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Clinical NURSE IV LEADER - Labor and Delivery Unit

Job in Durham, Durham County, North Carolina, 27701, USA
Listing for: Duke Health
Full Time position
Listed on 2026-09-09
Job specializations:
  • Nursing
    Healthcare Nursing, Nurse Educator, Clinical Nurse Specialist, Pediatric Nurse
Job Description & How to Apply Below
Position: CLINICAL NURSE IV LEADER - Labor and Delivery Unit

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.

RN Clincal Nurse IV Leader – Duke University Hospital – Day Shift

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

Department Profile:

The Duke Birthing Center at Duke University Hospital provides a personalized birth experience in a safe, comfortable, and family-centered environment. We deliver more than 4,000 babies annually and specialize in caring for women and infants with complex maternal health needs. Our Level IV maternal care facility includes 10 bed OB ED, 20 labor beds, and 3 operating room suites. The unit offers 24/7 multidisciplinary coverage from Maternal Fetal Medicine providers, Obstetricians, Midwives, Neonatologists, and a dedicated Anesthesia team.

Team members are part of a highly collaborative, shared governance environment that combines advanced maternity care technology with a strong culture of compassion, respect, and family-centered care. Our experienced and close-knit team is committed to delivering exceptional outcomes and creating a positive birth experience for every patient and family we serve.

Work Hours & Shifts

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.

Occ Summary

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 Performed

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 education sessions or collaborate with subject matter experts. Keep up to date with evidence-based nursing practices and adult education. Assess educational needsof staff. Partners with clinical nurse educator and clinical nurse specialist to address unit educational needs. Informatics:
Serve as a superuser for clinical information systems. Disseminate and communicate information to staff regarding adoption of orchanges to technology. Facilitate service tickets and troubleshoot efficiency concerns with staff. Provide training and technology education support on the unit. Serve as a change agent and facilitate adoption of new technology on the unit. Quality/Research/Innovation:
Collaborate with subject matter experts to analyze patient care data to identify trends and areas for improvement. Participate in multidisciplinary committees focused on quality and patient safety. Provide guidance and support to nursing staff in quality assurance and best practices. Engage in…

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