Clinical NURSE IV LEADER - Labor and Delivery Unit

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Work Arrangement:
On-Site

Requisition Number: 274089

Regular or Temporary:
Regular

Location:

Durham, NC, US, 27710

Date:
Aug 26, 2026

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 University Hospital

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 Health System
- Duke University Hospital seeks to hire an experienced Registered Nurse who will embrace our mission of Advancing Health Together.

Our 23 bed Antenatal & High Risk Postpartum Unit cares for pregnant and postpartum patients requiring close monitoring due to medical, obstetric, or fetal complications. We support a diverse patient population with conditions such as preeclampsia, placenta previa, preterm labor, multifetal gestations, surgical/post cesarean recovery, and medically complex postpartum needs. Our team promotes compassionate, family centered care while delivering high acuity clinical services.

The Antenatal & High Risk Postpartum RN provides skilled, evidence based nursing care to pregnant and postpartum patients experiencing high risk conditions. This role includes continuous assessment, medication management (including high alert medications), patient education, and collaboration with multidisciplinary teams to support optimal maternal and fetal outcomes.

Full Time:
Hours will be 2-12 hour shifts and two 8 hour office hour shifts per week, but are subject to change with the needs of the department.

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.

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 mentor nursing colleagues. Influence recruitment and development of staff.

Education:

Plan and deliver in house…