Clinical Service Nurse - Transplant Infectious Diseases Nurse Coordinator and Triage Specialist

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.

Pursue your passion for caring with Duke University Hospital in Durham, North Carolina, which is consistently ranked among the best in the United States. The largest of Duke Health's four hospitals with 1062 patient beds, it features comprehensive diagnostic and therapeutic facilities, including a regional emergency/trauma center, an endo-surgery center, and more.

• 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)

Duke University Hospital is seeking a dedicated Outpatient Clinical Nurse to serve as a Clinical Coordinator and Nurse Triage Specialist for the Transplant Infectious Diseases Outpatient Parenteral Antimicrobial Therapy (TID OPAT) program. This role supports safe, coordinated, and high-quality outpatient antimicrobial care for complex immunocompromised patients.

The Transplant Infectious Diseases subsection within the Division of Infectious Diseases specializes in caring for immunocompromised patients with highly complex infections-including individuals with solid organ transplants, hematopoietic cell transplants, hematologic malignancies, recipients of cellular therapies, and ventricular assist and other advanced cardiac support devices.

The newly established TID OPAT program enhances the care of patients requiring outpatient intravenous antibiotics or high-risk oral antimicrobials, providing structured monitoring and seamless care transitions.

Duke University Hospital - Duke University Hospital - Duke Clinic (Clinic 2B/2C), 40 Duke Medicine Circle, Durham, NC

• 16 Transplant Infectious Diseases Faculty Physicians
• 4 Inpatient Advanced Practice Providers
• 1 Outpatient Clinical Pharmacist
• Strong multidisciplinary collaboration (cardiology, hepatology, pulmonology, heme-oncology, cardiothoracic surgery, abdominal surgery, and more)

Outpatient, On-site

Full time: (35-40 hours/week), Monday to Friday

No weekends or holidays

• Collaborate with the OPAT team (Pharm
  
  D, Medical Director, Transplant , administrative staff) to ensure safe and coordinated care for patients receiving IV antibiotics.
• Monitor, analyze, and document weekly therapeutic drug levels, safety labs, and inflammatory markers; elevate abnormal results to the Pharm
  
  D or providers as needed.
• Provide telephone triage support to determine the need for urgent or emergent evaluation (e.g., vascular access device education, assess vascular access device malfunction, infection progression, adverse drug reactions, acute kidney injury).
• Manage incoming calls and faxes from the dedicated OPAT phone line to address patient needs promptly.
• Coordinate care among , home health agencies, and infusion partners to ensure seamless transitions and prevent avoidable ED visits and hospital readmissions.
• Triage urgent inpatient and outpatient referrals to Transplant Infectious Diseases.

• A dynamic role involving patient communication, clinical decision-making, documentation, troubleshooting, and interprofessional care coordination.
• Opportunities to contribute to program development, workflow optimization, and quality improvement.
• Longitudinal relationships with patients, multidisciplinary teams, physicians, administrators, and leadership across Duke Health.

• Comprehensive onboarding and training
• Professional development opportunities through Duke's Office of Continuing Education
• Clinical Ladder Advancement
• Tuition Assistance & Nurse Loan Forgiveness
• Relocation Grant
• Nursing Specialty Certification Bonus
• Employee Referral Bonus
• Performance-based increases
• Full Benefits Package:
  Medical, Dental, Vision, Pension, and more

• Minimum 12 months of clinical nursing experience
• Prior experience with immunocompromised patients preferred

• Graduation from an accredited BSN
  , ADN
  , or Nursing Diploma program
• Nurses without a BSN must enroll in a BSN program within 2 years and complete it within 7 years of hire
• Nurses with a compact license must obtain NC licensure within 90 days of hire
• BLS certification required

• Proficiency in the nursing process and professional nursing practice
• Ability to assess needs of acute and chronically ill patients and…