Nurse Manager - Emergency Department

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 the four Duke Health 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 Hospital – Durham, NC

Relocation assistance up to $10,000 available (for moves 50+ miles)

Duke University Hospital 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.

Our state-of-the-art Emergency Department includes 82 total beds, dedicated to serving patients across the lifespan. The unit features:

• 11 Pediatric beds
• 54 Adult Monitored beds
• 8 Fast Track beds
• 4 Triage beds
• 4 Resuscitation/Trauma rooms
• 1 Sexual Assault Examiner room
• Centralized telemetry monitoring

Our ED team is passionate about delivering exceptional care and ensuring an excellent patient experience—every patient, every time.

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 is responsible for operational oversight, staff development, strategic planning, and fostering a collaborative and 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…