Clinical Nurse Leader; CN IV; Cardiology Stepdown

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.

The Cardiology Stepdown (Unit 7300) is a fast‑paced, 31‑bed cardiac progressive care unit supported by a highly skilled and collaborative team of registered nurses, nursing assistants, and health unit coordinators. Our team is deeply committed to teamwork, clinical excellence, and delivering exceptional, patient‑centered cardiovascular care.

• This role is ideal for an experienced bedside RN who is ready to grow into clinical leadership while maintaining a strong hands‑on patient care presence.
• Many of our patients transfer in directly from the ICU, post‑procedure, or from outside hospitals requiring an elevated level of care.
• Our team specializes in care of patients with acute coronary syndromes, post‑cardiac catheterization recovery, electrophysiology procedures, dysrhythmia, heart failure, heart transplant evaluation, and congenital heart disease. These patients may have multi‑system involvement, including pulmonary, renal, endocrine, and neurological conditions.

• Opportunity to grow and advance in your career as a Clinical Nurse Leader (CN IV).
• Extraordinary unit culture that embraces each team member.

The Clinical Nurse Leader (CN IV) is a hybrid clinical and leadership role that combines direct patient care with unit‑based leadership, coaching, and operational support
. This position serves as an early leadership pathway for nurses interested in advancing into formal nurse management roles while remaining clinically grounded.

The CN IV Leader supports unit leadership by coordinating care delivery, mentoring staff, advancing quality initiatives, and promoting evidence‑based practice—
without direct budgetary ownership
.

• FTE: 1.0 (40 hours/week)
• Typical Schedule:
  • Approximately 2 clinical staffing shifts and 16 hours of dedicated leadership/office time per week
  • Weekend, holiday, and occasional off‑shift or night‑shift coverage expected
• Leadership experience preferred; candidates must be open to working night shifts as needed

• Identify and address the care needs of cardiology patient populations across the continuum of care
• Collaborate with the interdisciplinary team to support safe, high‑quality patient care delivery
• Serve as a visible clinical leader and resource on the unit

• Guide the professional growth of nursing staff through role modeling, coaching, and mentoring
• Support orientation programs and serve as a primary preceptor for senior nursing students as appropriate
• Collaborate with nurse educators and clinical nurse specialists on unit‑based education needs

• Monitor clinical practice and support compliance with professional, regulatory, and accreditation standards
• Participate in quality improvement initiatives and multidisciplinary committees focused on patient safety and outcomes
• Analyze patient care trends and support nursing staff in evidence‑based best practices

• Provide guidance on the…