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Clinical Nurse IV Leader - Emergency Department

Job in Durham, Durham County, North Carolina, 27703, USA
Listing for: Duke University Health System
Full Time position
Listed on 2026-01-12
Job specializations:
  • Nursing
    Healthcare Nursing, Clinical Nurse Specialist
Salary/Wage Range or Industry Benchmark: 80000 - 100000 USD Yearly USD 80000.00 100000.00 YEAR
Job Description & How to Apply Below

Clinical Nurse IV Leader - Emergency Department

Join to apply for the Clinical Nurse IV Leader - Emergency Department role at Duke University Health System.

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 Regional Hospital

Pursue your passion for caring with Duke Regional Hospital in Durham, North Carolina. With 388 beds it is the second largest of Duke Health's four hospitals and offers a comprehensive range of medical, surgical, and diagnostic services, including orthopedics, weight‑loss surgery, women's services, and heart and vascular services.

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)
About Emergency Services

Emergency Services at Duke Regional Hospital is an 89‑bed department caring primarily for patients experiencing ischemic strokes, non‑specific chest pains, acute dyspnea, and other acute diagnoses. Emergency Services is comprised of three units: the Emergency Department, Behavioral Health Emergency Department, and Clinical Decision Unit. As part of the team, you'll have the opportunity to advance your career through bonuses for certifications and education, such as trauma nurse core or emergency nurse pediatric courses.

Emergency Services recently implemented, and continues to refine, an improved intake process designed to improve patient flow and care. Emergency Services offers self‑scheduling in eight‑week blocks to help team members find balance between their professional and personal schedules. 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 the areas of administration, education, informatics and quality.

Work Hours & Shifts
  • Full‑Time - 40 hours per week
  • Shift is nights 7 p‑7 a
  • Call requirement for back‑up on another shift
Duties And Responsibilities
  • 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.
  • This may include designing orientation modules, primary precepting of senior nursing students.
  • Provide leadership at a departmental, entity, community or regional/national level for initiatives focused on improving the quality of care for populations of patients and growth of others.
  • Conduct performance reviews.
  • Effectively recommend personnel actions including, but not limited to, hiring, performance appraisals, disciplinary actions, terminations and other related activities.
  • Perform other related duties incidental to the work described herein.
CNIV Pathways

Leadership/Regulatory: Monitor clinical practice and ensure compliance to practice standards and regulatory standards. Collaborate with unit/clinic leadership to coach and…

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