
• Evaluate resource utilization and implement action plans, ensuring operational and fiscal responsibility.

• Bachelor’s degree in Nursing (BSN) required
• Master’s degree in Nursing strongly preferred

• At least 3 years of Emergency Nursing experience required
• 1+ years of nursing leadership experience (e.g., Charge RN, Clinical Supervisor, Manager) preferred
• Experience in a high-acuity ED of similar scope preferred

• Project management
• Conflict resolution
• Team building
• Staff onboarding
• Budget and finance management

• Current or compact RN licensure in North Carolina
• BLS certification 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…